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Spotting is common after a hysterectomy, usually four to six weeks after surgery. The discharge is typically soft pink or brown, and bright red blood is not typical. Heavy bleeding or sudden increase in bleeding could be a sign of a medical emergency. Follow-up appointments are important to discuss spotting and blood volume.
Spotting after a hysterectomy is common four to six weeks after surgery. During the procedure, organs are removed from the abdomen and this takes time to heal. Recovery time will vary between patients, but the bleeding should decrease and eventually stop as the body heals.
The key to normal spotting is in blood volume and type. Spotting refers to a small amount of blood that appears on toilet paper or undergarments. The discharge after hysterectomy is typically soft pink or brown. Bright red blood is fresh blood from a source that is currently bleeding. Significant fresh bleeding is not typical. Heavy bleeding is not considered normal after a hysterectomy and should be discussed with a doctor.
If the bleeding persists past the six to eight week mark, you may need medical attention to find the source. A subtotal hysterectomy, or the removal of only part of the female reproductive system, may not cause a disruption of the menstrual cycle. If this is the case, regular monthly bleeding will continue until menopause.
A total hysterectomy often includes the removal of all female reproductive organs, including the uterus, fallopian tubes, and ovaries. The cervix is most often stitched closed. During intercourse, spotting is common if the cervix is still healing. Vaginal dryness during intercourse can also cause spotting after a hysterectomy.
A gradual decrease in blood volume followed by a sudden increase in bleeding could be a sign of a medical emergency. In this case, patients should seek emergency medical attention or seek an immediate appointment with a gynecologist. A pelvic exam may be done to rule out a tear in the vagina or cervix. Other medical procedures, such as a computed topography (CT) scan, may also be ordered.
Some women choose to wear protective pads after a hysterectomy to absorb the spots. Sanitary pads and panty liners are considered safe for use after surgery. Tampons, however, are generally not recommended by gynecologists or surgeons, especially if the cervix was stitched during surgery.
Several follow-up appointments may be necessary after a hysterectomy. During these, it’s important to talk to your doctor about spotting, blood volume, and the color of blood being passed. Keeping a bleeding record can help a patient remember how frequent it is and how much blood has passed to be reported at the next checkup.
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