Should You Return for a Check-Up After Endometriosis Surgery?

I don't understand if a follow-up appointment is necessary?

Hello Doctor: I have endometriosis and underwent surgery this year to remove adenomyosis and cysts.
After six months of amenorrhea, my menstruation returned for two months.
Three days before my period, I noticed some spotting (the amount was less than one panty liner in a day).
I consulted my doctor, who advised me to observe the situation before my period officially starts, which lasts about six days.
On the last day, there was only a small amount of spotting (again, less than one panty liner in a day).
In October and November, my period started with a small amount of spotting (less than one panty liner in a day) for one to one and a half days before the actual menstruation began, which lasted about five days, followed by another day and a half of light spotting (less than one panty liner in a day).
So, from the onset of red blood to the end, it took about eight days.
Should I consider this situation acceptable, or do I need to schedule another appointment?

Men, 20~29 year old female. Ask Date: 2015/11/26

Dr. Lin Wenbin reply Obstetrics and Gynecology

After this type of surgery, medication treatment is usually required for six months.
After six months, when menstruation resumes, it may take an additional 3 to 4 months to gradually return to normal.
It is recommended that you return for a follow-up appointment to have your physician check the condition of your ovaries.

Reply Date: 2015/11/26

More Info

After undergoing surgery for endometriosis, it is essential to monitor your recovery closely, especially regarding any changes in menstrual patterns or unusual symptoms. Based on your description, it seems you have experienced some irregularities in your menstrual cycle following your surgery, including light spotting and variations in the duration and flow of your periods.
In general, after endometriosis surgery, it is not uncommon for patients to experience changes in their menstrual cycles. This can include lighter periods, spotting before the actual menstrual flow, or even variations in cycle length. These changes can be attributed to the surgical intervention, hormonal fluctuations, or the healing process of the body. However, it is crucial to differentiate between normal post-operative changes and signs that may warrant further medical evaluation.

Given that you have been advised to observe your symptoms previously, it is essential to consider the following factors to determine whether you should return for a check-up:
1. Duration and Consistency of Symptoms: If your spotting or unusual bleeding persists beyond a few cycles or if it becomes heavier or more frequent, this could be a sign that something is not right. Continuous light spotting for several weeks, especially if it is accompanied by pain or discomfort, should be evaluated by your healthcare provider.

2. Associated Symptoms: If you experience any new or worsening symptoms, such as significant abdominal pain, fever, or any signs of infection (such as foul-smelling discharge), you should seek medical attention promptly. These could indicate complications that require immediate intervention.

3. Emotional and Physical Well-being: If you feel anxious or concerned about your symptoms, it is always better to err on the side of caution. Your mental health is just as important as your physical health, and if the uncertainty of your symptoms is causing distress, a follow-up visit can provide reassurance and clarity.

4. Follow-Up Recommendations: If your surgeon or healthcare provider has given you specific instructions regarding follow-up appointments or monitoring your symptoms, it is essential to adhere to those guidelines. They may have a better understanding of your individual case and what to expect post-surgery.

5. Changes in Menstrual Patterns: As you mentioned, your menstrual cycle has shown some irregularities, such as spotting before your period and variations in flow. While some changes can be expected, if these patterns do not stabilize over the next few months, or if they worsen, it would be prudent to return for a check-up.

In summary, while some changes in your menstrual cycle can be normal after endometriosis surgery, persistent or concerning symptoms should not be ignored. It is advisable to return for a check-up if your symptoms do not improve, worsen, or if you have any new symptoms that cause concern. Regular follow-ups are crucial in managing your health post-surgery and ensuring that any potential complications are addressed promptly. Always prioritize your health and well-being, and do not hesitate to seek medical advice when in doubt.

Similar Q&A

Is It Necessary to Return for Follow-Up After Ovarian Cyst Surgery?

Hello, doctor. Two years ago, I had surgery for an endometrioma at Taipei Medical University Hospital, and Dr. Liu reminded me to return for a follow-up after six months. I haven't paid attention to the time and have visited Hong Chi Women's and Children's Hospital...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if the examination results are normal, it is not necessary to return to the original hospital for further testing. Wishing you good health.

Do I Need a Follow-Up Check After Surgery? Expert Insights

Hello, doctor: I would like to ask you, my sister had surgery last year just like me. She mentioned that she has been going for follow-up appointments to check the shape of her labia minora, and the doctor said her recovery is going well. She asked if I have been going for follow...

Dr. Lin Wenbin reply Obstetrics and Gynecology
During your follow-up visit, I reviewed everything and found no issues. It's perfectly fine to come back for another check. If there is pain during intercourse, it may be due to insufficient foreplay and inadequate vaginal lubrication. You might consider using a lubricant to...

Post-Laparoscopy Pain Management After Endometriosis Surgery: What to Expect

Hello, doctor. I underwent laparoscopic surgery on August 20th for severe endometriosis with extensive pelvic adhesions, as well as the removal of a chocolate cyst and uterine fibroids. Due to the severity of the endometriosis, some tissue was also removed from the rectum. I woul...

Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, regarding severe endometriosis with significant pelvic adhesions, the symptoms you described after surgery will gradually improve. The recovery depends on the healing of the tissues and nerves. If you focus on nutrition and a healthy lifestyle, and attend regular follow-up...

Post-Surgery Concerns: Hormone Testing and Recovery in Gynecology

Hello, doctor: My wound no longer hurts, and I don't have any ointment. However, when I walk quickly, I sometimes feel a tingling sensation on the left side. I plan to come back for a check-up after my menstrual cycle is over to confirm the healing of the wound, is that okay...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Please come back for a follow-up examination before we discuss further.