Severe Uterine Pain After Abortion: Causes and Concerns

Severe uterine pain?

Hello Doctor: Last month, I had an abortion (pregnant for 3 weeks).
A week later, I returned for a follow-up and received medication, but I did not finish taking it properly.
Now, I am waiting for my period to come this month.
Two days ago, I had intercourse with my boyfriend.
At that moment, I felt no pain, but the next day I experienced cramping.
It felt like my muscles were being pulled, and today my period started.
When I went to the bathroom, my uterus hurt even more than yesterday.
I was sweating profusely, felt weak in my limbs, and almost fainted.
I was afraid to urinate because it hurt too much.
I couldn't move without pain.
Once I lay back down on the bed, it gradually got better, but there was still some discomfort.
After getting up, I had breakfast and took a Tylenol.
Could you please tell me what is happening? Thank you, Doctor.

Ci, 10~19 year old female. Ask Date: 2016/11/27

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I'm sorry that I cannot diagnose based on the described symptoms.
If you continue to feel unwell, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/11/27

More Info

Severe uterine pain following an abortion can be concerning and may arise from various causes. After an abortion, it is not uncommon for women to experience some degree of cramping and discomfort as the body adjusts and the uterus contracts back to its normal size. However, the intensity and duration of pain can vary significantly among individuals, and in some cases, it may indicate underlying issues that require medical attention.

In your case, the pain you are experiencing could be attributed to several factors:
1. Uterine Contractions: After an abortion, the uterus undergoes contractions to expel any remaining tissue and to return to its pre-pregnancy state. These contractions can cause cramping and pain, which may feel similar to menstrual cramps. The pain can be exacerbated by physical activity, such as sexual intercourse, which may have triggered more intense contractions.

2. Incomplete Abortion: If some tissue remains in the uterus after the procedure, it can lead to ongoing pain and cramping. This condition may also result in abnormal bleeding or infection. If you suspect this might be the case, it is crucial to seek medical evaluation to determine if further intervention is necessary.

3. Infection: Post-abortion infections can occur, leading to severe pain, fever, and other systemic symptoms. If you experience symptoms such as foul-smelling discharge, fever, or worsening pain, it is essential to contact your healthcare provider immediately.

4. Hormonal Changes: After an abortion, your body undergoes hormonal fluctuations as it adjusts to the absence of pregnancy. These changes can lead to various symptoms, including cramping and mood swings, which may contribute to your discomfort.

5. Pelvic Floor Tension: Sometimes, the pelvic floor muscles can become tense or strained, especially after a procedure like an abortion. This tension can lead to pain that may feel like it is originating from the uterus or surrounding areas.

Given that you are experiencing severe pain, cold sweats, and weakness, it is vital to monitor your symptoms closely. While taking over-the-counter pain relief like acetaminophen (Tylenol) can help alleviate discomfort, it is essential to ensure that the underlying cause of your pain is addressed.

Recommendations:
- Seek Medical Attention: Given the severity of your symptoms, it is advisable to consult your healthcare provider as soon as possible. They may perform a physical examination, ultrasound, or other diagnostic tests to determine the cause of your pain.

- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as fever, unusual discharge, or changes in bleeding patterns. This information will be helpful for your healthcare provider.

- Rest and Hydration: Ensure you are resting adequately and staying hydrated, as this can help your body recover.

- Avoid Strenuous Activities: Until you have a clearer understanding of the cause of your pain, it may be wise to avoid activities that could exacerbate your symptoms, including sexual intercourse.

In conclusion, while some pain after an abortion is normal, severe pain accompanied by other concerning symptoms warrants immediate medical evaluation. Your health and well-being are paramount, and addressing these symptoms promptly can help prevent complications and ensure a smoother recovery.

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