Abdominal pain after miscarriage

Abortion is a very common minor operation. The scale of such operation is not large, and the time of use is not very common. However, when doing such an operation, you need to be fully prepared so that there will be no other problems with your health. After the abortion, you also need to take good care of the female body to avoid other problems. So what is the reason for abdominal pain after abortion?

Some women will experience discomfort after an abortion. For example, abdominal pain is very common. What is the reason for this? The following introduction to the phenomenon will help you gain a better understanding of it.

Causes of abdominal pain after miscarriage:

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 abortion to prevent infection.

(2) Infection after abortion

This is one of the possible complications after abortion. Post-abortion infection often occurs within two weeks after the operation. It can be caused directly by the surgical operation or by the patient's lack of attention to hygiene after the operation, 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 occurs 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 it is more likely to occur in women who have an excessively tilted uterus or who become pregnant again within one year of a caesarean section, or who have undergone multiple abortions.

(4) Hemorrhage in the Uterine Cavity

It often occurs within a few hours after the abortion. The patient has unbearable abdominal pain, like a knife cutting, and a small amount of blood and water flows out of the vagina. Gynecological examination reveals that the uterus is significantly enlarged, soft, and tender. The number of people who develop intrauterine hematoma is also very small, but it is more likely to occur in women with an overly tilted uterus and a tight cervix.

Through the above introduction, we have a good understanding of the causes of abdominal pain after miscarriage. Therefore, when such a situation occurs, timely treatment is required. However, it should be noted that after having this problem, women cannot just endure it without treatment. This will cause great harm to their own health and will also have some impact on future fertility.