Brief Answer: It takes 3-4 weeks. Detailed Answer: Hi and welcome to health care magic. I understand that you are having bloody discharge after endometrial ablation. Such discharge is expected for around 3 weeks after the procedure as the tissue that was destroyed by Novasure is sloughing off and the underlying tissue is healing. This is similar to healing from any burn wound.It continues to ooze for some time and then heals. Just check if the discharge is having a foul smell, if you have fever, pain in abdomen, discharge is yellow or whitish. All of these indicate presence of infection. In my setup, I usually give prophylactic antibiotics during the procedure to prevent infection. If any of the above symptoms is present it is better to visit your healthcare professional and get a vaginal examination and vaginal swab tested for bacteria. Further treatment will be decided according to results of swab. Also, please do not use tampons and try to use sanitary napkins as they decrease the risk of getting an infection. The first few periods after ablation may also be slightly heavy due to recent inflammation but eventually they tend to become lighter. Hope I provided you with the required information. Please feel free to ask any more queries and I am here to help. Take care. Dr Madhuri Bagde Consultant Ob GY

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Brief Answer: Get a test done Detailed Answer: Thanks for the query, Blood stained discharge may decrease in some women in 4-5 days, in some it may take 10 days in some even 15 but the amount of blood usually goes on decreasing by the end of 7 days. It depends upon the extensiveness of the procedure, healing capacity, depth of ablation and so on. Prescription of antibiotics is at the discretion of the doctor. Tranexamic acid helps to control bleeding but this is not bleeding but blood stained discharge that occurs due to sloughing of tissue and oozing. If you are taking it thrice daily and it is not helping, probably it will not work. Take vitamin supplements to promote healing especially vitamin C and A. If your doctor said that it will last for 3-5 days, better consult him as this has lasted more than that. Your surgeon must be aware of the extent of procedure and amount of tissue destruction. So his opinion is important. Also get a vaginal swab tested for infection. As if the discharge is copious, it might be infected. Signs sometimes are subtle or may not be present in early infection. It is good that you had an ultrasound examination. A normal ultrasound examination indicates that there is no fluid inside the uterus which is a good sign. However presence of infection is not revealed by ultrasound. Please do not worry so much. If the swab test is negative, it is just delayed healing. It will go away with time. Just maintain perineal hygiene so that there is no chance of infection. Please feel free to ask any more queries. Have a good day and get well soon. Dr Madhuri

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