Is it normal to bleed after hysteroscopy for uterine fibroids? How to treat it?

Mild bleeding after hysteroscopic surgery for uterine fibroids is usually normal, but if the amount of bleeding increases significantly, lasts for a long time, or is accompanied by severe abdominal pain, you should seek medical attention in time to rule out the possibility of complications.

Postoperative bleeding is generally caused by manipulation of the endometrium during surgery, and is often manifested as a small amount of bloody secretions or bleeding similar to menstrual flow, which usually lasts for several days to a week. If the bleeding is abnormal, it may be related to the following reasons: ① postoperative infection, such as improper postoperative care leading to bacterial invasion; ② residual lesions not completely cleaned; ③ weakened uterine contraction function or poor endometrial repair. Some individuals may also suffer from ruptured blood vessels and bleeding due to coagulation disorders or intraoperative manipulation.

Treatment methods vary depending on the bleeding situation. If it is mild bleeding, it can be improved by taking hemostatic drugs such as tranexamic acid or chorionic gonadotropin nonanoate; if postoperative infection is suspected, antibiotics such as metronidazole or cephalosporins can be used to eliminate inflammation; if the amount of bleeding is large and cannot be relieved in the short term, ultrasound examination is required to clarify the cause, and secondary curettage or electrocoagulation hemostasis is performed if necessary. In addition, postoperative rest and self-care are also very important, avoid strenuous exercise, keep the vulva clean, and prevent infection.

Within 3 days after surgery, you should focus on observing the amount of bleeding and physical reactions. If you find symptoms such as frequent dizziness and fatigue, you need to return for a follow-up visit as soon as possible. A high-fiber, high-protein diet can promote physical recovery. For example, you can consume lean meat and broccoli to supplement protein and vitamin C, and avoid eating spicy and irritating foods. Applying hot compresses to the lower abdomen after surgery can help relieve discomfort, but avoid pressing the abdomen directly. Be careful to avoid sexual intercourse within 2 weeks after surgery to protect the repair of the endometrium. If bleeding continues or there are other abnormalities, seek medical attention in a timely manner.