The situation when the only option is to remove the uterus, unfortunately, is not uncommon. The uterus must be removed in case of severe bleeding, muscle tumors, as well as cancer of this genital organ. When the uterus is omitted, surgery can help a woman. If the uterus is removed, then there are still cases where the monthly can go after surgery. The main cases in which menstruation appeared after surgery to remove the uterus are discussed in detail below.
Content of the article:
Will the monthly if removed uterus?
After the end of surgical intervention in the life of every woman, a new stage begins. Experiencing a serious condition psychologically can not any woman, the majority of patients are frightened of their new condition, they may experience hormonal disruptions, as well as start a premature menopause. And when, after completing the surgery, a woman may observe monthly bleeding, such as during menstruation, she may panic at all, because she is not at all ready for such a phenomenon.
After the uterus has been completely removed, events can develop in two ways. In the first case, the woman stops menstruation and any discomfort, accompanied by them. However, in the second case, there are often observed discharge resembling menstruation. Of course, such discharges may not appear as regularly as monthly, but the fact remains: they do exist. In this case, a fair question arises, how can the monthly flow go if the uterus is already gone? Based on the medical advertising leaflets, after the uterus is removed, a woman is able to get rid of numerous problems that may arise with her health. However, after such an operation, you may not recover immediately, for some time you may experience problems associated with the postoperative period.
If the cervix was not removed, if the ovaries were not removed, then after the surgery, the woman will continue to go for periods. Because Due to the natural performance of its functions by the ovaries, the endometrium is still forming in the small remaining area.
And if, as a result of the operation, not only the uterus is removed, but also the cervix, then menstruation should not go at all. If, after such an operation, a woman has discharge that is similar to those that occur during menstruation, then she needs to seek medical help as soon as possible. Such symptoms may be signs of a disease of the organs of the reproductive system.
Quite often it happens when a woman thinks that she began to have periods, and in fact, these are alarming symptoms. Special attention should be paid if after the operation to remove the uterus went monthly, and the discharge has a bright red color, especially if the bleeding is not scanty, but abundant, if there are blood clots in the discharge. Especially dangerous discharge with pus or clots of pus, because this may be a sign of infection in the genital tract.
Can menstruation go right after surgery to remove the uterus?
Often, women wonder why they go after the month after surgery to remove the uterus, because they should not go. Opinion is wrong, because it all depends on whether the cervix is removed, whether the ovaries have been removed. In addition, it is important to note that immediately after surgery, vaginal discharge, which is similar to menstruation, can occur. Often, after the operation, the woman feels a dull pain in the lower abdomen, severe weakness or periodic manifestations of it, it may just be bleeding, dizzy. Women who have their uterus removed sometimes suffer from depression, which is associated with feelings about the loss of an important organ for the body, the genital organ.
If in the first 1, 2 days after the operation to remove the uterus are spotting, it is considered the norm. But doctors note that within 1 month the profusion of these discharges should decrease and after 30 days they should stop altogether, as a last resort, within 45 days. For secretions you need to follow, because they may be signs of uterine bleeding.
The recovery period after surgery to remove the uterus and its features
Usually, if a woman has a period after surgery to remove the uterus, this indicates that they have passed the rehabilitation period, which goes after any surgery. For a long time, the woman will remain painful after the removal of the uterus. The duration of the painful sensation may depend on a number of factors, including:
1 The presence of possible additional complications,
2 General condition of the woman,
3 healing speed of the seam,
4 Reasons for which the uterus was removed.
In this case, of considerable importance are the complications that can interfere with the normal work of the body, the pregnancy transferred by the woman. In most cases, it depends on how the seam heals the woman’s general well-being. All patients have different suture healing rates, and the measures prescribed by the doctor to speed up the healing speed do not help everyone.
It is during the recovery period that a woman may experience bleeding, which can be confused with menstruation. Quite often this situation is observed, which is why many mistakenly believe that even after the uterus is removed, it is possible to continue menstruation. What is the reason why bleeding can be confused with menstruation? Because on their background, a woman begins to feel painful manifestations in the abdomen. When the uterus is removed, there is a very high risk of complications. Even if during the operation it was decided to use only modern techniques, often after surgery, the woman has severe bleeding and, in some cases, suppuration of the stitches.
What could be the consequences and complications after the removal of the uterus?
What else in such cases may reveal complications after the removal of the uterus? A woman after surgery may experience irregular urination. After the removal of the reproductive organ, patients often have a high temperature immediately after the operation. There is also the likelihood of a venous thrombosis immediately after the surgery. How can, after surgery, alleviate overall health?
In such situations, there is one basic rule - in case of deterioration of general health, you must immediately tell the doctor about it. In no case should not listen to the advice of friends and acquaintances, because it can only aggravate the general condition of the woman. Also a large and important role in this case is played by the preparation of the patient for the process of uterus removal. Before starting surgery, you should consult a doctor for the selection of measures that can reduce the likelihood of complications. All techniques should be selected exclusively on an individual basis.
In the event that there are complications, then the woman will start bleeding, which she may confuse with her periods. It is necessary to know that after removal of the uterus, a woman has a menopause, which is accompanied by all the hormonal changes characteristic of him. To alleviate the changes occurring in the body, it is imperative to start taking hormone replacement drugs. Reception of such drugs is prescribed to all women who have undergone complete removal of the uterus. As the main component of treatment, women should prescribe drugs that have in their composition a large amount of estrogen. Before the operation to remove the uterus, women can be given medications for prophylactic purposes that can prevent the occurrence of atherosclerotic diseases.
Diet after removing the uterus, how to eat?
Adherence to the correct diet is recommended not only after surgery, but also during preparation for the removal of the uterus. Many women who have been removed uterus talk about quick weight gain. In this case, there is a certain regularity: the higher the weight, the more complications of menopause. If, after the operation, the woman began to sharply gain kilograms, then this indicates a problem in the hormonal background. There are several rules by which you can not only maintain optimal weight, but also reduce the likelihood of complications after surgery.
It is necessary to eliminate spicy, fried and fatty foods from your diet. Kashi can accelerate the recovery process of the body, while using them better in the afternoon. It is necessary to limit the number of consumed coffee, while increasing the amount of green tea, drinking water and natural juices. To maintain body tone and get rid of depression and stress will help sports. One of the most appropriate options in this case, according to the doctors, is walking, swimming and fitness classes.
One of the important problems for patients who have undergone surgery to remove the uterus is the subsequent management of intimate life. According to the doctors, after the woman undergoes surgery to remove the uterus, she should not have any problems with intimate life, however, provided that she does not start sexual activity until the stitches heal completely. It is allowed to return to the usual rhythm of life only after the woman can feel relief in her general state of health and her strength will fully recover. If this happens earlier, there is a greater likelihood of possible complications.
Why can lower abdomen hurt, spotting
If after a certain time, after the uterus has already been removed, the postoperative period has passed, but still there was pain in the lower abdomen, spotting appeared, then such symptoms can provoke the following problems: hot bath, overload or heavy weight lifting, sexual intercourse, severe stress situation. Due to these problems, inflammation may begin. If the bleeding continues for a long time, then there is a certain threat of ascending infection.
An important role is played by the fact whether the ovaries will be preserved or not. Those women who manage to preserve the ovaries are much easier to recover from surgery to remove the uterus. Because if both ovaries are preserved, then the hormonal balance in the body is not disturbed.
What should I do to avoid bleeding?
So that after surgery, in the postoperative period and after it, not to provoke the appearance of bleeding from the affected area during surgery, it is recommended to follow the recommendations on nutrition, sleep and rest is very important at this time. Particular attention should be paid to the restriction on physical activity, recommendations for maintaining sexual life.
What is the reason
Monthly after hysterectomy can be for several reasons. In the case of fibroids or non-invasive tumors, the organ is removed completely, but the cervix may be left. It depends on the characteristics of the pathological process.
If, nevertheless, the doctor made a decision and left the cervix, then during normal ovarian function, the formation of the endometrium occurs at this site, which provokes the presence of the menstrual cycle.
This can not be called a full menstruation, and more bloody discharge. Also, if the ovaries are saved, the woman can be bothered by premenstrual symptoms, which can be explained by the release of hormones into the blood.
In the case of complete removal of the uterus and ovaries, menstruation is completely absent. If there is bleeding, then this may indicate the presence of a pathological process that is actively developing. The patient is obliged to inform the attending physician and to undergo the diagnosis.
There are situations when a woman begins to bleed, and she thinks that her period has begun. It is worth paying attention to the following:
- blood is pretty strong
- their color is bright scarlet,
- can detect clots and pus.
This situation may indicate the presence of an infectious process.
Removal of the uterus a woman takes very seriously and painfully. Very often they consider themselves inferior. Some explain this by the fact that the menstrual cycle stops, and this situation indicates the aging of the body, which is not acceptable for any patient. Doctors argue that the main thing is the normal functioning of the female body, and not the presence of menstruation.
Some representatives of the beautiful half of humanity know that there should be no menstruation after a hysterectomy, and they are very worried about the appearance of discharge with blood contents. Do not worry too much, but in the presence of pain it is important to consult a doctor. Some women get very upset when the menstrual cycle persists.
In order to get rid of them completely need to remove the remnants of the penis, which is the cause of this phenomenon. If the doctor removes the remaining cervix, the menstruation will stop completely. There are situations when, according to the recommendation of a doctor, it is not allowed.
It is not necessary to carry out the treatment of the preserved menstruation, rather regularly visit your doctor and be examined. After the woman’s sexual cell supply is exhausted, menopause will occur, leading to a complete cessation of the menstrual cycle. After that, any bleeding is a signal of some pathology.
Menstruation and ovaries
If only the uterus is removed, the ability to save menstruation is preserved. This can be explained by the presence of appendages, fallopian tubes and ovaries. It is worth noting that the monthly may not occur even with the full work of almost the entire reproductive system. Hormones that secrete ovaries can only affect a woman's body, helping her to grow older more slowly. They also affect the mood and well-being of the patient in a cyclical sequence. This condition is also called premenstrual syndrome.
To save the menstrual cycle during surgery, the surgeon must leave a little genital. In most cases, this may be the cervix, where the endometrium will be formed. Only in such a situation, the ovaries work productively. If the ovaries are removed along with the uterus, then the hormones cannot be produced and surgical menopause and all its psychological signs occur.
From the above, it follows that the saved menstrual cycle during surgical intervention is directly dependent on the organs that have been removed.
You should not panic, if after the intervention, small secretions are found, but you should turn to a specialist because the operation was carried out due to the presence of serious pathologies.
Do menstruation after surgery
As a rule, during the hysterectomy (removal of the uterus), the female body undergoes serious changes, including in the menstrual cycle. Due to the absence of the main reproductive organ, the endometrium, which was located in it and was updated every month, stops growing. As a result, the cessation of menstruation occurs.
However, the absence of critical days is not always observed due to the following reasons:
- During the operation to remove the main organ of reproduction, which is carried out due to myomatous nodes or malignant tumors, only the body of the uterus is stopped, leaving the fallopian tubes and the uterine neck in place. As a result, the endometrial layer continues to grow inside these appendages and is sometimes updated, provoking rather poor blood discharge from the vagina,
- Preserving the integrity of the ovaries. In the event that when removing the uterine cavity, doctors decide to leave the ovaries, then menstruation may continue due to the synthesis of female sex hormones. Including the woman observes and symptoms of PMS. If the uterine appendages are removed, then without exception the climacteric period (surgical) comes to the woman’s life, and later menopause (complete extinction of the reproductive function).
If during the surgery the uterus and its appendages were removed, and the bleeding is still observed - immediately visit the gynecological office.
Possible complications after removal of the uterus
The type and nature of possible complications after hysterectomy completely depends on the following factors:
- A disease that triggered the need to remove the uterine body,
- Psycho-emotional and physical condition of the patient,
- Age and the presence of age-related diseases and transformations in the body,
- General health and effectiveness of the rehabilitation period.
The most common effects that are observed after such surgery, affect the psychological state. Женщина перестают чувствовать себя полноценной, становится раздражительной, склонна к проявлению апатии и депрессивного состояния. В таких случаях рекомендуется некоторое время посещать узкопрофильного специалиста.
Also often there are pain in the joints, the formation of postoperative adhesions and external, prolonged hemorrhages from the vaginal cavity.
If the operation is unreasonable, it is also possible that harmful microorganisms are introduced into the pelvic organs and the development of dangerous diseases.
How to survive the absence of menstruation
The postoperative period, during which a cardinal transformation occurs in the female body, is accompanied by a host of adverse symptoms affecting not only the physical but also, in most cases, the psychological health of the girl.
Life after surgical removal of the uterus and the complete extinction of reproductive function provokes a bad mood, emotional disorders, panic state, apathy and depression in a woman. She ceases to feel comfortable, associating it with the fact that now she cannot be called a full-fledged representative of the female sex.
However, it is not.
In such situations, close friends and relatives should constantly remind the girl that amputation of the uterine body prevented the dangerous consequences of a progressive disease and saved her life. After all, such a radical intervention, as a rule, is prescribed only in extreme cases, when ordinary treatment methods are not able to cope with the pathology present.
A woman who has survived a hysteroctomy is recommended to visit a psychotherapist for some time, which will help restore a normal attitude towards herself and her own body. In addition, sometimes doctors prescribe pharmacological drugs that are aimed at eliminating physical and psychological symptoms.
A woman, for full recovery after the operation, is recommended to correct her lifestyle, often is in the fresh air, to communicate with pleasant people, to go to rest on the sea and nature, and also try to limit yourself from negative emotions as much as possible.
What to do if monthly go
In a question, whether there are monthly after work of a hysteroctomy, we have understood. But now we will try to understand what to do if after the surgical amputation of the uterine body, the regulators continue to walk.
If you find that the menstruation has not stopped and continues to appear from time to time, then first of all you should contact the medical institution where the doctor will conduct the necessary research methods and identify the true cause of this phenomenon.
Fortunately, not always the appearance of bleeding from the vagina is considered a pathology.
In some cases, due to the individuality of each organism, critical days may be observed for some time due to the production of sex hormones by the ovaries. As a result, at the time when the woman had to go monthly, she can observe scanty, spotting blood. Such a phenomenon is not observed for a long time and soon the regulators completely disappear. However, sometimes the manifestation of premenstrual syndrome (abdominal pain, increased sweating, irritability) may persist for a long time.
But in medical practice there were also situations where such a hemorrhage from the vagina was abundant, accompanied by a deterioration of the general condition and severe pain.
It is very important to consult a qualified gynecologist in a timely manner, as such symptoms most likely indicate the development of dangerous consequences after a hysterectomy.
Do menstruation after uterus removal
When the uterus is removed, the woman's body undergoes significant transformations. From now on, a layer of the endometrium is not formed and is not rejected, due to this there is no cycle as a whole, and, accordingly, the menstruation itself.
But there are situations when after the operation the regulators continue to go, which may be due to several factors.
- Thus, in case of myoma or some types of cancer tumors, the uterus can be removed entirely, and sometimes it is possible to leave the uterus neck intact, which is due to the nature and course of the disease. When the cervix is preserved during surgery, the endometrium under the influence of the ovaries can form on it and further, leading to the continuation of menstruation. But we are talking here rather about minor discharge of a bloody character during periods coinciding with menstruation.
- If the ovaries have not been removed, then, in addition to the secretions, symptoms of PMS are also possible, which is associated with the production of hormones in them. If there are no ovaries, then hormone production ceases, there comes a menopause (after surgery, it is called surgical) and menopause.
In other words, the presence or absence of menstruation is influenced by what was removed during a hysterectomy — the preserved appendages and the cervix make it possible to continue menstruation.
After removal of the cervix menstruation should not be. Otherwise, it can be a signal of the development of diseases of the reproductive system. Minor discharge is not a pathology, but any discharge of a bloody nature, manifested a couple of months after the operation, is a sign of problems with the body. You need to consult with your doctor and be examined further.
After uterine polyps are removed, a brownish discharge may occur, which, in general, is not a deviation from the norm, due to minor injuries of the uterine walls with surgical instruments and as a result of blood coagulation. It happens that any selection is absent.
As for the menstrual cycle, then after the operation its recovery does not occur immediately: as a rule, this period takes 4 to 6 months, after which the menstrual cycle is restored and passes regularly.
How to deal with the lack of critical days
Rehabilitation after removal of the uterus is a long and difficult process, complicated not only by physical, but also psychological factors. A woman needs time and energy to come to terms with the loss of such an important body, learn to live in new conditions for her, and feel like a full-fledged person.
If about ten years ago, doctors recommended a hysterectomy for many gynecological problems, then today these operations are performed only in the most extreme cases, when there is no alternative, except for surgical intervention. There are a number of reasons for this, the main of which is the risk of possible complications.
But no less important is another aspect of this problem - the psychological state of a woman, changes in lifestyle and perceptions. Often a woman, even the one that has become a mother, begins to feel her inferiority, to undergo depression and stress. Her pursuit of heavy thoughts about the loss of its female attractiveness, about its uselessness. At the same time, the general state of health is deteriorating: fatigue is rapidly occurring, the mood changes for no reason.
Signs of an impending depression are easy to detect and eliminate, giving the woman increased attention, giving positive emotions and mood. Contribute to the uplift of the spirit as "live" contact, communication with nature, walking in the fresh air. Classical music and aromatherapy, as well as any other vivid impressions, a new positive emotional experience help create a peaceful mood and create a feeling of satisfaction with life.
It is much more difficult to help a woman if the depressive state has seized her completely. In this case, you can not do without the qualified assistance of a psychotherapist.
Other postoperative symptoms include hormonal changes. Hysterectomy causes menopause. Estrogens are not produced, a woman loses an interest in sex life, the aging process in the body occurs faster, regardless of age. To reduce the negative effects in violation of the hormonal background, prescribe drugs that support it and replace estrogen. It is also noted that when the uterus is removed, but the ovaries are preserved, the hormonal imbalance has a smaller effect on the body and the woman is less susceptible to discomfort.
Indications for removal
The main reason for the removal of the female reproductive organ are fibroids. The grounds for excision are:
- big sizes,
- great amount,
- the probability of transformation of benign tumors into oncology,
- rapid growth.
Surgical intervention is prescribed in the event that it is not possible to cure the fibroids with medication or cut them separately.
In addition, there are other reasons for the removal of the main reproductive organ of a woman:
- severe mechanical damage
- foci of endometriosis,
- prolapse or prolapse of the uterus.
In each situation, the doctor chooses the type of intervention and the necessary amount of excision of the genital organ. It depends on many factors:
- degree of development of the disease,
- related illnesses
- general condition of women.
It happens that as a result of such an operation, the female genital organ is not completely removed. Depending on the characteristics of the disease may leave the cervix.
If the woman still has the ovaries, then under the influence of the hormones produced by these endocrine glands, the endometrium will form in the remaining uterine region. Accordingly, they will go and monthly, but in a much smaller volume.
If the reproductive organ has been removed completely, then the mucous membrane has nowhere else to grow, which means that menstruation also stops.
When stored appendages, or at least one ovary, hormones are produced. If at least part of the uterus remains, then the endometrium grows and rejects on it, respectively, menstruation occurs.
After hysterectomy of the entire reproductive organ, the regul does not occur. If bleeding occurs in a few months, then it is a signal of pathology.
Amputation of the uterus is a rather complicated process. And after the operation, the woman spends mental and physical energy to bounce back. Depending on the state of health and the area of the lesion during surgery, the following is cut out:
- ovaries and fallopian tubes,
- one ovary and tube
At the same time, abdominal surgery is performed, or the doctor gets to the pathology through the vagina. The consequences of the manipulation and the rehabilitation period will also depend on the chosen method.
To perform this procedure, the doctor makes an incision in the abdomen. The operation takes from 40 minutes to 2 hours. The disadvantages of this kind of intervention include:
- a large scar that will remain on a woman’s body
- a high level of trauma and severe postoperative period.
By cutting the abdominal wall, amputation or extirpation of the uterus is performed.
Amputation is the removal of the female genital organ, in which both the cervix and the fallopian tubes are preserved, and the ovaries are also left. And extirpation involves the removal of the entire reproductive system. Thus, after amputation of the uterus, menstruation will continue to go, but after extirpation it will not.
After any type of abdominal surgery, small fragments of tissue and minor discharge of blood may come out. It is necessary to sound the alarm and urgently consult a doctor if:
- blood goes on all the time, a month or two
- large clots are separated,
- bleeding is accompanied by pain
- the highlights are bright scarlet.
Through the vagina
In this operation, the mucous membrane in the upper part of the vagina is excised. This type of uterus removal has its advantages and disadvantages. The advantages include:
- less risk of trauma and complications
- beautiful cosmetic effect
- shorter rehabilitation period and faster recovery after manipulation.
The disadvantages include:
- difficulties in visual inspection of the abdominal cavity,
- increased risk of hitting the bladder or rectum,
- arising difficulties with stopping bleeding.
In our country, this type of manipulation is carried out with the omission, prolapse of the uterus or sex change operations. Therefore, laparoscopy is increasingly used to remove the organs of the female reproductive system.
Women who have had their ovaries preserved during the operation experience rehabilitation more easily. This is due to the fact that these endocrine glands continue to produce hormones, the balance of biologically active substances in the body is not disturbed.
Monthly after surgery
Regular periods after removal of the uterus are possible only under the condition that it is not completely excised, but some part remains, such as the neck. Then the endometrium will grow on it, which is rejected every month, provoking cyclic secretions. But for this it is necessary to leave the ovaries, since menstruation occurs under the influence of the hormones that they synthesize. Also, due to being in the body of these endocrine glands, it ages more slowly and better resists environmental factors.
After excision of the ovaries, hormonal changes and surgical menopause with all its manifestations begin. Thus, in order to continue menstruation, the ovaries and at least part of the uterus must be present in the body. If all of this is removed, and 2 months after the manipulation, prolonged bleeding is still observed, then this is a sign of pathology. In this case, you need to consult a doctor.
To understand when it is necessary to guard, we recommend to read additional information about the color of the menstrual blood is normal.
Before and after surgery, a woman must take antibiotics to avoid infection. They are not prescribed only in the case of individual intolerance to this type of medication.
No critical days
After hysterectomy, it is often very difficult for women to come to terms with this emotionally. When realizing the absence of the reproductive organ, the representative of the weaker sex feels worthless in terms of the realization of the main female goal. To a greater extent this is reminiscent of the absence of menstruation and the scars left after the operation.
In order for postoperative stress not to go into prolonged depression, a man who is nearby needs to be as caring, patient and loving as possible. Women in this psychological state are very vulnerable and vulnerable, even if they are not recognized. After all, other representatives of the beautiful half of humanity are going through menopause and menopause for several years.
Even an extremely stress-resistant woman can experience a panic state when her periods disappear overnight.
Therefore, it is important for all relatives and friends to show a keen interest and participation in the fate of a dear person. The main thing - to give positive emotions and distract from sad thoughts. Well, if a woman has children, and perhaps even grandchildren, then it will be much easier to survive the postoperative painful sensations than a girl who was only planning to become a mother.
Treatment and effects
The first 2 months for women who have undergone surgery to remove the uterus, it is undesirable to live sex life. This is necessary in order not to injure or infect the stitches left after surgery.
Also, up to 6 months it is necessary to eliminate weight lifting, active exercise, taking hot baths, and in any case not be nervous.
If there is a neck and appendages, then the normal cycle of menstruation will recover approximately 4–6 months after the manipulations. Those who have their ovaries removed are prescribed hormonal drugs to smooth out the symptoms of early menopause.
Features of the postoperative period
A woman spends several days after surgery in the hospital. She is recommended to wear compression knitwear and especially closely monitor the regularity of the chair. Moreover, it is important above all proper nutrition, laxatives should not be taken without great need. Physical activity is acceptable moderate - it will help to rehabilitate faster after removal of the uterus.
The most common in the first days of the consequences of the removal of the uterus - a variety of violations of the act of urination. During it, women may experience cramps, a feeling of an incompletely empty bladder may appear, urination becomes difficult, intermittent, etc. Most often this is due to the fact that the bladder changes its angle to the urethra after removal of the uterus. But this symptom is temporary, resolves itself within a few weeks. But it is necessary to exclude another cause of ailments - urinary tract infections. To do this, surrender urine.
Other possible consequences of the removal of the uterus:
- omission of the vaginal walls,
- urinary incontinence,
- pelvic pain.
The main consequence of the removal of the uterus is the loss of the ability to bear and bear children independently. That is why this operation should be carried out only as a last resort to young women. However, even the absence of an organ, the only organ where fetal development can take place, a woman can become a mother, and it is a genetic one, and not a adoptive one. Reproductive technologies come to the rescue. If a woman has ovaries with eggs, they can be taken using a puncture and in vitro fertilized with sperm of the spouse or donor. Ну а вынашивание ляжет на плечи суррогатной матери. Можно не волноваться, что ребенок унаследует какие-либо ее черты, это невозможно.
After removal of the uterus, many women note symptoms that occur when menopause approaches, in other words, menopause. Severe sweating, bad mood, hot flushes, headaches, decreased libido, hair loss, and others associated with a decrease in estrogen production. First of all, all this is felt by women who have their uterus and ovaries removed. But even in the presence of ovaries, menopause symptoms are possible, although they are temporary, if there are still several years before menopause.
To alleviate the condition of the woman after the uterus is removed, doctors can prescribe her hormone replacement therapy. Tablets will need to drink for several years in a row. This kind of treatment is possible in the absence of contraindications. These are thrombosis, active smoking, liver diseases, etc.
Does the uterus go after menstruation? Not always. It all depends on what type of operation was performed. With a high amputation of the uterus with preservation of the ovaries, the menstrual periods can continue to go, but usually very scarce, since the area of the endometrium that exfoliates is very small.
There are no monthly periods for the removal of the uterus and ovaries, but only if the woman does not use hormone replacement therapy (HRT).
Removal of the uterus effects on sexuality rarely gives. Is that psychological. In addition, the quality of sexual life may be reduced due to insufficient moisture of the genital organs due to estrogen deficiency. You can partially get rid of these inconveniences with the help of lubricants, as well as hormone replacement therapy.
Pain occurs during intercourse after the uterus is removed if the length of the vagina is surgically reduced (the cervix was removed) and if the walls of the vagina are lowered. The last complication can be corrected with plastic surgery.
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Monthly after removal of the uterus - how is it going?
In the event that an urgent removal of the uterus is necessary, there is no way you can do without surgery. Removal of the uterus in this way is called hysterectomy. Monthly after removal of the uterus may go irregularly or stop.
When will menstruation go after uterus removal?
Naturally, periods after removal of the uterus disappear forever, as well as the ability of women to become pregnant and give birth. Previously, this operation was often practiced, since it was believed that after performing its main reproductive function, the uterus was no longer needed and could increase the risk of gynecological diseases. However, modern skilled gynecologists have come to a different conclusion in recent years. And therefore, doctors struggle for the sick female organ to the end, trying to cure it with numerous modern preparations. Unfortunately, if nothing helps, the removal of the uterus is inevitable.
Therapy after hysterectomy (removal of the uterus)
After surgery to remove the uterus health problems often do not end there. Unfortunately, new problems arise, often even psychological ones. The main reason for women's depression and stress is the question whether after such an operation a woman remains a woman. Can she count on happiness in her personal life or not?
Consequences after removal of the uterus and the disappearance of menstruation
In addition, the negative effects after the removal of the uterus appear on the physiological level, namely:
Severe pain during intercourse,
Restrictions on sexuality for several months
Lack of ability to get pregnant,
Earlier onset of age menopause,
The clear threat of osteoporosis, as well as heart disease.
However, there are pleasant moments, namely:
There is no waste associated with menstruation and contraception,
There are no diseases in the uterus,
Sharply reduced belly and overall weight.
No monthly after removal of the uterus
Monthly after removal of the uterus, of course, will not. For this very reason, the correction of the hormonal background by a qualified gynecologist and endocrinologist is mandatory. This will be a reliable protection against the terrible diseases of the vascular and malignant "cancerous." Independently adjust the hormones is impossible, you can cause serious harm to the body. After all, there are lots of drugs in this area, and every woman with her individual characteristics needs a special approach.
© Gynecologist Yulia Zhadova
Other articles on this topic:
What is the removal of the uterus
In official medicine, this surgical procedure is called hysterectomy and may involve both the partial removal of the uterus sole body and its extended amputation: when the cervix, appendages and lymph nodes next to it are additionally removed. Whether the appendages will be affected depends on the reason that brought the woman to the surgical table.
Even if the doctor told about the need to remove the uterus, the woman will need to undergo examinations confirming the absence of contraindications to such surgery or certain types of hysterectomy. If the necessity of the operation is confirmed, the following preparatory measures will be required:
- Determine the list of acceptable options for anesthesia.
- A month before a hysterectomy, a course of antibiotics is drunk.
- A day before the uterus is amputated, a woman eats only shredded vegetable food and always makes an enema.
How to remove
The method of amputation of this genital organ is selected according to the reason, which required to be solved by radical methods, and for the patient’s state of health. Hysterectomy is performed under general anesthesia. According to the method of surgical intervention, doctors divide it into:
By the amount of material that is planned to cut, emit:
- Subtotal hysterectomy - for small size of the tumor appendages and preservation of the cervix, to eliminate fibroids (in the presence of uterine bleeding).
- Extirpation or total removal - in the presence of pelvic organ prolapse, fibroids, the initial stage of cancer. Removal of appendages may be implied.
- Radical hysterectomy - after it they speak of a surgical menopause, since the fallopian tubes and ovaries are additionally removed.
Minimally invasive intervention involves small incisions and the introduction of special tubes into the abdominal cavity, through which the surgeon operates the instruments and monitors the course of the operation through the probe with a video camera. During laparoscopy, excision of the ligaments of the ovaries and uterine vessels occurs. The minimum number of negative consequences, a short recovery period, a reduction in the risk of bleeding after uterine amputation are the main advantages of laparoscopy. The downside is the duration of the operation: from 1.5 to 4 hours.
It is conducted mainly in the case of:
- endometriosis cervical stump.
How many are in the hospital after uterus removal
The length of stay in the clinic that performed the operation is determined by the nature of the surgical intervention: the period of hospitalization after laparoscopy is only 2 weeks, while the woman can get up the very next day. Other options for surgery, especially if there is a large number of postoperative sutures, require a long hospital stay - up to 6 weeks. In the absence of complications, the doctor prescribes the patient a week later.
The first day after hysterectomy, the patient should lie down, after a day she can begin to eat, and after a week (average time) she is removed by stitches. The first weeks will be sick lower abdomen (can give in the lower back), which is considered the norm due to severe tissue injury. Some medical recommendations:
- Sexual contact is allowed 2 months after surgery.
- It is dangerous to lift weights while staying in the hospital after a hysterectomy - this can threaten with the vaginal prolapse, the seams diverging.
- You can go in for sports (and give yourself other physical activities) six months after the operation, but you can give yourself easy gymnastics in a month.
- 4 days after surgery, you need to start douching.
After extirpation of the uterus or its partial removal, doctors insist on a diet that involves the use of porridge on the water, light broths based on vegetables or poultry, low-fat fermented milk products. You can eat nuts, vegetable food. Under the ban also get products that can irritate the mucous membrane, and all bakery and confectionery products.
The first week, especially after abdominal surgery, a woman needs to wear a supporting bandage, which is chosen by the doctor: it reduces pain, is necessary for the intestines to work properly. The period of wearing is 4-6 weeks, but the doctor may advise to leave it for a longer period if there are problems with the healing of postoperative stitches.
Treatment after removal of the uterus
In order to prevent adhesive disease, doctors insist on the use of anticoagulants and antibiotics for a week. After the gynecologist can prescribe hormonal therapy: two-or three-phase, and in women older than 50 years, estrogen, testosterone and gestagen separately. All medicines are selected individually! Among these drugs:
There is life after the removal of the uterus - in their responses, women who have undergone hysterectomy, say that the psychological burden becomes the most serious complication. In some cases, you have to visit a psychotherapist for some time in order to regain confidence in your own usefulness. If we talk about the physiological complications after the removal of the uterus, then everything depends on the nature of the operation:
- If the surgeon has affected the uterine cavity of a large volume, or performed a total hysterectomy, the risk of adhesions is increased. To remove them will have to resort to laparoscopy.
- If during hysterectomy, the ovaries are removed along with the uterus, a large blood loss is possible, then prolonged bleeding is possible.
The first weeks and months after surgery for amputation of the uterus (full or partial), doctors do not exclude the risks of complications:
- infection of the seam (can be recognized by temperature increase),
- urination problems,
- bloody issues,
- lung artery thromboembolism
- inflammation of the abdominal walls,
- inflammation of the seams, their divergence,
- hematoma formation in the suture area.
Implications for the body
If you do not pay attention to the age of the patient, which partially determines the consequences of the removal of the uterus for a woman, physicians are reminded of the loss of childbearing function, but surrogate motherhood is not excluded if the ovaries are preserved. More unpleasant is the fact that the stump of the cervix and the organs occupying the pelvic cavity are lowered, which cannot be prevented - only eliminated by surgery.
A few more gynecological moments:
- Due to problems with the endocrine system, a woman can lose weight or gain weight, chest pains can appear or her appearance changes.
- Women who have suffered removal of a part or the entire uterus may experience pain during sex due to the presence of a scar or shortened vagina.
- A woman younger than 40 years old decreases the production of sex hormones when the appendages are removed along with the uterus, and hormonal changes will occur, which can negatively affect sex life.
- Older patients have less negative effects from the operation, but atherosclerosis and osteoporosis are not excluded.
- If ovarian function was impaired, the patient will encounter menopause within a few days: there will be hot flashes, mood swings, and the skin will begin to age. Preserving libido against this background is also difficult.
Monthly after uterus removal with preserved ovaries
The function of the appendages and the synthesis of sex hormones while preserving the ovaries does not change, so there is no need to worry about the menstrual cycle (there is no menstruation, but spotting bleeding remains) if the uterus has not been amputated by a woman who is on the menopause. However, doctors emphasize the fact that the change in the period of the onset of the menopause is inevitable due to damage to the uterine vessels: it will happen 3-5 years earlier.
How much is the operation?
Prices for hysterectomy in Moscow are determined by the type of surgical intervention, the level of the specialist performing the operation, and even the conditions provided by the clinic, according to subsequent inpatient monitoring. The range of prices is large - from 46,000 to 155,000 p. therefore, each case must be clarified individually. An approximate picture looks like this:
When is hysterectomy prescribed?
Indications for surgery are:
- malignant neoplasms,
- prolapse or prolapse of the uterus,
- severe endometriosis,
- ectopic pregnancy,
- multiple fibroids.
The decision to remove the reproductive organ (uterus) is made by a qualified gynecologist after a detailed examination and the absence of positive results of long-term treatment.
Of course, all the patients who had to deal with this problem are ready for the coming menopause, and the appearance of bleeding can cause not only fear, but even a real panic. The operation itself is quite complicated, but the recovery period requires from the patient not only physical but also moral strength. It is important to remember that any surgical operation entails many changes, as it is an intervention in the body, and the described procedure is not an exception.
Will monthly come if the uterus is removed
The reproductive system occupies a very important place in the female body. Its normal functioning affects sexual activity and general well-being. A special role in this is played by the stable arrival of menstruation.
If there are any problems in the body of the woman, the doctors in every possible way try to avoid surgical intervention by prescribing drug therapy.
But it happens that the removal of the uterus is the only way to save not only health, but also life.
Whether the periods go after uterine removal depends on the degree of intervention. And this should be known.
Types of hysterectomy
Removal of the uterus is an operation during which an amputation of the female reproductive organ is performed, but depending on the characteristics of each individual case during surgery, it can be removed:
- both ovaries and fallopian tubes,
- one ovary and one fallopian tube,
The consequences of surgery depend on what kind of surgery was performed on the patient. Amputation is the supravaginal removal of the genital organ, in which both the cervix, the fallopian tubes, and the ovaries are preserved. Extirpation - removal of the uterus, cervix, appendages. Subtotal hysterectomy - removal of a separate part of the body of the uterus (the indication is fibroid).
Radical hysterectomy is performed when malignant neoplasms are detected. This is the most difficult operation, during which not only the body of the uterus, fallopian tubes, glands that produce estrogens and the cervix are removed. Remove the surrounding tissue and lymph nodes.
Amputation or extirpation of the uterus is performed by cutting the abdominal wall or by a laparoscopic method, which will allow for low-invasive surgery, while maintaining the aesthetics of the abdominal wall, avoiding a massive incision.
Women who are to undergo such an operation should be firmly aware that menstruation, during which the detached endometrium layer is removed from the uterus, is simply impossible after removal of this organ.
However, in the postoperative period for some time one, and sometimes several times a month, the patient appears discharge, resembling menstrual blood. Highlight these dark color, clotted.
They are postoperative tissues, the removal of which from the patient's body will occur through the vagina.
The appearance of these secretions is in no way connected with the functional activity of the preserved ovaries. Normally, small blood clots may appear once or twice, after which comes a full menopause (postoperative menopause).
The reason for going to the gynecologist is the appearance of such secretions two months after the surgical procedure associated with the removal of the uterus, whether the ovaries are removed or preserved. Dark bloody discharge with clots should not bother the patient after more than six weeks. A woman should understand that menstruation is possible only with a uterus.
These days there is a rejection of the endometrium, prepared for the implantation of the ovum.
The absence of the organ itself, in which the endometrium is located, causes the absence of menstruation, regardless of the presence of the ovaries.
Discharges that a woman may take for menstruation may appear once or twice, but no more. This is a postoperative phenomenon that should disappear no later than two months after surgery.
What to expect during the rehabilitation period
Features of the recovery period after removal of the uterus is related to whether both ovaries or one of them were removed. In some cases, surgery takes place with the preservation of both ovaries, and in this case, the patient faces certain difficulties, which she should be aware of before the operation.
The recovery of the body is slow and brings with it significant changes, requiring increased attention to all functions of the body, especially hormonal changes. The stored ovaries continue to function, producing estrogens throughout the term, laid down genetically.
In patients undergoing surgery, the functionality of the ovaries, preserved after amputation or extirpation, stops a couple of years earlier than in other women. Such patients are less likely to experience hot flashes and dizziness, general weakness and drops in blood pressure. They rarely complain of lower abdominal pain and note preserved libido.
In some cases, the menstrual cycle is preserved with minor deviations.
Menstruation is painful, causing discomfort to the patient, or menstruation comes at the same time in the form of small bleeding.
Preservation of the ovaries after removal of the uterus ensures the absence of hormonal disruption. If only one ovary is removed, then the hormonal balance is slightly disturbed, but the patient encounters:
- with the problem of disturbed menstrual cycle,
- severe pain in the lower abdomen, accompanied by slight bleeding,
- pain that occurs during intercourse.
Patients with one ovary do not complain of noticeable changes in their general state of health, since even one ovary can maintain hormonal balance in a woman’s body.
Menstruation after complete or partial hysterectomy
The pathologies of the organs of the female reproductive system must be treated without fail, since many of them are extremely dangerous.
In most cases, doctors prefer relatively gentle methods that require hormone medication.
There are situations when the disease is a threat to the life of a woman and the doctor decides on the need for surgical intervention.
Basically the problem lies in multiple myomas or their large sizes. Very often, they do not act hormonal drugs need to be operated. If myoma begins to actively grow and there is a risk of its transformation into oncopathology, then the uterus is removed entirely.
It is a pity, but fibroid is not the only disease in which it is necessary to carry out the complete removal of the uterus. These include the presence of malignant neoplasms, mechanical damage, endometriosis.
After the procedure of removal of the uterus, the woman's life changes significantly. From this point on, the endometrium does not form, which prevents the menstrual cycle from developing and the menstrual periods do not occur. It is worth noting that this is not always the case. There are situations that even a woman’s uterus can have menstrual bleeding.
Do menstruation after uterus removal?
The female reproductive system and its normal performance depend on a variety of external and internal aspects.
It is in the normal state of the reproductive organs that every woman undergoes a physiological process such as menstruation.
During it there is a rejection of the mucous, protective layer, which grows monthly in the uterine cavity, as well as the output of the egg, unfertilized by sperm.
With the development of serious diseases affecting the pelvic organs, urgent and effective treatment is necessary.
If the pathology progresses rapidly, greatly deteriorates the quality of a woman’s habitual life activity, or is at an advanced stage, the most appropriate method of treatment may be surgical removal of the uterus.
Such an operation adversely affects the functioning of the reproductive system and causes a lot of changes. That is why in this article we will try to understand the most frequent question, can the menstruation go after the removal of the uterus, why the bleeding from the vagina stops, and how to survive their absence.
Amputation of the uterus: possible consequences
Speaking about the consequences of hysterectomy, it is necessary to consider a number of factors:
- the reasons for the surgical intervention
- the physical and psychological state of the woman who survived the operation,
- age-related changes in the patient’s body,
- general dynamics of the rehabilitation process.
The consequences of hysterectomy are not always unambiguous - some women after surgery tend to feel increased anxiety, apathy, depressive moods.
In addition, there may be painful manifestations associated with the healing of sutures, sometimes adhesions are formed, and long-term postoperative bleeding is also possible.
In this case, the removal of the uterus can be considered as getting rid of a number of unpleasant symptoms and painful sensations. Breakthrough bleedings disappear, hormonal background normalizes, the internal organs gradually normalize their placement, disturbed by fibroma.
After the uterus is removed, are they monthly or is it pathology
Surgical intervention in any volume is a significant stress for the body. If the patient undergoes abdominal surgery, then rehabilitation is very serious. As for the gynecological sphere, the most frightening is hysterectomy - removal of the uterus. How will the life of a woman change in the next period? After removal of the uterus are monthly or not?
Indications for surgery
Removal of any organ is more than a serious step in the treatment of diseases. It is not always easy to choose it as the only acceptable method of treatment for a particular patient. With regard to such treatment as hysterectomy, a couple of decades ago it did not seem to be something exceptional. The uterus was removed even with a slight threat to the life of the woman, considering this method as the most successful for preventing subsequent bleeding, tumor pathologies.
Now look at this problem more benign. Doctors are trying to preserve as much as possible not only the childbearing, sexual, but menstrual function. There are several approaches to the tactics of operation:
- complete organ amputation
- partial cervical removal,
- hysterectomy with removal of appendages.
The latter requires the inclusion in the rehabilitation list of therapeutic measures of such a plan as hormone replacement therapy. Today, hormone replacement therapy is quite an effective way.
For the appointment of surgery such an impressive scale, an accurate diagnosis is necessary. Direct indications for hysterectomy include the following conditions:
- significant prolapse, prolapse of the uterus,
- persistent bleeding.
The volume of the operation is determined in each case individually, taking into account the degree of development of the disease, associated diseases, and the state of health.
Changes in the menstrual cycle
Cyclical fluctuations of hormones in the female body determine the menstrual cycle. Practically all spheres of life of a normal woman depend on these active compounds: ability to work, mood, physical endurance, ability to become a mother, and so on.
Menstruation is the visible part of cyclical changes, which is manifested in the removal of the endometrial layer through the vagina to the outside. The process is characterized by the presence of bloody clots, liquid blood, a small amount of mucus. Bleeding occurs if the egg is not fertilized, pregnancy has not occurred. The frequency of menstruation for each woman has its own, on average, the cycle ranges from 23 to 35 days.
The natural outcome of events is the absence of menstrual bleeding after hysterectomy.
Since there is no organ that excretes exfoliated mucous membrane, there can be no regular periods. Consequently, if there are monthly periods after the removal of the uterus, then this should alert the woman, force her to see a doctor. Especially, if such a picture persists for a long time after surgery.
The absence of the main sexual organ of the female reproductive system inevitably leads to a dramatic change in hormonal levels. In all cases, hormone replacement therapy is indicated. The dose and the drug itself are chosen individually. It is precisely the proper use of means of anti-aging that reduces the negative effects of hysterectomy for the sexual sphere of a woman’s life, as well as the emotional component to a minimum.
Many fear a set of extra pounds after such an intervention. These are vain alarms. It is only necessary to adjust the diet in favor of proteins, easily digestible fats, complex carbohydrates. It is necessary to significantly increase the proportion of vegetables and fruits with low sugar content. Carbohydrates that give a rapid increase in blood glucose (sugar, confectionery) must be excluded from your menu or be very limited.
Surgery to remove the uterus and appendages: the consequences, the postoperative period and physical activity
Removal of the uterus and appendages is a radical way of treating female diseases, and it should be used only when absolutely necessary. Some doctors believe that such an operation - not the best option, and seek to avoid it. However, in some cases, supravaginal amputation of the uterus with appendages is the only way to save a woman’s life. However, before agreeing to it, it is necessary to take into account all the consequences that will arise. If one doctor strongly advises to perform an operation to remove these organs, it is worth consulting with other doctors - maybe there is a chance of successful treatment without the use of radical measures.
During this operation, the female reproductive organs are completely removed: the cavity and cervix, fallopian tubes and ovaries. In some cases, excision of the nearest lymph nodes and the upper part of the vagina is practiced.
For such an event, there should be good reasons, usually doctors prefer to use other therapies or choose more benign types of surgery, when, for example, only the uterus is removed and the appendages remain in place.
Especially carefully selected method of treatment for young women who are still planning children. The removal of the reproductive organs inevitably leads to infertility, which is the main argument against such a measure.
In addition, simply removing the problem organ does not mean getting rid of the problem. Most often, the causes of the disease requiring an operation are associated with the individual characteristics of the body. If they are not neutralized, this treatment will only delay further deterioration.
When is an operation prescribed and when can it not be done?
Since the removal of the uterus and appendages causes adverse effects, it is worth understanding that they do not appoint this procedure to everyone. Only in the most difficult cases, doctors are forced to resort to this method of treatment. These include:
- the presence of multiple uterine fibroids or fibroids with large sizes, which began to develop in the period before menopause,
the risk of organ cancer,
- torsion of myoma node and its death,
- strong growth of the endometrium in the tissues of the uterus,
- uterus prolapse or prolapse
- breast cancer,
- endometrial hyperplasia,
- the presence of benign tumors in the uterus and appendages with the probability of their degeneration,
- menstrual failure caused by endometrial tissue changes,
- constant pain in the lower abdomen, lower back and pelvis,
- private bleeding that occurs for unknown reasons.
The presence of one of these problems is not always the reason for the appointment of an operation to remove the uterus and appendages.
The doctor usually takes into account the peculiarities of the functioning of the body, the speed of the disease and the number of difficulties encountered.
However, if there are several diseases from the above list or one of them, which progresses rapidly, creating a threat to life, they decide on the operation. Often choose to remove only the uterus or just appendages, but if there is a suspicion about the presence of pathology in neighboring organs, remove them.
Before the appointment of surgery to remove the uterus and appendages, the doctor must conduct a thorough diagnosis and make sure that such a measure is necessary. This is due to the presence of contraindications - this treatment is not suitable for all patients.
There are no strict contraindications for this surgery. There are certain limitations associated with the type of holding, since some individual characteristics can be an obstacle to the removal of reproductive organs in a certain way.
Limitations for performing the operation using the laparoscopic method include:
- large size of the uterus,
- the presence of large cysts in the ovaries,
- prolapse of the uterus.
In these cases, you should resort to another method of surgery.
The operation in which access to the organs to be removed is carried out through the vagina is impractical when:
- the presence of cancer, if there is no certainty that it does not develop in the nearest organs and tissues,
- large-sized uterus,
- Cesarean section
- the presence of inflammation of the internal organs.
Also, caution is required when the patient has heart disease, liver, kidney disease. They are not contraindicated, but doctors must identify them before surgery and take the necessary measures to avoid deterioration.
In the period after surgery, you must follow some rules to avoid complications. The bandage, which is designed to protect the operated area, cannot be removed until the doctor orders, which happens approximately two weeks later. In the hospital, the patient will have to stay for about 5 days. At this time, health workers themselves conduct antiseptic processing.
Removal of stitches is made after removing the bandage. Prior to this, it is undesirable to take a bath and shower, and wash should be only partially. When the sutures are removed, the patient will have to treat the wounds and monitor their condition. If you find inflammation or suppuration, you should immediately consult a doctor.
During the recovery period, pain medication is often prescribed.
Also during the postoperative period, excessive physical exertion, weight lifting, and sexual relations are undesirable. It is important that an infection does not get into the wound, so do not swim in open ponds or do not follow the doctor’s recommendations for stitching.
These limitations are also relevant for the laparoscopic type of surgical intervention, but the term of their observance is 2 weeks (for the abdominal type, they must be followed for about 6 weeks).
Completely abandon physical activity in this period is not worth it. On the contrary, you can perform light gymnastic exercises from the very first day.
It is very important to follow the rules of nutrition, so as not to provoke complications. According to them, it is necessary to abandon sweets, flour dishes, coffee, tea, smoked meats, as well as alcohol.
What complications are possible?
The main complications that may arise from such a surgical intervention are associated with non-compliance with the rules for its implementation.
Most often, during the recovery period, difficulties such as:
- suppuration in the seam area,
- violation of the microflora of the vagina,
- vaginal prolapse (if there is an injury to the muscles that support it)
- incontinence (if nerves are damaged),
- inflammatory processes.
The further life of the patient depends on its features, as well as on how correctly the method of treatment was chosen. If the causes of the disease that led to such a medical decision have not been eliminated, the danger of life persists.
In addition, surgical intervention leads to many changes in the functioning of the body and in particular life. There comes a menopause, internal organs can somewhat change their position, which affects the state of health.
However, in most cases, such an event allows you to eliminate many pathologies, and besides this, to get rid of hormone-dependent diseases, if they were. It is important to observe the recommendations of the doctor not only during the treatment period, but also later, this will significantly increase the chances of living longer.
You also need to attend a scheduled check-ups with a specialist and observe preventive measures. Identification of any adverse symptoms should be a reason for seeking medical attention.
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Monthly: how to come to terms with their termination?
Menstruation is a regular bleeding caused by the destruction of an egg cell that is ready for fertilization. It is only possible in sexually mature women, and is terminated by the time menopause ends. In fact, this bleeding indicates that the female body is ready to conceive a new life and regularly produces eggs that are ready for fertilization.
In women of childbearing age, whose uterus has been removed, monthly bleeding is impossible, since amputation of the uterus means a complete and irrevocable cessation of reproductive function in the body.
It is worth noting that some women observe specific bleeding in their womb after removal of the uterus, and tend to regard them as menstrual bleeding.
But they confuse the desired periods with residual effects, due to the fact that surgery could not affect the work of the ovaries, and the cervix continues to feel the influence of sex hormones.
Such secretions themselves are not dangerous, but after discovering them, a woman should still consult with your doctor.
In this case, do not despair because of the lack of menstruation. First of all, a woman should clearly understand that the hysterectomy performed has saved her life. Indeed, in most cases, radical surgical intervention is indeed an event of extreme necessity.
Therefore, the loss of reproductive function should be considered as a payment for the opportunity to continue to live, breathe and enjoy the world, care and devotion of relatives and close people. In addition, modern medicine offers alternative opportunities for the realization of the dream of motherhood - for example, surrogate bearing.
Features of physical and psychological rehabilitation
One of the main enemies of a woman in the process of rehabilitation after removal of the uterus is herself, or rather, the depressive psychological state into which she can fall. In particular, this applies to young women who are just preparing for motherhood.
In this case, in any case, rehabilitation after surgery is a long and difficult process.
A woman needs to learn to live in new conditions for her, to accept her new body, and to realize its beauty and importance.
Often, the appearance of scars causes a woman to reject her own identity, physical and psycho-emotional. In particular, it concerns the loss of feelings of their sexuality and desire as a woman. At a deep subconscious level, a destructive view of oneself as a woman who has lost the possibility of a primary social realization can arise. Against the background of psychological decline and depression, the physical condition of women will also deteriorate. The occurrence of suppressed pain syndrome is possible, which is not directly related to the process of postoperative recovery of the body.
If the considered psychosomatic manifestations had time to develop, only a qualified specialist can help such a woman.
At the same time, signs of approaching depression are easy enough to detect and not allow them to become rampant.
To this end, it is necessary to pay a woman who is experiencing a postoperative period, maximum positive attention: she will benefit from walks in the fresh air, communication with nature, especially the therapy of “live contact”, listening to classical music, aromatherapy. Any bright, positive impressions and a new emotional experience are also useful.
At a certain stage of recovery it is also recommended to resume sexual activity. It is possible that, provided there is a caring and patient partner, a woman can discover new dimensions of her sexuality, learn new sensations that are still inaccessible, because the state of physical discomfort and pain are eliminated as a result of the operation.