Post-Laparoscopic Surgery Pain: What to Expect and When to Worry

Postoperative pain after laparoscopic surgery?

Hello, in April, I underwent laparoscopic surgery for an endometrioma due to severe menstrual pain that I could no longer tolerate.
The procedure also involved the removal of a uterine polyp and addressing significant adhesions on the right side.
I was hospitalized for five days post-surgery.
On the day of discharge, I received an injection of Lupron for three months.
Prior to the injection, I was already experiencing pain in the lower right abdomen, and the Lupron was administered in that area.
The doctor advised me to monitor the situation.
That afternoon, I called the doctor for further advice, and they reiterated to observe the symptoms.
The day before my discharge, I began to experience pain in the lower right abdomen, and on the night after discharge, the pain became so severe that I could not sleep and had to take pain medication.
Is this normal? I am also hoping to conceive.
Thank you for your assistance!

Xiao Ting, 30~39 year old female. Ask Date: 2016/05/04

Dr. Lin Wenbin reply Obstetrics and Gynecology

Please go for an outpatient examination.

Reply Date: 2016/05/04

More Info

Post-laparoscopic surgery pain can be a common experience, especially after procedures involving the abdomen, such as the removal of chocolate cysts or uterine polyps. It is essential to understand what to expect in terms of pain and when it may be necessary to seek further medical attention.

1. Understanding Postoperative Pain: After laparoscopic surgery, it is typical to experience some degree of pain and discomfort. This pain can stem from several sources, including the surgical incisions, internal healing processes, and even gas used during the procedure to inflate the abdomen. The pain may vary in intensity and can be localized around the surgical site or radiate to other areas, such as the shoulders or back, due to irritation of the diaphragm from gas.

2. Normal Pain Levels: Generally, mild to moderate pain is expected in the first few days following surgery. Many patients report that their pain peaks within the first 48 hours and then gradually decreases. Pain management typically involves over-the-counter pain relievers or prescribed medications. If you are experiencing significant pain that disrupts your ability to sleep or perform daily activities, it is crucial to communicate this to your healthcare provider.

3. When to Worry: While some pain is normal, certain symptoms may indicate complications. You should seek immediate medical attention if you experience:
- Severe abdominal pain that does not improve with medication.

- Signs of infection, such as fever, chills, or increased redness and swelling around the incision sites.

- Persistent nausea or vomiting.

- Changes in bowel or urinary habits.

- Any unusual discharge from the surgical site.

4. Specific Concerns Post-Surgery: In your case, you mentioned that the pain in your right lower abdomen began after receiving a Lupron injection. This medication can sometimes cause side effects, including abdominal discomfort. It is essential to differentiate between pain related to the surgery and pain that may be a reaction to the medication. If the pain persists or worsens, it would be advisable to follow up with your healthcare provider to ensure that there are no underlying issues related to the surgery or the injection.

5. Future Considerations: Since you are considering pregnancy, it is vital to discuss your pain and any concerns with your doctor. They can provide guidance on when it is safe to attempt conception after surgery and how your current symptoms may affect your reproductive health.

In summary, while some pain after laparoscopic surgery is expected, it is essential to monitor the intensity and nature of your pain. If you experience severe or persistent pain, or if you have any concerning symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, especially as you consider future family planning.

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