Consequences of removal of endometrial polyps: discharge, pain, temperature
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
In some cases, removal of the endometrial polyp can be accompanied by endometritis - an inflammation of the endometrium, which can develop for various reasons, including: infection attachment, intensive recovery. With multiple polyps, aseptic (non-microbial inflammation) often develops.
Pregnancy after hysteroscopy of the endometrial polyp
Pregnancy can already occur in the current cycle.
Discharge after removal of the endometrial polyp
Depending on the color, consistency, type of secretions, they can be physiological, and may be pathological. Normally, excretions after polyp removal should last a maximum of 2-3 days. In the highly traumatic method - 2-5 days, after which they themselves stop. If the discharge is delayed, it is necessary to consult a doctor. Perhaps this is a sign that something is wrong in the body. It should be borne in mind that with severe tissue damage, for example, after curettage, excretions can last up to several months.
It is important to pay attention to the color of the discharge, as they can tell a lot about the clinical picture of a possible pathology. In the framework of the physiological norm, sticky red secretions are considered, the volume of which does not exceed 50 ml per day. They should not be confused with bleeding, which is accompanied by a copious discharge of scarlet blood. In this case, you need to call an ambulance as soon as possible, and try not to move.
Sometimes clots of blood (dark, viscous and dense) can be allocated. Usually this way, the blood that accumulates after the operation in the uterine cavity is excreted. Normally clots can be allocated up to 5 days. If the period of excreta exceeds 5 days, and even more so, scarlet, liquid blood appears - one should urgently consult a doctor.
Danger is purulent discharge, which indicates the development of a purulent-inflammatory process, the attachment of infection. In this case, the secretions become cloudy, sometimes they can acquire a green or yellow shade. It depends on the number of microorganisms, and their varieties. If left untreated, serious complications can develop: intoxication, fever, sepsis. In this case, antibiotic therapy is carried out, but the medicine must be selected exclusively by the doctor. The most dangerous are the clostridia, which, when ingested in the genital tract, cause discharge with putrefactive odor, which become viscous, foamy, acquire an unpleasant odor. Can have a dark yellow, and even a brown tinge. In this case, you need to urgently go to the doctor who will take all the necessary measures to prevent the risk of sepsis.
How long does the discharge after hysteroscopy endometrial polyps last?
In the recovery period, different discharges are observed. The duration will depend on the method by which the removal was performed, and also on the degree of damage to the surrounding tissues. It is also determined by the nature of the precipitates. Physiological excretions can stop faster, while pathological discharge can last long enough.
With minimally invasive methods (hysteroscopy, laparoscopy), excretions last about 2-3 days. Blood clots can secrete up to 5 days. If blood persists longer, you need to see a doctor, as this may be a sign of bleeding.
However, if more traumatic methods have been removed, excretions can last up to several weeks. When removing polyps the most dangerous method - scraping - allocation can last up to several months. Thus it is necessary to consult with the 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.
Abundant monthly after removal of the endometrial polyp
The nature of menstruation can vary, depending on the type of polyp, the way it is removed. Monthly can become irregular, scarce, or, conversely, abundant. In any case, all this is pathology, and the cycle requires restoration. Usually it takes 2-3 months. The doctor will prescribe the necessary drugs, which must be taken strictly according to the scheme. They regulate the menstrual cycle. Sometimes they prescribe contraceptives.
Pain after removal of the endometrial polyp
After the polyp is removed, pain may persist. These are usually pains of a natural nature, since in any case, tissue damage occurs. They can become inflamed. Also, pain almost always accompanies an intensive recovery process. Usually the pain is dull, aching. It is either completely tolerable or eliminated with pain medication. The pain should not be unbearable. In this case it is better to see a doctor, this may be a sign of a serious complication.
Bleeding after removal of the endometrial polyp
Occurs within 2-3 days after removal. Minor streaks and secretions of blood clots at this time should not cause concern. The cause for concern should be abundant blood liberation, 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 mucosa, surrounding tissues. It can also occur as a result of insufficient healing of the vessel. Often it is cauterized. The risk of bleeding is high with curettage and abdominal surgery, and is almost completely excluded with hysteroscopy and laparoscopy.
Pulls the lower abdomen after removal of the endometrial polyp
Pain can persist for several days after surgery. This is quite natural, because, even with the safest, minimally invasive methods of surgery, damage to the mucosa, surrounding tissues occurs. To reduce pain, you can take painkillers. Well eliminates the pain of no-spa, ibuprofen, ketonal. If the pain is severe, or pain medications have no effect, you need to see a doctor.
Temperature after removal of the endometrial polyp
After any surgical intervention, for some time, the elevated temperature persists. This is due to the fact that the body undergoes intensive recovery processes. But the temperature should not exceed 37,2-37,3. If the temperature rises above these rates, this may indicate the development of complications. Often the infection manifests itself, the attachment of which occurred against the background of weakened immunity. In addition to infection, there may still be many reasons, so for diagnosis you need to see a doctor.
Recurrence of the endometrial polyp after hysteroscopy
Polyp has the property of being formed repeatedly in the same place, if it was not cavity removed. Often, due to imperfect technique, or anatomical features of the structure of female genital organs, it is impossible to completely remove it. There remains a small leg, or a piece of a blood vessel. From it after a while, the polyp also grows.
The risk of recurrence of the polyp is minimal for hysteroresectoscopy and is maximum when scraping, open operations. You can avoid relapse if you undergo quality post-operative treatment.