WOMENS-HEALTH Messages for May, 2000: Re: Post hysterectomy, bleeding, and pelvic pain

Re: Post hysterectomy, bleeding, and pelvic pain

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 20 May 2000 11:19:31 -0500 (CDT)

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In reply to: Jill: "Post hysterectomy, bleeding, and pelvic pain"

At Sat, 20 May 2000, Jill wrote: >
>I am 24 y/o and 4 months postoperative following a supracervical
>hysterectomy. I just went through what they call that mini-period which
>I believe to be cause from the endometrium cells remaining on me cervix.
>I had dark brown bleeding heavier than spotting, but lighter than a
>normal period for 2 days on the third day had off and on spotting of
>still the same old brown blood. Since the onset of the bleeding I have
>had lower abdominal pain which I held to believe may be from possible
>adhesions formed from all the surgery done. I have since stopped
>bleeding on the fourth day from onset of the bleeding, but now have a
>sharp stabbing pain located on the right side of my pubic bone. The
>sight of this sharp pain is lower than my ovaries and and below my
>c-section incision. It definitely feels like it is actually radiating
>from my pubic bone. It is sharp and constant. I do still have the
>twinges of pain but dull in nature throughout my entire lower abdominal
>region. Intercourse is also painful kind of like a feeling of a very
>full bladder during intercourse, although I have fully emptied my
>bladder previous to intercourse. What could be causing this? Is it
>maybe just my insides healing, possible adhesions, or something else? I
>don't want to bother my doc with something that is of a menial nature.
>Something that isn't serious and just part of the after effects of a
>hysterectomy. I also want to add I have had no previous Hx of
>reproductive diseases. I underwent the supracervical hyst as a result
>of a gross uterine rupture during childbirth. So all in all I just need
>to know if this may signify something serious that my doc should look at
>or is it nothing to worry about. Any info would be greatly appreciated.
>Thank you for taking your time with this matter.
>
>--
>Jill
>

Jill I am sorry for the catastrophic nature of your surgery. I would think that the symptoms you are experiencing are pretty normal 'healing' effects of your hysterectomy. After a hyst, there are lots of rearrangements of your pelvic organs. The ovaries are usually pulled a little further down (often use the ovarian ligaments to help support the vagina), the vagina has a change in its axis, and the bladder anatomy changes. I tell my patients that altho most of the healing is a 6 wk to 3 month deal there are still some changes that will be 'a work in progress' for longer. Hope this helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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