Hi, I had surgery to remove my left Fallopian tube 1 week ago today, it hadn’t ruptured yet. I didn’t get any information on what to expect afterwards and have had some heavy bleeding for the past few days. I’m assuming it’s my body realising it’s no longer pregnant, but the blood is bright red with lots of clotting. Has anyone else had something similar? I think the bright red aspect has me freaked out a little but mentally am really hoping I don’t have to go back to hospital to get checked out. Hoping others can shed some light on their after surgery bleeding experience x
Dear Kabe3,
I am so sorry to hear of your ectopic pregnancy and loss,
To answer your question, the first bleed that occurs after treatment for ectopic pregnancy is not classed as a period. It is the body’s response to falling hormone levels because you are sadly no longer pregnant. The body expels the lining of the uterus that had built up in preparation for the pregnancy because it is no longer needed. This process involves vaginal bleeding - it can be clotty or like one of your usual periods and some women have bleeding/spotting for up to six weeks.
If this is your first bleed, we would recommend using sanitary pads and this is because you would still be healing internally. It is important to avoid tampons until you have healed internally because they could introduce bacteria and the possibility of infection. Also, it is a good idea to keep a close eye on your bleeding and using sanitary pads helps judge this. If you are soaking more than a pad in an hour, you should get medical attention. You can of course use tampons for your next normal menstrual period if you choose to do so.
Your periods can take a while to re-establish - they can re-start anything between two and ten weeks after surgery and most women find that their period arrives sometime around week six or seven after surgery.
The first period may be more painful or less so than usual, heavier or lighter, last for longer or shorter than usual – there really is no set pattern. You should be able to manage the discomfort with over-the-counter pain relief and should not be soaking a pad in less than an hour. If this is not the case, you should seek medical attention
Experiencing an ectopic pregnancy is a huge ordeal and you are in the early stages of recovery. Your body needs time to heal from your surgery which is in itself a gruelling task. You have also had to process the loss of your baby and been through an immense rollercoaster of emotions - all of this will take time to come to terms with.
You should take it very easily for about six weeks after surgery. Your body will be using its energies to heal internally. It is normal to feel physically and emotionally exhausted during this time and please do be kind to yourself. Recovery can take time and some days will be better than others, one day you maybe ok and the next you maybe in discomfort or more emotional. This is perfectly usual and the healing process will go back and forth in this way for however long you need. It is important to listen to your body’s signals and pain and feeling tired are your body’s signs to tell you to rest. We suggest keeping a healthy balanced diet, drinking lots of water and resting. Once your wounds have healed, very gentle exercise such as a short walk can help, but please do take this slowly.
Sending much love and warm hugs,
Karen x
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I am so sorry that you are going through this, I went through it too, I bled the following day after discharge for 3 days, bright red. The doctor told me it was expected and it’s called withdrawal bleeding. It’s the uterus shedding off the layer that was meant to support your pregnancy. No worries, it is normal. U should get worried if it becomes excessive, and causes u to feel ill or dizzy or u develop fever or signs of infection
Hope all goes well for you. Try to rest, and take small walks to prevent your legs from swelling. My prayers are with you. Tough times don’t last but tough people do.