Uterine Polyps: Post-Surgery Bleeding and Menstrual Irregularities

Q: Uterine Polyps: Post-Surgery Bleeding and Menstrual Irregularities

Hello： For abnormal uterine bleeding, if there is an endocrine imbalance, medication can be used for adjustment. <br>If the medication is ineffective or if the ultrasound shows a thickened endometrium, an endometrial biopsy or sampling is recommended to rule out hyperplasia or ot

Uterine polyps, also known as endometrial polyps, can cause menstrual issues?

Hello doctor, I finished my menstrual period from March 2 to March 10, and I underwent a hysteroscopic polypectomy on March 16.
After that, my period started again from March 30 to April 4.
On April 11, I experienced bleeding until April 14, when the discharge turned brown.
During this time, I had a follow-up appointment, and the doctor said my endometrium was normal.
The doctor prescribed me a three-day course of hemostatic medication, but I experienced bleeding again on March 20, accompanied by menstrual-like pain.
I have adenomyosis, so I consulted another doctor who mentioned that my menstrual cycle needs to be adjusted post-surgery and prescribed medication for cycle regulation.
I am experiencing ongoing irregular bleeding after the surgery.
Is this a sign of poor recovery, or could there be another issue? I am considering trying to conceive and am unsure what to do!

CCL, 40~49 year old female. Ask Date: 2023/04/22

Dr. Lin Xinwang reply Obstetrics and Gynecology

Hello: For abnormal uterine bleeding, if there is an endocrine imbalance, medication can be used for adjustment.
If the medication is ineffective or if the ultrasound shows a thickened endometrium, an endometrial biopsy or sampling is recommended to rule out hyperplasia or other uterine abnormalities.

Reply Date: 2023/04/22

More Info

Uterine polyps are growths on the lining of the uterus that can cause various symptoms, including abnormal bleeding and menstrual irregularities. After undergoing a hysteroscopic polypectomy, it is not uncommon for patients to experience changes in their menstrual cycle and some bleeding. Your experience of having a menstrual period shortly after surgery, followed by additional bleeding and changes in discharge, can be concerning, especially when you are trying to conceive.

Firstly, it is important to understand that the surgical removal of polyps can lead to temporary changes in the uterine lining. The endometrium, which is the tissue that lines the uterus, may take some time to heal and return to its normal state. This healing process can result in irregular bleeding patterns, including spotting or prolonged bleeding, as your body adjusts after the procedure. The presence of brown discharge is often a sign of older blood, which can occur as the uterus sheds tissue that may not have been expelled during your menstrual cycle.

The medications prescribed by your doctor, including hemostatic agents, are intended to help manage any excessive bleeding and support the healing process. It is not unusual for doctors to recommend hormonal treatments to regulate the menstrual cycle after such surgeries, especially if there are underlying conditions like adenomyosis (which you mentioned). These medications can help stabilize your hormonal levels and may assist in normalizing your menstrual cycle.

Regarding your concerns about whether this indicates a poor recovery or other issues, it is essential to consider that every individual's healing process is unique. Some women may experience more pronounced changes in their menstrual cycles post-surgery, while others may return to normal more quickly. If your doctor has assessed your endometrial lining and found it to be normal, this is a positive sign. However, persistent or severe symptoms should always be discussed with your healthcare provider.

If you are actively trying to conceive, it is understandable to feel anxious about these irregularities. It is crucial to maintain open communication with your healthcare provider about your fertility goals. They can provide guidance on when it might be appropriate to start trying to conceive again and whether any further interventions are needed to support your reproductive health.

In summary, while it is not uncommon to experience irregular bleeding and menstrual changes after uterine polyp surgery, it is essential to monitor your symptoms closely. If the bleeding persists or worsens, or if you experience significant pain, it is advisable to seek further evaluation. Your healthcare provider can help determine the best course of action to support your recovery and fertility goals. Remember, patience is key during the healing process, and with time, your menstrual cycle should stabilize.

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