Post-Subtotal Hysterectomy Bleeding: What to Expect & When to Worry

A subtotal (supracervical) hysterectomy removes the uterine body but leaves the cervix intact. Light vaginal bleeding or spotting is common during the first few weeks as the cervical cuff and vaginal tissues heal.

Expected Bleeding Pattern

• First 1–2 weeks: Light spotting or pink/brown discharge.
• Weeks 2–6: Gradually decreases; may have occasional spotting with activity.
• After 6 weeks: Should resolve completely.

Red Flags – Contact Your Doctor If:

• Bleeding soaks a pad in < 1 hour (heavy bleeding).
• Bright red blood persists beyond 2 weeks.
• Passing clots larger than a quarter.
• Foul-smelling discharge.
• Fever > 100.4°F (38°C).
• Severe pelvic pain not relieved by prescribed medication.

Possible Complications

Heavy or prolonged bleeding may indicate infection, hematoma, granulation tissue at the cervical cuff, or (rarely) cervical malignancy. Because the cervix remains, continued cervical screening (Pap tests) is still necessary.

Always follow your surgeon's specific postoperative instructions and attend follow-up appointments.