What causes bleeding half a month after hysteroscopic surgery?

Jun 01, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Bleeding half a month after hysteroscopic surgery may be caused by wound rupture, intrauterine infection, or vaginal infection. The specific analysis is as follows: Hysteroscopic surgery generally involves using a speculum to dilate the vagina, then inserting surgical instruments through the vagina to perform targeted treatment. If engaging in overly strenuous physical activities within half a month after surgery,

Bleeding half a month after hysteroscopic surgery may be caused by wound rupture, uterine cavity infection, or vaginal infection. The specific analysis is as follows:

1. Wound Rupture

Hysteroscopic surgery generally involves using a speculum to dilate the vagina, followed by inserting surgical instruments through the vagina to perform targeted treatment. If patients engage in overly strenuous physical activities within half a month after surgery, it may cause the surgical wound to rupture, resulting in bleeding. In such cases, appropriate bed rest is necessary to alleviate symptoms.

2. Uterine Cavity Infection

If inadequate care is provided during the recovery period after hysteroscopic surgery, bacteria may invade and lead to infection of the uterine cavity. Under stimulation by inflammatory factors, the endometrial lining may become damaged, causing the aforementioned symptoms. It is important to promptly follow medical advice and use medications such as cefixime capsules or ceftriaxone sodium for injection.

3. Vaginal Infection

During hysteroscopic surgery, the use of a speculum may cause damage to the vaginal mucosa. If bacteria enter the vagina post-surgery, a vaginal infection may develop, which often presents with similar bleeding symptoms. In such cases, timely treatment under medical guidance with medications like metronidazole suppositories or tinidazole suppositories is required.

It is recommended that during the recovery period after hysteroscopic surgery, patients avoid spicy and irritating foods, maintain healthy lifestyle habits, and avoid frequent late nights to prevent interference with recovery.


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