A hysterectomy, a surgical procedure to remove the uterus, is a common treatment for various gynecological conditions. Following this procedure, it is common to experience vaginal discharge, which is a normal part of the body’s healing process. Understanding what to expect during recovery, including the characteristics of this discharge, can help alleviate concerns.
What to Expect
Following a hysterectomy, some vaginal discharge is typical for several days to several weeks. This discharge often begins as light spotting and gradually decreases in volume. Normal post-hysterectomy discharge can vary in color, commonly appearing as light pink, reddish-brown, or yellowish-white, and is usually watery or thin.
The amount should be light to moderate spotting, not as heavy as a typical menstrual period. This discharge usually diminishes over four to six weeks, though it might persist for up to eight weeks. It is important to use sanitary pads during this time, avoiding tampons, which could increase the risk of infection.
Why Discharge Occurs
Vaginal discharge after a hysterectomy is a natural part of the body’s recovery and healing. A primary reason is the healing of the surgical site, particularly the vaginal cuff. This is the area where the top of the vagina is stitched closed after uterus removal. As this tissue repairs, fluid and old blood may be expelled.
Another contributing factor is the dissolution of internal stitches. These sutures, used to close the surgical site, dissolve naturally over several weeks. As they break down, they contribute to light spotting or discharge. Additionally, the body sheds old blood and tissue from the surgical area, which is then released as discharge. Even without a uterus, the vaginal walls and glands continue to produce mucus to keep the area clean and moist, contributing to ongoing discharge.
Signs of Concerning Discharge
While some discharge is expected after a hysterectomy, certain characteristics can indicate a complication and warrant medical attention. A foul odor accompanying the discharge is a warning sign, as it can suggest an infection. Any substantial increase in the amount of discharge, particularly if it becomes heavy like a menstrual period or fills a sanitary pad in less than an hour, is also concerning.
Bright red bleeding, especially if it is heavy or persistent beyond the initial days of recovery, should be reported to a healthcare provider immediately. Other symptoms that, when combined with discharge, suggest a potential problem include a fever above 100.5°F (38.0°C), severe abdominal or pelvic pain that worsens or does not respond to medication, and chills. Changes in discharge color to yellow or green, or a change in consistency that feels unusually thick or oily, may also signal an infection. If you experience any of these symptoms, contacting your healthcare provider promptly is important for proper evaluation and treatment.