Menstrual Changes After Hysteroscopic Polypectomy Surgery

Hysteroscopic polypectomy?

Hello, I underwent a hysteroscopic polypectomy on June 15.
I felt my period starting on June 30, but the flow was very light (not requiring any sanitary pads) until July 2.
On July 3, the flow began to increase, and as of today, July 7, I am still experiencing bleeding.
Is this normal? Which day should be considered the first day of my period? Thank you.

Lily, 30~39 year old female. Ask Date: 2020/07/07

Dr. Cai Yonglong reply Obstetrics and Gynecology

Menstruation from July 2 to July 7 is considered normal.
If it exceeds 7 to 8 days, please visit the obstetrics and gynecology outpatient clinic.

Reply Date: 2020/07/07

More Info

After undergoing a hysteroscopic polypectomy, it is not uncommon for women to experience changes in their menstrual cycle. The procedure involves the removal of polyps from the uterus, which can temporarily affect the hormonal balance and the lining of the uterus.
In your case, you had the surgery on June 15, and you noticed your menstrual period starting on June 30. The initial light bleeding you experienced could be attributed to several factors, including the healing process of the uterine lining after the surgery. It is important to note that the first day of your menstrual cycle is typically counted as the first day of full flow, which in your case seems to have started on July 3 when the bleeding became more substantial.

It is not unusual for menstrual cycles to be irregular or for the flow to be lighter than normal after such a procedure. The body may take some time to adjust, and it is common for women to experience variations in their menstrual flow for a few cycles following surgery. The continued bleeding you are experiencing until July 7 could be a result of the body’s response to the surgery, and it may take a few cycles for your menstrual pattern to stabilize.

However, it is essential to monitor the nature of your bleeding. If you experience any of the following symptoms, you should contact your healthcare provider:
1. Heavy Bleeding: If you are soaking through a pad or tampon every hour for several hours, this could indicate a problem.

2. Severe Pain: While some discomfort is expected, severe pain that is not relieved by over-the-counter pain medications should be evaluated.

3. Foul Odor: If the bleeding has a foul smell, this could indicate an infection.

4. Fever: A fever accompanying abnormal bleeding could also suggest an infection or other complications.

In terms of your menstrual cycle, it may take a few months for your periods to return to a regular pattern. Hormonal fluctuations can occur post-surgery, and your body may need time to readjust. If your periods do not stabilize or if you have concerns about the bleeding, it is advisable to follow up with your gynecologist. They may recommend an ultrasound or further evaluation to ensure that there are no complications from the surgery, such as retained tissue or other issues.

In summary, while some changes in your menstrual cycle after a hysteroscopic polypectomy are normal, it is crucial to be vigilant about any concerning symptoms. Keeping a record of your menstrual cycle, including the flow and any associated symptoms, can be helpful for your healthcare provider in assessing your situation during follow-up visits.

Similar Q&A

Post-Hysteroscopy Menstrual Changes: What to Expect After Surgery

Hello Doctor, I had a uterine polyp (benign and non-problematic) removed in early April. My first menstrual period after the surgery started intermittently on Tuesday, May 7 (my last period was on March 26), with very light bleeding. I thought that would be it, but after Friday, ...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
In early April, I had uterine polyps (benign and non-problematic) removed. My first menstrual period after the surgery started intermittently on Tuesday, May 7 (the previous period was on March 26), with very light bleeding. I thought that was it, but unexpectedly, after Friday, ...

Understanding Menstrual Changes After Uterine Polyp Surgery

Hello, Doctor: My last menstrual period started on December 15. I underwent a hysteroscopic cold knife endometrial polypectomy on December 28. Prior to the procedure, I took two doses of a uterine dilator and approximately six small polyps, each about 1.5 cm, were removed (which ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, let's observe for now. If there are still many issues, I recommend returning to your original obstetrician-gynecologist for an examination. Wishing you good health.

Post-Polypectomy Bleeding: Understanding Your Menstrual Cycle Changes

Hello Dr. Tsao, I have been experiencing prolonged bleeding for almost a month due to uterine polyps. I underwent a hysteroscopic polypectomy on December 22, and the report indicated benign polyps. However, I have continued to have intermittent bleeding since the surgery. My blee...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, abnormal bleeding or menstruation could both be possible. It's advisable to observe over the next few days to see if the amount decreases. If the bleeding remains heavy, it is recommended to consult a gynecologist. Wishing you good health.

Understanding Post-Hysteroscopic Surgery Symptoms and Recovery

Hello Doctor: On the morning of May 8th, I underwent a hysteroscopic surgery to remove multiple endometrial polyps and a cervical polyp. The pathology report confirmed they were polyps. I would like to ask you: On the day of the surgery, I started to have a yellowish discharge, w...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello Hotaru: The content mentioned should be within the normal range, but it is still recommended to return for a follow-up visit after surgery. The Ministry of Health and Welfare cares about your health.