How to deal with bleeding after cervical erosion surgery

Bleeding after cervical erosion surgery can be treated by means of compression to stop bleeding, medication to stop bleeding, keeping the area clean, avoiding strenuous activities, and seeking timely medical treatment. Bleeding after cervical erosion surgery may be related to incomplete wound healing, infection, abnormal coagulation function and other factors.

1. Compression to stop bleeding

If there is a small amount of bleeding after surgery, you can use sterile gauze or tampons to apply local compression to stop the bleeding. The compression time lasts for 10-15 minutes. Avoid using sanitary napkins to come into direct contact with wounds, and choose pure cotton materials with good breathability. Maintain a supine position during compression to reduce pelvic congestion. If the bleeding does not decrease or the amount of bleeding increases after compression, stop the operation immediately and seek medical attention.

2. Drugs to stop bleeding

Follow the doctor's advice and use Chinese patent medicines such as Yunnan Baiyao Capsules and Duanxueliu Capsules to promote coagulation, or anti-fibrinolytic drugs such as tranexamic acid tablets. It is forbidden to take aspirin and other drugs that affect blood coagulation function by yourself. Drugs to stop bleeding need to be combined with bed rest. During the medication, observe whether there are any adverse reactions such as rash, nausea, etc. If drug allergy or bleeding worsens, stop taking the drug immediately and contact your doctor.

3. Keep the area clean

After surgery, wash the vulva with warm water 1-2 times a day. Vaginal douching or sitz bathing is prohibited. Wipe from front to back after going to the toilet to avoid fecal contamination of the wound. Change sanitary napkins frequently and wear loose cotton underwear. The occurrence of abnormal secretions or odor may indicate infection and requires local disinfection with iodophor solution and timely review.

4. Avoid strenuous activities

Cycling, squatting, lifting heavy objects and other actions that increase abdominal pressure are prohibited within 2 weeks after surgery, and reduce standing and sitting for long periods of time. Sexual life must be strictly prohibited until 1 menstrual cycle after surgery. Press your hands on your abdomen to reduce the vibration when you cough or sneeze. Daily activities include walking slowly, no more than 30 minutes at a time.

5. Seek medical treatment promptly

If the amount of bleeding exceeds menstrual flow, lasts for more than 3 days, or is accompanied by fever or severe abdominal pain, emergency treatment is required. Doctors may use measures such as electrocoagulation to stop bleeding, sutures to stop bleeding, or infusion of hemostatic drugs. In case of heavy bleeding, complications such as cervical vascular injury and postoperative infection need to be investigated, and colposcopy or ultrasound evaluation is performed if necessary.

Observe the amount and color changes of bleeding every day for 1 month after surgery. If you have bright red bleeding or blood clots, be alert to arterial bleeding. The diet should be supplemented with iron-rich foods such as lean meat and animal liver, and avoid spicy and irritating foods. Keep drinking more than 1500 ml of water every day to prevent constipation, and do not exert excessive force when defecating. Cervical wound healing needs to be reviewed on time 2 weeks and 1 month after surgery. Any abnormal symptoms during this period should be reported to the attending doctor.