Post-Abortion Back Pain: Causes and When to Seek Help

Abortion can cause lower back pain?

Hello doctor, about two weeks ago I underwent an abortion procedure.
I went back to work immediately without resting, and now I often feel back pain when I stay in one position for too long.
Could this be due to retained blood clots in the uterus? Can an ultrasound detect this? Thank you for your response!

Xiao Fang, 30~39 year old female. Ask Date: 2015/07/31

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I had a surgical abortion about two weeks ago, and now I often feel back pain when I stay in one position for too long.
It may not necessarily be related to the abortion.
Is it possible that there are still blood clots in the uterus, and can an ultrasound detect them? Wishing you good health.

Reply Date: 2015/07/31

More Info

Post-abortion back pain can be a common issue that many women experience after undergoing a surgical abortion. It is important to understand the potential causes of this pain and when it is necessary to seek medical attention.

Firstly, after an abortion, the body goes through a significant physical and hormonal adjustment. The uterus contracts to return to its pre-pregnancy size, which can lead to cramping and discomfort. If you are experiencing back pain, it may be related to these uterine contractions. Additionally, if you returned to work immediately after the procedure without allowing your body adequate time to rest, this could contribute to muscle strain and discomfort in your back.

Another possible cause of back pain post-abortion is the presence of retained products of conception, such as blood clots or tissue. If the uterus does not completely expel all contents, it can lead to complications, including infection or prolonged bleeding. An ultrasound can indeed help determine if there are any retained products in the uterus. If there are blood clots or tissue remaining, this may require further medical intervention.

It is also worth considering that the physical stress of returning to work too soon can lead to muscle strain, especially if you are sitting or standing for prolonged periods without proper posture. This can exacerbate back pain. Engaging in gentle stretching and ensuring that you maintain good posture while sitting or standing can help alleviate some discomfort.

In terms of when to seek help, you should consider contacting your healthcare provider if:
1. The back pain persists or worsens over time.

2. You experience severe abdominal pain or cramping.

3. There is heavy bleeding or passing large clots.

4. You develop fever, chills, or any signs of infection (such as foul-smelling discharge).

5. You feel faint or lightheaded, which could indicate a more serious issue.

In summary, while some degree of back pain can be normal after an abortion, it is essential to monitor your symptoms closely. If you have concerns about retained products of conception or if your pain is severe or accompanied by other concerning symptoms, it is crucial to seek medical attention promptly. Your healthcare provider can perform an ultrasound and provide appropriate treatment to ensure your recovery is on track. Remember to prioritize self-care and allow your body the time it needs to heal.

Similar Q&A

Understanding Post-Abortion Symptoms: Managing Back Pain After Medication

My girlfriend experienced lower back pain during her menstrual periods after taking medication to conceive in 2006. Could this be a side effect? What methods can help alleviate this issue?

Dr. Lü Lizheng reply Obstetrics and Gynecology
Hello, there are many reasons that can lead to lower back pain during menstruation, such as chronic inflammation of the uterus, endometriosis, and uterine fibroids. It can be difficult to determine whether it is a consequence of a miscarriage. Please consult a gynecologist for fu...

Post-Abortion Pain: Understanding Coccyx Pain and Its Impact on Mobility

Hello Doctor: In May of this year, I had to undergo a medical abortion due to embryonic resorption. Although I followed the traditional postpartum confinement practices, it has now been three months, and I am experiencing increasingly severe body aches. I often feel sharp pain an...

Dr. Ye Qingnian reply Orthopedics
Coccyx pain is often associated with a history of trauma, such as a fall, leading to injury of the coccyx. While this can cause pain, it typically does not affect walking. Pain in the back and buttocks that is characterized by a limping gait may be due to myofascial inflammation ...

Post-Miscarriage Recovery: Managing Back Pain and Heavy Lifting Risks

I am 7 weeks pregnant and underwent a miscarriage procedure on December 11. It has been almost a month since then. I rested at home for the first three weeks and started working in the fourth week. Everything was fine until I returned to work, but now I am experiencing significan...

Dr. Huang Yuande reply Obstetrics and Gynecology
Post-abortion surgery, persistent lower back pain should not last that long; it may be related to posture issues. It is recommended to adjust to a suitable posture and consider using local heat therapy or supportive devices such as a lumbar support or abdominal binder.

Managing Pain After Medical Abortion: When to Seek Help

Hello doctor, I would like to ask, after taking the first dose on April 11 and the second dose on April 13, I still have some abdominal pain and lower back pain today, similar to menstrual cramps. Since my follow-up appointment is in two weeks, can I take pain relievers on my own...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you can take pain relievers first. If you still feel discomfort, it is recommended to return for a follow-up appointment. Wishing you good health.