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Get it nowIf you’ve recently had an abortion—or are in the middle of one—you might be feeling pain or pressure in your butt or lower back. It’s not something people talk about much, but rectal pain (sometimes called anal pain) is a common side effect of abortion recovery.
Let’s break down what might be going on, how to feel better, and when to check in with a provider.
Why does rectal or butt pain happen after an abortion?
Your pelvic area is very connected, and your uterus, rectum, and lower back all live in the same neighborhood. When your uterus contracts during an abortion, or when your cervix (the opening to your uterus) opens a bit—those cramps can radiate into your hips, lower back, and yes, even your rectum. This can happen whether you had a medication or procedural abortion.
Common causes of rectal pain during or after abortion include:
Rectal pain after using abortion pills
The second pill used in a medication abortion (misoprostol) makes your uterus contract so it can empty. These cramps can be strong—and it’s common for the pain to feel like it’s coming from deep inside, even into your rectum. This pain can get more intense right before you pass a larger blood clot or tissue, but usually feels better right after.
Many people describe the pain as really deep, and sometimes it even feels like it’s radiating into the rectum. That shooting or pressure-like sensation in your butt is very common during the heavier cramping stage. It’s uncomfortable, but it usually means the medication is doing what it’s supposed to.
Rectal pain after a procedural abortion
Rectal pain is less common after an in-clinic abortion, but it can still happen. Here’s why:
- Gas buildup from anesthesia can cause bloating and pressure.
- Positioning during the quick procedure can make your pelvic muscles sore or tense.
- Pre-existing hemorrhoids or pelvic floor tension can flare up during recovery.
- Constipation from pain meds or a change in routine is also a common cause.
- Perforation if a medical tool has accidentally poked through the wall of your uterus.
Rectal pain and ectopic pregnancies
Sometimes, pain in or around your butt after an abortion is not normal and may be a sign that you are having an ectopic pregnancy. This condition can be life-threatening and requires emergency care.
If you experience any of the following symptoms, please go to the closest emergency department:
- Intense pelvic pain or rectal pain, especially one-sided
- Shoulder pain
- Dizziness,
- You are not bleeding 24 hours after taking treatment
How to treat rectal pain related to an abortion
Here are some easy things that can help ease rectal or butt pain during or after an abortion:
If you got care through Hey Jane, you can message your care team directly in the patient portal or call the urgent phone number listed on page 2 of your treatment guide.
In summary
Pain in the anus during an abortion or recovery can be uncomfortable, but it’s often just a sign that your body is about to pass tissue or a clot. Whether it’s cramps, constipation, hemorrhoids, or just general pelvic soreness, most of it resolves in a few days with rest, hydration, and a little TLC. If something doesn’t feel right, trust yourself and reach out to a provider.
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