Post-uterine fibroid surgery, having your first menstrual period 22 days later is normal?

Patient's question:

I am 46 years old, and I had a uterine fibroid surgery on November 16th. I had my first menstrual period on December 8th. What kind of help do you need: Is it normal to have my first menstrual period 22 days after the fibroid surgery? What is the reason for the slight bloating and pain?

Doctor's answer:

A hysterectomy is a form of injury to the uterus and can also lead to endocrine disorders. It is normal for menstruation to occur 22 days after the surgery. The mild bloating and pain are primarily caused by uterine contractions expelling blood, which is a normal phenomenon. As long as there are no symptoms of excessive bleeding or prolonged bleeding, it is advisable to relax and focus on careful observation. During the menstrual period, it is important to avoid catching a cold, staying away from cold temperatures, and avoiding cold foods and drinks.

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