What Causes Vaginal Bleeding And Cramps After A Hysterectomy?

Posted on Sun, 4 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 4 Jan 2015 Answered on

Mon, 2 Feb 2015 Last reviewed on

Question : I had a total hysterectomy 1.2 years ago secondary to "complex atypical hyperplasia" which was successful Just recently, I have noticed blood. I also have some cramping. I have heard that cells can spread with surgery (laproscopic) What can I expect at this point since this is obviously not normal.

I forgot to tell you that my ovaries were removed too.

Answered by Dr. Manisha Jain (2 hours later)

Brief Answer:
pap smear testing

Detailed Answer:
Hello mam, after total hysterectomy for malignant changes it is very important to have yearly pap smear testing to rule out stump carcinoma.
In my opinion visit your routine gynecologist for examination and get a pap smear of the vault done.
In case there is something abnormal then visit your oncosurgeon.
All the best.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Manisha Jain (1 hour later)

The cervix was removed too. Am I still at risk for "stump carcinoma"?

Answered by Dr. Manisha Jain (4 hours later)

Brief Answer:
pap smear must

Detailed Answer:
Yes mam, stump carcinoma is always a risk after hysterectomy even if the cervix was fully removed.
This is the reason that yearly follow up is advised with pap smear testing.
So don't take the bleeding symptom lightly.

Above answer was peer-reviewed by : Dr. Vaishalee Punj