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Thursday, November 8, 2012

Vaginal spotting after my hysterectomy

It is common to have vaginal spotting a few days after hysterectomy.  This is usually due to the healing of vaginal cuff.  During surgery, the end part of the vagina was cut then sutured.   In contrast to your outside skin that was cut then dried up and forming scab, the vaginal areas are usually moist and take longer time to heal.  Thus, vaginal spotting is OK for a few days after hysterectomy.   But if you have heavier bleeding than just dark spot, or if you have bright red bleeding or you are concerned, please call your surgeon.

Occasionally, you have a few blobs of dark blood coming off from your vagina in the first day of being home.  This could come from blood that clotted after surgery but left over in the vagina.  if this is all you have, you usually will be OK.  But if you have persistent vaginal clot, please call your surgeon.

When you come, we usually examine your vaginal cuff and stop the bleeding using a chemical cautery (Monsel solution or silver nitrate).  The cauterization usually has minimal or no pain but the exam is somewhat uncomfortable since you are still sore from the surgery. 

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