Patient's question:
I have gone through menopause, and my external genital area often itches and cracks. Do I need to supplement estrogen?Additionally, one of my friends is 43 years old and has had a hysterectomy. What should she pay attention to?
Doctor's answer:
Hello:Menopause can cause external genital itching due to hormonal changes, which is a normal phenomenon. However, other gynecological conditions cannot be ruled out. It is recommended to visit a hospital for examination to confirm the diagnosis and receive appropriate treatment.
Post-total hysterectomy care:
1. Rest and maintain a positive, cheerful, and optimistic mood. Mostly bed rest is recommended, but light outdoor activities can be done. For example, doing exercises or taking walks on a balcony or in a garden. Light household chores can also be performed (note: avoid sitting on high chairs). In the first 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. A high-protein, low-fat diet is recommended. To promote the healing of the abdominal incision post-surgery, you can consume dishes like ham and chicken soup, fish soup, meat soup, and pigeon soup. Eat plenty of fresh vegetables and fruits to keep bowel movements regular and prevent vaginal stump bleeding caused by constipation and difficulty defecating, which may lead to high abdominal pressure.
3. If there is a small amount of dark brown vaginal bleeding in the first two months after surgery, it is due to incomplete absorption of the intestinal suture. No hospital visit is necessary. However, if there is a large amount of bright red vaginal bleeding, seek medical attention promptly.
4. Attend a follow-up outpatient check-up at the hospital two months after surgery.