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Swollen labia, 2 weeks post hysterectomy Swollen labia, 2 weeks post hysterectomy

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Unread 11-24-2021, 06:47 PM
Swollen labia, 2 weeks post hysterectomy

Hi all, hope this post finds you well and optimistic.

Wondering if anyone had any thoughts on the below, particularity the swollen vulva part.

I did my first post op Monday (had a hysterectomy, both tubes, cervix and one ovary removed on Nov 11) and had a good progress report from my doctor. But since I’ve been back from it a series of small things have been happening that have been demoralizing. Things are ok overall; I am grateful that my body is so resilient and that I am cancer free, and yet I am sad and feel like I am moving backwards.

Firstly, I started lightly bleeding/staining (mostly when I wipe only and it is pinkish brown to coral) immediately after the appointment (she did not do a vaginal exam). I think it was traveling in the car for two hours and walking half a city block, the most activity I’ve done since my surgery. Again, just staining and the doctor said to just monitor it.

Then, I also found out I have a UTI, which I started on meds for last night. Had only been burning when I started to urinate, not during or in between going to the bathroom and, then, only minimally.

Also, my labia has swelled up like a small ballon since yesterday (when I was also on my feet for two hours, but standing still basically). I have had cysts inside my outer labia for years but they feel enflamed now, almost like pimples wanting to burst. I spoke to my doctor and I am going to see her on Monday so she can take a look. I’m using a heating pad on the outside of my vulva now but it is so tender and swollen. Has anyone else had this happen?

The last complaint is just that I am having hard time discerning what is pain from not doing enough and pain from doing too much… like do my hips hurt because I am laying down too much (sooo tired still) or because I am not actually walking enough? Finding it hard to know what’s what and feel less trustworthy of my own sense of things now that the things mentioned above started happening.

Any feedback would be appreciated.

Thank you.
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Unread 11-24-2021, 09:15 PM
Re: Swollen labia

Hi Rifki, I am sorry you are experiencing this. It sounds painful and I imagine frustrating to have to deal with this as well. I haven't had this issue so far. I have experienced in the past what you described something like ingrown hair cysts. I can understand the feeling like you are going backwards yet I know this healing process is not a one direction way and seems to have dips and turns along the way.

I haven't been able to stand for very long because I have too much low back pain. My surgery was on 11/5. Glad to hear you contacted your doctor, may you manage ok until you can get more assistance. Thinking of you.
Unread 11-25-2021, 05:07 AM
Swollen labia, 2 weeks post hysterectomy

The bleeding/staining is perfectly normal at this stage, as your vaginal cuff starts to heal; as long as you're not filling a pad in an hour, gushing blood, producing clots larger than a quarter, or producing a discharge that smells fishy or looks like cottage cheese, it's nothing to worry about. Post-op UTIs are a common conseqiense of antibiotics used in the surgery, which upset the normal balance of good and bad bacteria inside your urinary tract; in addition to what your doctor has prescribed, I recommend regular servings of probiotics from yogurt, kefir, kombucha, unpasteurized sauerkraut, or a high-quality supplement, taken at least 2 hours apart from any prescribed antibiotics and for at least a week after you're done taking them, to support the good bacteria. The swollen labia is a common after-effect of vaginal surgery, similar to what happens when you sprain your ankle and the traumatized tissues become inflamed and swollen; applying cold with a bag of frozen peas wrapped in a towel or a maxipad soaked in water then frozen can help to provide relief. The hip pain sounds similar to what I'd always get when I'd been inactive for too long and my hip flexors would tighten up; with your surgeon's approval, I recommend taking time to stretch them out, which I've found to work for me. Best wishes for moving past this stage soon, and for continued health and healing!
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Unread 11-25-2021, 07:49 AM
Re: Swollen labia

Thank you, thank you, thank you!
Unread 11-25-2021, 07:51 AM
Re: Swollen labia

Thank you for your kindness, and insight, all of which is super appreciated. Thank you. I hope you heal swiftly and easily, as well and have the support and care you need. Thank uuuuuu!!!!
Unread 11-25-2021, 07:59 AM
Re: Swollen labia

Spotting and some bleeding can happen at any time these first few weeks post op even if you had none at first. Standing and sitting upright uses the core more than you think it might, and yes, you can do too much of that. I'm with your doctor - just monitor it.

With the swollen labia, that could also be from standing. Although you had robotic surgery, that area was messed with, too - it's likely that a uterine manipulator was used during your surgery and the uterus pulled through vaginally. As to how to manage it, the cysts would probably feel better with heat, but that won't help the swelling, so I second the icing of the groin. Some ladies have found that soaking a pad in water and freezing it is the perfect shape. Wrap it so it doesn't touch your skin directly, and use the standard timing (no more than 15-20 minutes at a time) so that you don't get frost bite. Other than that, ibuprofen and resting more for today.

Yeah, the hip pain is probably from being in one position too long. I've had that through two abdominal surgeries now, both where I needed to spend most of my time off my feet. Reclining was the best for me... but I would still shift from hip to hip when I got uncomfortable, and I would get up to take a break - usually took the opportunity to refill water, use the restroom, or get something from somewhere in the house .

Unread 11-25-2021, 09:39 AM
Re: Swollen labia

Thank you. This is all useful and reassuring. Thank you so much!

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