This article will explain the difference between normal and abnormal bleeding and how to know when to call your healthcare provider.
Normal vs. Abnormal Bleeding
The key sign that you are healing normally from a hysterectomy is that the bleeding will begin to decrease in the days and weeks following the surgery. A sudden and significant increase in bleeding is considered abnormal.
Bleeding should never be too heavy at any point in your recovery. Heavy bleeding during recovery should be reported to your surgeon immediately. This also goes for any symptoms of infection, such as a fever. You should also call your healthcare provider if you have any signs of a neurogenic bladder. This is a condition in which there is damage to the nerves that control your bladder, resulting in difficulties with urination.
Bright red blood indicates an active bleed. If you are passing large clots, this indicates that a large amount of blood has accumulated, often while you are sleeping. If you are experiencing either of these, seek medical attention immediately.
Other Concerns
Bleeding too much after surgery can lead to anemia. Anemia occurs when the amount of red blood cells in your blood drops below normal. This can cause symptoms including fatigue, dizziness, headaches, and easy bruising. (If you are extremely fatigued after a few days following surgery, with or without bleeding, you should also give your doctor a call.)
Blood tests may be used to confirm an anemia diagnosis. Imaging tests can help pinpoint the source of the bleeding. Anemia may be treated with iron supplements. Sometimes it is necessary to receive a blood transfusion to restore your red blood cell count (RBC) and prevent complications.
You should be able to return to having sexual intercourse eight weeks after your surgery. Having sex too soon may not only be painful but end up promoting bleeding. If you note any bleeding after resuming intercourse, be sure to report it to your provider.
Summary
Some bleeding after a hysterectomy is normal. However, the bleeding should lessen over time. Heavy bleeding can be a sign of a complication and can cause you to become anemic in some cases.
A Word From Verywell
Being aware of what kind of bleeding is normal and what’s not will help you know when to call your healthcare provider and avoid any complications.
Keep in mind that once you’ve recovered from a hysterectomy, you should not experience vaginal bleeding at all.
Atrophic vaginitisTumorsEndometriosis (particularly on the bowels)Bladder disorder
