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Upcoming 10/19 LAVH - how does recovery compare to childbirth? Upcoming 10/19 LAVH - how does recovery compare to childbirth?

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  #1  
Unread 10-15-2021, 10:03 PM
Upcoming 10/19 LAVH - how does recovery compare to childbirth?

Ok, so I see lots of recommendations for mesh undies and perineal ice packs for recovery but…I don’t totally get it. I used both after my 2 vaginal deliveries, when I had tearing and stitches and the standard postpartum mega-period (I actually hated the mesh boy shorts but I guess it was better than bleeding all over my regular underwear). But is there that much bleeding after a hyst? That much perineal soreness? I’m just a little confused since the cutting and stitching is all done internally and at the laparoscope sites. I’ve also had a laparoscopic appendectomy and had kind of assumed that was closer to what this recovery would be like…
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  #2  
Unread 10-15-2021, 10:17 PM
Re: 10/19 LAVH - how does recovery compare to childbirth?

TD,

I didn’t use the mesh undies after leaving the hospital, while there, they wouldn’t allow me to wear my own clothes. The ice packs are a different story. I used those for my incision areas, and my lower abdomen (where I used to get menstrual cramps). I had virtually no bleeding after surgery, and my perineum didn’t hurt one bit. You might have a bit of pain depending on how much they have to hold the vaginal canal open to remove the (enlarged) uterus and possible fibroids, if you have them. I had very little discomfort after surgery except at the incisions. I did have some vaginal tingling/pinpricks, but not enough to need an ice pack or even medication. Everyone’s experience is different, and the needs to soothe those differences can be just as vast. I had a LAVH for an enlarged uterus, and 10cm fibroid. Your diagnosis may cause different aches and pains than someone else’s. I hope this helped.
  #3  
Unread 10-15-2021, 10:41 PM
Upcoming 10/19 LAVH - how does recovery compare to childbirth?

Oh thanks, that’s helpful to hear. No fibroids here. BSO is to reduce risk of ovarian cancer from BRCA2 mutation and surgeon recommended LAVH to simplify hormone replacement and because of a uterine polyp.
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  #4  
Unread 10-16-2021, 03:33 PM
Re: Upcoming 10/19 LAVH - how does recovery compare to childbirth?

Hi TDBulldog to HysterSisters!

I am so glad you found this site.

I never had children, so I cannot compare that recovery. However, having a hysterectomy is MAJOR SURGERY. You are having an important internal organ removed from your body. No matter the surgery type, you will have much internal healing to do as multiple leagaments are cut and stitched together. Recovery is different for everyone, but you really need to think in terms of weeks and not days. You will not be bedridden, but you will need to rest much. You will need help with cooking, cleaning, dishes, laundry, shopping, driving, etc. You will be able to do minor items around the house, but much will be left undone - like house cleaning. You will take brief but frequent walks as these help you heal. You need to follow all of your doctors orders to the letter - no additions, no subtractions. And you need to listen to your body very carefully. You will have lifting restrictions: 10 lbs for 6 weeks and 20 lbs for 8 weeks is common. Driving restrictions can last 2 weeks, if not longer.

Regarding bleeding after: it really depends. For me, I was told to expect, and did have, 6 weeks of vaginal discharge. For the first 5 days or so, it was bloody - like heavy spotting. After that, it was clear and yellow waxy. The hospital provided maxi pads (I was in for 3 1/2 days). When those ran out I purchased ultra thin maxis and changed twice a day.

  #5  
Unread 10-16-2021, 05:53 PM
Re: Upcoming 10/19 LAVH - how does recovery compare to childbirth?

Hi TD Bulldog

I had a multiple birth vaginally with assisted delivery and epidural. Recovery from that was a few day struggle as I was very sore and bruised down below, stitches granulated and bleeding took about 10 weeks to stop. Pain eased within days and exhaustion and fatigue were due to lack of sleep.

TVH by comparison is major surgery and organs are removed. Healing is exhausting to start. Pain in the perineum area for me has been almost non existent and I have been very lucky to not have any spotting since day 2. Most of my pain has been internal and swelling or gas related. Our hospital encourage you to wear your own clothes as soon as all the tubes are out so just worn normal panties throughout. No incisions to be concerned about though.

Good luck xxx
  #6  
Unread 10-16-2021, 06:57 PM
Upcoming 10/19 LAVH - how does recovery compare to childbirth?

Thanks again, all! I definitely get that this is a different beast than delivery - even my laparoscopic appendectomy knocked me on my butt for a good solid 4-6 weeks, and I was 12 years younger then! And I know taking out uterus and ovaries and severing blood supply and nerves and all is a lot more trauma than just an appendix. The childbirth comparison was really about trying to get a handle on what to expect for vulva/perineum pain and bleeding given some of the gear I’ve seen recommended on these boards - seems like on at least that one front, I’m likely to be considerably less scathed than after the deliveries. But definitely good reminders to allow lots of time and rest and taking it super easy for the internal healing!
  #7  
Unread 10-17-2021, 02:40 PM
Re: Upcoming 10/19 LAVH - how does recovery compare to childbirth?

The perineum discomfort was not really comparable to delivery, in my experience. Tools of surgery may be used vaginally resulting in some soreness. I didn’t experience the vaginal swelling after delivery, even though I tore and my cervix was sutured, in the same way I did after TLH.. The removal of the cervix and creation of the vaginal cuff are far more traumatic to the tissues than delivery. The discomfort feels more internal, kinda-maybe similar to menstrual cramps, but then we all experience healing differently and surgeons use different techniques to accomplish the same goal.
Ice packs help relieve the swelling, which can vary in intensity from woman to woman, but may feel like a ‘stuck/sideways tampon’. Bleeding/spotting afterwards can usually be contained by a panty liner after the first day. I changed mine every time I went to the bathroom whether I needed to or not, because I was concerned about warmth and moisture being a breeding g ground for bacteria and the wound at the top of my vagina . I did wear the mesh patties home from the hospital, because they were so easy to pull on.
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