What happens if you bleed after having cervical polyps?

Postoperative bleeding from cervical polyps may be caused by factors such as unhealed surgical wounds, infection, abnormal coagulation function, etc., and can be intervened through hemostatic treatment, anti-infective treatment, and regular review.

1. The surgical wound has not healed

After cervical polyp removal, local blood vessels are exposed, and a small amount of light red discharge may appear within 1-2 weeks after the operation. At this time, strenuous exercise or sexual life should be avoided and the perineum should be kept clean and dry. If the amount of bleeding is less than menstrual flow and gradually decreases, it is usually a normal recovery process.

2. Postoperative infection

Incomplete disinfection of surgical instruments or improper postoperative care may lead to wound infection, which may manifest as bleeding accompanied by yellow discharge and lower abdominal pain. Secretion culture examination is required. After diagnosis, anti-infective drugs such as metronidazole vaginal gel, levofloxacin tablets, and cefixime capsules can be used as directed by the doctor.

3. Coagulation dysfunction

When the patient has thrombocytopenia or takes anticoagulant drugs such as aspirin for a long time, it may affect wound hemostasis. Coagulation function tests should be completed before surgery. If there are abnormalities, tranexamic acid injection, vitamin K1 injection, etc. should be used in advance to improve the coagulation status.

4. Polyps remain or recur

When the polyp base is wide, the resection may not be complete, or there may be multiple polyps that are not completely removed, resulting in continued postoperative bleeding. Colposcopy can confirm the diagnosis, and if necessary, a second surgery is required, along with the use of Gongxuening capsules, blood-breaking tablets and other Chinese patent medicines for conditioning.

5. Progress of cervical lesions

In rare cases, bleeding may indicate complications such as cervical intraepithelial neoplasia. It manifests as contact bleeding and bloody leucorrhea, and needs to be confirmed through HPV testing and cervical biopsy. Cervical conization or physical therapy is selected based on the pathological results, and Baofukang suppository is used to assist recovery after surgery.

After surgery, you should wash your vulva with warm water every day, choose pure cotton breathable underwear, and replace sanitary pads in time. Bathing, swimming and sexual intercourse are prohibited within 2 months, and avoid lifting heavy objects or standing for long periods of time. Pay attention to supplementing high-quality protein and iron in your diet, and eat pork liver, spinach and other foods in moderation. If the amount of bleeding exceeds menstrual flow, lasts for 3 weeks, or fever symptoms occur, you need to return to the hospital immediately for review with vaginal ultrasound.