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Consequences of endometrial polyps removal: discharge, pain, fever
Last reviewed: 08.07.2025
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In some cases, removal of an endometrial polyp may be accompanied by endometritis - inflammation of the endometrium, which can develop for various reasons, including: infection, intensive recovery. With multiple polyps, aseptic (non-microbial) inflammation often develops.
Pregnancy after hysteroscopy of endometrial polyp
Pregnancy can occur already in the current cycle.
Discharge after endometrial polyp removal
Depending on the color, consistency, and type of discharge, they can be physiological or pathological. Normally, discharge after polyp removal should last a maximum of 2-3 days. With a highly traumatic method - 2-5 days, after which they stop on their own. If the discharge has dragged on, you should see a doctor. This may be a sign that something is wrong in the body. It is necessary to take into account that with severe tissue damage, for example, after curettage, discharge can continue for up to several months.
It is important to pay attention to the color of the discharge, as it can say a lot about the clinical picture of a possible pathology. Within the physiological norm, sticky red discharge is considered, the volume of which does not exceed 50 ml per day. They should not be confused with bleeding, which is accompanied by abundant discharge of scarlet blood. In this case, you need to call an ambulance as soon as possible and try not to move.
Sometimes blood clots (dark, viscous and thick) may be released. Usually, this is how blood accumulated in the uterine cavity after surgery is removed. Normally, clots can be released for up to 5 days. If the discharge period exceeds 5 days, and especially if scarlet, liquid blood appears, you should urgently consult a doctor.
Purulent discharge is dangerous, indicating the development of a purulent-inflammatory process, the addition of an infection. In this case, the discharge becomes cloudy, sometimes it can acquire a green or yellow tint. It depends on the number of microorganisms and their variety. If left untreated, severe complications can develop: intoxication, fever, sepsis. In this case, antibacterial therapy is carried out, but the drug should be selected exclusively by a doctor. The most dangerous are clostridia, which, when they enter the genital tract, cause discharge with a putrid odor, which becomes viscous, foamy, acquires an unpleasant odor. They can have a dark yellow or even brown tint. In this case, you must urgently contact a doctor who will take all necessary measures to prevent the risk of sepsis.
[ How long does discharge last after hysteroscopy of endometrial polyp?
During the recovery period, various discharges are observed. The duration will depend on the method used for removal, as well as the degree of damage to the surrounding tissues. It is also determined by the nature of the discharge. Physiological discharges may stop faster, while pathological discharges may last quite a long time.
With minimally invasive methods (hysteroscopy, laparoscopy), the discharge lasts about 2-3 days. Blood clots can be released for up to 5 days. If the blood is released longer, you should see a doctor, as this may be a sign of bleeding.
However, if the removal was performed using more traumatic methods, the discharge can last up to several weeks. When removing polyps using the most dangerous method - scraping - the discharge can last up to several months. In this case, you need to consult a doctor to make sure that they have not acquired a pathological character, since often against the background of a weakened mucous membrane, a decrease in immune mechanisms and colonization resistance, an infectious and inflammatory process develops.
Heavy periods after endometrial polyp removal
The nature of menstruation may change depending on the type of polyp and the method of its removal. Menstruation may become irregular, scanty, or, on the contrary, heavy. In any case, all this is pathology, and the cycle requires restoration. This usually takes 2-3 months. The doctor will prescribe the necessary drugs that must be taken strictly according to the scheme. They regulate the menstrual cycle. Sometimes contraceptives are prescribed.
Pain after endometrial polyp removal
After the polyp is removed, pain may persist. This is usually a natural pain, since tissue damage occurs in any case. They can become inflamed. Also, pain almost always accompanies an intensive recovery process. Usually, the pain is dull and aching. It is either quite bearable or can be eliminated with painkillers. The pain should not be unbearable. In this case, it is better to consult a doctor, this may be a sign of a serious complication.
Bleeding after endometrial polyp removal
Occurs within 2-3 days after removal. Minor leaks and blood clots at this time should not cause concern. A cause for concern should be profuse bleeding, as well as the appearance of scarlet blood. In this case, you need to see a doctor as soon as possible or call an ambulance.
Bleeding occurs as a result of damage to the mucous membrane and surrounding tissues. It can also occur as a result of insufficient healing of the vessel. It is often cauterized. The risk of bleeding is high with curettage and abdominal surgery, and is almost completely excluded with hysteroscopy and laparoscopy.
Lower abdominal pain after endometrial polyp removal
The pain may persist for several days after the surgery. This is quite natural, since even the safest minimally invasive methods of surgery cause damage to the mucous membrane and surrounding tissues. To reduce the pain, you can take painkillers. No-shpa, ibuprofen, and ketonal relieve pain well. If the pain is severe or painkillers do not work, you should see a doctor.
Temperature after endometrial polyp removal
After any surgical intervention, the temperature remains elevated for some time. This happens as a result of intensive recovery processes occurring in the body. But the temperature should not exceed 37.2-37.3. If the temperature rises above these indicators, this may indicate the development of complications. Often this is a manifestation of an infection, which has occurred against the background of weakened immunity. In addition to infection, there may be many other reasons, so you need to see a doctor for diagnosis.
Recurrence of endometrial polyp after hysteroscopy
The polyp tends to form again in the same place if it was not completely removed. Often, due to imperfect techniques or anatomical features of the structure of female genitals, it is impossible to completely remove it. A small stalk or a piece of a blood vessel remains. After some time, the polyp grows from it.
The risk of recurrent polyp is minimal with hysteroresectoscopy and maximal with curettage and open surgeries. Relapse can be avoided by undergoing high-quality postoperative treatment.