Vaginal bleeding after Hysterectomy

A mild vaginal bleeding after hysterectomy is normal in women and most women have vaginal bleeding during the first 2 weeks after hysterectomy. Vaginal bleeding after hysterectomy is also called vaginal bleeding (uterus removed). A small amount of blood is normal and not a cause for alarm; however, severe or heavy vaginal bleeding after hysterectomy may require prompt medical evaluation. Severe vaginal bleeding after hysterectomy is a rare condition caused due to vaginal injury or wound dehiscence.

A woman who is having vaginal bleeding after hysterectomy may experience lower abdominal pain, vaginal pain, vaginal discharge and faintness.

Treatment for vaginal bleeding after hysterectomy involves taking pain medication and having adequate bed rest. Additional treatment may include surgery and blood transfusions.

Signs and symptoms

Vaginal bleeding may cause signs and symptoms such as:

  • Vaginal discharge
  • Vaginal pain
  • Pelvic pain
  • Lower abdominal pain
  • Worsening bleeding – 2 days after hysterectomy
  • Vaginal bleeding may soak more than 1 pad in 4 hours

Severe or worsening bleeding (uterus removed) may cause excessive blood loss and symptoms of anemia such as:

  • Pale skin
  • Anorexia
  • Lightheadedness
  • Fatigue
  • Fainting
  • Generalized weakness
  • Headache
  • Heart palpitations
  • Shortness of breath with physical activity
  • Rapid heartbeat
  • Rapid breathing

Tests and diagnosis

Evaluation may begin with physical examination along with a pelvic exam to First aid bagdiagnose vaginal bleeding after hysterectomy.

Physical examination may show symptoms and signs such as:

  • Abdominal tenderness
  • Vaginal discharge
  • Vaginal bleeding
  • Vaginal polyp – physical finding of pelvic examination
  • Bleeding from surgical wound

The tests required to diagnose vaginal bleeding after hysterectomy may include:

  • Coagulation profile
  • Complete blood count
  • Pap smear
  • Vaginal culture
  • Vaginal biopsy

Treatment

Medical treatment for vaginal bleeding after hysterectomy may include pain medication and bed rest. Additional treatment may require surgery and blood transfusions.

Treatment for vaginal bleeding (uterus removed) may include:

  • Bed rest – decrease in movements to reduce stress of the tissues that cause blood clotting
  • Narcotic pain medication for moderate to severe pain – for short term use only
  • Blood transfusions – to resolve symptoms of anemia due to excessive blood loss
  • Surgery may be required for vaginal bleeding after hysterectomy to repair the bleeding incision to the vagina

Home care treatment

Home care treatment for vaginal bleeding after hysterectomy may include:

  • Avoid pain medication that may encourage bleeding
  • Avoid nonsteroidal anti-inflammatory medication such as ibuprofen or naproxen as they promote bleeding
  • Avoid aspirin
  • Change sanitary pads frequently and regularly
  • Follow your doctor’s advice
  • Take medication as prescribed and directed by your doctor
  • Drink plenty of fluids
  • In case of excessive bleeding, notify your doctor as soon as possible

Warning signs

See your doctor immediately if any of the problems occur along with vaginal bleeding after hysterectomy:

  • Fever of over 101 degrees F or 38.3 C
  • Faintness
  • Fainting
  • Passing blood clots from the person’s vagina
  • Pain during urination
  • Persistent vomiting
  • Worsening vaginal bleeding
  • Worsening abdominal pain
  • Worsening abdominal swelling
  • Worsening weakness and fatigue

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