LSH Light spotting and mild pain 11 weeks post hysterectomy | HysterSisters
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Light spotting and mild pain 11 weeks post hysterectomy Light spotting and mild pain 11 weeks post hysterectomy

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Unread 02-21-2021, 09:49 PM
Light spotting and mild pain 11 weeks post hysterectomy

Hi All,
I had Laparoscopic total hysterectomy on Dec 9th. I didn’t have any bleeding after the surgery and pain was not that bad either.
I used HRT patch for 6 weeks but I couldn’t sleep at all so my GYN suggested to stop using the patch. I stopped and my sleep problem went away and I am not having hot flashes so I don’t plan to go back using the patch.

What worries me is that since last week I am having very mild spotting, a little bit of vaginal burning sensation. Is it normal to start having spotting this long after the surgery. Sometimes I have mild pelvic pain too.I haven’t had sex since surgery.
Will appreciate your thoughts/suggestions.
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Unread 02-22-2021, 06:08 AM
Re: Light spotting and mild pain

At 11 weeks, light spotting and burning pain usually has an underlying cause. Could be your activity level, an infection of some sort, granulation (if you have a vaginal cuff), or a hormone imbalance drying out your vaginal tissues.

A few more questions about your surgery. You chose "LSH" as the prefix, but said you had a total laparoscopic hysterectomy (TLH) - they are different surgeries. The LSH is a subtotal or supracervical hysterectomy which leaves the cervix. If you had the TLH you have a vaginal cuff which might not be fully healed yet. If you have granulation, that can be easily treated in your doctor's office.

Also, did you keep your ovaries? You can have a total hysterectomy and keep your ovaries - ovary removal is a separate surgery (an oophorectomy) which can be done at the same time. Whether or not you kept your ovaries determines whether you are in surgical menopause. You were initially given a patch, so I'm not sure. If you didn't keep them and your having vaginal dryness, you may need hormones after all. There are alternatives, including vaginal creams which address the dryness directly.

A vaginal infection could happen to anyone, but treatment depends on whether it's bacterial or fungal (yeast infection). A fungal treatment won't cure a bacterial infection nor will antibiotics treat a yeast infection, so it's best to get a diagnosis.

The final thought would be activity. You've not engaged in sex, but any step up in activity (yard work, exercise) could bring on some spotting. The burning that you're having, though, makes me think there's something else going on.

Since there are several possibilities and each needs a different treatment, get in touch with your doctor - you may need to go in for some in-office tests to find out what's going on. Update us when you can.


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