What is the reason for pain when pressing the lower abdomen after abortion?

When it comes to abortion, many women are afraid. Artificial abortion surgery is very harmful to our female body. After the operation, you may still experience mild lower abdominal pain, paroxysmal abdominal pain, and lower abdominal pain. Only by correctly understanding the causes of abdominal pain can we help prevent the dangers caused by failed abortion surgery. Next, let’s follow the editor to see what reasons we need to pay attention to.

Postoperative abdominal pain may be caused by several reasons:

(1) Incomplete abortion: Artificial abortion procedures sometimes fail. Incomplete abortion means that the chorionic and decidual tissue in the uterine cavity cannot be completely removed during surgery. After the operation, the uterus undergoes paroxysmal contractions in order to expel the remaining embryonic tissue from the uterus. At this time, the patient suffers from paroxysmal attacks of abdominal pain, which is unbearable during the attacks. When an incomplete miscarriage occurs, a curettage is usually required to scrape out the remaining embryonic tissue in the uterine cavity, and the abdominal pain will disappear naturally. Strengthen anti-inflammatory treatment after surgery to prevent infection.

(2) Postoperative infection: This is one of the most common short-term complications of artificial abortion surgery. During physical examination, the patient has abdominal pain that is resistant to pressure, tenderness, and rebound tenderness; gynecological examination shows cervical motion tenderness, uterine body tenderness, and both adnexa may have flake-like or cord-like thickening with obvious tenderness.

(3) Uterine perforation: This is a very serious complication that may occur during artificial abortion surgery. Most patients experience sudden and severe abdominal pain during perforation, but a small number of people may not feel any obvious pain. The abdominal pain caused by uterine perforation is continuous, with a small amount of vaginal bleeding. If combined with internal bleeding, it may cause peritoneal irritation signs: abdominal pain that refuses to be pressed, and tenderness and rebound pain exist at the same time.

(4) Intrauterine hemorrhage: This usually occurs within a few hours after surgery. The patient suffers from unbearable abdominal pain, as if cut by a knife, and a small amount of blood and fluid flows out of the vagina. Gynecological examination reveals that the uterus is significantly enlarged, soft, and tender. At this time, immediate curettage is needed to clear the blood in the uterine cavity, and oxytocin and antibiotics should be given.

Many women who have abortions are still young and do not know the dangers of abortion. Abortion is harmful to the body and the heart. It can also lead to frequent miscarriages in the future and you may never be able to conceive again. If you have lower abdominal pain after an abortion, it is best to go to the hospital for examination immediately. After surgery, patients must avoid infections, pay attention to hygiene, reduce sexual activity, and avoid swimming and other sports.