Will I bleed after a hysterectomy?

If the uterus is not completely removed, there will still be a small amount of spotting during menstruation. However, if the uterus is completely removed, there will be no menstruation in the future. After a hysterectomy, you may suffer from urinary system disorders, sexual dysfunction, ovarian dysfunction and other symptoms. Patients with a bad mentality may also develop symptoms of depression.

Postoperative sequelae

Symptoms of depression

The endocrine regulation of the uterus and ovaries forms a feedback system with the central nervous system. After the hysterectomy, this feedback link is destroyed. In particular, when the estrogen level drops, it will interfere with the normal secretion and metabolism of central neurotransmitters, which can cause varying degrees of anxiety and depression symptoms, such as low mood, anxiety, lack of interest, insomnia, memory loss, etc., thereby reducing women's quality of life.

Urinary symptoms

The female urinary system is homologous to the reproductive system and is both an estrogen-dependent organ. After hysterectomy, the estrogen level decreases, which can cause the elastic tissue around the urethra to thin, resulting in urinary incontinence, atrophy of the urethral mucosa, decreased resistance, and easy induction of urinary tract infection, and a series of urinary tract irritation symptoms such as frequent urination, urgency, and pain when urinating.

Sexual dysfunction

Estrogen is the most important regulating hormone for female sexual function, and the ovaries are the main secretory organs. After hysterectomy, the blood supply and function of the ovaries are affected. Most women will experience varying degrees of changes in sexual function, such as decreased or lack of libido, decreased frequency of sexual activity, decreased sexual responsiveness, difficulty in orgasm, and decreased sensation in the reproductive organs.

Ovarian dysfunction

Before menopause, the endocrine system between the uterus and ovaries maintains a precise and subtle dynamic balance. Hysterectomy will inevitably disrupt this balance and may cause ovarian function to decline, making menopausal symptoms earlier and more obvious.