%0 Journal Article
%T Delayed Bleeding after Hysteroscopic Polypectomy: Frequency, Risk Factors, and the Cost of Silence
%A Dzhamilia Magomedovna Abdulatipova
%A Naida Khibievna Khidirilyasova
%A Zaiginat Ziyavutdinovna Buchaeva
%A Sabina Viliyamovna Nurieva
%A Tamara Alexandrovna Baranova
%A Alexander Vitalievich Ermolenko
%A Diana Muradinovna Dzhioeva
%A Aminat Abdusamadovna Gamidova
%A Khava Lechaevna Shakhgireeva
%A Milana Ibragimovna Kuliyeva
%J Journal of Biochemical Technology
%@ 0974-2328
%D 2026
%V 17
%N 2
%R 10.51847/RZlHbRgj29
%P 92-103
%X Delayed bleeding after hysteroscopic polypectomy is a recognized complication, but its frequency, risk factors, and impact on patient behavior in real-world clinical practice remain understudied. A multicenter retrospective cohort study was conducted using 480 medical records of women who underwent hysteroscopic polypectomy between 2021 and 2025 in three Russian cities (Makhachkala, Nalchik, and Volgograd). Only women with regular menstrual cycles were included to allow valid assessment of bleeding misinterpretation. Any postoperative vaginal bleeding was documented in 47 patients (9.8% of 480). Of these, 23 cases (4.8%) were normal spotting within the first 3–5 days, while delayed pathological bleeding (primary outcome) occurred in 24 patients (5.0%). Independent risk factors for pathological bleeding included polyp size greater than 2 cm (OR 4.2, 95% CI 1.8–9.8, p
%U https://jbiochemtech.com/article/delayed-bleeding-after-hysteroscopic-polypectomy-frequency-risk-factors-and-the-cost-of-silence-bexughtqfpsvuvq