You’ve just gone through a surgical abortion. Maybe you’re physically sore, emotionally drained, or scrolling through conflicting advice online. You’re Googling every twinge, wondering, “Is this normal? Am I overreacting?” Let me say this first: Your feelings are valid, and your body deserves kindness right now.
At Proactive For Her, we know how easy it is to spiral into worry, especially when society loves to shame women for prioritizing their health. But here’s the truth: Infections after surgical abortions are rare, and when they do happen, they’re treatable. This blog isn’t here to scare you, it’s here to arm you with clear, science-backed facts so you can breathe easier and focus on healing. Let’s break down exactly what to watch for, why infections happen, and how to stay in control. You’ve got this.
Common Symptoms of Infection After a Surgical Abortion
Your body is healing, and some discomfort is normal. Think mild cramps (like period pain), light bleeding for 1-2 weeks, or fatigue. However, infections, though uncommon, need prompt attention. Here’s a detailed breakdown of post-abortion infection symptoms:
- Fever above 100.4°F (38°C)
- A low-grade fever (99°F–100.3°F) can happen as your body recovers. But a fever over 100.4°F that lasts hours or spikes suddenly is a red flag.
- Severe or Worsening Pelvic Pain
- Cramps are normal, especially in the first few days. But if the pain feels sharp, constant or radiates to your lower back—and isn’t eased by ibuprofen—it’s worth checking.
- Foul-Smelling Vaginal Discharge
- Light bleeding (like a period) or mild odour is typical. But if the discharge smells strongly fishy or rotten or turns yellow/green, it could signal infection.
- Chills, Sweats, or Flu-Like Aches
- Feeling unusually cold, shaky, or achy (without actual flu) means your body is fighting something.
- Heavy Bleeding That Won’t Slow
- Soaking 2+ pads per hour for 2 hours straight isn’t normal. Clots larger than a lemon? Let’s talk.
Why this matters: Infections like endometritis (uterine lining inflammation) or sepsis (a severe systemic response) are rare but serious. Catching the signs of complications after abortion early prevents further escalation of the problem.
How Common Are Infections After an Abortion?
In sterile, professional clinics like Proactive For Her, less than 1% of surgical abortions lead to infection. Modern protocols—like antibiotics, sterile tools, and trained providers—make complications extremely unlikely.
But let’s be real: Even a 1% risk feels scary when it’s your body. That’s why we’re here: to give you the facts, not the fear.
What causes infections after an abortion?
Infections happen when bacteria enter the uterus. Here’s how—and why it’s not your fault:
- Incomplete Abortion:
- Rarely, tissue may remain in the uterus post-procedure. This creates a breeding ground for bacteria. This isn’t caused by anything you did—it’s a medical nuance our team can resolve quickly.
- Undiagnosed STIs:
- Sexually transmitted infections (like chlamydia or gonorrhoea) can spread to the uterus during the procedure. We test for these beforehand, but if you had an untreated STI, it could flare up.
- Post-Procedure Care Gaps:
- Skipping prescribed antibiotics, using tampons too soon (they can introduce bacteria), or having vaginal sex before your cervix closes (usually 1-2 weeks) raises risks.
Key takeaway: Infections are a medical hiccup, not a reflection of your choices.
How to prevent infection after an abortion?
Your body is resilient, but abortion recovery care is essential:
- Take All Prescribed Antibiotics
- Even if you feel fine after 2 days, finish the course. Stopping early lets bacteria rebound.
- Avoid Tampons and Sex for 2 Weeks
- Your cervix needs time to close. Use pads, and wait until your provider clears you for sex.
- Gentle Hygiene Wins
- Skip baths, pools, or hot tubs (showers only). Wash your hands before changing pads. Avoid vaginal douches—they disrupt healthy bacteria.
- Rest, Fuel, Hydrate
- Your immune system thrives on sleep, nutritious food (think iron-rich greens and proteins), and water.
- Attend Your Follow-Up
- We’ll check your healing progress, answer questions, and address any worries.
When should you seek medical help?
You know your body better than anyone. Call medical help after an abortion if you notice:
- Fever over 100.4°F + pelvic pain.
- Bleeding that soaks 2 pads/hour for 2+ hours.
- Foul discharge or severe pain that painkillers don’t touch.
- Dizziness, rapid heartbeat, or trouble breathing (signs of sepsis).
Don’t wait: Early treatment (usually antibiotics) resolves most infections in days. Waiting risks complications like scarring or sepsis.
Myths vs. Facts: Silence the Noise
Myth: “Heavy bleeding always means infection.”
Fact: Bleeding varies; some women bleed heavily for days, others lightly. What matters is how heavy and how long.
Myth: “You don’t need antibiotics if you feel fine.”
Fact: Antibiotics prevent infections—they’re not just for treating them.
How Proactive For Her Can Help: Your Safe Haven
While we don’t perform surgical abortions, we’re here to support your health journey. Here’s how:
- Pre-Procedure STI Testing & Treatment: We screen for infections like chlamydia and gonorrhoea to reduce post-procedure risks.
- Post-Care Guidance: Need help understanding aftercare? We’ll explain it plainly, no jargon.
- 24/7 Support Line: Worried about symptoms? Call us, no judgment, no gatekeeping.
- Non-judgmental follow-ups: Our team ensures you’re healing safely, physically and emotionally.
Conclusion
Healing isn’t just physical, it’s emotional. It’s okay to feel vulnerable, but remember:
- Your body is designed to recover.
- Seeking help is a sign of strength, not weakness.
- You deserve care that honours your autonomy and courage.
At Proactive For Her, we’ll never minimise your concerns or rush you through an appointment. Whether you need a check-up, a listening ear, or urgent care, we’re here, no shame, no stigma, just science and support.
Here’s what to remember: Watch for signs like high fever or foul discharge. Stick to your aftercare plan. And reach out the moment something feels off.
Frequently Asked Questions
1. What happens if an infection after an abortion is left untreated?
Untreated infections can lead to serious complications like pelvic inflammatory disease (PID), infertility, or sepsis (a life-threatening response to infection). This is rare, but it’s why we urge you to seek care if you notice symptoms like fever, severe pain, or unusual discharge. Early treatment with antibiotics resolves most infections.
2. Can you get an infection after a medical abortion as well?
Yes, but the risk is very low (less than 1% of cases). Medical abortions (pills) are safe, but infections can occur if tissue remains or hygiene isn’t maintained. Follow your doctor’s aftercare instructions to stay protected.
3. How long does it take to recover from an infection after an abortion?
Most mild infections clear in 2–3 days with antibiotics. Severe cases may take 1–2 weeks. Rest, hydration, and completing your prescribed medication are key. Always attend follow-up appointments to ensure recovery.
4. Are certain types of abortions more likely to cause infections?
Surgical abortions have a slightly higher risk (still under 5%) due to medical instruments, but both methods are safe when done in sterile clinics. Choosing a trusted provider like Proactive For Her minimises risks.
5. Can poor hygiene increase the risk of infection after an abortion?
Yes. Simple steps to reduce risk:
- Wash your hands before changing pads.
- Avoid baths, pools, or douching for 1–2 weeks.
- Use clean, breathable underwear.
6. What lifestyle changes can help prevent infections after an abortion?
Some tips for preventing infection after abortion:
- Hygiene first: Gentle cleansing with warm water.
- Avoid tampons/menstrual cups for 2–3 weeks (use pads).
- Rest: Let your body heal.
- Hydrate and eat nourishing foods.
- Delay sex for 1–2 weeks and use protection afterwards.
7. Is pain normal after an abortion, or could it indicate an infection?
Mild cramping (like period pain) is normal for 1–2 weeks. See a doctor if:
- Pain becomes severe or sudden.
- It’s paired with fever, chills, or a foul-smelling discharge.
8. Can using tampons or menstrual cups cause an infection after an abortion?
Yes. Tampons/cups can introduce bacteria. Stick to pads for at least 2–3 weeks post-procedure. When you switch back, ensure your hands and products are clean.
9. How can you differentiate between normal discharge and an infection?
Normal: Light bleeding/discharge (pink, red, or brown) for 1–2 weeks.
Warning signs:
- Thick, yellow/green discharge.
- Foul odour.
- Itching or burning.
10. Should you avoid sexual activity after an abortion to prevent infection?
Yes. Wait 1–2 weeks to let your cervix close, reducing infection risk. When resuming, use condoms to prevent bacterial exposure.