Heavy Period after Myomectomy – Facts and Treatment!

Myomectomy is a procedure to remove a small tumor-like mass from the uterine or vaginal area. Although it is a highly effective procedure for fibroids removal it may interfere with your normal menstrual cycle. Many women experience heavy periods after myomectomy. 

But, is it normal to have a heavy period after myomectomy?

Indeed, light or heavy periods after myomectomy may result from hormonal fluctuation or as the result of the medication you’re taking. Sometimes irregular heavy periods may indicate the regrowth of fibroids.

Still, you can do things to control your irregular flow and prevent the growth of fibroids. Let’s discover the facts in detail.

Myomectomy- an Overview

The surgical process of removing uterine fibroids is called a myomectomy. This surgical process can be carried out in three ways. It can be done by an open surgical cut in the lower part of the belly. Another procedure can allow the doctor to remove fibroids by several minor cuts.

These cuts can be done robotically. Moreover, myomectomy can also be done by using the particular scope in which fibroids are removed through the vagina and cervix.

heavy-period-after-myomectomy

Indeed, the doctor decides which type of myomectomy should be done using blood tests, MRI scans, electrocardiograms, or ultrasound.

The maximum recovery time is about 4 to 6 weeks. However, if a person feels pelvic pain, heavy periods, excessive urination, or irregular bleeding, she should consult a doctor.

It is used to remove the vaginal or uterus abnormal mass and improve the chances of getting pregnant as well. Occasionally, fibroids may return after surgery; it depends on the type of lump. Often, myomectomy may cause infection in the uterus, ovaries, or fallopian tube.

Is It Normal to Have a Heavy Period After Myomectomy?

Yes, it is normal and common to have heavy periods after myomectomy but just for a few cycles because your body starts adjusting to the changes after that. Once the fibroids that are the reason for heavy bleeding are removed, it is obvious that your period becomes lighter and less painful. 

Mostly, patients undergo heavy bleeding and spotting even after myomectomy. About 2 weeks after surgery, vaginal discharge appears, but the reason behind long-term bleeding might be an infection. Generally, post-surgery bleeding may be misconceived with the period just after myomectomy.

Most women report painful and irregular periods that might come early or delayed. Some women might experience painful cramps even after surgery. Don’t worry! They are just due to hormonal and tissue changes.

heavy-period-after-myomectomy

You may take a few cycles to come back to normal. Your period will not be heavy once your body adjusts to the changes. Sometimes the excessive discharge of blood during the first cycle can cause anemia. So for this, doctors recommend iron supplements. 

If you experience heavy bleeding with painful cramps consistently, you should consult with your surgeon. There might be a possibility of re-growth of fibroids.

Why Do You Get Heavy Bleeding After Myomectomy?

Fibroids in the uterus increase the level of estrogen, which further thickens up the endometrial lining, causing excessive or painful bleeding. This painful bleeding can be healed by myomectomy. The symptoms after myomectomy vary among women based on their biological differences. Usually, some women report that they get heavy bleeding in their first two cycles with severe pain.

They might confuse post-surgical bleeding with periods. This is because the scar tissue formed in place from where the fibroids were removed. These scar tissues might be replaced entirely within 6 months. After that, periods will get lighter. 

Heavy bleeding after a myomectomy might have different reasons.

Hormonal changes

Myomectomy patients are at risk for heavy bleeding as a result of hormonal changes postoperatively. Indeed, the fluctuating level of hormones has a significant impact on inner bodily functions.

Regrowth of fibroids

Some women experience excessive bleeding even after fibroid removal. This might be a warning sign for the growth of fibroids again. In this case, they should discuss with their surgeon.

Infections

Sometimes, any infection in the uterus or the areas around may cause heavy bleeding. When this happens, the doctor may give antibiotics to stop the infection. 

How Do You Stop Bleeding After a Myomectomy?

If you experience post myomectomy bleeding, you must follow some cautions and do some remedies for fast recovery. Here are some tips for recovering fast and stopping bleeding after a myomectomy.

Avoid dairy products

It is better to reduce cheese and other dairy products because they are high in estrogen levels, which might be the reason for severe pain and bleeding during menstruation after myomectomy.

Intake of vitamin C

Foods like tomato, orange, lemon, green and red peppers, and many more contain a rich amount of vitamin C. Intake of vitamin C helps fight against iron deficiency by stopping heavy bleeding.

Natural remedies

Herbal teas are very effective at relaxing the whole body. Similarly, it relieves menstrual cramps and eases bleeding. Like herbal teas, ginger teas also aid in maintaining hormonal balance. To control intermittent pain, bleeding, and contractions of the uterus, you must use raw papayas.

Massage

Massages with pure essential oils regularly will reduce cramps and relieve heavy bleeding as well.

Heating

The use of a hot pad and hot water bottle can reduce heavy bleeding and aids in reducing pain by relaxing muscles.

Avoid refined sugar

The use of refined sugar can increase blood glucose levels which further leads to diabetes. A diabetic patient is more likely to develop fibroids again. 

Regular exercises

Regular exercise and yoga may help improve a person’s reproductive health. Exercise for a few hours a week aids in irregular bleeding after myomectomy.

Avoid weight lifting

After myomectomy, it is important to avoid heavy weight lifting for a few weeks. Otherwise, it will affect your uterine incisions and may cause heavy bleeding.

Medication

Drugs like acetaminophen and ibuprofen can help to fight against heavy bleeding just after myomectomy.

Risk Factors After Myomectomy

Like other types of surgery, myomectomy has benefits and risk factors as well. Some complications might occur even after a myomectomy. Some of which are discussed here. 

  • After myomectomy, the formation of blood clots might occur. 
  • Some people may face heavy bleeding even after surgery. 
  • It may cause hemorrhage in the area around the uterus.
  • Scars or cuts may appear in the uterus.
  • It may cause infection in the surrounding areas of the uterus.
  • Side effects of anesthesia may occur.
  • A myomectomy might damage the nearby organs.
  • After surgery, fibroids might grow again.
  • Excessive loss of red blood cells can cause anemia. 

FAQs

1) What causes heavy menstrual flow after fibroid surgery?

Ans. Even though fibroid surgery is effective, it can sometimes cause infections in the uterus. It can also cause changes in tissues through the incision. These infections and changes in tissues can further cause heavy menstrual flow. Sometimes any mistake by the doctor during surgery may lead to excessive bleeding.

2) How is the first period after myomectomy?

Ans. Mostly, patients report heavy bleeding in the very first period after myomectomy. It is often confused with post-surgery bleeding. Most women undergo irregular or painful periods after surgery because of the changes in tissues. Mostly spots of reddish-brown color appear in the first menstrual cycle. In the beginning, heavy and painful bleeding occurs, but once the body adjusts to the changes, the period becomes lighter and less painful.

3) When should I expect my first period after myomectomy?

Ans. After myomectomy, your first period may occur late or early. The first period is often misconceived with the early vaginal discharge after surgery. This vaginal discharge is common after surgery for almost 2 weeks. You may have an irregular menstrual cycle that does not occur on time. After a few cycles, things came back to normality.

Conclusion

Indeed, fibroids surgery involves the removal of masses from the uterus that causes a heavy period after myomectomy. The patient may recover within 1 to 2 months. Few cycles just after myomectomy might be worse than before. 

But there is no need to worry about that; it is normal and commonly occurring in people. It might have some side effects. If you have undergone a myomectomy, you must do some remedies to stop bleeding and recover quickly. But you must ask your surgeon first.

Dr Hafeez Arshad

Dr Hafeez Arshad

This is Dr. Hafeez. I have done my M.Phil in Pharmacology. I am a healthcare professional. My core competencies focus on writing different types of research articles/blogs regarding health sciences.

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