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Re: HYSTERECTOMY: Spotting approx. 1 year after hysterectomy

From: Dr. H Goldfarb (anonymous@obgyn.net)
Mon May 19 19:30:40 2008


At Mon, 19 May 2008, sandy wrote: >

It is not unusual for a women with a retained Cervix to have some bleeding from endometrial cells remaining. In addition the bloating from Ovarian function is normal if you had the same feeling befroe the surgery. Your physician can cauterize the endocervis or excise the cells by performing a cone excision.

>Approx. 1 year ago I had a hysterectomy due to fibroids (kept cervix
>and ovaries). I also had complications of non-functional cysts, but
>they had disspeared by the time surgery was scheduled. Surgery and
>recovery went well. However approx 2 months ago (and again more
>recently), I noticed some spotting that lasted for about 2 days. The
>coloring was bright red (which then tappered off to dark red as things
>progressed). I also noted that during both occasions, I felt the
>symptoms of ovulation (bloating, tenderness, etc.). Can the two be
>related? Also if I had an ovarian cyst that burst (especially now since
>I don't have an uterus), how does the body 'eliminate' the fluid inside
>the cyst?

Hysterectomy is not s msndstedf procedure for this condition. Yes there is an increased risk of endometrial cancer but I would suggest a thorough curettage and if the tissue is not atypical I would use megace for three months and then repeat the evaluation. I have treated many women for this condition in this manner and have never been sorry.






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