Post-Hysteroscopy Bleeding: Symptoms and Medication Concerns

Q: Post-Hysteroscopy Bleeding: Symptoms and Medication Concerns

Hello： You underwent surgery for endometrial polyps, but it's unclear whether it was a hysteroscopic procedure or a dilation and curettage (D&C). <br>Generally, after the surgery, you may experience a few days of light to moderate bleeding. <br>Your physician will arrange follow-

Postoperative bleeding after hysteroscopy?

Hello, Doctor: I underwent a hysteroscopic curettage for an endometrial polyp on August 23.
I experienced bleeding for 9 days post-surgery, and my menstrual period started on September 9 (the last period was on August 3), lasting for 7 days.
On the 5th day of my period, I began taking a medication called "Naproxen," which the doctor said is to prevent recurrence.
However, I have been feeling mild discomfort in my abdomen since starting the medication.
Is it necessary to continue taking this medication? Additionally, I noticed some bleeding today; is this abnormal? Could it possibly be ovulation bleeding? I also have cervical erosion; could this cause bleeding? I'm quite worried.
Thank you for your response, Doctor.

mei, 20~29 year old female. Ask Date: 2010/09/22

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: You underwent surgery for endometrial polyps, but it's unclear whether it was a hysteroscopic procedure or a dilation and curettage (D&C).
Generally, after the surgery, you may experience a few days of light to moderate bleeding.
Your physician will arrange follow-up treatment based on your condition, and the treatment approach will depend on your examination results and postoperative status.
If you experience any discomfort during treatment or have questions about your medication, you should consult your attending physician.
The cause of the bleeding should also be properly assessed through medical evaluation, so if possible, please return for a follow-up appointment to seek answers.
Thank you.

Reply Date: 2010/09/22

More Info

Post-hysteroscopy bleeding can be a common concern for many women who undergo procedures like hysteroscopic polypectomy. It is essential to understand the potential causes of bleeding, the role of medications, and when to seek further medical attention.

After a hysteroscopy, it is normal to experience some bleeding or spotting for a few days to a week. This bleeding is typically light and may be accompanied by some cramping. However, if the bleeding persists for an extended period, such as nine days, or if it becomes heavier, it is essential to consult your healthcare provider. The fact that you experienced your menstrual cycle shortly after the procedure is also significant, as menstrual bleeding can sometimes be confused with post-operative bleeding.

Regarding the medication "Naproxen" (which I assume is what you meant by "拿能寧"), it is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to relieve pain and reduce inflammation. If your doctor prescribed it to prevent recurrence of symptoms or complications, it is generally advisable to follow their recommendations. However, if you are experiencing persistent abdominal discomfort after starting the medication, it is crucial to discuss this with your doctor. They may need to evaluate whether the medication is appropriate for you or if an alternative treatment is necessary.

As for the additional bleeding you mentioned, it is possible that this could be related to ovulation, especially if it coincides with your ovulation cycle. Ovulation bleeding is typically light and may occur around the middle of your menstrual cycle. However, given your recent surgery and ongoing symptoms, it is essential to differentiate between normal physiological bleeding and potential complications.
Cervical erosion (or cervical ectropion) can also contribute to bleeding, particularly after procedures like hysteroscopy. This condition occurs when the cells lining the inside of the cervix grow on the outside, which can make the cervix more sensitive and prone to bleeding, especially after intercourse or gynecological examinations. If you have cervical erosion, it could indeed be a factor in your bleeding.

In summary, while some bleeding after a hysteroscopy can be normal, the duration and amount of bleeding you are experiencing warrant further evaluation. It is essential to communicate openly with your healthcare provider about your symptoms, medication concerns, and any changes you notice. They may recommend additional examinations, such as a pelvic ultrasound or a follow-up hysteroscopy, to ensure there are no complications such as retained tissue or infection.

If you continue to experience discomfort or if the bleeding increases, do not hesitate to seek medical attention. Your health and peace of mind are paramount, and your healthcare provider is there to support you through this recovery process.

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