I have had a miscarriage for half a month and my stomach hurts

Abdominal pain after abortion is a common phenomenon in women after abortion. Generally, the reaction is not very obvious. If the lower abdominal pain lasts for a long time, you need to pay attention. In addition, bleeding after abortion usually lasts 3-5 days. As the uterus shrinks and the wound heals, vaginal bleeding gradually stops and does not exceed 10 days at most. There are many factors that lead to abdominal pain after abortion, such as incomplete miscarriage, postoperative infection, and intrauterine blood accumulation, which are all the main factors that lead to abdominal pain in women after abortion.

What causes abdominal pain after abortion?

1. Postoperative infection

Abortion infection often occurs within 2 weeks after the abortion. It may be caused by the direct operation of the operation, or it may be caused by the patient's careless cleaning after the abortion, such as sexual intercourse, swimming, etc. It usually causes acute pelvic inflammatory disease, with severe abdominal pain that lasts for a long time, accompanied by fever, chills, bleeding or mixed yellowish stools.

2. Uterine perforation

It is a relatively serious complication of induced abortion. When rupture occurs, patients often experience sudden severe abdominal pain. The lower abdominal pain caused by uterine perforation is recurrent and may cause a small amount of bleeding. If there is also rupture of capillaries, retroperitoneal infection symptoms may occur.

3. Incomplete abortion

There are times when abortions fail, but they are very rare. This is mainly because the villi and decidua in the uterine cavity cannot be completely removed during the operation. After the abortion, the uterus is opened to expel the remaining test tube embryos out of the uterus, and the incidence of morbidity is reduced.

4. Uterine blood accumulation

In many cases, within a few hours after the abortion, the patient has unbearable abdominal pain, as if stabbed by a knife, with a small amount of blood discharged. Gynecological examination reveals that the uterus is significantly enlarged, soft, and tender. At this time, immediate curettage is required to clear the blood in the uterine cavity, and oxytocin and antibiotics are given.

After an unexpected pregnancy, you must choose a standard hospital clinic for abortion. Standard hospital clinics generally have outstanding experts with rich clinical medical resumes, cutting-edge instruments and complete equipment, as well as comprehensive and detailed services to ensure the effectiveness of abortion. If you follow the doctor's advice after the abortion and take good care of yourself, if you have abdominal pain, you should go to the hospital immediately to avoid aggravating the symptoms.

The abdominal pain after abortion is caused by the reduction of the uterus after abortion, which will manifest as slight abdominal pain. And because the uterus is not good at expelling accumulated blood, there will be a little bleeding for about a week. Patients do not need to worry too much, just rest assured to maintain their condition. As long as there are no major problems, they will generally get better.

However, women who experience abdominal pain after abortion should also be alert to other adverse factors. Many women go to the hospital for treatment after having an abortion and now have severe abdominal pain. The reason is that they went to some non-standard hospitals for an abortion. Experts suggest that this is related to improper operation of artificial abortion, which may lead to incomplete curettage, uterine perforation, etc., and may also be caused by infection after the abortion. Human-to-human transmission may also be related to direct infection during the surgical operation, or it may be caused by sitting bath, tub bath, or sexual intercourse too early after the operation, leading to acute pelvic inflammatory disease and repeated abdominal pain. Women in this situation should undergo uterine curettage surgery immediately. If inflammation occurs, treatment should be given immediately.

The bleeding after an abortion usually stops within two weeks. Some people bleed for a longer time, some may only bleed for 2-3 days, and some may not even bleed. All of this is normal. However, even if there is no bleeding, it does not mean that you can have sex, because the internal os of the cervix needs to be dilated during abortion, and the cervical mucus plug in the cervical canal is an important natural barrier separating the female reproductive organs from the outside world. Dilation of the internal os of the cervix after the cervical canal will temporarily lose this natural protective function, making it easy for sexual organs to be infected.

After an abortion, a woman's physical fitness declines and her resistance decreases. If she has sex at this time, the bacteria in the foreskin and the bacteria in the vagina and cervix will easily invade the uterus and then invade other parts of the pelvis, causing acute or chronic pelvic inflammatory disease. If bleeding lasts for more than a week after surgery, or is even accompanied by abnormal reactions such as lower abdominal pain, fever, turbid secretions with an odor, you should go to the hospital for follow-up treatment immediately.