Sexual Health Reproductive Health Issues Hysterectomy & Alternatives Bleeding After a Hysterectomy By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FN LinkedIn Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine. Learn about our editorial process Updated on September 01, 2021 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Scott Sundick, MD Medically reviewed by Scott Sundick, MD LinkedIn Scott Sundick, MD, is a board-certified vascular and endovascular surgeon. He currently practices in Westfield, New Jersey. Learn about our Medical Review Board Print Some bleeding after a hysterectomy is normal. In the six to eight weeks following the procedure, a certain amount of bleeding or spotting can be expected. After all, a hysterectomy is a major surgery involving the removal of a significant amount of tissue. Ian Hooten / Science Photo Library / Getty Images Knowing the difference between normal and abnormal bleeding can help prevent serious complications, including infection and uterine injury. Normal vs. Abnormal Bleeding The key sign that you are healing normally is that the bleeding will begin to decrease in the days following the surgery. On the other hand, if there is a sudden and significant increase in bleeding, that would be considered abnormal. Bleeding should steadily decrease in the days and weeks following the surgery and should never be excessive at any point in your recovery. Heavy bleeding during recovery should be reported your surgeon immediately as well as any symptoms of infection or a neurogenic bladder. When to Call a Healthcare Provider If there is bright red vaginal bleedingIf you have a temperature over 100.4 Fif you have severe nausea or vomitingIf the pain is increasingIf there is redness, swelling, or drainage at the incision siteIf you have difficulty urinating or pain with urination Bright red blood indicates an active bleed. Passing large clots indicates that a large amount of blood has accumulated, often while you are sleeping. Other Concerns Bleeding after surgery can lead to anemia, a condition in which the depletion of red blood cells triggers symptoms of fatigue, dizziness, headaches, and easy bruising, Even if there are no overt signs of bleeding, extreme fatigue following surgery should always be looked into. Lab and imaging tests may be used to confirm the anemia diagnosis and help pinpoint the source of bleeding. The anemia itself may be treated with iron supplements or require a transfusion to restore your red blood cell count (RBC) and prevent complications. You should be able to return to having sex 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 having intercourse, be sure to report it to your OB-GYN. According to research published in Obstetrics & Gynecology, post-operative infection occurs in 10.5% of abdominal hysterectomies, 13% of vaginal hysterectomies, and 9% of laparoscopic hysterectomies. A Word From Verywell Regardless of whether the bleeding is bright red or not, no amount of bleeding should be considered normal after you've recovered from a hysterectomy. If this happens, call your healthcare provider and schedule an appointment immediately. The one exception is menstruation in women who have undergone a subtotal hysterectomy. This considered a less-than-undesirable result given that the vast majority of women who have undergone the procedure do not experience this. Alternatives to Hysterectomy Frequently Asked Questions Can you still get your period after a hysterectomy? No. You no longer menstruate after a hysterectomy. If you begin bleeding vaginally after healing from a hysterectomy, you should contact your healthcare provider. It could be a sign of various disorders, including:Atrophic vaginitisCervical cancerTumorsEndometriosis (particularly on the bowels)Bladder disorder Learn More: Treating Endometriosis How common is it to have endometriosis recur after a hysterectomy? If the ovaries are not removed with the hysterectomy, the risk of recurrence is fairly high. One study found the prevalence to be about 62% when ovaries remained versus a 10% risk when ovaries were removed. Learn More: What to Expect When Ovaries Are Removed How do I manage constipation after a hysterectomy? Right after surgery, you will need to wait for the anesthesia, which can paralyze bowel movements, to wear off. As you heal, make sure you stay well hydrated, begin walking regularly as soon as you are able, and include fiber-rich foods into your diet to help regulate your bowels. Learn More: Treating Constipation Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 6 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. U.S. National Library of Medicine. MedlinePlus. Hysterectomy - vaginal - discharge Chamsy DJ, Louie MY, Lum DA, Phelps AL, Mansuria SM. Clinical utility of postoperative hemoglobin level testing following total laparoscopic hysterectomy. Am J Obstet Gynecol. 2014;211(3):224.e1-7. doi:10.1016/j.ajog.2014.04.003 Clarke-pearson DL, Geller EJ. Complications of hysterectomy. Obstet Gynecol. 2013;121(3):654-73. doi:10.1097/AOG.0b013e3182841594 Lyngdoh BT, Kriplani A, Garg P, Maheshwari D, Bansal R. Post-hysterectomy menstruation: a rare phenomenon. Arch Gynecol Obstet. 2010;281(2):307-309. doi:10.1007/s00404-009-1173-2 Rizk B, Fischer AS, Lotfy HA, et al. Recurrence of endometriosis after hysterectomy. Facts Views Vis Obgyn. 2014;6(4):219-227. Dana-Farber Cancer Institute. Recovering from your hysterectomy.