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Why do I have a fever after an abortion?

Nov 27, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, "abortion" refers to an induced abortion procedure, and "fever" indicates an elevated body temperature. Post-abortion fever may be related to factors such as thermoregulatory imbalance, upper respiratory tract infection, incomplete abortion, endometritis, or pelvic inflammatory disease. If experiencing any discomfort, it is recommended to seek medical attention promptly. After the procedure, adequate rest and sufficient sleep should be ensured, while physical exhaustion and strenuous activities should be avoided to reduce physical strain.

Generally speaking, "人流" refers to an induced abortion procedure, and "发烧" means fever. Fever after an induced abortion may be related to factors such as thermoregulatory imbalance, upper respiratory tract infection, incomplete abortion, pelvic inflammatory disease, and endometritis. If discomfort occurs, timely medical attention is recommended. Detailed explanations are as follows:

1. Thermoregulatory Imbalance

After an induced abortion, due to the trauma and stress response experienced by the body, the thermoregulatory center may be affected, leading to thermoregulatory imbalance and subsequent fever. This type of fever is usually temporary. Patients should rest adequately and maintain proper hydration.

2. Upper Respiratory Tract Infection

Following an induced abortion, the patient's body is relatively weak, making it easier to contract infections from viruses and other pathogens, which may lead to an upper respiratory tract infection. Inflammation caused by an upper respiratory tract infection can result in fever. Symptoms typically include nasal congestion, runny nose, and sneezing. Medications such as oseltamivir phosphate capsules, Lianhua Qingwen capsules, and Isatis root granules may be used under medical guidance for treatment.

3. Incomplete Abortion

If the abortion procedure fails to completely remove the gestational sac and fetal tissue, leaving chorionic villi or parts of the fetus in the uterine cavity, local and systemic inflammatory reactions may occur, leading to fever. Symptoms typically include heavy vaginal bleeding and foul-smelling discharge. Treatment may involve a dilation and curettage (D&C) procedure under medical guidance, whereby the remaining tissue in the uterine cavity is removed using surgical instruments through scraping or suction.

4. Pelvic Inflammatory Disease

Following an induced abortion, bacteria may spread from the uterus to the pelvic cavity, causing inflammation of the pelvic organs. The inflammatory response may activate the body's immune system, leading to an increase in body temperature and subsequent fever. Symptoms may include lower abdominal pain, pain during sexual intercourse, and fever. Patients may use medications such as metronidazole tablets, amoxicillin capsules, and Fuke Qianjin tablets under medical guidance for treatment.

5. Endometritis

During the surgical procedure, bacteria may enter the uterus through the cervix, causing infection of the endometrium. The inflammatory response may lead to an elevated body temperature. Other common symptoms include lower abdominal pain, abnormal vaginal discharge, and fever. Treatment may involve antibiotics such as cefuroxime sodium injection, azithromycin dispersible tablets, and tinidazole injection, used under medical guidance.

Postoperative care should include adequate rest, sufficient sleep, and avoiding fatigue and strenuous physical activity to minimize physical strain.

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