This is an automatically translated article.
Ask
Hello doctor! I gave birth to my third child by caesarean section. During the surgery, the doctor told me that if I couldn't stop the bleeding, I had to have a hysterectomy. After leaving the hospital, the hospital gave me a surgery card and told me to keep it for the rest of my life. In addition, the doctor told me that after a hysterectomy, I will not see my period. But after giving birth 6 months later, I saw bleeding and I went to the doctor, and the doctor told me that this was a menstrual phenomenon and explained to me that because of the surgery, the surgeon cut high, so every month I still have vaginal bleeding. The phenomenon of mucosal detachment should still be seen, but the amount of menstrual blood is less than usual. I'm still worried because I go online to see that all cases of hysterectomy can't have periods. So the doctor told me I had a hysterectomy but I still see my period because what's wrong? Ask your doctor for advice. I would like to thank you.
Le Mo, 1987
Reply
Hello, to answer the question: "Having a hysterectomy but still having periods, what's wrong?" We would like to send you the following information:
Postpartum uterine bleeding due to different causes (uterine atony, placenta accreta, uterine rupture, uterine leprosy) then Indications for low-grade hysterectomy or total hysterectomy.
Partial hysterectomy means removal of the body of the uterus leaving the cervix through the abdomen. Total hysterectomy is the surgical removal of the entire uterine mass including the body of the uterus, cervix, fallopian tubes, and ovaries. However, there are also cases of complete hysterectomy leaving one or two appendages
regulate hormones in the body. Therefore, women still have the same sexual ability and desire as normal women. In particular, women after hysterectomy will not have symptoms such as hot flashes, fatigue and insomnia... when there is a sudden decrease in hormones as in the case of removal of both appendages.
Women after hysterectomy can still have normal intercourse after the recovery period. Intercourse can also be resumed as long as there are no problems with the patient and after the recovery period Recovery about 6-8 weeks.
With the case of removal of the uterus and two appendages, the woman may initially experience symptoms such as hot flashes, insomnia, weight loss. These are the hormonal changes that occur when the ovaries are lost. Some patients do not experience these symptoms, while others develop severe symptoms and need to see a doctor.
For hormone treatment for people with ovary removal and sudden hormonal decline, it takes about 1-3 months and can be prolonged depending on the woman's condition. Menstruation is the lining of the uterus that is produced each month during the menstrual cycle to receive a fertilized egg for implantation. If the egg does not meet the sperm and is not fertilized, it will dissolve on its own and the lining of the uterus also peels off and exits to form a period.
Thus, after hysterectomy, the woman will no longer menstruate, but still have ovaries if not removed.
Similarly, the uterus only functions as a place to protect and nourish the fetus, so removal of the uterus does not affect future sex. Even for families with enough children, doctors recommend a hysterectomy to protect the health of the woman if the disease is imperative.
Hysterectomy makes a woman even more comfortable after eliminating health concerns. A hysterectomy will also make a natural pregnancy impossible, but the hormones and other elements of the body will still work properly.
Although there is no period, but at some point, a woman still has to go through menopause with symptoms such as insomnia, hot flashes, weight loss...
However in your case, still can menstruate after hysterectomy. It is best to visit a reputable medical facility or one of the hospitals under the Vinmec Health System nationwide to get more specific advice from a doctor.
Thank you for trusting and sending questions to Vinmec. Best regards!
Answered by Master, Doctor Le Nhat Nguyen - Doctor of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Da Nang International Hospital
