Post-Hysterectomy Discomfort: Common Concerns and Solutions for Women - Obstetrics and Gynecology

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Discomfort Symptoms After Hysterectomy


On July 20, a Japanese patient underwent a hysterectomy and cervical removal due to adenomyosis measuring 18*15*9 cm.
It has been over 40 days since the surgery, and she is still experiencing many discomforts.
I would like to ask the following questions: 1.
Why is there still yellowish discharge? 2.
Why do I frequently feel dizzy? 3.
Why do my left hand and foot often feel numb after waking up? 4.
Why does my chest sometimes feel swollen and painful, and why has it improved after taking evening primrose oil? Gynecological issues are often difficult to discuss, and I hope Dr.
Zhong can provide insights to alleviate the concerns of middle-aged women.
Thank you.

Shan Shan, 40~49 year old female. Ask Date: 2005/09/02

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello: You have undergone a major surgery, specifically a myomectomy for large fibroids.

1.
A hysterectomy will leave an incision above the vagina, and during the recovery process, you may experience some discharge.
Please return for a follow-up appointment.

2.
It is estimated that you have had approximately 2 to 3 kilograms of tissue removed, which may include around 500 milliliters of blood.
Therefore, you may still experience symptoms of dizziness.
If tests indicate anemia, consider iron supplementation.

3.
The cause is unclear and further examination is necessary.

4.
This phenomenon may be related to hormonal changes in the body or alterations in diuretic effects.

Lastly, please consider your obstetrician-gynecologist as a good friend; do not hesitate to speak up or seek medical attention.
Your OB-GYN will help you resolve any issues.
Wishing you good health.

Reply Date: 2005/09/02

More Info


Post-hysterectomy discomfort is a common concern for many women, and it can manifest in various ways. After undergoing a hysterectomy, such as the one you had for uterine adenomyosis, it's not unusual to experience a range of symptoms as your body adjusts to the changes. Let's address your specific concerns one by one.

1. Yellow Discharge: It's common to have some vaginal discharge after a hysterectomy, especially in the weeks following the surgery. The yellow color could indicate a few things. It might be normal post-operative discharge, which can vary in color and consistency. However, if the discharge has a foul odor, is accompanied by itching, or if you experience fever or increased pain, it could indicate an infection, such as a vaginal or pelvic infection. In such cases, it's essential to consult your healthcare provider for an evaluation.

2. Frequent Dizziness: Feeling dizzy or lightheaded can be attributed to several factors post-surgery. It could be due to dehydration, low blood pressure, or even hormonal changes, especially if your ovaries were affected during the surgery. If you are feeling dizzy frequently, it's crucial to discuss this with your doctor. They may want to check your blood pressure, hydration status, and possibly perform blood tests to rule out anemia or other underlying conditions.

3. Numbness in Left Hand and Foot: Experiencing numbness or tingling in your extremities can be concerning. This could be related to nerve compression, possibly from positioning during surgery or from changes in your body post-surgery. It could also be a sign of peripheral neuropathy or other neurological issues. If this symptom persists, it would be wise to seek medical advice to determine the cause and appropriate treatment.

4. Breast Tenderness: Breast tenderness can occur for various reasons, including hormonal fluctuations after the removal of the uterus and possibly the ovaries. If you have noticed improvement after taking evening primrose oil, it may be due to its potential effects on hormonal balance and inflammation. However, if the tenderness continues or worsens, it would be advisable to consult your healthcare provider to rule out other causes.

In addition to these specific concerns, it's important to recognize that many women experience emotional and psychological changes after a hysterectomy. The surgery can bring about feelings of loss, anxiety, or depression, particularly if it was performed due to a serious health condition. Engaging in support groups, therapy, or counseling can be beneficial in navigating these feelings.

Moreover, maintaining a healthy lifestyle post-surgery is crucial. This includes a balanced diet, regular exercise (as advised by your doctor), and adequate hydration. These factors can significantly aid in your recovery and overall well-being.

Lastly, it's essential to have regular follow-ups with your healthcare provider to monitor your recovery and address any ongoing symptoms. Open communication about your concerns is vital, as many women feel hesitant to discuss their post-operative experiences. Remember, your health and comfort are paramount, and seeking help is a sign of strength.

In summary, while some discomfort and symptoms are common after a hysterectomy, persistent or severe symptoms should always be evaluated by a healthcare professional. Your body has undergone significant changes, and it may take time to adjust. Don't hesitate to reach out for support and guidance as you navigate this recovery process.

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