Is it normal to have stomach pain after uterine cleaning?

Curettage is a very common gynecological surgery. Curettage and abortion are usually different. Curettage is used to remove the residue in the uterus and promote the recovery of the uterus, which can reduce bleeding or infection. For curettage, you must choose a professional and regular hospital. Choosing some small hospitals or small clinics may lead to incomplete curettage, which seriously affects women's health. Is it normal to have abdominal pain after curettage?

Is it normal to have stomach pain after uterine curettage?

Normal phenomenon

There will be mild abdominal pain and bleeding symptoms after curettage. The color is bright red or dark brown, and there are usually no blood clots. This is a normal phenomenon. Generally speaking, you can recover after a few days of rest. If the pain is severe and persistent, you need to pay attention to it.

Incomplete abortion

Uterine curettage cannot guarantee 100% success and there are cases of failure. If the villi and decidual tissue in the uterine cavity are not completely removed during the curettage, the uterus will experience paroxysmal contractions in order to expel the remaining embryo from the body, causing abdominal pain.

If the uterine cleaning is not done thoroughly, the main symptoms may be: paroxysmal abdominal pain, which is unbearable during attacks, accompanied by vaginal bleeding, which is bright red in color and has large blood clots. Once the blood clots are discharged, the abdominal pain will be relieved.

Recommendation: If the uterine curettage is not complete, a second curettage should be performed in time to remove the remaining tissue.

Postoperative infection

Postoperative infection is one of the complications of abortion surgery, which usually occurs within two weeks after the operation. This infection may be directly caused by improper surgical operation, or it may be caused by the patient's failure to pay attention to hygiene after the operation, such as: sexual intercourse, swimming, etc.

Postoperative infection usually causes pelvic inflammatory disease, which is often manifested by: persistent severe abdominal pain, which worsens in paroxysmal patterns, and is accompanied by fever, chills, vaginal bleeding, bright red bleeding, fishy odor, or yellow discharge.

Recommendation: After curettage, you must pay attention to cleanliness and hygiene, rest in bed at home for 3-5 days, and go to the hospital immediately if abdominal pain occurs.

Postoperative infection

Uterine perforation

Abdominal pain caused by uterine perforation is a relatively serious symptom. Patients with perforation usually experience sudden, persistent, severe abdominal pain. A few people do not feel obvious pain and are accompanied by vaginal bleeding. If combined with internal bleeding, it will also cause peritoneal irritation signs, with symptoms such as abdominal pain that is resistant to pressure, tenderness, and rebound pain existing simultaneously.

Hematometra

Intrauterine hemorrhage usually occurs within a few hours after surgery. Its main symptoms are: unbearable abdominal pain, like a knife cutting. The occurrence of intrauterine hemorrhage is relatively rare, but it is more likely to occur in women with an overly tilted uterus and a tight cervical opening.