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Spotting vs. Bleeding After Hysterectomy

From the Hysterectomy Recovery Articles List

Spotting vs. Bleeding after HysterectomyWhat is the difference between vaginal bleeding and spotting following surgery and are both normal?

Following a hysterectomy, you can experience some vaginal bleeding or spotting for several weeks. While either can be normal, they can also be a sign that you are doing too much too soon.

All wounds and incisions must heal, including internal ones such as those involving the vaginal cuff. As part of the healing process, new tissue forms to close incisions and replace dissolving stitches. During the process, some bleeding can occur as the new skin tissue forms. If you put extensive pressure or strain on those areas, you could cause the healing tissues to pull around the stitches and even tear. As a result, you could see more bleeding and even experience pain.

In the initial stages, you can have more consistent bleeding as less area is healed. As long as it is not bright red and filling a pad an hour, it is usually okay. This type of bleeding should slowly decrease until you no longer see definite evidence of blood on a consistent basis.

After the first couple weeks, when you've stopped bleeding consistently, you may experience spotting. This is often pinker in color and leaves only spots on your pad or toilet tissue. The amount of blood can vary, but a panty liner should be sufficient.

Spotting can increase around week four as internal stitches dissolve and healing tissues take over. You may also spot more if you begin to overdo it. If spotting turns back into bleeding, you need to touch base with your doctor. It may be a sign that you have torn some tissues.

Never hesitate to call your doctor regarding any of your questions about vaginal spotting or bleeding. It is always better to be safe than sorry!

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.

12-07-2013 - 12:20 AM


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