Possible Hysterectomy Complications and Side Effects

Hysterectomies are the most common gynecologic procedures performed in the United States and may be performed for a number of reasons, ranging from fibroids to chronic pelvic pain to gynecologic cancer.

Still, many people who are advised to have a hysterectomy are naturally worried about the potential complications and side effects of the surgery, and how their bodies will respond after the removal of their uterus.

Complications

As with any surgery, there are certain complications that may arise with a hysterectomy, including:

• Infection and fever
• Bleeding
• Blood clots in the leg that can travel to the lung
• Anesthesia-related complications with the lungs or heart
• Nerve or tissue damage
• Bowel obstruction
• Fistula formation

A person's medical history may make them more or less prone to developing these complications. For instance, people who are obese are more prone to infection and blood clots than those who are at normal weight.

The reason behind the surgery is another risk factor for developing complications. For example, fistula formation (albeit uncommon) is more likely to occur in people undergoing a hysterectomy for cancer versus people undergoing a hysterectomy for benign gynecological conditions like pelvic organ prolapse.

The type of hysterectomy a person is undergoing also affects their risk. For example, in comparison to a vaginal or laparoscopic hysterectomy, with an abdominal hysterectomy, there is an increased risk for complications like infection, bleeding, blood clots, nerve damage, and bowel obstruction.

An abdominal hysterectomy also usually requires the longest hospital stay and recovery time. With a laparoscopic hysterectomy, there is usually less pain and a lower risk of infection; however, there is an increased risk of injury to the bladder.

There is also an increased risk of a rare, but very serious complication, called vaginal cuff dehiscence, with a laparoscopic hysterectomy.

Side Effects

There are several potential side effects that may occur after a hysterectomy.

Physical

The physical side effects of undergoing a hysterectomy include pain (usually for a few days) and vaginal bleeding and discharge (often for several weeks). Constipation is also common, and some people experience difficulties with urination or nausea or vomiting.

In addition, if the ovaries are removed, people who have not yet entered menopause will no longer menstruate (called surgical or induced menopause).

As a result, a person may experience a range of menopausal symptoms, such as:

• Hot flashes
• Mood swings
• Vaginal dryness
• Night sweats

Keep in mind—people whose ovaries are not removed may still experience early menopause if blood flow to the ovaries is compromised.

Emotional

Emotional side effects may also occur after a hysterectomy. While most people feel satisfied that their symptoms (e.g., pelvic pain or vaginal bleeding) are now gone,  some people in their childbearing years may feel anxious or depressed about the loss of fertility.

Sexual

Sexual side effects are also a possibility. Fortunately, research shows that most people who were sexually active before surgery experience the same or better sexual functioning after surgery.

That said, sexual functioning after a hysterectomy is really a complicated topic. Every woman is different, and there are so many factors to consider, such as:

• Age
• The reason behind having the surgery (cancer versus a noncancerous condition)
• The level of support provided by a person's partner
• Mood problems that existed before the surgery

A Word From Verywell

A hysterectomy is a common and generally safe surgical procedure. Complications though, and perhaps unforeseen emotional reactions, do occur. If you are experiencing any new and/or bothersome symptoms, please be sure to contact your healthcare provider.