Watery discharge after hysteroscopic surgery

Generally, the discharge of watery fluid after hysteroscopic surgery may result from either physiological or pathological factors, such as cervicitis or pelvic inflammatory disease. Targeted treatment should be based on the underlying cause. Specific details are as follows:

I. Physiological Factors

During hysteroscopic procedures, a certain amount of fluid is infused into the uterine cavity. After surgery, this fluid may drain out through the vagina, which is a normal physiological phenomenon. In such cases, maintaining external genital hygiene and regularly changing underwear are sufficient.

II. Pathological Factors

1. Cervicitis

If proper genital care is not maintained after surgery, inflammation and infection may occur. This can irritate the cervical mucosa, leading to symptoms such as ulceration and erosion. Inflammatory exudate may be secreted, often accompanied by contact bleeding. Treatment may include medications such as metronidazole tablets, levofloxacin hydrochloride capsules, or clindamycin hydrochloride capsules, taken under medical supervision.

2. Pelvic Inflammatory Disease (PID)

Engaging in sexual intercourse too early after hysteroscopy may introduce bacteria from the male partner into the pelvic cavity, causing pelvic inflammation. Symptoms may include fever, increased vaginal discharge, and abdominal pain. Antibiotics such as amoxicillin capsules, cefuroxime axetil tablets, or roxithromycin capsules may be prescribed by a physician for treatment.

In addition to the above common causes, other possible conditions include endometritis, salpingitis, and adnexitis. Treatments may include compound metronidazole vaginal suppositories, tinidazole suppositories, or minocycline hydrochloride capsules, used according to medical advice. Proper genital hygiene should be maintained during treatment to promote recovery. If symptoms do not improve after treatment, prompt medical consultation is recommended to prevent worsening of the condition.