Post hysterectomy bleeding, when should you be worried? Because we cannot see the healing process of this inner wound, many tend to forget it is there, and blood loss often comes as a surprise. Hysterectomy is a major surgery and the recovery process will take several weeks not to say months. While your body is recovering, small amounts of bleeding are a sign that internal tissues are healing and repairing themselves. If the bleeding is heavy it is possible that there are complications after hysterectomy, and a woman requires immediate medical attention. It may be a sign of the wound re-opening, and therefore you need to report it immediately.
However, you can expect some spotting or mild bleeding after hysterectomy. Let us begin to separate normal from abnormal bleeding after hysterectomy. The difference between normal and abnormal: It is important to know that bleeding after a hysterectomy is normal. Following a hysterectomy, you may experience vaginal bleeding or spotting for four to six weeks, which is nothing to be concerned about. The key with normal bleeding is that it should slowly become less as the new tissues are forming and the old ones getting dissolved. Post hysterectomy bleeding should gradually take the form of spotting or light pinkish colored discharge. Right after surgery, the bleeding is consistent as less area is healed. As long as the blood is not a bright red color, you may consider this as normal.
A lot of bright red colored blood may be a sign you are bleeding, the wound may have re-opened so do not ignore this. To avoid this kind of complications, you should exactly follow the advice from your surgeon. Take plenty of rest after surgery, avoid bending, don’t lift heavy things, and do not insert anything into your vagina. Vaginal bleeding after hysterectomy may occur for several reasons. Sex during the recovery phase may cause vaginal injury or the inner wound to re-open. Therefore, intercourse during the recovery stage is a big no, as the chance it will lead to bleeding is significant. Sometimes a badly tied blood vessel can lead to post hysterectomy vaginal bleeding. Though very rare, vascular abnormalities and hypersensitivity to certain types of suture materials can also cause post hysterectomy bleeding.
There are several reasons why women may experience heavy bleeding after six weeks of surgery. The most common causes include wound infection and vaginal injury. Trauma or infection of the vagina can also cause bleeding. With this type of surgery, the cervix and a small part of the uterus remains which may cause monthly bleeding and cramping. This bleeding happens mostly after intercourse. A study shows that vaginal vault granulation may occur in about one-third of women who have a hysterectomy. Small lesions equal or less than 5mm will often heal spontaneously. Hysterectomy bleeding years after surgery If you haven’t had a period for several years following your hysterectomy, sudden vaginal bleeding is obviously a shock.
Logically, your first thought is that there is a connection between this bleeding and your hysterectomy. This is not necessary the case. Bleeding years after hysterectomy may be direct, indirectly or not at all related to the surgery. Often we see this bleeding after intercourse. After the hysterectomy dropping estrogen levels will cause changes in the vaginal wall, known as atrophic vaginitis. Lack of lubrication during intercourse can result in the trauma of the vaginal epithelium and cause bleeding. Cervical polyps can also cause vaginal bleeding and spotting. These polyps are fleshy abnormal growths and nearly always non-cancerous. When they grow on the inside of the cervix they call them endocervical and on the outside, ectocervical polyps.
If the cervix is left intact during the hysterectomy you can still develop cervical dysplasia and cervical cancer. This can cause in some cases significant vaginal bleeding and most often after having intercourse. A rare cause of post hysterectomy hemorrhage is endometriosis of the vagina or of the vaginal cuff. A vagina is an unusual place for endometriosis to occur. Surgical spreading of endometrial tissue is possible when they remove the uterus via the vagina. Treatment of post hysterectomy bleeding If discovered early, bleeding after hysterectomy is easier to manage and treat. This depends off course upon the source of vaginal bleeding.
Your physician may recommend complete bed rest followed by pain medications. If the cause of bleeding is internal hemorrhage, they find the source and then tie off the blood vessel to stop blood loss. In the case of wound infection, antibiotics are the line of treatment. If a woman has lost a considerate amount of blood, blood transfusion or surgery is in some cases inevitable. I just had a hysterectomy 2 and a half weeks ago. Three days ago, I noticed that I began swelling and bloating more.
That was followed by pressure on my digestive system, some mid to lower abdominal pain, and a weird hunger pang feeling. When I lay down the feeling subsides. PS I have called my doctor’s office and am waiting to hear back from them, too. I having the same problem with the bleeding and it’s been 3 weeks now. 18: it’s been about 4 weeks and I did bloat after week 2. I have been spotting since the super but it has been light blood was brown and sometimes murky red.
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