Post-Endometrial Scraping Bleeding: When to Seek Medical Attention?

Bleeding after endometrial scraping?

Hello, doctor.
I underwent a diagnostic curettage of the endometrium on May 20 and took hemostatic and contraction medications for three days.
After finishing the medication, the bleeding increased, and I continued to have blood clots.
After visiting the doctor on May 25, I was told that I was recovering and showing signs of improvement, and I was prescribed additional hemostatic medications.
However, I experienced severe pain and increased bleeding that night.
The next pad had little blood, but there were large amounts of small blood clots when I used the restroom.
Is this related to the tea I drank in the afternoon? The doctors said there are no dietary restrictions, but I feel noticeably uncomfortable after drinking tea.
Should I seek medical attention again?

Ms. Huang, 10~19 year old female. Ask Date: 2020/05/25

Dr. Wu Xianghui reply Obstetrics and Gynecology

Abnormal postoperative bleeding can have various causes.
It is recommended to visit the outpatient clinic for evaluation by the original surgeon.

Reply Date: 2020/05/25

More Info

After undergoing an endometrial scraping procedure, experiencing increased bleeding and pain can be concerning. It's important to understand the normal recovery process and when to seek medical attention.
Endometrial scraping, or dilation and curettage (D&C), is a common procedure used to diagnose or treat various uterine conditions. Post-procedure, some bleeding is expected as the uterus heals. However, if you notice an increase in bleeding, especially with the presence of large blood clots, this could indicate a complication such as retained tissue or an infection.

From your description, it seems that after taking the prescribed hemostatic and uterine contraction medications, your bleeding increased, and you experienced significant pain. The presence of large blood clots, particularly if they are accompanied by severe pain, warrants further evaluation. While some bleeding can be normal, excessive bleeding or severe pain may indicate that something is not right.

Regarding your question about drinking tea, while there is no direct correlation between tea consumption and increased bleeding post-D&C, individual reactions can vary. Some patients may find that certain foods or beverages can exacerbate their discomfort, possibly due to caffeine or other compounds that can affect blood vessels or uterine contractions. If you notice a pattern where drinking tea leads to increased discomfort, it may be wise to avoid it until you have fully recovered.

Given your symptoms of increased bleeding, pain, and the presence of blood clots, it is advisable to seek medical attention sooner rather than later. You should contact your healthcare provider to discuss your symptoms, especially since you have already experienced complications after the procedure. They may want to perform an examination to ensure that there are no retained products of conception or other issues that need to be addressed.

In summary, while some bleeding is normal after an endometrial scraping, significant increases in bleeding, severe pain, and the presence of large blood clots are red flags that should not be ignored. It is always better to err on the side of caution and consult your healthcare provider if you have any concerns about your recovery. Your health and safety are paramount, and timely intervention can prevent further complications.

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