Why do I have lower abdominal pain on the third day after abortion?

Apparently premarital sex is now widespread and it is something society cannot prevent. Although this behavior is not encouraged now, once it happens we can only let it go. The best advice is to take protective measures to avoid accidental pregnancy. Of course, if you get pregnant unexpectedly and the conditions do not allow you to have a child, you have to have an abortion. So, what is the reason for lower abdominal pain on the third day after abortion?

(1) 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 remove the blood in the uterine cavity, and oxytocin and antibiotics should be given.

(2) 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 persistent, 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. Nanning painless abortion experts suggest that conservative treatment can be used when the perforation is small and there is no damage to the bladder, rectum and other internal organs, and there is no internal bleeding: the patient should rest in bed; oxytocin 10 units should be given intramuscularly or added to glucose liquid for intravenous drip, 2 to 3 times a day; at the same time, sufficient antibiotics should be given to prevent infection; changes in body temperature, blood pressure, respiration and pulse should be closely observed. If there is still residual tissue in the uterine cavity, uterine curettage can be performed after the condition has improved. If the uterine perforation is large or is accompanied by damage to internal organs, or there are signs of internal bleeding, surgical treatment is required.

(3) Incomplete abortion: Artificial abortion procedures sometimes fail. Incomplete abortion means that the villi and decidual tissue in the uterine cavity cannot be completely removed during the operation. After an abortion, 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 during the attacks, 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 in this way. 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.