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Vaginal Spotting Years After Hysterectomy

From the Ask a Doctor - Hysterectomy Related Questions Articles List


I had a subtotal hysterectomy about 4 or 5 years ago. My ovaries and cervix remain. Since the operation, maybe 6 or 8 times, I have experienced vaginal spotting. Is this common or should I be concerned? i figured after this many years, it wouldn't be a concern any longer.

Answered by Betty Acker, M.D.

Sometimes after a supracervical hysterectomy a small portion of tissue is left behind and it stays active: building up and sloughing off like a cyclic period. Although it is usually just a small amount it can be a nuisance. Your doctor should examine you and can perform a sonogram to look for tissue. There are some procedures that can be done in the office to try to cauterize or remove that active tissue. Also make sure that your pap smears are up to date and this is not a sign of an issue there.

Answered by Deborah Wilson, M.D.

It is important that you have an examination by your Gynecologist. Your cervix is probably the culprit here. The cervix can bleed with contact, and that may be the issue. You may also have some abnormal cells on the cervix, which is why it is important to continue to have yearly examinations and pap smears even after a hysterectomy.

Answered by Susan Hunter, M.D.

There is a lot more information which would be required to appropriately address your question. You should call your doctor and be evaluated. Most often the problems are not serious but you and your doctor need to go through the options for diagnosis and treatment of this problem to be sure something serious is not going on.

The responses in the "Ask a Doctor" articles are provided by M.D./Surgeons with credentials in their linked profiles. The HysterSisters.com staff thanks the doctors for their participation and reminds all readers to discuss their medical concerns with their personal physicians for specific information about their health choices, as this is in no way intended to take the place of members consulting with their own physicians.

06-09-2011 - 05:24 PM


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