Womens Health

Sharp pains in lower left side (cont'd)

Doctors who remove the entire cervix feel that the need for future Pap smears and potential for cancer of the cervix is almost totally prevented in the future and that good support of the end of the vagina can be accomplished surgically with the correct technique.

Orgasm may be slightly changed but is not noted to be less pleasurable by most women undergoing the procedure.

Sometimes, when doing a total hysterectomy (this has nothing to do with the ovaries), in an effort to make sure the vagina is not shortened and to prevent injury to the bladder, a small amount of the tip of the cervix is left.

This would be like removing the entire nose and nostrils but leaving a small amount of the firm but moveable tip of the nose. When looking straight on, it looks like the entire cervix may still be present but in fact only a slight external surface is still present.

It happens to all surgeons unintentionally sometimes and some surgeons actually try to leave this tissue intentionally. Almost always the squamocolumnar junction is removed which gets rid of the need for future Paps (or decreases the frequency).

It also means the vagina has not been shortened at all which can happen sometimes.

When this happens to me either intentionally or unintentionally, I look with a colposcope at about 3 months after the surgery to make sure there is no endocervical tissue present. You might ask your doctor about doing that.

As far as your other symptoms of night sweats and insomnia, you did not mention if the ovaries were removed or not and how old you are. These could be symptoms of low estrogens.

The pain you are having needs to be evaluated by your surgeon. It sounds as if your post operative exam was not by the same person who did the surgery.

Nausea and gas pains persisting 6 wks after TAH

I was reading about the woman who had total abdominal hysterectomy surgery who had some of the same symptoms that I had. I also had a TAH Surgery where my uterus, cervix, appendix, ovaries, tubes, and a very large fibroid were removed.

My question is that since coming home from the hospital 6 weeks ago, I have lost 17 lbs. and I only weigh 103 lbs. My normal weight is 120 lbs, I am 5'4 and have a medium build. It seems that I have a poor appetite and get full after a few bites of food.

If I try to eat all my portions and get very full, I sometimes vomit up all the food I just ate. I also experience some nausea every day along with a lot of burping. I want to gain back my weight but it seems like I can't eat enough to gain it back.

Frequent small meals have not helped with weight gain. Is this normal after surgery? My tests are normal and the post op exams are normal. My doctor doesn't know what is wrong and keeps telling me to continue to eat small meals. Any comments?

Most of the time, nausea after gynecological surgery subsides in the first week, or possibly two. Occasionally it persists for a long time and then we need to know if something is wrong or is it just the body's response to the insult of surgery and all of the perioperative bowel preps, anesthesia, antibiotics, and other medications.

Table of Contents
1. Hysterectomy Problems
2. Herniated bowels?
3. Tummy exercises
4. When to have hysterectomy
5. Sharp pains and imsomnia
6. Nausea and weight loss
7. Gas problems?
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