Post-Era Bleeding After Lifting Weights: When to Seek Medical Advice

Bleeding after lifting heavy objects following an ERA (Endometrial Resection and Ablation) procedure?

Hello Doctor: I underwent an Era endometrial receptivity test on December 29.
My menstrual period started on January 2, and by January 5, I felt that my period had ended and my abdominal pain had significantly improved.
However, while out with friends, I impulsively picked up their child who weighs about 10 kilograms for about a minute.
After that, I felt some discomfort in my abdomen, and when I went to the bathroom, I noticed fresh blood about the size of a 50 NT dollar coin.
When I got home, I experienced some abdominal pain in the lower left quadrant, similar to what I felt after the Era test.
The next day, I rested at home, and the bleeding turned into pink discharge, but I still have pain in the lower left abdomen.
Should I return for a follow-up appointment? Under what circumstances should I seek further medical attention?

Peng, 30~39 year old female. Ask Date: 2023/01/07

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to return to your original clinic for a check-up.
Wishing you good health.

Reply Date: 2023/01/07

More Info

After undergoing an endometrial receptivity analysis (ERA) on December 29, you experienced your menstrual period starting on January 2, which you felt had concluded by January 5. However, after lifting a child weighing approximately 10 kg, you noticed fresh bleeding and some abdominal discomfort, reminiscent of what you felt post-procedure. The subsequent day, the bleeding turned into pink discharge, and you continued to experience left lower abdominal pain.

Given your situation, it is essential to consider several factors before determining whether you should seek medical attention.
1. Understanding Post-Procedure Symptoms: After an ERA, it is not uncommon to experience some cramping or discomfort as your body adjusts. However, the presence of fresh blood, especially after physical exertion, can indicate that your body may not have fully healed from the procedure. The fresh bleeding you described, particularly if it is more than spotting, warrants attention.

2. Signs of Complications: You should seek medical advice if you experience any of the following:
- Heavy bleeding (soaking through a pad in an hour or less).

- Severe abdominal pain that does not improve with rest or over-the-counter pain relief.

- Fever or chills, which could indicate an infection.

- Any unusual discharge that has a foul odor.

- Dizziness or fainting spells, which could suggest significant blood loss.

3. Physical Activity Considerations: Lifting weights or heavy objects shortly after a procedure like an ERA can strain your abdominal muscles and pelvic area, potentially leading to complications. It is advisable to avoid heavy lifting and strenuous activities until you have fully recovered and received clearance from your healthcare provider.

4. Follow-Up Care: Since you are experiencing ongoing symptoms, including abdominal pain and changes in discharge, it is prudent to schedule a follow-up appointment with your healthcare provider. They can perform a physical examination and possibly conduct imaging studies to ensure there are no complications such as retained products of conception or other issues related to the procedure.

5. Self-Care Measures: In the meantime, ensure you are resting adequately, staying hydrated, and avoiding any activities that could exacerbate your symptoms. Over-the-counter pain relief, such as ibuprofen or acetaminophen, may help alleviate discomfort, but be sure to follow the recommended dosages.

In conclusion, while some discomfort can be expected after an ERA, the presence of fresh bleeding and persistent pain should not be ignored. It is always better to err on the side of caution and consult with your healthcare provider to ensure that everything is healing as it should be. Your health and well-being are paramount, and timely medical advice can prevent potential complications.

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