Cramps After Abortion With Lower Back Pain: 5 Reasons To Worry

Cramps After Abortion With Lower Back Pain 5 Reasons To Worry

Last updated on July 26th, 2018 at 05:40 pm

Question: What causes lower back pain and abdominal cramps after abortion? How long does pain last after an abortion?

All over the world, there are many reasons a woman will be determined to end her pregnancy. Sometimes, it could be due to an unwanted pregnancy after having an unprotected sexual intercourse with a partner. Other times, it could be at the request of your doctor after counseling because of the risk the pregnancy poses to her health.

Either way, whether it’s your decision or not, there are many risks involved when you are trying to terminate a pregnancy and it’s important you inform your doctor first, and then, ask necessary questions about technique and complications.

During the first three months of pregnancy (that is the first trimester) it’s quite easy to have an abortion. In fact, an abortion done before 7 weeks of pregnancy (or 49 days) is less commonly associated with short or long-term postabortal complications.

Nevertheless, an abortion can take place anytime, and if you informed your doctor late in the second trimester, you should be aware that you are at a higher risk of complications from the procedure.

One common side effect of an abortion is lower abdominal cramps and back pain.

The truth is a sharp pain on the right side, left side or lower abdomen is not abnormal right after an abortion. This occurs because of uterine contractions and it’s a natural protective way your body prevents excessive blood loss and also expel fetal tissue completely.

Cramping and bleeding after abortion is not unusual and could happen after a medical or surgical termination of pregnancy.

Having said that, cramps after abortion may indicate something more serious. If you are also experiencing fever, foul-smelling discharge, lower back pain, body weakness, fatigue, and dizziness, then something is wrong.

Pelvic inflammatory diseases, endometritis, salpingitis, cervical trauma, and uterine rupture may cause you to have belly cramp weeks after an abortion.

This article explains possible causes of cramps and lower back pain after abortion, when it’s abnormal, and when cramps may mean something more serious.


Are cramps after abortion normal?

Immediately after an abortion, you will begin to understand some changes to your body.

First of all, the feeling of guilt sets in and you feel you’ve acted in a wrong way. Sometimes, a lot of women will end their pregnancy because of pressure from family members, husbands, boyfriends or even peer groups.

After the successful removal of your baby, that feeling of guilt could be around for one or two weeks. It’s important you stay strong or talk to a counseling center close to you.

Another problem that you will experience is cramps in your abdomen. This pain may be mild, moderate or severe, and while some women will complain of a dull short-lived recurrent pain, others will experience severe cramps that may stop them from routine daily activities.

It’s important you see your doctor if you’ve taken abortion pills on your own. Pain relief medications are essential to prevent excruciating pains after an abortion.

However, it’s still common that you will have cramps while on these pain relief, though they will be mild and less severe.

Finally, vaginal bleeding will be a new friend after an abortion. Depending on the type of abortion technique used and the age of pregnancy, you may have a light or heavy vaginal bleeding for about 2 weeks.

If you are bleeding after an abortion, its nothing you should worry about yet except its prolonged and heavy causing you to change your pads twice in an hour.

If this happens, it’s important you see a doctor right away.


How long does cramping pain after abortion pills (misoprostol) last?nausea during ovulation

Misoprostol tablets, commonly called Cytotec, are used for the ripening of cervix, and also, for an abortion. These tablets are prostaglandin E1 analogs, that when used with mifepristone and methotrexate, will effectively terminate a pregnancy.

If you’ve used misoprostol alone, you can expect pain in your lower abdominal and back pain for one or two weeks. Sometimes, it could be longer, and misoprostol success rate for an abortion is quite low when used alone compared with combination with mifepristone.

Generally, if you are having cramps 2 weeks after abortion, it may be due to retained products of conception. This causes your uterus to intermittently contract to force out remaining fetal tissue.

If cramping and bleeding continue after 2 weeks, you should see a doctor for examination. Most times, your doctor will evacuate your womb through a suction tube or D & C.

If you don’t see a doctor, you will continue to bleed for a long time, and the truth is, it’s risky if you lose too much of blood. Signs of excessive blood loss are body weakness, lightheadedness, low blood pressure, fast heart rate and dizziness.


Cramps and lower back pain after abortion: When to worry?back pain after abortion

Remember that after an abortion, it’s okay if you experience abdominal cramps for one or two weeks. Pain will be very severe if you’ve failed to use pain relief medications.

However, in some women, these severe pain may be an early sign of possible complications. It’s important you are observant of any changes and quickly inform your doctor. Here are some signs you that indicate something’s wrong

1.  Bleeding and cramping more than 2 weeks after abortion

If you are cramping one week after abortion, it’s not abnormal that you will feel this way. In few days time, you will notice bleeding gets lighter and eventually stops.

vaginal bleedingAfter a medical abortion, that is after the use of misoprostol tablets, your body may fail to remove fetal tissue completely. If this happens, it’s likely you will continue bleeding for 3 or 4 weeks after a miscarriage.

It’s important you inform your doctor.

2.  Fever

High body temperature after an abortion is one quick way to tell if you have an infection or not. Other ways are a smelly discharge that is yellow green, persistent abdominal and back pain, vomiting, nausea, dizziness, painful urination and fast heart rate.

Having said that, transient fever is common right after an abortion with Cytotec, and in few hours, you will feel okay.

3.  Endometritis

This is the inflammation of the lining that coats the inside of the uterus (endometrium). It can occur after an abortion and cause you to have a fever, lower abdominal tenderness, irregular vaginal spotting and reddish brown discharge.

Talk to your doctor if you experience these symptom weeks after an abortion. Broad-spectrum antibiotics like ciprofloxacin will help fight infections (sepsis).

4.  Pelvic inflammatory disease (PID)

After an abortion, infections can spread to different parts of your reproductive tract resulting in lower back pain and belly cramps.

If infections spread up and affect your fallopian tube, uterus, inner pelvis and ovaries, you will experience cramps for weeks or months.

Right-sided pain after abortion can occur from inflammation of the right ovaries and fallopian tube. Likewise, a left-sided pain after abortion can occur after inflammation of the left ovaries and fallopian tubes.

Other symptoms you will experience during a pelvic infection are

  • Smelling vaginal discharge
  • Fever (temperature more than 37.2ºC)
  • PAin during intercourse
  • Pain while urinating
  • Back pain

5.  Trauma to uterus and cervix

If you had a surgical abortion through a D & C, a sharp instrument might cause injury to the walls of the uterus and cervix resulting in bleeding and cramps.

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  • Faith Reply

    Comment I had a d and c last week and bleeded a little that day and nothing till now pls do u think the abortion was successful. I need your replies thanks

    • Dr. Dunn A. (M.B.B.S) Reply

      Not surprised at all. I think you are fine.

  • Lena Reply

    I had a surgical abortion done on the 21 of December. Soon after i had terrible cramps and extremely lower backaches. Today however the blood is beginning to smell terrible. To the point where theres any blood on the pad, i have to change right away.

  • Sharon Reply

    Hello… I had an abortion back in 2013 and at 5momths…ever since.. I have been having some pain in my lower left abdomen sometimes during my menstrual cycle.. Should i be worried?

  • Jacqueline owusu Reply

    I had an abortion recently with pills been bleeding for days and experiencing severe abdominal cramps…

    • Dr. Dunn A. (M.B.B.S) Reply

      Not unusual

  • Joyce Reply

    I had an aspiration procedure done 3wks ago ..I have been having sex after two wks of the procedure ..I bled for 3 days and it was light bleeding.I’ve been getting staining and mild cramps..but today the cramping was a I pregnant again or am I having complications..

    • Dr. Dunn A. (M.B.B.S) Reply

      Difficult to tell, it could be period, pregnancy or abortion complication. See your doctor.

  • taonga Reply

    I aborted 3 weeks ago,after my abortion I become very normal in after a week .BT now I have back pain,stomach pains and tender breast now.

  • Olivia Reply

    I had a vacuum excavation abortion last two week’s and l do feel slight pains on my pelvic once in a while and l also experienced dizziness throughout last week into this week but l bought blood capsules which has reduced the dizziness, do u think l have an infection or is still pregnant

  • Cherrie Reply

    Hi I had an medical abortion in the month of May 2017 but since then I have sudden left lower abdomen pain. Should I be worried about it? Please let me know about it..

  • suzan sharma Reply

    i got medical aborted on first week of January…still i got pain nd irregular period without bleeding…rply to it sir… thnku

  • Mandy Reply

    Hi I took medical pills last week had Bacome pains and cramps had spotting and than brown discharge all of that stop was abortion successful and I still have lower back pains should I be worried?

  • tameem Reply

    after taking misoprostol i felt 2 weeks of bleeding then it got aborted with heavy stomach pain and then now am feeling back pain,week fatigue should i be worried now does abortion succesful,now its lit beeding

  • Funmi Reply

    I had a 41days abortion after taking pills,,I saw clots after 4hrs of taking it ,and the bleeding is just light,and am having a little pain once in a while in my lower abdomen ,what to ask if this abortion is successful

  • Mary Reply

    I took medical Pills a week ago. I got bleed but not to heavy at least 1pad a day. One clot could expel, a size of thumb like with a tissue and little hard to touch. And now I feel lower abdominal cramps and lower back pain. It’s hard to wAlk than usual I walk fast. Do I need to worry about it? Need your reply.

  • Amelia Reply

    I had a medical abortion 3 weeks ago today,i keep getting sharp bad pains in my stomach and bum i stopped bleeding for a week but now bleeding heavy again im worried that i may have an infection :/

  • Hoogly Rajkonwar Dutta Reply

    I have done abortion on February 2017 means now its more than a year. But i am still suffering from backpain and lower abdominal pain on left side which occur after the ovulation upto 15 days. What could be the reason. I have on abdominal and stomach ultrasound all was normal.

  • Nadila Reply

    Hello I had an abortion two months ago I saw my period last month but am 3 days late for this month am I to worry nd having lower backache also

  • Precious Reply

    I had a medical abortion 5days ago I’m just 4weeks pregnant and each day after the abortion I’ve been having serious back pains pls what can I do the pain is unbearable

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