Patient's question:
My mom has been experiencing amenorrhea since April last year, and recently she had her menstrual period again. After a thorough examination at the hospital, the doctor performed the following treatments for her: IUD removal + polyp excision + fractional curettage. Now, one week later, she went to get the test report, which confirmed the pathology as follows: (Cervix) polyp (cervical canal) chronic cervical canal, focal cervical glandular fibrosis. (Uterine cavity) The endometrium showed changes typical of the secretory phase, with some glandular cells exhibiting secretory reactions. What exactly does this mean? Will there be any further treatment needed, or is everything fine now? Except for one critical issue, my mom had this surgery a few weeks ago, but she still occasionally sees some minor bleeding. What could be the reason for this? Is it serious? I read online that after a curettage, there should be no bleeding within a week for everything to be fine. What could be the reason for my mom's condition? SheDoctor's answer:
According to the pathological diagnosis, the first thing to rule out for your mother is endometrial cancer inflammation. For a patient like your mother who experiences bleeding again after menopause, after ruling out endometrial cancer inflammation, the primary consideration should be excessive exogenous estrogen intake. It is recommended to re-examine, reduce the consumption of estrogen-rich foods in daily life, such as chicken breast, and avoid overexertion.When patients face gynecological issues, we should promptly implement symptomatic treatment principles and avoid avoiding medical visits. If gynecological conditions do not improve with treatment, it is necessary to promptly switch to a new treatment plan.