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Brown spotting after hysterectomy

Brown spotting after hysterectomy is common side effect after operation. Hysterectomy is a specific surgical procedure that partially or totally removes the uterus for different reasons including uterine fibroids, uterine prolapse, endometriosis, abnormal vaginal bleeding, chronic pelvic pain, adenomyosis and cancer of the uterus, cervix or ovaries.

During first 3-6 weeks after hysterectomy women could have different types of vaginal discharge – in most cases brown vaginal spotting, bloody discharge or pink spotting. Brown vaginal spotting is a fairly common symptom that women can experience immediately after hysterectomy.

Brown vaginal spotting after hysterectomy could last several weeks after surgery and it may have some specific vaginal smell. The amount of the spotting could vary depending on patient activities and type of operation. In most cases brown spotting or bloody discharge is often more noticeable during first 2 weeks after surgery.

Main causes for smelly brown spotting after hysterectomy include bacteria and/or virus and/or other vaginal infections such as yeast infection and Chlamydia. These infections could originate from the vagina. Since after hysterectomy the immune system is weakened due to the surgery, these microorganisms could take over.

As after hysterectomy women would not have more periods, brown spotting could be disturbing. Women should expect brown vaginal spotting for several weeks after surgery. Sometimes vaginal spotting can be pink and may have a slight odor.

Brown spotting after hysterectomy could be combined with bloating, abdominal pain, fever, chills, nausea, vomiting and weakness.

Sometimes brown vaginal spotting after hysterectomy could be a symptom of HPV (human papilloma virus) or UTI (urinary tract infection).

Hysterectomy is a serious operation which can weaken the immune system and it is the reason why several microbes and infections become active and provoke inflammations and adequate vaginal spotting or discharge.

Anyway, normal spotting after hysterectomy is usually brown and after some period color changes into light brown and yellowish. Internal stitches may accompany this spotting as the surgical wounds heal. This is normal cleansing of the area that was involved in the procedure, and should not be cause for alarm. However, if the spotting is red and bloody, you should contact your doctor.

Brown spotting after hysterectomy indicates blood that has dried, and red spotting would indicate fresh bleeding. This should be examined by the doctor to make sure that you do not have an infection or damaged tissue.

Brown spotting after hysterectomy – causes

Improperly tied blood vessel or a slip in the ligature after hysterectomy. Loosen suture from the operation may cause light pink spotting after hysterectomy. Granulation tissue that is sloughing can also cause colored spotting after hysterectomy including brown spotting.

Brown spotting after hysterectomy

Brown spotting after hysterectomy

Another cause for spotting after hysterectomy is the re-opening of the wound after the surgical procedure, which is also called wound dehiscence.

Bleeding disorders or coagulation problems could also cause reddish and/or brown spotting after hysterectomy due to clotting defects.

Allergic reaction to suture.

Vaginal injury during or after hysterectomy.

After operation douches, tampons, or sexual activity can also cause this type of spotting.

Brown spotting after hysterectomy – recommendations

Complete recovery from the operation takes about 2 months.

Do not put anything into your vagina for the first 8 – 12 weeks after hysterectomy including tampons and douching.

Do not use feminine deodorant sprays.

You can have shower without any problems.

Avoid swimming or using a hot tub during 8 weeks after hysterectomy.

Do not start having sexual intercourse for at least 8-10 weeks.

Do not lift heavy objects for 6-8 weeks after the operation.


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