Post-Surgery Concerns: Odor and Bleeding After Adenomyosis Surgery

Postoperative Issues of Adenomyosis Surgery

Hello doctor, I underwent surgery to address my adenomyosis, and it has been 18 days since the procedure.
However, I still notice a foul odor coming from my genital area.
Currently, when I use a panty liner, there is a small amount of dark red blood, but it appears light when I wipe.
I would like to know if this could be an infection or if it is due to the internal wounds not healing properly after the surgery.
The odor is quite unpleasant, and I would appreciate any solutions you might have.
Thank you, doctor.

Lü, 40~49 year old female. Ask Date: 2024/05/31

Dr. Lin Manying reply Obstetrics and Gynecology

Hello, if the surgery was performed via vaginal removal, what you described is a reasonable phenomenon.
However, it is still recommended to return for follow-up examinations at Hualien Hospital of the Ministry of Health and Welfare to ensure your health.

Reply Date: 2024/05/31

More Info

After undergoing surgery for adenomyosis, it's not uncommon to have concerns about post-operative symptoms, including unusual odors and bleeding. Given that you are experiencing a foul odor and some dark red discharge 18 days post-surgery, it’s essential to consider a few potential causes and appropriate actions.

Firstly, the presence of a strong odor can be indicative of an infection. Infections can occur post-surgery due to various reasons, including bacteria entering the surgical site. Symptoms of infection may include increased pain, swelling, redness around the incision site, fever, and unusual discharge. The dark red discharge you mentioned could also be a sign of healing tissue, but if it is accompanied by a foul smell, it raises concerns about possible infection or necrotic tissue (tissue that has died due to lack of blood flow or infection).

The fact that you are experiencing a small amount of bleeding is not uncommon after surgery, especially in the early recovery phase. However, the color and odor of the discharge are critical indicators. Fresh blood is typically bright red, while older blood can appear darker. If the discharge is consistently dark and foul-smelling, it is advisable to consult your healthcare provider as soon as possible.

In terms of healing, the internal wounds from surgery can take time to heal, and the body may produce discharge as part of the healing process. However, if the healing process is complicated by infection, it can lead to prolonged recovery and additional complications.
To address your concerns, here are some steps you can take:
1. Consult Your Surgeon or Healthcare Provider: It is crucial to reach out to your healthcare provider to discuss your symptoms. They may recommend an examination to check for signs of infection or other complications. They might also perform tests, such as a pelvic exam or ultrasound, to assess the healing process.

2. Maintain Hygiene: Keeping the surgical area clean is vital. Follow your surgeon's instructions regarding bathing and wound care. Avoid using scented products or douches, as these can irritate the area further.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the amount and color of discharge, any new pain, or fever. This information will be helpful for your healthcare provider.

4. Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments. These visits are essential for monitoring your recovery and addressing any complications early.

5. Avoid Strenuous Activities: Give your body time to heal by avoiding heavy lifting or strenuous exercise until cleared by your healthcare provider.

In conclusion, while some odor and discharge can be part of the healing process after adenomyosis surgery, the presence of a strong, foul odor and dark red discharge warrants immediate medical attention to rule out infection or other complications. Early intervention can significantly improve outcomes and help you return to normal activities more quickly. Always trust your instincts regarding your health, and do not hesitate to seek help when something feels off.

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