Post-Operative Bleeding After Hysteroscopic Polypectomy

Is it cancer?

SNOMED: 84000-B-M76800DX: Uterus, endometrium, hysteroscopic polypectomy ---- endometrial polyp GROSS DESCRIPTION: The specimen submitted consists of multiple pieces of tissue measuring up to 1.3 x 0.5 x 0.4 cm.
All are submitted and labeled A and B.
MICROSCOPIC DESCRIPTION: Sections show polypoid endometrial tissue with focally dilated glands, tubal metaplasia, and clusters of thick-walled vessels.

I underwent a hysteroscopic polypectomy on the afternoon of October 14.
The first two days post-surgery, I experienced brown discharge, but I’m not sure if it was on the third day after eating beef hot pot (which contained sesame oil and rice wine) that the bleeding changed to a deep pink color, which has continued since then.
However, the amount is not significant, and I do not have abdominal pain.
I visited a clinic and was given hemostatic medication (the bleeding stops when I take it, but resumes when I don’t).
The doctor then prescribed estrogen and progesterone for menstrual regulation, but I feel worse after taking it, as I have noticed very small blood clots.
The bleeding is still minimal and remains deep pink; if there are clots, it turns bright red.
I have been on the medication for three days now and cannot stop.
My follow-up appointment at the hospital is not yet due, but I saw the pathology report on the health insurance app, which I do not understand.
Please help me; I am feeling overwhelmed by the continuous bleeding and the confusing report, and it is making me feel depressed.

Xiao Jie, 30~39 year old female. Ask Date: 2022/10/24

Dr. Chen Zhiyu reply Obstetrics and Gynecology

Hello! It is recommended that you schedule a follow-up consultation in advance to avoid excessive worry that may lead to other physical or mental discomfort.
Thank you.

Reply Date: 2022/10/24

More Info

Post-operative bleeding after a hysteroscopic polypectomy can be a concerning issue for many patients. Understanding the nature of this bleeding, its potential causes, and the appropriate management strategies is crucial for recovery and peace of mind.

In your case, you underwent a hysteroscopic polypectomy on October 14, and initially experienced brown discharge, which is often typical as it may represent old blood. However, the transition to deep pink bleeding after consuming certain foods raises questions about the influence of diet on post-operative recovery. While it is unlikely that the consumption of beef stew with sesame oil and rice wine directly caused the change in bleeding, it is essential to consider that certain foods and drinks can affect the body’s inflammatory response and blood flow.

The pathology report indicates that you had endometrial polyps, which are growths on the inner lining of the uterus. The presence of dilated glands and clusters of thick-walled vessels in the report suggests that these polyps were vascular, which can contribute to bleeding during and after the procedure. Post-operative bleeding can occur due to several reasons, including:
1. Surgical Trauma: The procedure itself can cause trauma to the endometrial lining, leading to bleeding as the tissue heals.

2. Hormonal Fluctuations: The administration of hormonal medications like estrogen and progesterone can influence the menstrual cycle and may lead to unexpected bleeding or spotting.

3. Infection: Although you did not report fever or significant pain, infections can sometimes manifest as abnormal bleeding.

4. Retained Tissue: If any polyp tissue was left behind, it could cause ongoing bleeding.

Given that you are experiencing ongoing bleeding that changes in color and consistency, it is essential to monitor the situation closely. The presence of small blood clots and the color change to bright red can indicate active bleeding, which should be evaluated further.
Here are some recommendations for managing your situation:
- Follow-Up with Your Doctor: It is crucial to communicate your symptoms to your healthcare provider. If the bleeding persists or worsens, or if you develop new symptoms such as severe pain or fever, you should seek medical attention promptly.

- Medication Management: If the hormonal medications are causing more discomfort or bleeding, discuss this with your doctor. They may adjust your treatment plan based on your symptoms.

- Avoid Certain Foods: While there is no direct evidence linking specific foods to post-operative bleeding, it may be wise to avoid foods that could potentially irritate your system or affect your hormonal balance until you have stabilized.

- Rest and Hydration: Ensure you are getting adequate rest and hydration, as these are essential for recovery.

Lastly, it is understandable to feel anxious about your health, especially when experiencing unexpected symptoms. If you find that your concerns are leading to feelings of depression or anxiety, consider discussing this with a mental health professional or your primary care physician. They can provide support and coping strategies to help you manage these feelings during your recovery.

In summary, while post-operative bleeding can be a normal part of recovery from a hysteroscopic polypectomy, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide the best guidance tailored to your specific situation and help alleviate your concerns.

Similar Q&A

Understanding Post-Hysteroscopy Recovery: What to Expect

Hello, I had a hysteroscopic polypectomy on May 27th. On the day of the surgery and the following day, I experienced very little brown discharge. By the third and fourth days, the bleeding increased and included some red blood, similar to the beginning of my menstrual cycle (enou...

Dr. Liu Fuping reply Obstetrics and Gynecology
It is normal to experience a small amount of vaginal bleeding or light yellow discharge after hysteroscopic surgery. However, if there is heavy bleeding, the discharge has an unusual odor, or if abdominal pain or fever occurs, you should seek medical attention promptly. Post-op...

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.

Post-Hysteroscopy Bleeding: Understanding Symptoms and Medication Concerns

Hello, Doctor: I underwent a hysteroscopic curettage for an endometrial polyp on August 23. I experienced bleeding for 9 days post-surgery, and my menstrual period started on September 9 (the last period was on August 3), lasting for 7 days. On the 5th day of my period, I began t...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: You underwent surgery for endometrial polyps, but it's unclear whether it was a hysteroscopic procedure or a dilation and curettage (D&C). Generally, after the surgery, you may experience a few days of light to moderate bleeding. Your physician will arrange follow...

Post-Polypectomy: Understanding Bleeding and Discharge After Surgery

I had a unilateral nasal polyp and underwent a biopsy surgery yesterday afternoon. Within three hours post-surgery, I noticed continuous bleeding and secretions flowing down my throat. I returned to the hospital for an endoscopic examination, and the doctor indicated that the wou...

Dr. Zheng Jueyi reply Otolaryngology
Hello, it is common to have bloody discharge within a week after a biopsy due to the incision. If there is no significant bleeding, you can observe the situation first and then return for regular follow-up appointments to monitor and review the results.