TY - JOUR T1 - Delayed Bleeding after Hysteroscopic Polypectomy: Frequency, Risk Factors, and the Cost of Silence A1 - Dzhamilia Magomedovna Abdulatipova A1 - Naida Khibievna Khidirilyasova A1 - Zaiginat Ziyavutdinovna Buchaeva A1 - Sabina Viliyamovna Nurieva A1 - Tamara Alexandrovna Baranova A1 - Alexander Vitalievich Ermolenko A1 - Diana Muradinovna Dzhioeva A1 - Aminat Abdusamadovna Gamidova A1 - Khava Lechaevna Shakhgireeva A1 - Milana Ibragimovna Kuliyeva JF - Journal of Biochemical Technology JO - J Biochem Technol SN - 0974-2328 Y1 - 2026 VL - 17 IS - 2 DO - 10.51847/RZlHbRgj29 SP - 92 EP - 103 N2 - 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 UR - https://jbiochemtech.com/article/delayed-bleeding-after-hysteroscopic-polypectomy-frequency-risk-factors-and-the-cost-of-silence-bexughtqfpsvuvq ER -