What should be noted after a hysterectomy?

Patient's question:

Before the Spring Festival, there was a small amount of vaginal bleeding, and I sought medical attention at the county hospital.

Doctor's answer:

A healthy and joyful mindset, along with a caring husband, is a good remedy. Moreover, after uterine removal, women experience less disturbance from pregnancy and find sex life more relaxed and engaging. Therefore, uterine removal does not affect normal sexual life.
After uterine removal surgery, how long does it take to resume sexual activity? Generally, as long as the wound at the top of the vagina heals, normal sexual activity can be resumed. The healing time for postoperative trauma is approximately 6 to 8 weeks. In the early stages of postoperative sex life, movements should be gentle and slow. If mental tension leads to insufficient lubrication in the external genitalia and vagina, causing sexual difficulties, using a lubricant can be very effective.
Still need to adhere to gynecological examinations
The reasons for uterine removal vary, with different scopes and recovery outcomes. Uterine removal does not guarantee immunity from gynecological diseases thereafter.
For example, if the uterine removal is due to malignant tumors, regular follow-up is necessary to prevent tumor recurrence. If the uterine removal is due to benign tumors, the ovaries are usually preserved, so regular gynecological examinations are still required. Even if the uterus, ovaries, and fallopian tubes are all removed, pelvic soft tissues, the vagina, and the external genitalia may still develop abnormalities, so regular gynecological examinations must still be maintained.
Daily skin care after uterine removal is no different from general female care. A regular lifestyle, a healthy diet, and regular skin care are all scientific ways of daily maintenance.
1. Eat less greasy, fried, and smoked foods.
2. Eat more vegetables and fruits, especially tomatoes.
3. If anemia is present, consume more iron-rich foods such as pork liver, black sesame seeds, grapes, kelp, goji berries, and mushrooms.
In addition, of course, exercise and maintaining a happy mood are also important!
Postoperative care after total uterine removal:
1. Rest and maintain a cheerful, optimistic, and positive mood. Mostly bed rest is recommended, with appropriate outdoor activities. For example, doing exercises or taking walks on a balcony or in a garden, or light household chores (note: avoid sitting on high chairs). Within two months after surgery, do not sit on small stools to prevent increased abdominal pressure, which may cause intestinal suture dehiscence at the vaginal stump and lead to vaginal bleeding. Do not lift heavy objects or perform squatting movements.
2. Pay attention to nutrition. The diet should be high in protein and low in fat. To promote the healing of the abdominal incision, consume foods such as ham broth, fish broth, meat broth, and pigeon soup. Eat more fresh vegetables and fruits to keep bowel movements regular and prevent vaginal stump bleeding caused by constipation and high abdominal pressure during defecation.
3. If there is a small amount of dark brown vaginal bleeding within two months after surgery, it is due to incomplete absorption of the intestinal suture and does not require a hospital visit. If there is a large amount of bright red vaginal bleeding, seek medical attention promptly.
4. Attend a clinic follow-up two months after surgery.

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