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Vaginal Hysterectomy


A vaginal hysterectomy is surgery to remove your uterus through your vagina. Other organs, such as your ovaries and fallopian tubes, may also be removed.



  • Blood thinners help prevent blood clots. Examples of blood thinners include heparin and warfarin. Clots can cause strokes, heart attacks, and death. The following are general safety guidelines to follow while you are taking a blood thinner:

    • Watch for bleeding and bruising while you take blood thinners. Watch for bleeding from your gums or nose. Watch for blood in your urine and bowel movements. Use a soft washcloth on your skin, and a soft toothbrush to brush your teeth. This can keep your skin and gums from bleeding. If you shave, use an electric shaver. Do not play contact sports.

    • Tell your dentist and other healthcare providers that you take anticoagulants. Wear a bracelet or necklace that says you take this medicine.

    • Do not start or stop any medicines unless your healthcare provider tells you to. Many medicines cannot be used with blood thinners.

    • Tell your healthcare provider right away if you forget to take the medicine, or if you take too much.

    • Warfarin is a blood thinner that you may need to take. The following are things you should be aware of if you take warfarin.

      • Foods and medicines can affect the amount of warfarin in your blood. Do not make major changes to your diet while you take warfarin. Warfarin works best when you eat about the same amount of vitamin K every day. Vitamin K is found in green leafy vegetables and certain other foods. Ask for more information about what to eat when you are taking warfarin.

      • You will need to see your healthcare provider for follow-up visits when you are on warfarin. You will need regular blood tests. These tests are used to decide how much medicine you need.

  • Prescription pain medicine may be given. Ask your PHP how to take this medicine safely.

  • Antibiotics help treat or prevent a bacterial infection.

  • Take your medicine as directed. Contact your PHP if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your PHP or gynecologist as directed:

You may need to return for blood tests, ultrasound, CT scan, or other tests. Write down your questions so you remember to ask them during your visits.

Rest as needed:

You may feel like resting more after surgery. Slowly start to do more each day. Ask when you can return to your usual activities.

Contact your PHP or gynecologist if:

  • You have heavy vaginal bleeding that fills 1 or more sanitary pads in 1 hour.

  • You have a fever.

  • You feel pain when you urinate, or you have trouble urinating.

  • You feel pain during sex.

  • You feel pain or fullness in your vagina.

  • You feel like something is sticking out of your vagina.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • You feel lightheaded, short of breath, and have chest pain.

  • You cough up blood.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.