Should You Continue Taking Hemostatic Medication After Cervical Polyp Removal?

Should I continue taking it?

On October 15, a gynecological examination was performed, and a vaginal cervical polyp was removed.
The doctor prescribed a hemostatic agent to be taken three times a day for three days.
Although it has been taken, there were a few instances of missed doses.
On the third day, the bleeding has increased significantly, resembling menstrual flow.
Should the hemostatic agent be discontinued? There are four tablets remaining.

Qingqing, 50~59 year old female. Ask Date: 2020/10/17

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if the bleeding is still heavy and it's not during your menstrual cycle, it is advisable to return for a follow-up appointment.
Wishing you good health.

Reply Date: 2020/10/17

More Info

After undergoing the removal of a cervical polyp, it’s essential to follow your doctor's instructions regarding the use of hemostatic medication. Hemostatic agents are typically prescribed to help control bleeding following surgical procedures, and they can be crucial in the immediate post-operative period. However, your concern about the amount of bleeding you are experiencing is valid and warrants a careful approach.

In general, after a cervical polyp removal, some bleeding is expected as part of the healing process. This bleeding can sometimes resemble a light menstrual flow, especially in the first few days post-surgery. The hemostatic medication is intended to minimize excessive bleeding, but if you notice that the bleeding is increasing or becoming heavier, it is essential to assess the situation further.

Here are some considerations regarding your situation:
1. Follow-Up with Your Doctor: If you are experiencing heavier bleeding than expected, it is crucial to contact your healthcare provider. They can evaluate whether this bleeding is within the normal range or if it indicates a complication, such as a hematoma or incomplete removal of the polyp.

2. Medication Adherence: While you mentioned forgetting to take the hemostatic medication a few times, it’s important to take it as prescribed. However, if you are experiencing significant bleeding, your doctor may need to reassess your treatment plan. Do not stop taking the medication without consulting your healthcare provider first.

3. Monitoring Symptoms: Keep track of your bleeding patterns. If the bleeding continues to be heavy, or if you experience other symptoms such as severe pain, dizziness, or signs of infection (like fever or foul-smelling discharge), seek medical attention promptly.

4. Duration of Medication: Typically, hemostatic medications are prescribed for a short duration post-surgery. If you have remaining doses, discuss with your doctor whether you should continue taking them based on your current bleeding status.

5. Healing Process: Understand that the healing process can vary from person to person. While some may experience minimal bleeding, others might have a more prolonged recovery. Your doctor can provide guidance based on your specific situation and medical history.

In summary, while it is common to experience some bleeding after cervical polyp removal, significant or increasing bleeding should be evaluated by your healthcare provider. Adhere to your medication regimen as prescribed, but do not hesitate to reach out to your doctor if you have concerns about your bleeding or if you feel that the hemostatic medication is not adequately controlling it. Your health and safety should always come first, and your doctor is the best resource for managing your post-operative care.

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