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What Causes Vaginal Bleeding After A Hysterectomy?

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Posted on Wed, 18 Feb 2015
Question: Iam bleeding In my vagina and I had a cant spell it histerectime 20 yr ago I looked and see nothing on the out side I put a tampon in and the blood is bright red.
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Answered by Dr. Dr. Ivan Romich (49 minutes later)
Brief Answer:
It is not uncommon

Detailed Answer:
Welcome to HCM.

SOmetimes, even when hysterectomy is performed,women may exeprience vaginal bleeding even may years after procedure. first , if this is intesnive continuing bleeding awith bright red blood then you should go to ER.
But in most cases it lasts for several days and in small amounts.

Most commonly it is seen in vaginal dryness, menopause, and insufficient hormone replacement therapy. Vaginal dryness, a common side effect of hysterectomy, makes vaginal tissues thinner and more prone to bleeding from sexual intercourse or other irritations.

One can even develop fissures, or cracks, in dry vaginal tissues that cause bleeding.

“Mini periods” is also possible and it can continue it happens if whole uterus wasnt removed and this small piece of uterus continues to shed lining just as before.

Menopause also still comes to those who have had hysterectomies but retained one or more ovaries, and the hormonal changes might cause vaginal dryness and slight spotting from time to time. Similarly, hormone imbalances from insufficient HRT can cause the same types of issues.

If it is simply vaginal dryness, estrogen cream or lubricants might solve your slight bleeding easily, but in every case if symptoms persist ,you should see gynaecologist. Wish you good health. Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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What Causes Vaginal Bleeding After A Hysterectomy?

Brief Answer: It is not uncommon Detailed Answer: Welcome to HCM. SOmetimes, even when hysterectomy is performed,women may exeprience vaginal bleeding even may years after procedure. first , if this is intesnive continuing bleeding awith bright red blood then you should go to ER. But in most cases it lasts for several days and in small amounts. Most commonly it is seen in vaginal dryness, menopause, and insufficient hormone replacement therapy. Vaginal dryness, a common side effect of hysterectomy, makes vaginal tissues thinner and more prone to bleeding from sexual intercourse or other irritations. One can even develop fissures, or cracks, in dry vaginal tissues that cause bleeding. “Mini periods” is also possible and it can continue it happens if whole uterus wasnt removed and this small piece of uterus continues to shed lining just as before. Menopause also still comes to those who have had hysterectomies but retained one or more ovaries, and the hormonal changes might cause vaginal dryness and slight spotting from time to time. Similarly, hormone imbalances from insufficient HRT can cause the same types of issues. If it is simply vaginal dryness, estrogen cream or lubricants might solve your slight bleeding easily, but in every case if symptoms persist ,you should see gynaecologist. Wish you good health. Regards