Post-Surgery Concerns: Managing Wound Healing and Menstrual Hygiene

Recently, I had a burn on my cauliflower (the area around the groin) that hasn't healed yet, but my menstrual period has started?

Hello, I had surgery to cauterize a cauliflower lesion on July 31, and my wound has not fully healed yet.
Sometimes it still oozes pus and blood.
Is this a normal condition? I have been applying dressings and today my menstrual period started, so I need to use sanitary pads.
Will this cause further infection, or is there anything else I need to pay attention to? Should I continue applying medication? Thank you for your patience in reading and answering, doctor.

Qiu, 20~29 year old female. Ask Date: 2007/08/19

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello! 1.
Please follow the instructions provided by your surgeon regarding wound care after surgery.
2.
My personal recommendation is: do not use pads when you are not menstruating, and you may soak the wound.
During menstruation, it is advisable not to soak the wound.
If you are concerned that the heat from the sanitary pad may negatively affect the wound, you can apply some Betadine when changing it.

Reply Date: 2007/08/19

More Info

After undergoing surgery, particularly one involving electrosurgery for a condition like warts, it is common to have concerns about wound healing and hygiene, especially when menstruation occurs. Here are some insights and recommendations regarding your situation.

1. Wound Healing and Discharge: It is not uncommon for surgical wounds to exhibit some discharge, including pus and blood, particularly in the early stages of healing. However, if you are experiencing a significant amount of pus or blood, or if the discharge has a foul odor, this could indicate an infection. Infections can occur post-surgery, and signs may include increased redness, swelling, warmth around the wound, and fever. If you notice these symptoms, it is crucial to contact your healthcare provider for further evaluation.

2. Menstrual Hygiene: When menstruation occurs, using sanitary pads is generally safe. However, it is essential to maintain proper hygiene to minimize the risk of infection. Here are some tips:
- Change your sanitary pads frequently to prevent moisture buildup, which can create an environment conducive to bacterial growth.

- Ensure that the area around the surgical site is clean and dry. You can gently clean the area with mild soap and water, avoiding any harsh chemicals or scrubbing that could irritate the wound.

- If you are concerned about the pad irritating the wound, consider using pads that are designed for sensitive skin or those that are less likely to cause friction.

3. Medication and Care: Continue to follow your doctor's instructions regarding wound care. If you have been prescribed topical medications or ointments, apply them as directed. If you are unsure whether to continue using these medications during your menstrual cycle, consult your healthcare provider for personalized advice.

4. Signs of Infection: Be vigilant for signs of infection, which may include:
- Increased pain or tenderness around the wound
- Redness or swelling that worsens over time
- Pus or other unusual discharge
- Fever or chills
If you notice any of these symptoms, seek medical attention promptly. Early intervention can prevent complications and promote better healing.

5. Follow-Up Appointments: It is essential to attend all follow-up appointments with your healthcare provider. They can assess the healing process, provide additional care instructions, and address any concerns you may have.

6. General Care Tips:
- Avoid soaking in baths or swimming until your doctor gives you the green light, as these activities can introduce bacteria to the wound.

- Wear loose-fitting clothing to avoid irritation around the surgical site.

- Maintain a healthy diet rich in vitamins and minerals to support the healing process.

In summary, while some discharge from a surgical wound can be normal, it is essential to monitor for signs of infection and maintain proper hygiene, especially during menstruation. Always consult your healthcare provider if you have concerns about your wound healing or if you experience any unusual symptoms. They can provide the best guidance tailored to your specific situation.

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