Concerns About Infection After Gynecological Procedures: A Patient's Inquiry

Q: Concerns About Infection After Gynecological Procedures: A Patient's Inquiry

Hello, Miss： Thank you for your inquiry. <br>I would like to respond to your question and provide the following suggestions： Electrocautery functions by using high temperatures to directly destroy infectious agents, eliminating the need for additional alcohol disinfection. <br>As

Concerns about infection

Dear Dr.
Zhong,
I would like to consult you regarding my situation.
My expected menstrual period was on April 30, but since I had an appointment on May 1, I requested to have my period advanced at the clinic on April 24.
After performing an abdominal ultrasound, the doctor noted that my endometrium was already 2 cm thick and recommended a dilation and curettage (D&C) procedure.
However, due to other commitments, I asked the doctor to postpone the procedure.
Subsequently, I experienced intermittent bleeding as my period was advanced, which caused itching in the vulva and discomfort during the internal examination.
The doctor mentioned observing a vascular lesion that was bleeding but did not consult me before deciding to perform electrocautery.
During the procedure, a nurse was allowed to practice, and while conversing with the doctor, she remarked that the cautery tip was not hot.
She then touched the cautery tip with her hand, and after a while, once it heated up, she proceeded with the electrocautery and even performed a biopsy.
At one point, the cautery burned my vulva.
I would like to ask Dr.
Zhong whether using the cautery tip without proper disinfection after handling it with bare hands could lead to an infection.
Additionally, on April 26, I insisted on not undergoing the D&C and only wanted to advance my menstrual cycle.
The doctor suggested administering a medication to induce menstruation, stating that my period would arrive in about 2 to 3 days.
However, during the administration, I noticed that the nurse used a vial of progesterone that was not sealed and only wiped the bottle's opening with an alcohol swab before drawing the medication for injection.
Could this pose a problem? After the injection, my period did not come early; instead, I experienced a heavy flow on April 30, prior to the injection.
On May 1, I filled an overnight sanitary pad with large blood clots within three hours.
I am very concerned! Could you please clarify these issues for me? I would greatly appreciate it.

Ms. Chen, 20~29 year old female. Ask Date: 2009/05/01

Dr. Zhong Wenzhen reply Obstetrics and Gynecology

Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: Electrocautery functions by using high temperatures to directly destroy infectious agents, eliminating the need for additional alcohol disinfection.
As for other medical procedures, they fall under the professional judgment of each physician, so I cannot assess them.
Regarding significant blood loss, it is advisable to seek medical treatment.
Lastly, I wish you peace and happiness~~

Reply Date: 2009/05/01

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the gynecological procedures you underwent. It is understandable to feel anxious about potential infections or complications following medical interventions, especially when there are uncertainties about the procedures performed.

Firstly, regarding the electrosurgery (or cauterization) you experienced, it is crucial to maintain a sterile environment during any medical procedure to minimize the risk of infection. If the nurse touched the electrosurgical device with ungloved hands or without proper sterilization, there is a potential risk of introducing bacteria into the area. However, the risk of infection also depends on several factors, including the cleanliness of the environment, the condition of your skin, and whether any breaks in the skin occurred during the procedure. If you notice any signs of infection, such as increased redness, swelling, warmth, discharge, or fever, it is essential to contact your healthcare provider immediately.

Regarding the administration of the progesterone medication, it is concerning that the vial was not unopened and was only wiped with alcohol before drawing the medication. While alcohol can reduce the number of bacteria on the surface, it does not guarantee sterility, especially if the vial was previously opened or contaminated. The risk of infection from this practice is generally low, but it is not negligible. If you experience any unusual symptoms following the injection, such as localized pain, swelling, or systemic symptoms like fever, you should seek medical attention.

As for your menstrual cycle, it is not uncommon for hormonal treatments to have unpredictable effects on menstruation. The fact that you experienced heavy bleeding with clots after the expected date of your period could be due to several factors, including the hormonal changes induced by the medication or the underlying condition that prompted the treatment. Heavy menstrual bleeding can sometimes indicate other issues, such as fibroids or hormonal imbalances, and should be evaluated by your healthcare provider.

In summary, while there are some concerns regarding the procedures you underwent, it is essential to monitor your symptoms closely. If you notice any signs of infection or if your menstrual symptoms worsen, do not hesitate to contact your healthcare provider for further evaluation and management. It is always better to err on the side of caution when it comes to your health.

Please take care, and I hope you find this information helpful. If you have any further questions or concerns, feel free to reach out.

Best regards.

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