Brownish discharge on the 8th day after hysteroscopic surgery

May 29, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Brownish discharge on the eighth day after hysteroscopic surgery may be caused by factors such as healing from surgical trauma, hormonal fluctuations, vulvovaginal candidiasis, endometriosis, or cervical polyps. Treatment may include lifestyle adjustments and medication. It is important to follow the doctor's advice and undergo regular follow-up examinations to ensure effective management of the condition.

On the eighth day after hysteroscopic surgery, sudden appearance of brownish discharge may be caused by factors such as the postoperative healing phase, hormonal fluctuations, vulvovaginal candidiasis, endometriosis, or cervical polyps. Treatment may involve lifestyle adjustments and medication. Specific details are as follows:

1. Post-surgical recovery phase

Hysteroscopic procedures involve manipulation of the endometrium, which may cause some degree of tissue trauma. Brownish discharge may be a normal part of the healing process, similar to brown menstrual blood, but may appear several days after surgery. Patients should focus on adequate rest to support recovery.

2. Hormonal adjustment

After hysteroscopic surgery, hormonal levels may be temporarily disrupted, especially if the endometrium was involved. These hormonal changes can lead to irregular bleeding or vaginal discharge.

3. Vulvovaginal candidiasis

Candida infection is the primary cause of vulvovaginal candidiasis. Under Candida stimulation, the vaginal mucosa may become abnormally damaged, leading to symptoms such as those described. Treatment may include medications such as metronidazole suppositories or cefixime capsules, used according to medical advice.

4. Endometriosis

Endometriosis is a common gynecological condition characterized by the growth of endometrial tissue outside the uterus, such as in uterine fibroids, ovaries, or fallopian tubes. After hysteroscopic surgery, scraping, cauterization, or other interventions on endometriotic lesions may cause minor trauma and bleeding.

5. Cervical polyps

If stem cells in the cervix undergo mutation or are chronically irritated by inflammation, cervical polyps may develop, causing abnormal proliferation of cervical mucosa and resulting in bleeding. This often presents with the aforementioned symptoms. Patients should promptly follow medical advice and use medications such as tetracycline tablets or tinidazole tablets as prescribed.

Patients are advised to actively cooperate with their doctors during treatment, follow medical recommendations closely, and attend regular follow-up visits to ensure effective disease management.

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