How Long Is Abdominal Pain Considered Normal After an Abortion?

After a surgical abortion, it's common to experience mild cramping or abdominal pain for several hours. Typically, this discomfort begins to subside within 3 to 4 hours following the procedure. However, some women may continue to feel a dull ache or pressure in the lower abdomen for up to 24 hours. This is often due to uterine contractions and pelvic congestion, which are part of the body's natural recovery process. It's important to note that significant or worsening pain after 24 hours is not normal and should be evaluated by a medical professional.

If abdominal pain persists beyond one day, there could be underlying causes that require immediate attention. Below are potential reasons for prolonged pain after a miscarriage or abortion:

1. Continued Uterine Contractions: In some cases, the uterus may continue to contract strongly after the procedure, causing ongoing pain. This can usually be managed with medication designed to support uterine healing and contraction.

2. Incomplete Abortion: If tissue remains in the uterus—such as parts of the placenta or fetal membranes—it can lead to continued cramping, bleeding, and even infection. A follow-up ultrasound may be necessary to confirm that the uterus is empty.

3. Uterine Injury: Rarely, the cervix or uterus may be injured during the procedure, leading to sharp, severe pain. If intense pain develops suddenly, seek emergency care and request an ultrasound to rule out serious damage.

4. Infection: Persistent, dull abdominal pain accompanied by fever, unusual vaginal discharge, or foul-smelling bleeding could indicate an infection such as endometritis, myometritis, or pelvic inflammatory disease. Infections require prompt antibiotic treatment to prevent complications like infertility or chronic pelvic pain.

In summary, while mild pain shortly after an abortion is expected, symptoms lasting beyond 24 hours should not be ignored. Monitoring your body and seeking timely medical advice can help ensure a safe and full recovery. Always consult with a healthcare provider if you're unsure about your symptoms or if they seem to be worsening.