Bleeding After A Hysterectomy: Post Surgery What Is Normal?
Following a hysterectomy, it is normal for a woman
to experience some vaginal bleeding. This bleeding should
lessen over time and stop within about six to eight
weeks after surgery. If the bleeding continues it should
be reported to your doctor immediately. If the bleeding
suddenly increases, it is cause for concern. Bright
red blood indicates a fresh source of bleeding, which
can also be of concern.
For women who have had certain types of partial hysterectomy,
a normal monthly cycle of menses is expected. With that
exception, bleeding after the surgery has healed is
considered abnormal and should be reported without delay.
Any abnormal bleeding is cause for concern. Any blood
in the urine is another cause for concern.
If you recently had a hysterectomy and you are experiencing
light bleeding or spotting, it is normal and not anything
to worry about. Heavy bleeding is not normal and may
indicate that a surgical repair is necessary. This is
especially worrisome if the blood is bright red in color,
indicating that a internal suture may have torn.
If bleeding has ceased, women may resume sexual intercourse
about six to eight weeks after surgery. Should any bleeding
occur following intercourse, or should the woman experience
pain during intercourse, the doctor should be notified.
Bleeding and pain during intercourse following hysterectomy
is not normal. It may be necessary for women to use
additional lubrication, since hysterectomy can result
in vaginal dryness. Excessive pain is not normal and
bleeding following intercourse should not occur.
Any bleeding or spotting which occurs more the six
to eight weeks post operatively is not considered normal.
There may be issues regarding how your incisions are
healing. Lifting, excessive bending or squatting and
other strenuous activities during the recovery period
can tear sutures and open healing wounds resulting in
bleeding. Some medical conditions can slow healing which
will cause bleeding over a longer period of time. Diabetes
and hypertension are both conditions which can interfere
with normal healing.
Blood thinners are often prescribed post operatively
to lessen the chances of blood clots. This is a risk
of any major surgery and blood thinners are commonly
administered following surgery. This may cause a patient's
blood to clot more slowly, and for the patient to experience
heavier bleeding temporarily. Your doctor and the hospital
staff will monitor your bleeding for the first several
days following surgery if bleeding is heavier than expected.
In some cases, particularly following abdominal hysterectomy,
a blood transfusion may be necessary.
After the surgery has fully healed, and all bleeding
has ceased, any vaginal bleeding can signal a serious
problem, especially if the surgery was performed to
remove a malignancy. Women who have undergone hysterectomy
for cancer should have regular check ups and should
report any bleeding or spotting immediately.
When a woman resumes intercourse, she should be aware
of the need for additional lubrication during sexual
intercourse. Since hysterectomy can cause vaginal dryness,
and the tissues of the vagina are fragile, tearing of
the walls of the vagina can occur when insufficient
lubrication is used. This can be one cause for bleeding
following intercourse.
If the uterus and cervix are removed during a hysterectomy,
there should be no monthly bleeding, even if the ovaries
have been left in place. The monthly menses are the
shedding of the uterine lining, and with no uterus or
cervix, there is no lining to shed. Don't think that
bleeding is a period if your cervix and uterus have
been removed. This is not normal and should be addressed
immediately by your doctor.
The best patient is well informed both before and after
surgery. Make sure you discuss your concerns with your
doctor. Know when to report bleeding. You have control
over your health and treatment.
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