Post-Surgery Bleeding After Ectopic Pregnancy: What to Expect - Obstetrics and Gynecology

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Postoperative bleeding after ectopic pregnancy surgery?


Hello doctor, I had laparoscopic surgery for an ectopic pregnancy on Thursday, during which my right fallopian tube was removed.
I was hospitalized for two days and was discharged on Saturday.
I noticed a decrease in bleeding at that time, but on Sunday, I thought it had stopped, only to suddenly start experiencing bright red bleeding.
The amount is not heavy enough to soak a pad, but I can see red blood when I use the restroom.
Is this considered normal?

Tiāntiān, 30~39 year old female. Ask Date: 2023/01/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it's considered normal; just monitor it.
Wishing you good health.

Reply Date: 2023/01/09

More Info


After undergoing laparoscopic surgery for an ectopic pregnancy, it's common to have concerns about post-operative bleeding and what is considered normal. In your case, experiencing some bleeding after surgery, especially if it is not excessive, can be within the normal range. However, there are several important factors to consider regarding your situation.

Firstly, after an ectopic pregnancy surgery, it is typical for patients to experience some vaginal bleeding or spotting as part of the healing process. This bleeding may vary in color and amount. Initially, you might notice a darker discharge, which can be a sign of old blood, and as healing progresses, the bleeding may become lighter or change to a brighter red color. The fact that you mentioned the bleeding is not enough to soak through a pad is a positive sign, as it suggests that the bleeding is likely not excessive.

However, it is crucial to monitor the bleeding closely. If the bleeding increases significantly, becomes heavy, or is accompanied by severe pain, dizziness, or other concerning symptoms, you should seek medical attention immediately. These could be signs of complications such as retained products of conception, infection, or other issues that may require further evaluation.

In the context of your surgery, the removal of the right fallopian tube is a significant procedure, and while it can lead to some bleeding, the body typically heals well. The surgical site may continue to bleed slightly as it heals, but this should gradually decrease over time. It’s also important to note that hormonal changes following the surgery can affect your menstrual cycle, which might also contribute to variations in bleeding.

In terms of recovery, it is essential to follow your doctor's post-operative care instructions. This may include avoiding heavy lifting, strenuous activities, and sexual intercourse for a specified period to allow your body to heal properly. Additionally, attending follow-up appointments is crucial to ensure that your recovery is progressing as expected.

If you have any concerns about your bleeding or if you notice any new symptoms, do not hesitate to reach out to your healthcare provider. They can provide personalized advice based on your medical history and the specifics of your surgery. Remember, your health and well-being are the top priority, and it's always better to err on the side of caution when it comes to post-operative care.

In summary, while some bleeding after your ectopic pregnancy surgery can be normal, it is essential to monitor the situation closely and communicate with your healthcare provider about any changes or concerns. Your recovery is important, and ensuring that you are healing properly will help you in your journey towards future pregnancies if that is your goal.

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