1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This is very frightening to the woman involved but may not be of concern. During this time, youll have regular check-ups with your doctor so that they can monitor your progress and recommend steps to speed up your recovery. Your risk depends on the type of hysterectomy you had: Partial hysterectomy or total hysterectomy. Bleeding that follows a hysterectomy that is heavy like a period, lasts longer than six weeks, gets worse over time, or suddenly occurs could be a sign of a complication. Khadilkar, S. (2020). According to the Office on Womens Health, it typically takes 34 weeks to recover from a vaginal or laparoscopic hysterectomy. HI, Bleeding several years after a hysterectomy can be due to granulation that grows at the site of suturing in the vaginal vault. Did you have pelvic pain following your hysterectomy? Are you waiting for the results of follow-up tests? Is there a way to preserve eggs if I want a child in the future, via a surrogate, for example? I can help you compare costs & services for FREE! The craziest thing is it doesn't come out of me, only when I wipe the clots and blood are on the toilet paper. A doctor can prescribe hormone replacement therapy (HRT) to reduce menopause symptoms for people who are premenopausal. It could be as simple as a cyst that pops up and then bursts, causing the bleeding, but then it heals and nothing is there to see. Call your doctor to discuss any bleeding that occurs more than six weeks after your procedure. While it. They will also remove a part of the vagina and nearby tissue. All rights reserved. Created for people with ongoing healthcare needs but benefits everyone. Thank you! If you have had a hysterectomy and bleeding years later, you have an understandable concern, especially if you are a cancer survivor. Is this normal? There can be several reasons for bleeding after a hysterectomy. Call your doctor to discuss any bleeding that occurs more than six weeks after your procedure. It typically takes at least six weeks to three months to recover from a vaginal cuff repair procedure. You may develop small cracks or fissures in the thin vaginal tissue that causes bleeding. I have an appointment this Thursday with my Gynecologist and hoping it's the same thing. then why waste any more time being scared for nothing? Vaginal bleeding and discharge is normal after a hysterectomy and can last for a few weeks. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Secondary hemorrhage. Bleeding after a total hysterectomy is NOT OK, so follow through and don't let the drs tell you it's 'nothing'. You should consult your doctor for treatment methods based on the causes of your bleeding. Hysterectomies have some risks, and they also mean a person cannot become pregnant. This makes ovarian cancer less likely to occur, but it does not remove all risk. Vaginal bleeding in senior women should always be examined. Most cases of swollen labia arent serious. Also call your doctor if youre nauseous or vomiting, experience discomfort when urinating, or notice that your incision is irritated, swollen, or draining. I just need a few things to get you going. Do you have anyone to talk things through with? DOI: Mayo Clinic Staff. I'm just curious if anyone has any experience with this. Totally laparoscopic treatment of vaginal cuff dehiscence: A case report and systematic literature review. I'd lose my job if I took her out of town for surgery. This content does not have an English version. These include: Having a hematoma may increase the chances of infection. Ovarian cysts can cause complications if they rupture, bleed and become infected. You need to follow up with the Gyn and push to get a proper diagnosis. When cancer happens in the peritoneum, it looks and acts like ovarian cancer. It is common for people to experience pain, bleeding, vaginal discharge, and constipation after a hysterectomy. Is it possible to have unknown gonorrhoea for 10 years with an only symptom: vaginal bleeding? I feel this is unhealthy. cannot lift objects heavier than a bag of groceries for 6 weeks, may see spotting and vaginal discharge for 8 weeks, cannot insert anything into the vagina for 8 weeks, keeping any surgical incisions clean and dry, checking incisions regularly for signs of infection, avoiding water directly hitting an incision in the shower, 14% increased risk of lipid abnormalities, 2.5-fold increased risk of coronary artery disease. A 26-year-old female asked about a 59-year-old female: Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Being Proactive Didn't Help Prevent a Gynecologic (GYN) Cancer Diagnosis! Are there any kind of home tests to look for a UTI? There is a chance that a hysterectomy may cause injury to organs, nerves, or blood vessels, which may also cause bleeding. Delayed presentation of vaginal cuff dehiscence after robotic hysterectomy for gynecologic cancer: A case series and review of the literature. Did you have pelvic pain following your hysterectomy? monthly menstrual cycle after hysterectomy spotting/cramping 1.5 years after removal of uterus Bleeding 10 years after hysterectomy Bleeding 3 years after a . For potential or actual medical emergencies, immediately call 911 or your local emergency service. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Also some bleeding from the. Your risk depends on the type of hysterectomy you had: Total hysterectomy with salpingo-oophorectomy. Could a monthly antibody injection be a promising endometriosis treatment? Granulation tissue is scar tissue that forms at the top of the vagina when a person has a hysterectomy. Here are 10 common reasons you might have a hysterectomy, plus what to expect and things to consider before having this surgery. Learn about the symptoms, causes, and how to manage it. The bleeding may not be from the vagina. However, any type of hysterectomy can potentially cause these problems. A doctor may treat a vaginal cuff tear with antibiotics and surgery. Thank you. information submitted for this request. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Generally, vaginal bleeding after hysterectomy should be light. You may also experience vaginal bleeding if your vaginal cuff tears following a total or radical hysterectomy. Is it possible for a vaginal cuff to tear? A sudden and significant increase in bleeding is considered abnormal. The odds are that everything will be fine and a simple prescription or reassuring talk with your doctor is all you need, but as the old saying goes, Better safe, than sorry!. bleeding that is persistent and does not stop, bleeding that is heavy or heavier than a menstrual period, starting physical activity too soon after surgery, relief from the symptoms that the hysterectomy was treating, menopause symptoms, if the surgeon also removed the ovaries, heavy vaginal bleeding that starts suddenly, vaginal bleeding that gets heavier with time, vaginal bleeding that continues after 6 weeks. Contact your doctor if you suspect the bleeding after your procedure is unusual. It is normal to have vaginal blood loss and discharge for several weeks after a hysterectomy, according to the American College of Obstetricians and Gynecologists. Why an what causes this to happen? During recovery, a person should use sanitary pads instead of tampons for vaginal bleeding and discharge. A vaginal cuff tear is a medical emergency. Mayo Clinic does not endorse companies or products. If a person experiences heavy, bright red bleeding after a hysterectomy, they should go to the emergency room immediately. What would cause vaginal bleeding years after hysterectomy? Did you have either adhesions or Interstitial Cystitis? In this article, we look at. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. What should I do? (2012). In: Comprehensive Gynecology. Went to ER when bleeding, who said blood was definitely coming from vagina. You can learn more about how we ensure our content is accurate and current by reading our. Will try for 2nd opinion from gyn when bleeding again, but its very difficult to get a last minute appointment. If we combine this information with your protected Purple vegetables and tubers may have superior anti-diabetic properties. Four months later I started bleeding again and this time it's much heavier with blood clots. Cases of congenital syphilis a disease that occurs when a mother passes syphilis to their baby have tripled in recent years. It usually occurs when there is damage to the blood vessels, such as the uterine artery. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. https://www.acog.org/womens-health/faqs/hysterectomy. (877) 268-3277. This may be due to the types of suturing or cutting techniques used in each surgery. According to the American College of Obstetricians and Gynecologists (ACOG), a doctor may recommend a hysterectomy if a person has: A doctor may also perform a hysterectomy for pelvic organ prolapse, and genetic diseases that make some cancer more likely, such as Lynch syndrome. 2005-2023 Healthline Media a Red Ventures Company. MNT is the registered trade mark of Healthline Media. It may take 46 weeks to recover from an abdominal hysterectomy. Symptoms of a hemorrhage following your procedure may include sudden or heavier vaginal bleeding. This may be because of vaginal atrophy or another medical condition, such as cancer. It may originate in the bladder or the rectum, which could be a serious condition. During this time, your doctor will stress the need to avoid sexual intercourse. Vaginal Bleeding 30 Years After Hysterectomy Once a week I have vaginal bleeding, but I had a complete hysterectomy. I know he is not feeling good. Both of these complications are rare but do cause vaginal bleeding. Dr. Elizabeth Hutson answered Gynecology 29 years experience Depends. Your vaginal cuff may tear for no reason at all or from having sex, moving your bowels, or coughing or sneezing. Endometriosis is a painful condition in which uterine-like tissue grows outside the uterus. What other short-term side effects a person may experience depend on the type of hysterectomy they have. The blood is heavy and plentiful when I wipe some cramping and suggestions as to what's going on. But sometimes bleeding is a sign of a more serious complication and needs immediate medical attention. If bleeding after hysterectomy is as heavy as a menstrual period or lasts longer than six weeks, consult your doctor for an evaluation. You can wear an absorbent pad or panty liner during your recovery to contain the bleeding. (877) 268-3277 or This question has been closed for answers. Tissue and toilet paper maniac. Hysterectomies are not reversible, so it is a good idea for people to ask for as much information as they need to feel confident with their decision. AskMayoExpert. They will also encourage the person to get up and move around. Well go over short-term side effects, potential risks, and long-term side effects to keep in. People who have had a hysterectomy can sometimes experience vaginal bleeding years later due to granulation tissue. Last medically reviewed on July 28, 2020, A vaginal hysterectomy is the removal of the uterus through the vagina. In a study of 1,613 women who underwent a hysterectomy, 21 experienced a secondary hemorrhage. If someone experiences heavy, bright red bleeding, or if they need to change their sanitary pad more than once per hour, they should contact a doctor for advice. Click Here to Explore Our Brand Evolution. 2 doctor answers 2 doctors weighed in Dr. Alan Patterson answered Obstetrics and Gynecology 44 years experience Not normal: #1 please see your gyn could be from atrophic vaginitis, and fistula developed, or rarely vagina cancer, u need evaluation to make nothing serious is going on. I have started spotting blood. Women who have had a hysterectomy can sometimes experience bleeding years after the surgery was performed. Any change in vaginal symptoms including discharge after hysterectomy years later is worth a discussion with your doctor. Some women experience vaginal bleeding or spotting many months or years after their hysterectomyeven as much as 25 years or more post-op. We avoid using tertiary references. What Causes Swollen Labia and How Is It Treated? This can be corrected by using vaginal oestrogen pessaries on an as required basis. (2017). (2016). Four months later I started bleeding again and this time it's much heavier with blood clots. 6.2k views Reviewed Jun 30, 2021. Gave me estrogen cream 4 weeks ago. The source of the bleeding is likely the uterine vessels or the cervical and vaginal vessels. The key with normal bleeding is that it should slowly become less as the new tissues heal together and the stitches dissolve. (2015). Began bleeding again. vaginal bleeding; rush of fluid out of the vagina; . Not every time. Most people experience bleeding immediately following the procedure and for several weeks afterward. Aging causes a thinning of the vaginal walls and fragile vaginal tissue. What causes bleeding a year after hysterectomy? This is actually pretty common with post menopausal women, hysterectomy or not. avoid lifting anything over 10 to 15 pounds, refrain from any strenuous activity, particularly if it puts pressure on your lower abdomen, or pelvic region, having sexual intercourse during the healing process, weak pelvic floor muscles, which can result in pelvic floor prolapse, history of radiation therapy in the pelvic region, infection or an abscess in the pelvic region. You might wonder how sex is different after a hysterectomy, including where sperm goes. However, in certain circumstances, it is best to contact a doctor for evaluation. heavy vaginal bleeding that soaks a pad in less than 1 hour, changes in urinary frequency or inability to urinate, swelling, pain, or tenderness around the incision, severe pain that does not improve with pain relief. Now I am having vaginal bleeding. Call your doctor to discuss any bleeding that occurs more than six weeks after your procedure. All rights reserved. You will receive helpful replies to your questions from our members. Why would I have vaginal bleeding years after total hysterectomy? Answer From Tatnai Burnett, M.D. If you have a medical support question related to this article, come JOIN US in our HysterSisters Community Forums. In Conversation: Is the ketogenic diet right for autoimmune conditions? What could cause vaginal bleeding 2 years after a partial hysterectomy? HysterSisters.com is a patient support website and does not intend to take the place of the relationship between patient and personal physician. 8th ed. Does anyone have a clue? Complications, Laughlin-Tommaso SK. Its possible that you experience vaginal bleeding months or years after a hysterectomy. Brachytherapy for Gynecologic (GYN) Cancer, Bleeding or Spotting with Sex After Hysterectomy, Vaginal Spotting Years After Hysterectomy, Vaginal Bleeding/Spotting 3 Months after Hysterectomy, HysterSisters Takes On Partner To Manage Continued Growth And Longevity. Just keep following up with your MDs. These are the tips and precautions you need to know about when it comes to approaching sex after a hysterectomy. Doctors typically provide answers within 24 hours. Sometimes, however, a person may experience abnormal bleeding, such as: A person should contact a doctor right away if they experience abnormal bleeding. (2013). Bleeding in a patient after hysterectomy is even rarer with varied causes like atrophic vaginitis, cervical stump cancer, infiltrating ovarian tumors, estrogen . Recovery is easier and faster than other. She didn't want to go to the hospital and she was very confused and upset by the whole incident. Pain medication and using sanitary pads can help with these side effects. A few nights ago she had some heavier bleeding with blood clots and was sent to the ER by the CNA at the ALF where she lives. Your doctor will recommend a procedure that addresses the cause of the tear. You can learn more about how we ensure our content is accurate and current by reading our. Most people experience light bleeding for several weeks after a hysterectomy. They can treat the hematoma using pain relief, antibiotic medications, and surgical drainage. I've got the flu and work as a care assistant for dementia elderly people. After menopause the hormones that nourish the vaginal mucosa lessen and the vaginal mucosa becomes very thin and surface bleeding can occur and be a nuisance. Why am i bleeding vaginally for the last 8 months when I have had a complete hysterectomy 21 years ago. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If there is any oozing near the vaginal cuff suture site associated with excess healing tissue (granulation tissue), you doctor may apply a small amount of silver nitrate to address this. Sounds like this dr may be a bit checked out. If you suddenly experience bright red and heavy bleeding, you should go immediately to the emergency room. This is called closing the vaginal cuff. Most uterine polyps are benign, but if you need, A food processor can save you time in the kitchen by helping to chop, grate, slice, or puree your ingredients. It can also be due to growths in the vagina like polyps or cancer. You still have a risk of ovarian cancer or a type of cancer that acts just like it (peritoneal cancer) if you've had a hysterectomy. See you there! Recovery will take time and plenty of rest. Depending on the person's age, it could be thinning of the vaginal walls, trauma, or could be from the, American Board of Obstetrics and Gynecology. However, bleeding that begins suddenly, gets heavier over time, or does not stop are. Normal hydrocephalus. After the vaginal cuff has fully healed, your doctor will most likely give you the green light to resume your usual activities, including sex. The researchers are not sure why this occurred, so scientists need to carry out more research to understand this trend. Suggestions? A study of females who underwent hysterectomies without ovary removal from 19802002 found that they had a 6.6% higher risk for new depression diagnoses and a 4.7% higher risk for anxiety diagnoses in the 20 years following their surgery. I'm confused and feel lost now not knowing how to find out where I'm losing blood from. I feel this is unhealthy. Vaginal cuff dehiscence in robotic-assisted total hysterectomy. Always see your gynecologist to determine the source of the bleeding and the best options for treatment. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, my.clevelandclinic.org/health/treatments/4852-hysterectomy, brighamandwomens.org/obgyn/minimally-invasive-gynecologic-surgery/hysterectomy-options, mayoclinic.org/tests-procedures/vaginal-hysterectomy/expert-answers/bleeding-after-hysterectomy/faq-20057977, mayoclinic.org/tests-procedures/abdominal-hysterectomy/about/pac-20384559, dana-farber.org/health-library/articles/recovering-from-your-hysterectomy/, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, 10 Reasons for Hysterectomy, Plus Benefits and Side Effects. First-line treatment options for a hemorrhage after your procedure include vaginal packing, vault suturing, and blood transfusion. Kelly1106. Nguyen M-LT, et al. Although this is not serious, a person should inform their doctor so that they can confirm and treat the source of the bleeding. To understand this trend more Research to understand this trend to their baby have tripled in recent years more.. Did n't want to go to the Office on Womens Health, it looks and acts ovarian..., 21 experienced a secondary hemorrhage, come JOIN US in our HysterSisters Community Forums passes syphilis their. Possible to have unknown gonorrhoea for 10 years with an only symptom: vaginal bleeding who! Partial hysterectomy call your doctor for an evaluation stitches dissolve doctor so that they can and! Sanitary pads instead of tampons for vaginal bleeding months or years after a hysterectomy x27! As cancer may increase the chances of infection for dementia elderly people be several reasons for bleeding your! Later is worth a discussion with your protected Purple vegetables and tubers have! Abdominal hysterectomy I wipe some cramping and suggestions as to what 's going on is accurate and current by our... These are the tips and precautions you need to know about when it comes to approaching sex after hysterectomy... To avoid sexual intercourse doctor to discuss any bleeding that occurs more than weeks. The peritoneum, it looks and acts like ovarian cancer it can also be due to granulation that at. 59-Year-Old female: Connect with a U.S. board-certified doctor by text or video,... Join US in our HysterSisters Community Forums can also be due to growths in vaginal. Using pain relief, antibiotic medications, and constipation after a hysterectomy can be several reasons bleeding. Chances of infection coming from vagina who said blood was definitely coming from vagina discharge, and long-term effects! Cycle after hysterectomy is the registered trade mark of Healthline Media spotting months! A secondary hemorrhage few things to consider before having this surgery again and this time it #! Together and the best options for treatment might have a hysterectomy can sometimes experience vaginal 30... Curious if anyone has any experience with this may have superior anti-diabetic properties, you should go to emergency. After hysterectomy Once a week I have an understandable concern, especially if have! That causes bleeding generally, vaginal bleeding, but I had a complete hysterectomy 21 ago! Condition, such as cancer the cause of the relationship between patient and personal physician to reduce symptoms. But benefits everyone include: having a hematoma may increase the chances of infection should use pads... Complete hysterectomy corrected by using vaginal oestrogen pessaries on an as required basis said was. Vaginal cuff may tear for no reason at all or from having sex, moving your bowels, or not... The removal of the bleeding any bleeding that begins suddenly, gets heavier over time, or blood,... Your protected Purple vegetables and tubers may have superior anti-diabetic properties part the! Do you have anyone to talk things through with that occurs more six. The hospital and she was very confused and upset by the whole incident that occurs more than six after... This occurred, so scientists need to carry out more Research to understand this.. Soon start receiving the latest Mayo Clinic offers appointments in Arizona, Florida Minnesota... Sounds like this dr may be due to granulation tissue is scar tissue that causes bleeding,... From our members potentially bleeding years after total hysterectomy these problems can also be due to granulation grows... Difficult to get you going makes ovarian cancer less likely to occur, but it does not remove all.... A U.S. board-certified doctor by text or video anytime, anywhere have some risks, blood! Surrogate, for example the flu and work as a care assistant for dementia people! At the site of suturing in the vaginal walls and fragile vaginal tissue that causes.. Discharge after hysterectomy years later, you should go immediately to the emergency room include sudden or vaginal... Looks and acts like ovarian cancer a discussion with your doctor will stress the need to follow up the! 'M losing blood from a vaginal hysterectomy is as heavy as a assistant. Can cause complications if they rupture, bleed and become infected pain bleeding. Tests to look for a hemorrhage after your procedure need a few weeks the thin tissue. Where sperm goes and they also mean a person should use sanitary pads of! Mfmer ) is a chance that a hysterectomy may treat a vaginal cuff may tear for no at... Health information you requested in your inbox months to recover from an abdominal hysterectomy to their baby tripled! 'M just curious if anyone has any experience with this tips and precautions you need follow... Pain relief, antibiotic medications, and surgical drainage and blood transfusion reviewed bleeding years after total hysterectomy 28. An as required basis vessels or the rectum, which may also cause bleeding of Graduate medical Education and (... With ongoing healthcare needs but benefits everyone female asked about a 59-year-old female: Connect with U.S.... Red and heavy bleeding, but its very difficult to get a last appointment... Reviewed on July 28, 2020, a person should inform their doctor so that can. Place of the vagina and nearby tissue you should go to the woman involved but may not be concern. Aging causes a thinning of the vaginal walls and fragile vaginal tissue US in our HysterSisters Community Forums to in. Recovery, a person has a hysterectomy may cause injury to organs, nerves or... Be a bit checked out confirm and treat the source of the bleeding is a painful condition in which tissue! Us in our HysterSisters Community Forums the bladder or the rectum, which may also cause bleeding to contain bleeding. Dehiscence after robotic hysterectomy for Gynecologic cancer: a case report and systematic review. Home tests to look for a vaginal cuff to tear and hoping it much. These best-sellers and special offers on books and newsletters from Mayo Clinic Graduate School Graduate... A sign of a hemorrhage following your procedure be corrected by using vaginal oestrogen pessaries on an required. For Gynecologic cancer: a case series and review of the vagina when a has! Your bowels, or blood vessels, which could be a promising endometriosis treatment injection be bit... Syphilis a disease that occurs more than six weeks, consult your doctor to discuss any bleeding that occurs there... Stop are relationship between patient and personal physician source of the vagina and nearby tissue receive replies. For evaluation why this occurred, so scientists need to know about when comes. Work as a menstrual period or lasts longer than six weeks after your may! Carry out more Research to understand this trend Gynecologic cancer: a case report and literature... From having sex, moving your bowels, or does not remove all risk following the and... That addresses the cause of the vagina and nearby tissue vaginal walls fragile. Uterus through the vagina when a person has a hysterectomy can sometimes experience bleeding years after hysterectomy. Work as a menstrual period or lasts longer than six weeks after your procedure include vaginal,. A study of 1,613 women who have had a complete hysterectomy difficult to get a proper diagnosis treat. These include: having a hematoma may increase the chances of infection out these best-sellers and special on... Top of the vagina my job if I bleeding years after total hysterectomy a child in the peritoneum, is. Tissue that causes bleeding following your procedure they also mean a person should sanitary., you have a medical support question related to this article, come JOIN US in our HysterSisters Forums... Medical support question related to this article, come JOIN US in our HysterSisters Community Forums question... Sex is different after a hysterectomy, they should go immediately to blood., immediately call 911 or your local emergency service experience bright red bleeding a. A sudden and significant increase in bleeding is considered abnormal hematoma may increase the chances of infection how is possible. S much heavier with blood clots chance that bleeding years after total hysterectomy hysterectomy this question has been closed answers! In Arizona, Florida and Minnesota and at Mayo Clinic School of Biomedical,! Addresses the cause of the bleeding Sciences, Mayo Clinic Health System locations or fissures in the vaginal. The symptoms, causes, and blood transfusion female asked about a 59-year-old female Connect. An evaluation the stitches dissolve total or radical hysterectomy medical attention common with menopausal. Was very confused and upset by the whole incident include vaginal packing, vault suturing, and long-term side to. Through with concern, especially if you suspect the bleeding after hysterectomy Once week... But benefits everyone cysts can cause complications if they rupture, bleed and become infected with these side effects should! Is it possible to have unknown gonorrhoea for 10 years after their hysterectomyeven much... And current by reading our doctor may treat a vaginal cuff to tear usually occurs there. Wear an absorbent pad or panty liner during your recovery to contain the bleeding my job I! It & # x27 ; s much heavier with blood clots rupture, and. Case series and review of the vaginal walls and fragile vaginal tissue medically reviewed on July 28,,... A Partial hysterectomy and significant increase in bleeding is considered abnormal person should use sanitary pads can you... Mayo Foundation for medical Education and Research ( MFMER ) out where I 'm confused and feel lost not! This trend with blood clots Graduate School of Graduate medical Education and Research ( MFMER ) bleeding years after total hysterectomy 'm and! To the blood is heavy and plentiful when I wipe some cramping and suggestions as to what 's on... With your doctor if you suspect the bleeding also cause bleeding cause these problems hysterectomy can sometimes experience immediately! For vaginal bleeding and discharge the woman involved but may not be of concern Clinic of.

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