Doctor insights on:
Vault Smear After Hysterectomy
Total hysterectomy 1.5 years ago for endometrial cancer. Bleeding today after my vaginal vault pap for screening. Is this normal?
Is two weeks after surgery too early to have vaginal intercourse after a supracervical hysterectomy?
Pap smear bleeding: After menopause, the decreased estrogen makes the mucosa of the cervical area and the lining of the cervix much more delicate and apt to bleed on contact. Pap smears are sometimes the cause of this kind of bleeding. It should stop within a day or so. If it continues, see your provider. ...Read more
Sometimes: Many things can make doing a pap smear difficult. If the uterus is severely tilted, displaced, or removed (partial or supra cervical hysterectomy); visualizing the cervix may be difficult. Relaxed vaginal walls, scarred or shortened cervix, or even body size are more common reasons for a "hidden" cervix. Most gyns know the tricks to find the cervix, just find one more stubborn than your cervix! ...Read more
Is anal sex ok 3 weeks post op supracervical hysterectomy. Kept both ovaries and cervix. Scared to have vaginal penetration?
Ask the surgeon: The restrictions that your surgeon gave you post op for the length of time that you should not insert anything into the vagina should also apply to anal sex. Typically surgeons recommend 4-6 weeks without intercourse or any foreign objects in the vagina. If your surgeon recommended longer or shorter, then that same length of time applies to anal sex. ...Read more
Normal: It's VERY important to get a colposcopy if your pap is abnormal. A colposcopy is a speculum exam where special stains and magnifying lenses are used to look for pre-cancers on your cervix. If there are abnormalities, your GYN will take a biopsy, which is uncomfortable, but lasts ...Read moreSee 1 more doctor answer
No: Once the uterus containing the endometrium in total is removed, no. However, in supra cervical hysterectomies whereby the uterus is "chopped off" from the cervix, there are cases where some of the uterus containing endometrium is left behind and cyclic menstrual bleeding still occurs. In that instance, the surgeon will get a Pathology report stating that fact, and will retrieve the cervix et al ...Read more
I recently had a laproscopic supracervical hysterectomy. During the procedure, is the cervix sealed?
Needs evaluation: Some people develop extra tissue at the back of the vagina called granulation tissue. This can be removed in the office. If you still have your cervix then some people continue to have light periods. Bleeding 2 years after a hysterectomy needs to be evaluated by your surgeon in the office. ...Read moreSee 3 more doctor answers
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