Post-Operative Concerns After Cervical Polyp Surgery: What to Expect - Obstetrics and Gynecology

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Postoperative Issues After Cervical Polyp Removal


Hello Dr.
Lee,
I had a cervical polyp electrosurgery on the morning of July 10th.
I did not experience any bleeding on July 11th and 12th, but on the morning of July 13th, after having a bowel movement, I started to bleed.
The amount is not much, about one to two panty liners per day.
Is this normal? Additionally, I have a follow-up appointment scheduled for July 20th.
If my menstrual period coincides with that date, should I still keep the appointment, or should I reschedule it to an earlier or later date? I apologize for bothering you! Thank you!
Nina

nina, 20~29 year old female. Ask Date: 2009/07/14

Dr. Li Guanghan reply Obstetrics and Gynecology


The outpatient treatment has just been completed.
Wishing you peace and joy.
Sincerely, Dr.
Lee.

Reply Date: 2009/07/14

More Info


After undergoing cervical polyp surgery, it's common to have questions about what to expect during the recovery process. Based on your description, it seems that you had an electrosurgical procedure to remove the cervical polyp on July 10. The absence of bleeding for the first couple of days post-surgery is a positive sign, indicating that the initial healing process was going well. However, the onset of light bleeding after a bowel movement on July 13 raises some concerns that are worth discussing.

Firstly, light bleeding after such a procedure can be relatively normal, especially if it occurs after straining during a bowel movement. The cervix is a sensitive area, and any pressure or strain can lead to minor bleeding. As long as the bleeding is light and manageable (like the use of one to two panty liners), it may not be a cause for alarm. However, if you experience heavier bleeding, clots, or any signs of infection (such as fever, increased pain, or foul-smelling discharge), you should contact your healthcare provider immediately.

Regarding your follow-up appointment scheduled for July 20, it is essential to consider your menstrual cycle. If your period is expected around that time, it is advisable to inform your doctor’s office. They may recommend rescheduling your appointment to ensure that the examination can be conducted effectively without the interference of menstrual bleeding. It’s generally best to have follow-up visits when you are not menstruating, as this allows for a clearer assessment of the surgical site and any potential complications.

In terms of post-operative care, here are some general recommendations to ensure a smooth recovery:
1. Avoid Straining: Try to avoid straining during bowel movements. If you are experiencing constipation, consider increasing your fiber intake or using a stool softener as recommended by your doctor.

2. Monitor Bleeding: Keep track of the amount and color of any bleeding. Light spotting can be normal, but if it increases or changes in character, seek medical advice.

3. Limit Physical Activity: Avoid heavy lifting, vigorous exercise, or sexual intercourse for at least a few weeks post-surgery, or until your doctor gives you the green light.

4. Follow-Up Care: Attend all scheduled follow-up appointments. These visits are crucial for monitoring your recovery and ensuring that the polyp has been completely removed.

5. Watch for Symptoms: Be vigilant for any signs of complications, such as increased pain, fever, or unusual discharge. If any of these occur, contact your healthcare provider promptly.

6. Emotional Well-Being: Surgery can be a stressful experience, and it’s important to take care of your emotional health as well. Don’t hesitate to reach out to friends, family, or professionals if you need support.

In conclusion, while light bleeding after cervical polyp surgery can be normal, it’s essential to monitor your symptoms and communicate with your healthcare provider about any concerns. Following the post-operative care guidelines will help ensure a smooth recovery. If you have any further questions or uncertainties, don’t hesitate to reach out to your doctor for personalized advice.

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