White Discharge After Cervical Polyp Surgery: Causes and Solutions

No odor, no itching, no pain, but white discharge after intercourse?

Hello Doctor: Thank you for taking the time to answer this question.
On March 16, I had a cervical polyp removed in an outpatient procedure, and there was no bleeding during the follow-up visit.
I waited until April 6 to engage in sexual activity, being cautious and gentle.
However, my boyfriend's genital area produced a lot of white, chunky substances, including larger soft pieces and many smaller fragments.
I suspected it might be a bacterial infection.
During the follow-up visit, I was prescribed a hemostatic agent, which I found can also be used to treat infections and inflammation, so I suggested my boyfriend use it, hoping it would help.
For the past two days, I have been wearing skirts for better ventilation.
Then, on April 8, during intercourse, I was still very careful, but again, there were white chunky substances of various sizes.
After using the hemostatic agent, my underwear was clean with no discharge, and the white chunks were soft, without pain, itching, or odor.
Doctor, what could these white chunks be? How should I handle this?

30 sui nvxing, 30~39 year old female. Ask Date: 2017/04/09

Dr. Zhang Kunmin reply Obstetrics and Gynecology

A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello, based on your description, if those tissues are not causing any specific symptoms, they may be a result of the healing process.
However, if there is an increase in quantity or if they persist, it is advisable to consult a surgeon to assess whether treatment is necessary.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2017/04/09

More Info

After undergoing cervical polyp surgery, it is not uncommon for patients to experience various types of discharge, including white discharge. In your case, the presence of white, soft, and crumbly discharge following sexual intercourse could be attributed to several factors related to the healing process after surgery.

Firstly, it is important to understand that after any surgical procedure, including the removal of cervical polyps, the body goes through a healing phase. During this time, the cervix and surrounding tissues may produce discharge as part of the natural healing process. This discharge can sometimes appear white or off-white and may have a soft, crumbly texture. It is often a combination of dead cells, mucus, and other fluids that are part of the body's response to healing.

The fact that you mentioned the discharge is not accompanied by pain, itching, or an unpleasant odor is a positive sign. Typically, if the discharge were due to an infection, you would expect to see additional symptoms such as discomfort, a strong odor, or changes in the color of the discharge. Since you have not experienced these symptoms, it is likely that the discharge you are observing is a normal part of the healing process.

However, it is also essential to consider the possibility of a mild infection or irritation, especially after engaging in sexual activity shortly after surgery. Sexual intercourse can sometimes irritate the healing tissues, leading to increased discharge or minor bleeding. It is advisable to avoid sexual intercourse for a period recommended by your healthcare provider, usually around 4 to 6 weeks post-surgery, to allow adequate healing.

Regarding the use of medications like "保理寧" (which I assume is a topical treatment), it is crucial to follow your doctor's advice. If your healthcare provider has prescribed it for you, it may help in managing any potential irritation or minor infection. However, self-medicating without professional guidance can sometimes lead to complications, so it is best to consult with your doctor before using any new treatments.

In terms of management, here are some recommendations:
1. Monitor Symptoms: Keep an eye on the discharge. If it changes in color, becomes foul-smelling, or if you develop any new symptoms such as fever, increased pain, or significant bleeding, seek medical attention promptly.

2. Follow-Up Appointments: Ensure you attend all follow-up appointments with your healthcare provider. They can assess your healing progress and address any concerns you may have.

3. Avoid Sexual Activity: As mentioned earlier, it is advisable to refrain from sexual intercourse until your doctor gives you the green light. This will help prevent irritation and allow your body to heal properly.

4. Maintain Hygiene: Keep the genital area clean and dry. Wearing breathable fabrics and avoiding tight clothing can help reduce irritation.

5. Consult Your Doctor: If you are ever in doubt about your symptoms or if the discharge persists or worsens, do not hesitate to reach out to your healthcare provider for further evaluation.

In conclusion, while the white discharge you are experiencing is likely a normal part of the healing process after cervical polyp surgery, it is essential to remain vigilant and consult your healthcare provider if you have any concerns. They can provide personalized advice and reassurance based on your specific situation.

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