Hysteroscopic surgery for polypectomy?
Hello Doctor: On the morning of May 8th, I underwent a hysteroscopic surgery to remove multiple endometrial polyps and a cervical polyp.
The pathology report confirmed they were polyps.
I would like to ask you: On the day of the surgery, I started to have a yellowish discharge, which was not much but required the use of a panty liner.
By the sixth day, it turned into bleeding, similar to the end of a menstrual period, which also only required a panty liner.
After two days of bleeding, there was no more blood, but the discharge returned to yellowish and brownish fluid.
I also have a slight discomfort in my abdomen.
(May 5 was the first day of my menstrual period.) Today is May 16 (8 to 9 days post-surgery).
Is this phenomenon normal? How long will it take for this to stop? Thank you.
firefly, 40~49 year old female. Ask Date: 2023/05/16
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Hotaru: The content mentioned should be within the normal range, but it is still recommended to return for a follow-up visit after surgery.
The Ministry of Health and Welfare cares about your health.
Reply Date: 2023/05/16
More Info
After undergoing a hysteroscopic surgery to remove multiple endometrial polyps and cervical polyps, it is common to experience a range of symptoms during the recovery period. Your description of post-operative symptoms, including the discharge of yellow fluid, followed by a light bleeding similar to the end of a menstrual period, is generally within the expected range of recovery experiences.
Normal Post-Operative Symptoms
1. Discharge: It is normal to have a yellowish discharge after the procedure. This can be a result of the body's healing process, as the endometrial lining and any residual fluid from the surgery are expelled. The presence of yellow or brownish discharge can indicate the breakdown of blood and tissue, which is also typical after such surgeries.
2. Bleeding: Light bleeding that resembles the end of a menstrual cycle can occur as the uterus heals. This bleeding may last for a few days to a week, depending on individual healing rates. It is important to monitor the amount and color of the discharge; if it becomes heavy or bright red, it may indicate a complication that should be evaluated by your physician.
3. Abdominal Discomfort: Mild abdominal discomfort or cramping is also common following hysteroscopic surgery. This discomfort usually stems from the manipulation of the uterus and surrounding tissues during the procedure. As your body heals, this discomfort should gradually diminish.
Duration of Symptoms
Typically, the yellow discharge may persist for several days to a couple of weeks post-surgery. The transition from yellow discharge to light bleeding and then back to a yellow or brownish discharge is a normal part of the healing process. Most patients find that their symptoms improve significantly within two weeks post-surgery. However, every individual's recovery timeline can vary based on factors such as overall health, the extent of the procedure, and adherence to post-operative care instructions.
When to Seek Medical Attention
While some discharge and mild discomfort are expected, you should contact your healthcare provider if you experience any of the following:
- Heavy bleeding that requires changing pads more than once an hour.
- Severe abdominal pain that does not improve with over-the-counter pain relief.
- Fever or chills, which may indicate an infection.
- Foul-smelling discharge, which could also suggest an infection.
Recommendations for Recovery
- Rest: Ensure you get plenty of rest to facilitate healing.
- Hydration: Stay well-hydrated, as this can help your body recover more effectively.
- Follow-Up Appointments: Attend any scheduled follow-up appointments with your healthcare provider to monitor your recovery and address any concerns.
In conclusion, the symptoms you are experiencing post-hysteroscopic surgery appear to be normal and part of the healing process. However, if you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort during recovery are paramount, and your physician can provide personalized advice based on your specific situation.
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