Post-Drainage Surgery Concerns: Blood and Pain Management in Gynecology

Post-operative issues following artificial drainage?

Dear Doctor, I underwent a drainage surgery on April 18, and today is April 27, which means it has been 10 days.
However, I still notice some blood, is this normal? Sometimes I also experience dull pain in my lower abdomen.
Additionally, if I want to start taking birth control pills, when is the best time to begin? Thank you for your assistance!

Jingyu, 30~39 year old female. Ask Date: 2016/04/27

Dr. Lin Manying reply Obstetrics and Gynecology

The duration of bleeding after an abortion procedure depends on the gestational age and individual uterine contractions.
Bleeding for up to two weeks is considered normal.
It is recommended to return to the clinic for a check-up to determine if contraceptive pills can be prescribed.

Reply Date: 2016/04/27

More Info

After undergoing drainage surgery, it is not uncommon to experience some residual bleeding and discomfort in the abdominal area. The presence of light bleeding for up to two weeks post-surgery can be considered normal, especially if the procedure involved manipulation of the uterus or surrounding tissues. However, if the bleeding is heavy, accompanied by severe pain, or if you notice any unusual symptoms such as fever or foul-smelling discharge, it is crucial to contact your healthcare provider immediately.

The pain you are experiencing in your lower abdomen could be attributed to several factors, including the healing process of the surgical site, inflammation, or even the presence of scar tissue. It is essential to monitor the pain; if it worsens or becomes unbearable, you should seek medical attention. Pain management can often be addressed with over-the-counter pain relievers, but your doctor may prescribe stronger medications if necessary.

Regarding the use of birth control pills post-surgery, the timing of when to start taking them can vary based on your individual health circumstances and the type of birth control prescribed. Generally, it is advisable to wait until your body has had some time to heal from the surgery before starting hormonal contraceptives. This waiting period can help your healthcare provider assess your recovery and ensure that any bleeding or pain is not related to complications from the surgery.

If you are considering starting birth control pills, it is best to discuss this with your doctor during your follow-up appointment. They can provide personalized recommendations based on your health history and the specifics of your surgery. Typically, if you are not experiencing any complications, you may be advised to start the pills at the beginning of your next menstrual cycle, but this can vary.

In summary, light bleeding and mild discomfort can be normal after drainage surgery, but it is essential to keep an eye on your symptoms. If you have concerns about your recovery or the timing of starting birth control pills, do not hesitate to reach out to your healthcare provider for guidance. They can help ensure that you are on the right track for a healthy recovery and provide the necessary support for managing any ongoing symptoms.

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