What causes heavy menstrual bleeding after myomectomy?

Heavy menstrual bleeding after myomectomy may be caused by various factors. After surgery, the uterus may not have fully recovered and the endometrium might have sustained some degree of injury, leading to increased menstrual flow. This is a normal physiological phenomenon that usually does not require special treatment; patients should focus on rest and avoid excessive fatigue. Increased menstrual bleeding may also be related to retained tissue in the uterine cavity, endometritis, or endometrial polyps resulting from the surgery. If the endometrium was not completely cleared during the procedure, it could lead to heavier periods. Endometritis and endometrial polyps are common causes of increased menstrual bleeding and may require medical or surgical treatment. Hormonal imbalances, vaginitis, and other conditions can also contribute to heavier menstruation. If heavy menstrual bleeding persists after myomectomy, patients should seek timely medical evaluation to identify the underlying cause and receive appropriate treatment.