Post-Injection Symptoms After Menstrual Induction Shots - Obstetrics and Gynecology

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After receiving the menstrual induction injection?


My menstrual cycle has always been regular, never exceeding seven days late.
However, it did not arrive in June, so I went to the clinic for an ultrasound.
I returned on July 13 and received a medication to induce menstruation.
My period started on July 16, but I experienced lower back pain, leg pain, and abdominal cramps.
On the morning of July 17, I woke up due to severe abdominal pain, possibly triggered by a stressful dream.
Is this a normal reaction to the medication used to induce menstruation, or is there something else going on?

yvonne, 40~49 year old female. Ask Date: 2018/07/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Menstrual cycles have generally been regular, with no instances of being more than seven days late.
However, there was no period reported in June, leading to a visit to the clinic for an ultrasound.
On July 13, another visit was made, and a menstrual induction injection was administered.
The period started on July 16, but there were symptoms of lower back pain, leg pain, and lower abdominal pain.
On the early morning of July 17, there was severe lower abdominal pain that woke the individual up, possibly due to a distressing dream.
Is this a normal reaction to the menstrual induction injection, or something else? Answer: Thoughts during the day can influence dreams at night; this is not caused by the menstrual induction injection.

Reply Date: 2018/07/17

More Info


When it comes to post-injection symptoms following menstrual induction shots, it's important to understand that various reactions can occur, and they may vary from person to person. In your case, experiencing lower back pain, leg soreness, and abdominal discomfort after receiving the injection is not uncommon.
Menstrual induction shots, often containing hormones like progesterone or other agents, are designed to stimulate the menstrual cycle. These hormones can lead to a variety of side effects as your body adjusts to the hormonal changes. The symptoms you are experiencing, such as lower back pain and abdominal cramps, can be attributed to the hormonal fluctuations induced by the injection.
1. Hormonal Effects: The injection may cause your body to react similarly to how it would during a normal menstrual cycle. This includes the thickening of the uterine lining and subsequent contractions as your body prepares to shed it. These contractions can lead to cramping and discomfort in the lower abdomen and back.

2. Muscle Tension: The emotional stress or anxiety you mentioned, such as waking up from a dream that caused anger, can also contribute to muscle tension. Stress can lead to physical symptoms, including muscle tightness in the back and legs, which may exacerbate any discomfort you are already feeling from the hormonal changes.

3. Timing of Symptoms: The timing of your symptoms is also significant. Since you received the injection and then experienced symptoms shortly thereafter, it aligns with the body's response to the hormonal changes. It is common for women to experience varying degrees of discomfort during their menstrual cycle, and the injection may have intensified these feelings temporarily.

4. Duration of Symptoms: Typically, any discomfort following a menstrual induction shot should subside within a few days as your body adjusts. If the pain persists or worsens, it is advisable to consult with your healthcare provider to rule out any complications or underlying conditions.

5. Management of Symptoms: For managing the discomfort, over-the-counter pain relief medications such as ibuprofen or acetaminophen can be effective. Additionally, applying heat to the lower back or abdomen may help alleviate cramps and soreness. Staying hydrated and engaging in light physical activity, such as walking, can also promote circulation and reduce discomfort.

6. When to Seek Help: If you experience severe pain, heavy bleeding, or any other concerning symptoms, it is crucial to seek medical attention. These could be signs of complications that require further evaluation.

In conclusion, while the symptoms you are experiencing after the menstrual induction shot can be considered normal, it is essential to monitor their progression. If they do not improve or if you have any concerns, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice based on your medical history and current condition.

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