Why do I have yellow discharge after hysteroscopic surgery?

Yellow discharge after hysteroscopic surgery may be related to postoperative wound exudation, infection, changes in hormone levels and other factors. Hysteroscopic surgery is a minimally invasive surgery used to diagnose and treat intrauterine lesions. Changes in the color and amount of vaginal secretions after surgery require close attention.

1. Postoperative wound exudation

During hysteroscopic surgery, the endometrium will be cured or removed. There will be a small amount of exudate from the wound surface after the operation, which may appear light yellow when mixed with vaginal secretions. This situation is a normal physiological phenomenon and usually lasts for 3-5 days and then gradually decreases. Patients should pay attention to keeping the perineum clean and avoid strenuous exercise to prevent wound bleeding or infection. If the amount of exudate suddenly increases or is accompanied by a peculiar smell, seek medical attention promptly.

2. Bacterial infection

Improper care or reduced body resistance after hysteroscopic surgery may lead to bacterial infection, endometritis or vaginitis. Infectious discharge is often yellow or yellow-green, with a thick texture, and may be accompanied by odor, itching, or lower abdominal pain. The doctor may prescribe antibiotics such as metronidazole suppositories, levofloxacin tablets, and cefixime capsules according to the condition. After surgery, antibiotics should be used to prevent infection as directed by the doctor, and bathing and sexual intercourse should be avoided.

3. Fluctuations in hormone levels

Hysteroscopic surgery may temporarily affect ovarian function, cause estrogen levels to fluctuate, and change the vaginal environment. In this case, the discharge may be increased and appear yellowish, but it is usually odorless. Symptoms will resolve on their own as hormone levels return. Patients can appropriately supplement foods rich in phytoestrogens, such as soy products, to avoid excessive vaginal cleaning that disrupts the balance of flora.

4. Recurrence of cervicitis

Patients with original chronic cervicitis may have recurrence of inflammation and yellow purulent secretions due to instrument stimulation after hysteroscopic surgery. This situation may be accompanied by symptoms such as bleeding after intercourse and pain in the lumbosacral region. The doctor may recommend the use of drugs such as Baofukang suppository, Xiaomi suppository, or oral gynecological Qianjin tablets. Cervical recovery should be reviewed regularly after surgery to avoid prolonged inflammation.

5. Fallopian tube reflux

In rare cases, hysteroscopic surgery may temporarily affect the patency of the fallopian tubes, causing fallopian tube fluid to reflux into the uterine cavity, manifesting as intermittent discharge of yellow fluid. This condition may be accompanied by a sinking feeling in the lower abdomen and requires an ultrasound examination to confirm the diagnosis. Treatment may require drugs that promote blood circulation and remove blood stasis, such as Guizhi Fuling Capsules. In severe cases, fallopian tube drainage surgery may be required.

After hysteroscopic surgery, the vulva should be washed with warm water every day, and breathable cotton underwear should be selected and changed frequently. Avoid swimming, bathing and other activities that may cause infection for 1 month after surgery, and prohibit sexual intercourse for at least 2 weeks. Eat more high-quality protein and foods high in vitamin C, such as eggs, lean meat, oranges, etc., to promote wound healing. If the yellow discharge lasts for more than 1 week and is excessive in amount and is accompanied by fever or abdominal pain, you need to return to the hospital for review in time to rule out infection or other complications. It is recommended to review the ultrasound after the first menstrual period after surgery to evaluate the recovery of the uterine cavity.