Post-Cervical Surgery Concerns: Bleeding and Recovery - Obstetrics and Gynecology

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After undergoing a cervical cone biopsy on June 15, it is understandable to have concerns about post-operative symptoms such as bleeding and recovery. Let's address your questions systematically.

Q1: Is this bleeding normal after surgery?
Bleeding after a cervical cone biopsy can occur, especially within the first few weeks post-surgery. Initially, it is common to experience light spotting or discharge, which can include pink or yellowish fluid. However, if you are experiencing a significant amount of bleeding—such as filling a pad within two hours and passing small clots—this is not typical and warrants further evaluation. The fact that you feel dizzy and nauseous is concerning and could indicate that you are losing more blood than is safe. It is crucial to follow up with your healthcare provider, even if they previously assessed your recovery as good. Persistent or increasing bleeding should always be investigated to rule out complications such as infection or incomplete healing.

Q2: Could this bleeding be my menstrual period?
Given that your last menstrual period was in November 2020 and you have been breastfeeding, it is possible that your cycle may be irregular or delayed. Breastfeeding can suppress ovulation and menstruation, leading to a lack of periods for extended periods. However, the bleeding you are experiencing post-surgery is likely related to the procedure rather than the onset of your menstrual cycle. It is essential to monitor the situation closely; if the bleeding continues or worsens, or if you experience additional symptoms like severe pain or fever, you should seek medical attention promptly.

Q3: How long after taking Doxycycline can I resume breastfeeding?
Doxycycline is an antibiotic that is generally considered safe for breastfeeding mothers, but it is always best to consult your healthcare provider for personalized advice. Typically, Doxycycline is excreted in breast milk in small amounts, and while it is not contraindicated, some practitioners recommend waiting a few hours after taking the medication before breastfeeding to minimize any potential exposure to the infant. Since you are on a 10-day course of Doxycycline, it would be prudent to discuss with your doctor the best timing for breastfeeding after completing the medication.

In summary, while some bleeding can be expected after a cervical cone biopsy, the amount and nature of your bleeding should be closely monitored. It is essential to maintain open communication with your healthcare provider, especially given your symptoms of dizziness and nausea. They can provide the most accurate guidance based on your specific situation. If you find yourself in a situation where you cannot see your doctor immediately, consider reaching out to a local healthcare provider or a telemedicine service for advice. Your health and well-being are paramount, and addressing these concerns promptly can help ensure a smoother recovery process.