WOMENS-HEALTH Messages for November, 1998: Re: bleeding after hysterectomy

Re: bleeding after hysterectomy

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Fri, 13 Nov 1998 17:37:04 -0600 (CST)

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At Fri, 13 Nov 1998, Tanga wrote: >
>I had my hysterectomy on September 19, 1997. I am still experiencing
>problems with vaginal bleeding.

You more than likely have a fairly common problem that occurs after vaginal surgery, called a "suture granuloma." This is a tiny area of irritation, usually buried within the folds of the vagina, that forms around a stitch or where a stitch used to be. It becomes irritated and bleeds a little. Bleeding after intercourse or after a bowel movement are the most common complaints. A gynecologist with a colposcope (a magnifying lens to look in the vagina) can look around and find it. It can be treated by cautery, or surgical excision.

Other possible causes include a fistula (hole between the rectum and vagina or bladder and vagina), vaginal dryess (probably not), foreign object (I once found a piece of glass high inside a patient's vagina), or rectal problems. If your cervix was left behind, it can be stimulated by hormones and bleed. Finally, a tiny piece of fallopian tube can get caught high up in the vagina, and bleed.

Thus, what you need is a good "once over" by a gynecologist who will take the time to look at every inch of the vagina and external area.

I hope you are able to find an answer. In fact, if you could, please write back to let us know what it was.

Best wishes,

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://home.mpinet.net/dahmd

The above is intended for general medical education, and is not for specific medical advice. I apologize, but I am unable to answer personal e-mail due to time constraints.

Next message: Janice: "Endo, hysterectomy and HRT"
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In reply to: Tanga: "bleeding after hysterectomy"

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