The most common cause of heavy bleeding is the surgeon’s cutting of the uterine vessels during the surgery. It is important that this is done in such a way that the uterus is not stretched and damaged.
Heavy bleeding is most common in the first few weeks after surgery. You may notice that you have heavy bleeding for several days but that it stops after the first few weeks.
Your doctor will be able to assess your post-surgery bleeding and advise you on any further tests to check for problems.
Heavy menstrual bleeding after hysterectomy
Heavy menstrual bleeding after hysterectomy is very common. It usually happens within the first year after surgery.
You may have a long period, or no period at all, after the surgery. This is called amenorrhea.
Heavy menstrual bleeding after hysterectomy is not always a sign of a serious problem. However, it may be a sign of a problem that needs to be investigated.
Heavy menstrual bleeding may be due to a problem in the uterus or ovaries that needs treating.
The cause of the heavy bleeding can be seen by carrying out a pelvic examination and testing.
Some people have heavy bleeding for several days after they have a hysterectomy and may need treatment to stop it.
If you have heavy bleeding after surgery, you should have a pelvic examination and a blood test to check what is causing the bleeding.
If the bleeding is so heavy that you are unable to go to work or do normal activities, you may require medical treatment.
Heavy bleeding after hysterectomy is common and is not usually a cause for concern.
It is important to get a full medical review if you have any signs of heavy bleeding after the surgery.
Diet and exercise
If your body has lost a lot of blood, it is likely to be very tired. This can make it difficult to exercise. You may find it hard to sleep and have mood swings.
To help your body recover, it is important to:
- Eat a healthy diet
- Keep your weight up
- Reduce stress
You may need to increase your physical activity, especially if you have lost a lot of blood.
You may wish to consult a dietitian or exercise physiologist for help.
A simple exercise programme can help you to lose weight if you are overweight. You may be able to lose weight more quickly if you are losing weight from your abdomen, rather than your face.
If you have a hysterectomy, you may be able to resume eating normally once you are no longer losing blood.
You may find it hard to start exercising again after the surgery. It is important to start slowly and build up.
If you are having a hysterectomy because you have had cancer, your dietitian may advise you to avoid certain foods.
For example, they may advise you to avoid foods that may be high in salt and fat.
It is important to talk to your doctor before changing any of your diet after a hysterectomy.
Some people find it difficult to eat at all for a few weeks after surgery, but if this is the case, you can ask your doctor for advice.
Some foods to avoid are:
- Foods with a lot of salt
- Fats, such as deep-fried foods
- Spicy foods
- Foods that contain large amounts of sugar, such as cakes and biscuits
You can find more about eating after a hysterectomy on the NHS website.
Recovering from a hysterectomy
After a hysterectomy, you may notice that your body is weak and tired, but that you will soon get better.
You will need some time to recover, during which you may find that you are unable to do normal activities or that you have a lot of pain.
It is important to keep up your strength and recovery as much as you can.
You may need to stay in hospital for a few days to help keep you strong.
To help your recovery, you may need to keep your arm supported at all times. You may also need help with some activities.
You may find it helpful to keep a diary of your activities, with details about how much you are able to do.
You may need to do some exercises to keep your strength up.
You should also take things slowly and stop doing activities that make you feel too weak.
Ask your doctor any questions that you have about how you will recover after the surgery and how you will feel.
You can help your recovery by making sure that you are getting enough sleep and eating a healthy diet.
Your dietitian can help you to eat a healthy diet after the surgery.
You may find that you need to lose weight in order to help your recovery.
If you have a hysterectomy because of cancer, you may find that your dietitian advises you to avoid some foods.
You may also need to avoid certain foods if you have had a hysterectomy because of fibroids.
If you are not able to eat, you may need some of your body weight to be put on a special diet.
You may also need to take medicines to help your body recover. These can include:
- Anti-sickness medicines
- Antibiotics to help prevent infection
- Anesthetics if there is bleeding or a lot of pain
Your doctor may give you some other treatments, including medicine, to help you recover as quickly as possible.
You may be able to do some of your own recovery exercises.
This may help you to keep your strength up. You can also help your body recover by doing exercises.
A hysterectomy can be an important part of the treatment for a lot of women. It can help to relieve symptoms of menopause and can also treat certain cancers.
It is important that you get the right advice about what to expect and how to recover after a hysterectomy.
The NHS has a helpline that you can call if you have any questions or concerns.
If you have a hysterectomy, you need to take care of yourself as best you can so that you can recover as quickly as possible.
You can help your recovery by eating a healthy diet and getting enough rest.
You may feel very tired and weak after a hysterectomy. But you can recover and do your best to stay strong.
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