Patient's question:
Medical history: On July, I underwent a total hysterectomy and bilateral adnexal removal surgery. According to the pathology report, it was diagnosed as endometrial invasion and cervical adenocarcinoma, moderately differentiated. 13 days after the surgery, there was mild bleeding, with a small amount and pinkish color, about a few drops throughout the day. During the follow-up visit, the doctor said it was normal but did not examine internally.One month after the surgery, there was mild bleeding again, slightly more (bright red) than the previous time, about 1-2 drops throughout the day, with blood in the urine. During the follow-up visit, the doctor recommended complete rest, prescribed medication, but did not examine internally.
The day before yesterday and yesterday, I took hemostatic pills and traditional Chinese medicine. However, the urine first showed blood water, followed by urine, with a bright red, blood-water color, without clots. Now, the urine has a slightly dark red hue.
Is it normal for the blood water to increase after taking the hemostatic pills?
Doctor's answer:
Six weeks after a total hysterectomy, the patient should go to the hospital for a follow-up examination to assess the wound healing. Sexual activity is generally prohibited for three months after surgery to facilitate wound recovery. After that, sexual activity can be resumed. Clinically, subtotal hysterectomy is often performed on young women and those with no abnormalities in cervical cancer screening. Since the cervix is preserved, the vagina maintains its original depth, resulting in a better sexual experience compared to a total hysterectomy. However, regular cervical cancer screening Pap tests are necessary to prevent cervical cancer and stump cancer.Research shows that ovarian function may be affected three to five years after a hysterectomy, leading to menopausal symptoms such as hot flashes, excessive sweating, irritability, and vaginal dryness, which can impact sexual activity. In such cases, it is advisable to consult a doctor. Hormone replacement therapy or topical treatments like fish oil ointment may be used to improve sexual harmony. Additionally, appropriate physical exercise and couples' health exercises can also aid postoperative recovery and enhance sexual harmony.