A hysterectomy can be life-changing for many women, often bringing relief from chronic pain, heavy bleeding, or other gynecological conditions. But while the surgery may solve certain problems, some women experience pelvic pain afterward, which can be both unexpected and concerning.
At Cherokee Women’s Health Specialists, we believe in empowering women with knowledge about their bodies and the recovery process. Let’s look at what pelvic pain after a hysterectomy might mean and when it’s time to seek medical advice.
What Kind of Pain is Normal After a Hysterectomy?
Every woman’s recovery is unique, but some discomfort is a normal part of healing. You may experience:
Mild to Moderate Incisional Pain: Especially if your hysterectomy was performed through an abdominal incision, tenderness and soreness are common for several weeks.
Cramping or Pelvic Discomfort: The tissues and muscles that supported the uterus need time to heal and adjust. Some cramping or achy sensations can be normal.
Vaginal Spotting or Light Bleeding: If you had a vaginal or laparoscopic hysterectomy, light bleeding may occur for several weeks post-surgery.
Pelvic Floor Muscle Soreness: After surgery, your pelvic floor muscles may feel weak or strained. This can cause pelvic heaviness or a dull ache.
Gas Pain or Bloating: Especially after laparoscopic surgery, gas trapped in the abdomen can cause pelvic and shoulder pain.
Most of these symptoms gradually improve in the weeks following your procedure.
When Pelvic Pain May Not Be Normal
While some pain is expected, certain symptoms warrant prompt evaluation. Contact our office if you experience:
Severe or Worsening Pain: Pain that intensifies instead of improving could signal complications such as infection, adhesions (internal scar tissue), or injury to nearby organs.
Heavy Bleeding: Soaking through pads or passing large clots isn’t normal and requires immediate medical attention.
Persistent Pain Beyond the Usual Healing Period: If pelvic pain lingers beyond 6-8 weeks post-surgery, it may indicate issues like pelvic floor dysfunction, nerve entrapment, or endometriosis that wasn’t fully treated.
Fever or Chills: These could indicate infection in the surgical area or internally.
Pain During Intercourse: Painful intercourse (dyspareunia) can sometimes develop after a hysterectomy and should be evaluated so it can be managed appropriately.
Possible Causes of Persistent Pelvic Pain After Hysterectomy
If pain persists, possible causes include:
- Pelvic Floor Dysfunction – Muscles may become overly tense or weakened.
- Nerve Injury – Rarely, nerves can be irritated during surgery.
- Adhesions (Scar Tissue) – Bands of scar tissue can cause organs to stick together.
- Residual Endometriosis – Endometriosis lesions may remain and cause pain.
- Bladder or Bowel Issues – Changes in pelvic anatomy can sometimes contribute to pain.
When to Seek Help
You deserve to feel well after your hysterectomy. Don’t wait to give us a call if pain is affecting your daily life. Our team of OB/GYNs at Cherokee Women’s Health Specialists offers expertise in managing pelvic pain and addressing any complications after surgery. Whether your pain is new or lingering, we’re here to help you find relief and restore your quality of life.
If you’re experiencing pelvic pain after a hysterectomy, call us today at 770.720.7733 or schedule an appointment online today. Together, we can determine the cause and develop a plan tailored to your needs.
