What causes abdominal pain after uterine curettage?

When many women undergo abortion, because the hospital they choose is not very formal, the operation is often not very smooth and the intrauterine tissue is not completely cleared. At this time, curettage is needed for treatment. However, after the operation, many women experienced abdominal pain. So, what causes abdominal pain after uterine curettage? Let’s take a closer look at it below.

(1) Incomplete abortion: Abortion surgery sometimes fails. 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 has paroxysmal attacks of abdominal pain, which are unbearable, and there is increased vaginal bleeding, which is bright red in color and contains large blood clots. The abdominal pain is relieved after the blood clots are discharged, and the attacks recur repeatedly. 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 possible complications after abortion surgery. Postoperative infection often occurs within two weeks after surgery. It can be caused directly by the surgical operation or by the patient's failure to pay attention to hygiene after surgery, such as having sexual intercourse, swimming, etc. It usually leads to acute pelvic inflammatory disease, with severe abdominal pain that is persistent and may worsen in paroxysmal forms, accompanied by fever, chills, and vaginal bleeding that is bright red, fishy, ​​or mixed with yellow discharge. During physical examination, there is 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. If chronic pelvic inflammatory disease occurs, there will be dull abdominal pain, a small amount of vaginal bleeding, an odor, and yellow discharge.

(3) Uterine perforation: This is a very serious complication that may occur during 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. Uterine perforation is rare but more likely to occur in women whose uterus is excessively tilted or who become pregnant within one year of a caesarean section, or who have undergone multiple abortions.

The above is an introduction to what to do if you have abdominal pain after uterine curettage. I hope it will be helpful to patients. Abdominal pain after uterine curettage will definitely have a great impact on normal life and work. At this time, you should actively look for the cause. If the symptoms persist for a long time, it is recommended to go to a regular hospital for diagnosis and treatment, so that you can get better treatment results.