Is it normal to have light menstrual flow during the first period after hysteroscopic surgery?

It is generally normal to experience reduced menstrual flow following hysteroscopic surgery. Specific details are as follows:

Hysteroscopic surgery may cause some degree of endometrial injury; therefore, a temporary reduction in menstrual volume postoperatively is typically considered normal and may persist for two to three months during recovery. After vaginal bleeding has completely ceased, an ultrasound examination at the hospital can be performed to assess the endometrium’s condition.

Following hysteroscopic surgery, patients are advised to closely monitor their menstrual patterns. In the absence of other abnormal symptoms, excessive concern is usually unnecessary. Postoperative personal hygiene should be emphasized: wash the external genitalia daily with warm water, change undergarments frequently to maintain cleanliness, ensure a balanced and nutritious diet, and observe strict menstrual hygiene. Moderate physical activity is encouraged to enhance overall immunity. A follow-up visit is recommended after the first postoperative menstrual period has fully ended. Continue monitoring menstrual patterns closely, and seek medical attention promptly if any abnormalities arise.

Patients should also observe whether recent abdominal pain or other discomforts have occurred in daily life and consider undergoing a color Doppler ultrasound for re-evaluation at the hospital. If endometrial thinning is detected, dietary therapy using soy-based foods may be beneficial. Alternatively, if menstrual flow remains unchanged more than four months post-surgery, estrogen supplementation may be required to regulate menstruation.