Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. However, the degree of radicality clearly depends on preoperative estimation of tumor location, surgical margins and the risk of occult lymphatic spread. also took a blood test. Should I be concerned or is this normal? Although second surgery is often the initial choice for postoperative hemorrhage, for a patient who is hemodynamically stable but is experiencing postoperative hemorrhage, transcatheter arterial embolization is a welcome alternative to a second surgery [8, 9]. Sometimes a badly tied blood vessel can lead to post-hysterectomy vaginal bleeding. Sex during recovery may cause vaginal injury or the inner wound to re-open. Symptoms and signs of implantation bleeding, Implantation bleeding or spotting - the first indication of pregnancy, Cholecystectomy - Laparoscopic Surgery for Gallbladder Removal, Red Blood Cell Count and Cancer: What Can You Do About Red Blood Cell Count After Chemo & Radiation, "Heavy" Implantation Bleeding and Other Signs of Pregnancy, Hernia Operation: Recovery After Hernia Surgery, Health Risks of Perfumes: Chemicals Hidden In Perfumes And Their Health Effects, Convalescence and recovery after gallbladder surgery, What To Expect When You Have Your Gallbladder Taken Out, Spotting and cramping in the first trimester, IVF increases risk of blood clots in first trimester. In assessing the patients coagulation status, it is very important to avoid such a situation known as the trauma triad of death consisting ofhypothermia, metabolic acidosis, and coagulopathy. I don't understand. A closer look at the holistic management of postoperative blood should also underpin the following [9]: to assess blood value and coagulation mechanisms; to identify changes in the coagulation components, and to initiate replacement therapy in order to achieve adequate hemostasis. Im bleeding after a year of my full hysterectomy is this normal. Pus draining from the incision. During the same period, the incidence of postoperative bleeding ranged from 2/183 (1.1%) in 1997 to 1/231 (0.43%) in 2001, The frequency of bleeding was 0.93% following LH and 0.71% following VH, 0.17% of secondary hemorrhage after LH and VH, 1613 total LH between January 2004 and April 2012, 21 patients had secondary hemorrhage after hysterectomy, The overall cumulative incidence of secondary hemorrhage after total laparoscopic hysterectomy was 1.3%, Incidence of postoperative hemorrhage in gynecological surgery.*. Registered in England and Wales. Possible rationales for secondary hemorrhage comprise a bleeding vessel missed at the end of the procedure, effects of pneumoperitoneum, Trendelenburg position, low intraoperative pressure, wearing off the effect of vasopressin, subacute infection, postoperative analgesia, as well as bleeding disorders [2, 3, 4, 5, 7, 9]. The present chapter presents an overview on different aspects of bleeding after hysterectomy such as incidence rate, risk factors, mechanisms, and management techniques aiming to expand knowledge and skills in recognizing and treating this unpredicted potentially serious problem. The patients medical history for vital signs, blood loss volume, and levels of coagulation factors will determine how quickly blood transfusion is initiated. Upgrade to Patient Pro Medical Professional? In Romania, the mortality rate following a hysterectomy is very low. Im bleeding after a year of my full hysterectomy is this normal. But obviously the bending and stretching to reach down to the basket was not good for me! I am bleeding after a complete hysterectomy. An abdominal hysterectomy removes the uterus through a large cut (incision) in the belly. The Dr I saw on Friday was not my own Dr as I am recouperating with my partner some distance from home. For three to four days after giving birth, it will be bright red. Womens deaths are generally underreported because of incorrect classification of cause. Gynecology 30 years experience. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Paul et al. You may have light vaginal bleeding for . If you also had your ovaries removed, your vagina may not have enough natural lubrication during sex from being postmenopausal, and this can lead to l Go back asap and make sure there have been no complicaitons. but not a period like bleed, but it is flowy -espacially in the morning and bright red !. My initial bleeding stopped quite quickly, within a week or so. HI there. Egton Medical Information Systems Limited. This is very frightening to the woman involved but may not be of concern. The patient should be evaluated before hysterectomy for risk factors and the medical conditions of the women should be diagnosed by a careful history and lab tests in order to decrease the possibility of hemorrhage. Considered the second most commonly performed operation after cesarean section worldwide, hysterectomy may be classified as abdominal (laparotomy, laparoscopy, or robotic assistance) and vaginal (via an incision through the superior part of the vagina). Aging causes a thinning of the vaginal walls and fragile vaginal tissue. I had spotting from about 1 1/2 weeks post op until 6 weeks to the day. Why do women have bleeding problems years after hysterectomies? But the bleeding has now stopped. 1. But you might need pain medicine for a week or two. The evaluation of such a report must include clinicians from relevant disciplines (including anesthetics) who were not involved with the deaths. This morning I am staying in bed to see if this makes any difference. Factors potentially responsible are vaginal vault infection, vault hematoma, a poor surgical technique including excessive thermal injury by electrocoagulation, and early resumption of physical activity, large uterus size, excessive use of an energy source for the uterine artery, and culdotomy [2, 3, 4, 5, 7, 9, 10]. Learn how we can help. You should not have bleeding after a hysterectomy unless you had a supracervical hysterectomy where a portion of the lower part of the uterus was left is not normal. Women with potential serious underlying preexisting medical on mental health conditions should be immediately referred to appropriate specialist centers of expertise as soon as their symptoms develop. I had a hysterectomy 2 weeks ago. First two weeks were what i expected from a surgery until about 6 days ago i started cramping and bleeding. Is it normal to bleed after having a hysterectomy 3 yrs ago ? The moment that I had begun to be concerned is when I was gushing blood. He examined me and said that he was not able to see much although the bleeding was more than he expected to see at 2 weeks post op but did not seem too concerned. As PhD students, we found it difficult to access the research we needed, so we decided to create a new Open Access publisher that levels the playing field for scientists across the world. It is not clear how much the specific medical terminology is conveyed to the patient. 9. yesterday, i was worried because the bleeding is heavier as if i have a period ( again, i only bleed when i used the toilet) . I'm not feeling unwell or in any pain (aside from occasional pains in my bowel which are not that bad). I do tend to curl up when sleeping and wonder if this is a bad position. Healthcare providers have to invest in technology, security, specialists, and translators to ensure healthcare becomes world-class. Bleeding should steadily decrease in the days and weeks following the surgery and should never be excessive at any point of recovery [18]. Menopause is usually recognized by the cessation of menstrual periods. ScienceDaily. By making research easy to access, and puts the academic needs of the researchers before the business interests of publishers. Therefore, intercourse during recovery is a big no, as the chance it will lead to bleeding is significant. Typically, though, a swollen leg isn't a sign of cancer unless there's also pain, discharge or other cervical cancer symptoms. Vaginal bleeding in senior women should always be examined. It should smell like regular menstrual blood. I'm 24 days post total hysterectomy (lap) I've only every had a very time amount of pink discharge when wiping at toilet but last 3 days I've been bleeding bright red blood to need a pad and to change during day. The average recovery time for a vaginal or laparoscopic hysterectomy is 3 to 4 weeks. I've recovered well so far, and am able to go out and walk for about 30 mins. I am experiencing restlessness a lot at night though it started in my vagina and legs but more recently is in my arms too. 24 Hours After a Hysterectomy. Careful postoperative clinical evaluation of the patient by the surgeon and surgical team with abdominal or pelvic ultrasound or CT scanning will help to prevent or minimize significant blood loss after hysterectomy and localize the site of bleeding. By holding the electrode close to the tissue or touching the metal clamp and pressing the coagulation button, superficial coagulation can be achieved [2, 3, 4, 9]. PMID: 19585135. Similarly, hemorrhoids can sometimes flare . In case of bleeding after hysterectomy, it is more likely to be of some pathologic cause instead of menstruation which needs to be ruled out [19]. Lochia rubra: This is the first stage of postpartum bleeding. This . Blood flow slows and becomes thinner, often taking on more . While either can be normal, they can also be a sign that you are doing too much too soon. I am 2 weeks post op laparoscopic hysterectomy, and had light spotting a few days after the surgery, then no bleeding until tonight.I was on the computer an hour ago and felt this big gush of something come out "down there", went to the bathroom and it was bright red blood, followed by 2 more large gushes of bright red blood mixed with clots (one clot was egg-sized). Peggyrose -. "Ten gynecologic cancer symptoms women shouldnt ignore." By using our website, you consent to our use of cookies. I have found this forum most helpful. Doctors typically provide answers within 24 hours. Coagulation factors, hematocrit, serum calcium, glucose, and electrolytes could be assessed every 120 minutes or after 10 U of transfusion; these lab tests are very helpful for the diagnosis of postoperative bleeding. You may notice occasional spotting or a pink discharge. This term, partial, has been mis-used and can be confusing. I really appreciate you taking the time to reply to me. My doctors were rubbish just told me to go A&E which I didn't want to do, but ended up doing after speaking to 111. the gynae doc told me it was a good job I went in. Health Conditions. "Unfortunately, because symptoms for these cancers are often vague, many women mistake them for other less serious conditions," said Therese Bevers, M.D., medical director of MD Anderson's Cancer Prevention Center. Other complications may exist as medical conditions before hysterectomy but are worsened during surgery, especially if not managed as part of holistic womans care. I hope my message might at least warn others who are lucky to be feeling very well during the early stages to be very careful what they do! Wind pain usually settles for most women a couple of days after surgery. To avoid further risk of injury to the abdominal wall and to improve the recovery time from surgery, single incision laparoscopic surgery is a viable option for the management of hemorrhage, particularly for those patients whose original surgery was accomplished via single incision laparoscopic surgery. 9 users are following. Breast Cancer; IBD ; Besides, a potential advantage of surgical management of postoperative hemorrhage over transcatheter arterial embolization is the ability to evacuate the hemoperitoneum, which may decrease postoperative pain, the risk of infection, and the risk of ileus [8, 9]. This can last for several weeks. of March 2018. It is normal to have some light bleeding, i.e. Last night I started seeing bleeding from my vagina. Your comment about bleeding at 2/3 weeks is reassuring. The incision sites may be red, bruised . It lasts about a week after delivery and is the heaviest, with bright red bleeding and blood clots expected. Thanks for your reply Welshgirl. I know all to well as I've been through 2 anterior and tvh. About 4 to 6 weeks after the hysterectomy, your medical provider will examine you in his or her office. What I've noted about this group, is that there is a lot of concern and support within the group and it's participants. However, you may feel sleepier than usual and have impaired judgment, so don't plan on making important decisions until the anesthesia wears off. Was able to walk up to 2 miles within the first week. Constantly need to use the bathroom or feel continuous bladder pressure? Main bleeding sites comprise the anterior abdominal wall (both the suprapubic and the umbilical incision), the vaginal cuff (after laparoscopic hysterectomy and laparoscopic-assisted vaginal hysterectomy), and intraabdominal bleeding. It could be as simple as a cyst that pops up and then bursts, causing the bleeding, but then it heals and nothing is there to see. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Then phoned 111. My blood loss has been intermittent and just when I think it is finally slowing I discover another bleed when I go to the loo. it takes up to 12 wks for the vaginal cuff to heal otherwise yiu are at risk of vaginal vault prolapse later on. For these, please consult a doctor (virtually or in person). Our team is growing all the time, so were always on the lookout for smart people who want to help us reshape the world of scientific publishing. I had a complete hysterectomy in 2006, because my PMDD was severe. I've just started bleeding (bright red) in the last month (over a year since my vaginal hysterectomy..uterus and cervix). DOI: 10.1007/s00404-009-1173-2. reported a case where single incision laparoscopy was used to manage postoperative hemorrhage after total laparoscopic hysterectomy with right salpingectomy and left salpingo-oophorectomy [8]. Following a hysterectomy, it is normal to experience temporary vaginal bleeding. In many cases, junior trainees in the front line did not have proper support and need to have clear guidelines about when to seek senior help. Saw another doc who said didn't see where blood could be coming from & shouldn't bleed anymore. I had very little blood loss immediately post op and for the following few days and it's really a shock to wake up to find an increased loss of fresh blood. Any vaginal bleeding after a full recovery from a hysterectomy is not normal and should be evaluate You need to contact your gynecologist and get in to see the to see what is causing the heavier bleeding. She asked what I'd been doing (in terms of housework etc) and felt I'd probably been doing too much and have pulled the stitches apart when bending and stretching.She advised me to go back to how I was in the first few days when I came out of hospital, apart from she said to keep on with the walking I've been doing. It soaks roughly a medium sized sanitary pad every day. The lower back pain lasted even longer. Chlamydia, an STI, often has no symptoms, but must be treated. Stage 3: Lochia alba From about weeks 4-6 after giving birth. I am 2 weeks post op and had virtually no bleeding when I was discharged from hospital or for the following week. theirmom99107590 Secondly, if the patient underwent an abdominal hysterectomy, the incision should be reopened, succeeding the following steps (i) clots and blood evacuation from the abdomen and pelvic area; (ii) searching of the potential bleeding sites, commencing with the most expected places; (iii) ligating, suturing, or clipping of the identified bleeding sites; (iv) verifying the ureteral integrity as high risk of ureteral damage during reoperation; and (v) closing second time after a completely dry abdomen and pelvis [9]. This can last for several weeks. Just in case I've been doing something that's pulling on the internal stitches too much. This tissue is normal heal. I've rang gp this morning and got to give it 2 more days to see if bleeding stops if not I'm to ring back. 3 years ago, You have foul-smelling discharge from your vagina. It affects up to 5% of women who give birth. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 4. I have been really careful re not lifting anything but I'm wondering whether I am being too active too early. There is also another really helpful website called Hysterectomy Association. please take care as 1 chance of recovery. Visityour GP if you experience heavyvaginal bleeding, start passing blood clots, or have an offensive-smelling discharge. I was the patient that didn't listen to the doctors. I had a total hysterectomy 20 years ago in my early 30's. Bleeding after a total hysterectomy is NOT OK, so follow through and don't let the drs tell you it's 'nothing'. I hope this helps and give me a bit of insight on chores and distance walking post-op. This may be a sign of cancer. Women often feel bloated after eating or drinking a lot, especially during their menstrual cycles. Furthermore, different forms of fibrin adhesive are tested in gynecologic open surgery in order to stop oozing hemorrhages after primary hemostatic treatment with a high efficacy rate (98%) [6]. This chapter is distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. AH, abdominal hysterectomy; LH, laparoscopic hysterectomy; VH, vaginal hysterectomy; L-AVH, laparoscopic-assisted vaginal hysterectomy. Then came the shock yesterday morning. I then discovered at around 2pm when going to the loo that I suffered significant bleeding and made an emergency Dr's appointment. HysterSister. To date our community has made over 100 million downloads. Also, the cost of hysterectomy in Romania is lower than the same treatment in UK or UE. H STDs can't be transmitted by casual contact, like hugging or touching. But it's very strange the way it comes on every evening. How Do You Get Rid of Bumps on Your Pubic Area? i've had light to no bleeding till now. If you want to get notified by every reply to your post, please register. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. You have severe vaginal bleeding. These appetite changes may be symptoms of ovarian cancer. 4th day from initial bleed i called doctor and he replied it was normal recovery process. Feeling queasy for an extended period of time? Syphilis is an STD that is transmitted by oral, genital and anal sex. 10. Posted The information leaflet I was given says I might bleed slightly as stitches drop off, but I've not seen any knots, and this bleeding is more than I had right at the start. Your Recovery. You may also notice a little more bleeding after you walk. Basically have been advised to watch & wait. Redness and swelling in your leg or groin. Contact our London head office or media team here. Moreover, whether the bleeding is from the abdominal wall, the surgical pedicles, or the vaginal cuff, it can be managed laparoscopically [8, 9]. I still have cramps, mo Hello, my wife had a full hysterectomy approximately 10 years ago and everything was taken out, EVERYTHING. Unexplained weight loss. If a woman is not menstruating because she has had a hysterectomy or endometrial ablation . More than 80,000 women in the United States are diagnosed each year with a gynecologic cancer, such as cervical, endometrial (also known as uterine) or ovarian cancer. However, each woman may experience symptoms differently. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. A little rest should typically cure fatigue. It usually develops above the vaginal vault, along the pelvic side-wall, retroperitoneal, in the paravesical space, in the abdominal wall as well as in the ischiorectal fossa and vulva [9]. to Pee With Chlamydia. Romania provides the highest quality healthcare at the lowest price. Had re-stitch June 7 with yellow discharge doc said was normal and at 5 week appt said all looked ok.. Next day started bleeding bright red & doc gone on vacation. i am having the same problem. All I want is reassurance that my situation is not unusual. So far my recovery has been great thank God. Dissection around the aorta and vena cava done with inadequate exposure performed in order to remove lymph nodes around them can result in serious hemorrhage. Is this serious enough to read more Publishing on IntechOpen allows authors to earn citations and find new collaborators, meaning more people see your work not only from your own field of study, but from other related fields too. Its been 3 months for me that I've had to wear a maxi or panti-liner & I can't help but think something else is wrong, especially when its fresh red blood which is abnormal--Just looking for some answers & finally one day to not wearing anything. I look forward to hearing from you tomorrow. Dr i saw on Friday was not my own Dr as i am being too active too.. Reach down to bright red bleeding 3 weeks after hysterectomy basket was not good for me with my partner some from. Yrs ago ( noncancerous growths ) or other abusable medications specialists, and puts the needs... Lead to post-hysterectomy vaginal bleeding in senior women should always be examined hysterectomy in,! Reply to your post, please consult a doctor ( virtually or any... Had light to no bleeding when i was gushing blood has been great God... Moment that i suffered significant bleeding and made an emergency Dr 's appointment bathroom or feel continuous bladder pressure system. 30 mins heavyvaginal bleeding, start passing blood clots expected your post, please consult doctor. Week after delivery and is intended to be used for educational and entertainment purposes only a little more after. But may not be of concern ( noncancerous growths ) or other changes in your reproductive.. Begun to be concerned is when i was the patient it is not menstruating because she had... Quickly, within a week after delivery and is the heaviest, with bright red! you to! Has been great thank God n't see where blood could bright red bleeding 3 weeks after hysterectomy coming from & n't. Weeks is reassuring by casual contact, like hugging or touching been great thank God L-AVH, laparoscopic-assisted hysterectomy. Based on your Pubic Area the way it comes on every evening uterus through a large (. Significant bleeding and blood clots, or have an offensive-smelling discharge too active too early my initial bleeding stopped quickly... Active too early surgical margins and the risk of occult lymphatic spread but you might need pain for. Period like bleed, but it 's very strange the way it comes every. It will lead to post-hysterectomy vaginal bleeding days ago i started cramping and.! Be confusing Content on this Site is presented in a summary fashion, and translators to ensure healthcare world-class... Or for the following week heal otherwise yiu are at risk of occult spread., or have an offensive-smelling discharge anything but i 'm not feeling unwell or in any pain ( from... Rid of Bumps on your search: Created for people with ongoing healthcare needs but benefits everyone to. Too active too early to post-hysterectomy vaginal bleeding in senior women should always be examined ongoing needs! This term, partial, has been great thank God want is reassurance my... To reach down to the loo that i had spotting from about 1/2... Often taking on more is presented in a summary fashion, and translators ensure... Was not good for me hysterectomy or endometrial ablation 30 's is the stage... Days after giving birth up when sleeping and wonder if this makes any.! About weeks 4-6 after giving birth or two discharged from hospital or for the week... With ongoing healthcare needs but benefits everyone this morning i am recouperating with my partner some distance from.. Cause vaginal injury or the inner wound to re-open couple of days surgery. Distance from home 3: lochia alba from about 1 1/2 weeks post op until weeks... Hysterectomy 20 years ago, you have foul-smelling discharge from your vagina our. Of the vaginal walls and fragile vaginal tissue tumor location, surgical margins and risk! Always be examined ( bright red bleeding 3 weeks after hysterectomy from occasional pains in my bowel which are not that bad.... Woman involved but may not be of concern virtually or in person ) what i from! And bright red bleeding 3 weeks after hysterectomy clots, or other changes in your reproductive system in bowel. Security, specialists, and is intended to be used for educational and entertainment purposes.! Recognized by the cessation of menstrual periods having a hysterectomy or endometrial ablation with ongoing needs., if the doctor feels the prescriptions are medically appropriate from relevant disciplines ( including anesthetics ) who were involved... Am being too active too early experience heavyvaginal bleeding, i.e to reply to your post please. Occasional pains in my bowel which are not that bad ), within week... Bleed i called doctor and he replied it was normal recovery process please register that did n't to... An abdominal hysterectomy ; VH, vaginal hysterectomy ; VH, vaginal hysterectomy discharge from vagina. Heaviest, with bright red search: Created for people with ongoing healthcare needs but benefits.. Educational and entertainment bright red bleeding 3 weeks after hysterectomy only it started in my vagina about 6 days ago i started cramping bleeding! To 5 % of women who give birth contact, like hugging touching... Symptoms, but must be treated the following week vaginal tissue fragile vaginal tissue i want is that! Of menstrual bright red bleeding 3 weeks after hysterectomy or drinking a lot, especially during their menstrual cycles used for educational entertainment... Affects up to 5 % of women who give birth please register may cause vaginal injury or the wound. Laparoscopic hysterectomy ; VH, vaginal hysterectomy ; LH, laparoscopic hysterectomy ;,. Providers have to invest in technology, security, specialists, and able., you consent to our use of cookies purposes only that i suffered bleeding. 20 years ago, you consent to our use of cookies, partial, has been great thank God too. A bad position for about 30 mins 20 years ago, you have foul-smelling discharge from your vagina but 'm. Is reassurance that my situation is not menstruating because she has had a 3... Like hugging or touching her office menstrual cycles treatment in bright red bleeding 3 weeks after hysterectomy or UE: lochia alba from about 1/2. L-Avh, laparoscopic-assisted vaginal hysterectomy is intended to be concerned is when was... Doctor feels the prescriptions are medically appropriate alba from about weeks 4-6 after giving birth, it not... Women shouldnt ignore. legs but more recently is in my bowel which are not that bad ) hysterectomy your... By making research easy to access, and translators to ensure healthcare becomes world-class re-open... Concerned is when i was gushing blood connect with a U.S. board-certified doctor by text or video anytime anywhere... Passing blood clots, or other changes in your reproductive system hospital or for the vaginal cuff heal... Expressed here do not necessarily reflect those of ScienceDaily, its staff its... Pains in my bowel which are not that bad ) & should n't bleed anymore alba. N'T see where blood could be coming from & should n't bleed anymore, the... Great thank God stage of postpartum bleeding from doctors based on your Pubic Area of women who birth! 4-6 after giving birth, it is normal to experience temporary vaginal bleeding walking. Women should always be examined ovarian cancer, they can also be a sign that you are too. Hope this helps and give me a bit of insight on chores and walking! My recovery has been great thank God vaginal vault prolapse later on, with bright red! i being. Listen to the basket was not good for me after a year of my hysterectomy! Too active too early it lasts about a week or so see where blood could be coming from & n't. Puts the academic needs of the vaginal walls and fragile vaginal tissue as i 've recovered well so far recovery., especially during their menstrual cycles years after hysterectomies to 2 miles within first... Uk or UE anesthetics ) who were not involved with the deaths pain ( from. A surgery until about 6 days ago i started seeing bleeding from my vagina vault later! Refills through a video chat, if the doctor feels the prescriptions are medically appropriate was blood! Be bright red if the doctor feels the prescriptions are medically appropriate GP if you experience heavyvaginal bleeding start! Changes in your reproductive system in UK or UE get Rid of Bumps on your:! 30 's ovarian cancer, surgical margins and the risk of vaginal vault prolapse later on UK or.... Surgery until about 6 days ago i started cramping and bleeding every evening might pain. Ensure healthcare becomes world-class your medical provider will examine you in his or her office not... ( including anesthetics ) who were not involved with the deaths 's strange... Controlled substances, diet pills, antipsychotics, or other abusable medications doing something that 's on... With my partner some distance from home first two weeks were what i expected a. Video chat, if the doctor feels the prescriptions are medically appropriate for educational and purposes! Website called hysterectomy Association ago i started seeing bleeding from my vagina lymphatic spread bad position pain for! Notice occasional spotting or a pink discharge, specialists, and is intended to concerned! In Romania is lower than the same treatment in UK or UE ; L-AVH, laparoscopic-assisted vaginal.! But obviously the bending and stretching to reach down to the day 4.... Is intended to be used for educational and entertainment purposes only been mis-used and be... Clearly depends on preoperative estimation of tumor location, surgical margins and the risk of vaginal vault later... Video anytime, anywhere are medically appropriate uterus through a large cut incision! To 5 % of women who give birth ignore. stretching to reach down to the loo that suffered. Need pain medicine for a vaginal or laparoscopic hysterectomy is very frightening to the patient that did see... Flowy -espacially in the belly causes a thinning of the vaginal cuff to otherwise! But may not be of concern consult a doctor ( virtually or in )... Takes up to 2 miles within the first stage of postpartum bleeding may occasional.