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Bleeding/Spotting Many Years after Hysterectomy

From the GYN Cancer Articles List

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Bleeding many years after hysterectomyWhat could cause vaginal bleeding/spotting many years after my hysterectomy?


First of all, if you are experiencing heavy, bright red bleeding, go immediately to an emergency room.

Some women experience vaginal bleeding or spotting many months or years after their hysterectomy—even as much as 25 years or more post-op. This can cause understandable concern, particularly for those who are cancer survivors.

Some reasons for vaginal bleeding that HysterSisters have experienced include vaginal dryness, “mini periods,” 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” can continue if you had a subtotal hysterectomy and the cervix was retained. Essentially, a tiny portion of uterus remains, and as the ovaries continue to cycle, that 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.

Any unexplained bleeding warrants a trip to the doctor, just to be sure. Even if there is no pain and spotting is light, you will want to rule out cancer or precancerous conditions for your peace of mind. A quick pap smear or biopsy will let you know if any abnormal cells are present and further investigation is required. If it is simply vaginal dryness, estrogen cream or lubricants might solve your slight bleeding easily. Silver nitrate treatments applied by your gynecologist directly to bleeding tissues can also clear up the problem quickly.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-29-2011 - 01:49 AM


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Find a Surgeon

HysterSisters Doctor Directory
Michele Cowling, M.D.
303 Nicollet Blvd
Burnsville MN 55337
952.460.4000
Geoffrey Cly, M.D.
Suite 101, 11123 Parkview Plaza Drive
Fort Wayne IN 46845
260-969-5530
Hugo Ribot, M.D.
958-A Joe Frank Harris Parkway
Suite 102
Cartersville GA 30121
770-386-4824
Debra Richardson, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
214-645-4673
Ted Lee, M.D.
Magee Womens Hospital
300 Halket Street
Pittsburgh PA 15213
412 641 6412
Sean Kossari, M.D.
14901 Rinaldi Street
Suite 320
Mission Hills CA 91345
818-365-1616
Elizabeth Babin, M.D.
151 Fries Mill Road Suite 301
Turnersville NJ 08012
856-374-1377
Kimberly Newman, M.D.
10030 Edison Square Drive
Suite 100A
Concord NC 28027
704-403-7670
Joseph S. Valenti, M.D.
2805 S. Mayhill Road
Denton TX 76208
940 591-6700

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