Many patients do not understand what is going on with pelvic adhesions, vaginal bleeding and menstrual disorders after ovarian cyst surgery. Do I need special treatment? Post-operative adhesions are not because the cyst broke during surgery Some patients ask, “I heard that ovarian cysts break easily, so are the post-operative adhesions because the cyst ruptured during surgery?” Ovarian cysts are usually liquid inside and many have a thin outer skin, so they do tend to rupture during surgery. However, you can rest assured that the doctors who choose to do laparoscopic surgery are benign ovarian cysts, and even if they rupture, they will not cause dissemination or implantation. The surgeon will flush the abdominal cavity with saline during the operation, so there will be no adhesions due to the rupture of the cysts. Adhesions are usually caused by bleeding points that are not adequately hemostatic during surgery, and the wound is large enough to ooze blood and grow together with other parts of the body when healing. In the early stages of adhesions, the patient usually does not feel anything special, but in the middle stages, there may be a vague pain in the abdomen and a feeling of internal pulling. Experienced surgeons will try to avoid such events by strictly stopping the bleeding during surgery and reducing the damage to the ovaries caused by hemostasis, so it is also important for patients to see a specialist at a regular hospital. If adhesions are found during the postoperative review, the doctor will develop a treatment plan according to the severity of the adhesions, including medication, physiotherapy and surgery. Most menstrual disorders after surgery can be recovered on their own. Generally, after ovarian surgery, most people will experience a small amount of vaginal bleeding, which is normal. The amount of bleeding depends on the stage of the menstrual cycle of the patient. If the patient is in the luteal phase and the endometrium is thick, the surgical stimulation of the ovaries will cause fluctuations in hormone levels, which will lead to endometrial exfoliation and relatively heavy vaginal bleeding. However, the amount of bleeding is usually not more than the amount of menstruation, and the bleeding lasts for about a week and not more than two weeks. With the recovery of the ovaries, the menstrual disorder will also usually adjust itself after 2 months. However, if there is excessive menstruation or no menstruation for more than 2 months, the doctor will develop a hormonal treatment plan according to the patient’s condition. In conclusion, post-operative patients should relax and communicate more with the doctor about the surgery and disease knowledge before the surgery, so as not to worry about such problems as treatment failure and recurrence, which may cause anxiety and fear and affect recovery. In addition, pay attention to a reasonable diet, eat more vegetables and fruits, but also more hydration, which will help the condition to recover faster. Tip: The luteal phase starts from ovulation and is counted until the day before the menstrual flow, about 14 days in total. During this period, the ovaries secrete progesterone under the action of the corpus luteum to keep the uterine lining thick and allow the fertilized egg to settle better.