After a hysterectomy, a surgical procedure involving the removal of the uterus, patients often experience vaginal discharge and associated odor. While some odor is a normal part of the healing process, understanding its characteristics and duration is important for a smooth recovery.
Understanding Post-Hysterectomy Odor
Following a hysterectomy, a mild, musky, or slightly metallic odor from vaginal discharge is commonly observed as the body heals. This discharge can initially be bright red or pink, gradually transitioning to a brownish or yellowish color over time. The odor is attributed to tissue healing, dissolving surgical stitches, and the presence of old blood and fluid. This discharge can persist for a few days to several weeks, sometimes up to six weeks. The odor diminishes gradually as healing progresses.
The type of hysterectomy performed, whether abdominal, vaginal, or laparoscopic, influences the recovery timeline, but the general expectation for discharge and mild odor remains similar. Dissolving stitches contribute to the odor as the body absorbs these materials. The vagina naturally has a distinct scent, which can vary based on diet and hydration, even without surgery.
When Odor Signals a Problem
While some odor is expected, certain characteristics can signal a complication requiring prompt medical attention. A strong, foul, fishy, or unusually pungent smell, especially if accompanied by a change in discharge color to green or yellow, is concerning. Such odors often indicate an infection, such as vaginal cuff cellulitis or a surgical site infection.
Other causes for abnormal odor and discharge include retained surgical materials, such as sponges or gauze, which can lead to infection and inflammation. Though rare, a fistula, an abnormal connection between the vagina and another organ, can also cause foul-smelling vaginal discharge, along with continuous leakage of urine or stool. Immediate medical evaluation is needed if you experience:
Fever
Increased or severe abdominal or pelvic pain
Heavy bleeding
Discolored discharge
General malaise
Pain medicine not helping
Redness, swelling, or pus around any incision sites
Managing Post-Hysterectomy Odor
Managing post-hysterectomy odor involves maintaining proper hygiene and following your healthcare provider’s post-operative instructions. Gentle external washing with water and mild, unscented soap is recommended to keep the perineal area clean and dry. Avoid douching or using scented products like wipes, sprays, or deodorants in the vaginal area, as these can disrupt natural bacterial balance and pH levels, potentially leading to irritation or infection. The vagina is self-cleaning, so internal cleaning methods are unnecessary and can be harmful.
Wearing breathable cotton underwear helps with airflow and reduces moisture, which contributes to comfort and can lessen odor. Changing sanitary pads frequently is advised to manage discharge and maintain cleanliness. Avoid inserting anything into the vagina, including tampons, for several weeks post-surgery, as advised by your surgeon, to allow the vaginal cuff to heal properly and prevent infection. Following these practices and attending all follow-up appointments helps ensure a healthy recovery and allows healthcare providers to address any persistent or concerning symptoms.