What should I do if my menstrual flow is small after uterine fibroid surgery?

Patient: I am 46 years old and have multiple uterine fibroids. In recent years, my menstrual flow has been very light. In November 2011, I had a myomectomy (open abdomen) to remove the largest tumor of about 10 cm, as well as more than 10 small fibroids. After the operation, the menstrual flow was normal for 4 months, and these two months the menstrual flow suddenly decreased (only pads, two days), but the cycle is normal. What is the reason? , No

Zhang Yingchun, Department of Reproductive Medicine, Jinan Central Hospital:

Because of age, because women's ovarian function begins to decline after the age of 40, estrogen levels decrease, and the state of the endometrium is not as good as before, so the menstruation is less, further development, ovulation abnormalities, there will be delayed menstruation, long-term or continuous menstruation, generally more than 12 consecutive months of amenorrhea, basically amenorrhea, this is the characteristic of menopause, it is the physiological process of every woman.

It should be reminded that timely prevention and control of the occurrence of perimenopausal syndrome can ensure the health of the perimenopausal period, prevent the discomfort caused by a sudden decline in the quality of life and health, and prevent various geriatric diseases.

Patient: Director Zhang, thank you for your reply. Does scanty menstruation have nothing to do with myomectomy? If it suddenly decreases, could it be endometrial adhesion?

Zhang Yingchun, Department of Reproductive Medicine, Jinan Central Hospital:

If the fibroids penetrate the myometrium and reach the uterine cavity during excavation, it may affect the size of part of the uterine cavity after suturing, but generally no adhesions will occur due to surgery.

Because the endometrium is like a lubricant, protecting the uterine cavity from adhesion, regenerating and peeling once a month, it is well protected. The sutures on the uterus are absorbable and will be absorbed 1-2 months after surgery, and will not remain on the uterus and cause adhesions.

If you have no other discomfort, it is recommended not to worry too much about this problem and recover for a while. If you are really worried, hysteroscopy is also a good choice.