Is Bleeding After Hysterectomy Normal?

Hysterectomy is a surgery that involves the removal of the uterus. After this surgery, there are chances of bleeding after hysterectomy, which can be for a short period or a long period. Let us get deeper into this subject and know more about Hysterectomy, why is it done, and is bleeding in hysterectomy surgery normal?

What is a Hysterectomy?

Hysterectomy is a major surgery that is only recommended to women when other ways of cure have been ineffective. The reasons behind this surgery can be due to heavy flow during periods, pelvic pain, prolapse of the uterus, or cancer of the womb. 

Different ways hysterectomy can be done

Vaginal

This surgery involves a procedure that is done through the abdomen or the vagina.

Bleeding in hysterectomy

Laparoscopic

This involves laparoscopic tools such as surgical scopes, needle driver, surgical mesh, camera, etc. The camera is inserted in the body and with the help of visual information from the camera, small incisions are made on the affected parts by the doctors. 

Robot-assisted

Under a robot-assisted surgery, the doctor guides a robot arm to perform a hysterectomy with greater precision and artificial intelligence.

Is vaginal bleeding after hysterectomy normal?

Though vaginal bleeding after hysterectomy is normal, the bleeding cannot be considered normal in all cases. Vaginal bleeding can go on for several weeks after the surgery. 

Under normal circumstances, the bleeding in hysterectomy would be lighter whereas, under abnormal circumstances, the bleeding becomes heavier, shows up out of nowhere, the flow is in a continuous manner and the symptoms are unusual.  

Normal bleeding

It is normal to expect some amount of bleeding after the procedure and for up to 6 weeks. This bleeding is a good sign as your body heals and the stitches from the operation disintegrate. The color of the blood fades after some time and gradually becomes lighter. The color of the blood, in the beginning, can be red, pink, or brown. 

Abnormal bleeding

Abnormal bleeding which lasts more than 6 weeks. The bleeding is the same as when one bleeds during menstruation. This is a sign of complication. The reason behind abnormal bleeding might be because of some rare cases such as haemorrhage or a vaginal cuff tear. 

Haemorrhage

One is most likely to suffer from a hemorrhage if they had undergone a laparoscopic surgery. The number of cases is very rare. One’s uterine vessels or cervical and vaginal vessels might be the generator of hemorrhage. The symptoms include heavy and continuous bleeding.

Vaginal cuff tear

One might also experience abnormal bleeding in hysterectomy if their vaginal cuff tears following a radical or total hysterectomy. This also might be the effect of laparoscopic surgery or robotic procedure. The symptoms of a vaginal cuff tear are watery discharge from the vagina, pain originating from the pelvis or abdomen, and pressure in the vagina. Having sex, rigorous movement of bowel, sneezing, or coughing can also contribute to vagina cuff tearing.  

Treatment

Vaginal bleeding after hysterectomy

In the case of normal bleeding, it does not require any attention. Wearing a sanitary pad or a panty liner will do the job of absorbing the blood. 

The treatment in case of hemorrhage includes vaginal packing, vault suturing, and blood transfusion. Vaginal packing reduces the accumulation of fluid in the pelvic area and blood loss. Vault suturing involves suturing the vaginal vault. The vaginal vault is an extended region of the vaginal canal. Blood transfusion is inducing blood to the body due to extreme loss of blood.  

The treatment in case of tearing of the vaginal cuffs involves surgery. The surgery can be done abdominally, vaginally, laparoscopically, or through a combined procedure. The procedure will be decided by the doctors keeping in mind the reason for the tear. 

Vaginal bleeding years after hysterectomy

Experiencing bleeding years after having a hysterectomy, the reason cannot be the uterus. If the surgery involved the only removal of the uterus, leaving behind the cervix, it is called a partial hysterectomy. 

After having a partial hysterectomy, bleeding might originate from the cervix. The bleeding can also occur from the bladder or rectum. 

 Vaginal bleeding years after hysterectomy can also come:

  • Due to vulvar inflammatory conditions.
  • Due to vulvar cancer or pre-cancer
  • From mesh erosion
  • From a prolapsed fallopian tube
  • From a fistula of diverticulitis
  • Or from granular tissue in the vaginal incision closer.

Immediate doctor consultation is advised if someone is bleeding years after having a hysterectomy. 

Safety measures after hysterectomy

Precautions to be taken after undergoing Hysterectomy:

  • Exercise

Make moderate exercise part of your daily routine. Walking and arm exercises help in strengthening muscles in the pelvic area and improves heart rate. 

  • Prevent pain

The doctor prescribes a few medications for the prevention of pain after undergoing a hysterectomy. Taking the medicines according to the prescription prepares your body to prevent severe pain.

  • Relax

A hysterectomy is a major surgery, setting back and resting is also a part of the curing process. Relaxing will not only give you mental strength but also will help in the speedy recovery of the muscles.  

  • Avoid constipation

Being constipated will have a bad effect on the pelvic region. The reason being anaesthesia, pain medications can slow down bowel movements. Having constipation at this time can be uncomfortable. The cure to this is having an ample amount of fruits and vegetables and drinking a good amount of water. This will make bowel movements easier. 

  • Protect your incisions

Taking the right care of your incisions will help in speedy recovery. After being discharged from the hospital, the nurse will guide you the ways in which one should wash and maintain a healthy incision. Follow their instructions sincerely beginning from day 1, in order to prevent any infection in the incisions.  

  • Wear loose clothes

Wearing loose-fitted clothes will not only make you feel comfortable but makes your pelvic surgery feel safe. These clothes will keep pressure off your belly and incisions. 

Being happy will help you attain healthy mental health. These types of operations are life-changing. So, whenever you feel insecure or confused about it, it is always better to talk to someone. In this case, you may reach out to your psychic or a good friend or your doctor too.  

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