Why does my stomach hurt after having an abortion?

Nowadays, many women will find that their stomachs hurt after having an abortion. Everyone's physical constitution is different, so the feeling and duration of pain may be different, but the pain is certain. Abortion will not only cause stomach pain, but may also bring many complications. Therefore, abortion is quite harmful to the health of female friends. Why do you have stomach pain after an abortion? What is going on?

Causes of abdominal pain after abortion

Incomplete abortion

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.

Uterine perforation

This is a very serious complication of abortion. 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 is resistant to pressure, tenderness, and rebound pain. 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.

Hematometra

It usually occurs within a few hours after surgery. The patient has unbearable abdominal pain, as if cut by a knife, 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.

Postoperative infection

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.