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Why am I spotting 2 years after a partial hysterectomy?

Dr. Hugo D. Ribot, MD
OBGYN (Obstetrician & Gynecologist)

The most likely reason for continuing to have bleeding after a "partial" hysterectomy is that a sub-total or supra-cervical hysterectomy was performed. This is where the cervix was not removed.

In such cases, depending on where the upper part of the uterus (the fundus) was detached from the cervix, a small amount of endometrial lining may have been left at the upper part of the cervical canal.

In cases where the patient has not yet gone through menopause, her ovaries will continue to produce hormones, which will stimulate the monthly bleeding from this residual lining. This is what produces the spotting.

This can be eliminated by removing the cervix. This procedure is known as a trachelectomy.

This should always be done in a minimally invasive manner, without resorting to a large abdominal incision.

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