What is the reason for lower abdominal discomfort after sexual activity?

Patient's question:

Hello:
I had sexual intercourse about a month after an abortion, but during sex, I always feel some discomfort in the lower abdomen—it’s not really painful, but it’s similar to the discomfort I felt the first time I had sex. What could be the reason?

Doctor's answer:

After a certain period of time following an induced abortion, the trauma on the endometrium has not yet healed, the cervix is relaxed, and the original mucus plug in the cervix (which prevents bacteria from entering the uterine cavity) has been removed. A new mucus plug has not yet formed. If hygiene in the external genital area is not paid attention to at this time, bacteria in the vagina can easily enter the uterine cavity, causing infection. Therefore, it is even more important to maintain cleanliness and hygiene in the external genital area after an induced abortion. Wash with warm water 1-2 times a day, and change menstrual pads and toilet paper frequently.

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