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Severe Pelvic pain and Trouble Urinating after Hysterectomy
I had a hysterectomy in May of 2007. They removed everything but my cervix. In the past few days, I've been having severe pelvic pain and trouble urinating. What do I need to do? I haven't followed up with my OBGYN since my surgery but have not any complications until this week. The pain doubles me over and affects my sexual relationship with my husband because it hurts? Could this be caused by my cervix? I've also started taking diarex to see if that helps with urinating.
i had severe complications hrs after being released from the hospital from a partial hysterectomy. i went to the er for severe abdominal pain after urinating. the er catheterized me and sent me home. i still could not void for about 48hrs. i finally got my gyn that was on call for my dr and he took out 3 liters of urine he cathetrized me this time and sent me home with it. 45 mins later i was in so much pain i called 911. they refused to take me to the hosp and said i had to go back to the one i had my surg at. i went and made them admit me. i had severe urine retention and a bad infection,stayed 5 days w/ the hosp ignoring my symptoms then they discharged me again after i demanded to se e and infectious disease dr they had me on 5 different iv antibiotics. almost a year now and i have to see a urologist all the time, i'm leaking urine still on a daily basis have cistitus in my bladder that is very painful. i'm at my wits end. please help
Hi,
This is a tough one since I don't know how old you are. Perimenopause can start as early as age 30. Ovarian Hormone decline is responsible for so much more than I expected, for sure. You say you had a partial hysterectomy and I am assuming you kept your ovaries. Overall you should be in a little better shape hormonally unless you are in Perimenopause or an early menopause. I say this because when you have the uterus removed you cut off a huge part of the blood supply to the ovaries. I cannot recall exactly how long it would be before you might have a total decrease in ovarian function due to this loss of a blood supply, but I think it is about three years. In women who have not had a hysterectomy, the Ovaries do continue to contribute something... a small amount of Estrogen (into the age of about 80) and Testosterone until about age 75. This is still a minimal amount and often not enough for a woman to feel totally vital or feel well in an optimal sense. This is where your homework needs to come into play.
So, you could be experience a loss of hormones due to the hysterectomy and also just due to an expected (or not) menopausal experience. I don't mean to sound arrogant, but not that many doctors are well versed in the study (and need) of/for women's hormones and the media has done a job of scarring women half out of their wits regarding Hormone replacement therapy. The study in 2002 that was abruptly pulled was testing synthetic hormone (Such as Premarin and Prempro).
A fluctuation in hormones (from the ovaries) can cause debilitating problems and it sounds like you have a few of them. UTI's and yeast infections often pop up without explanations as to why they are occuring when Estradiol is in major decline. Also, bladder health is helped by the hormone Testosterone and since your libido is off, you are more than likely low in this hormone, too. You don't need much testosterone to feel well, but women need some. And, the levels of Estradiol need to be in an optimum range, too... no matter whether you've had surgery or not.
On the adhesion front, go to the Health pages on the patient to patient forum for Ovarian cysts or Ovarian Cancer and click on that to take you to "Relief for Surgical Adhesions." I wrote of my experience and how I got rid (TOTALLY) of my adhesions. If you cannot find the information, let me know and I can paste it here. It is long... It changed my life.
Also, I will recommend a book to you and encourage you to look into getting it (try Amazon)... It is older, but has been revised, and the website for the doctor who wrote it has not changed her message. I give the information in this book TOTAL credit for getting me my life back. I have been on Estradiol (Vivelle patch) for years, but not in the right range... (until now. Just got my blood work back). And, my testosterone needs to be a bit higher. And, I am off Progesterone (long story... you can read of this if you want by finding my more recent postings from my profile page). I am feeling human again.
Duh... The book is, "Screaming to be Heard," by Dr. Elizabeth Lee Vliet. HIGHLY recommended! (by me:)))
Best of luck to you. If you care to, let me know if you see this. My time writing on this site is extremely limited lately, but thankfully I have a few days off... and, I am glad I saw this. Best wishes to you.
Mary
This is a tough one since I don't know how old you are. Perimenopause can start as early as age 30. Ovarian Hormone decline is responsible for so much more than I expected, for sure. You say you had a partial hysterectomy and I am assuming you kept your ovaries. Overall you should be in a little better shape hormonally unless you are in Perimenopause or an early menopause. I say this because when you have the uterus removed you cut off a huge part of the blood supply to the ovaries. I cannot recall exactly how long it would be before you might have a total decrease in ovarian function due to this loss of a blood supply, but I think it is about three years. In women who have not had a hysterectomy, the Ovaries do continue to contribute something... a small amount of Estrogen (into the age of about 80) and Testosterone until about age 75. This is still a minimal amount and often not enough for a woman to feel totally vital or feel well in an optimal sense. This is where your homework needs to come into play.
So, you could be experience a loss of hormones due to the hysterectomy and also just due to an expected (or not) menopausal experience. I don't mean to sound arrogant, but not that many doctors are well versed in the study (and need) of/for women's hormones and the media has done a job of scarring women half out of their wits regarding Hormone replacement therapy. The study in 2002 that was abruptly pulled was testing synthetic hormone (Such as Premarin and Prempro).
A fluctuation in hormones (from the ovaries) can cause debilitating problems and it sounds like you have a few of them. UTI's and yeast infections often pop up without explanations as to why they are occuring when Estradiol is in major decline. Also, bladder health is helped by the hormone Testosterone and since your libido is off, you are more than likely low in this hormone, too. You don't need much testosterone to feel well, but women need some. And, the levels of Estradiol need to be in an optimum range, too... no matter whether you've had surgery or not.
On the adhesion front, go to the Health pages on the patient to patient forum for Ovarian cysts or Ovarian Cancer and click on that to take you to "Relief for Surgical Adhesions." I wrote of my experience and how I got rid (TOTALLY) of my adhesions. If you cannot find the information, let me know and I can paste it here. It is long... It changed my life.
Also, I will recommend a book to you and encourage you to look into getting it (try Amazon)... It is older, but has been revised, and the website for the doctor who wrote it has not changed her message. I give the information in this book TOTAL credit for getting me my life back. I have been on Estradiol (Vivelle patch) for years, but not in the right range... (until now. Just got my blood work back). And, my testosterone needs to be a bit higher. And, I am off Progesterone (long story... you can read of this if you want by finding my more recent postings from my profile page). I am feeling human again.
Duh... The book is, "Screaming to be Heard," by Dr. Elizabeth Lee Vliet. HIGHLY recommended! (by me:)))
Best of luck to you. If you care to, let me know if you see this. My time writing on this site is extremely limited lately, but thankfully I have a few days off... and, I am glad I saw this. Best wishes to you.
Mary
the desire for intamacy comes from hormones which your ovaries produce, so this tells me your lack of libido is likely psychosymtomatic, OR somethign else is wrong like thyroid problem very coomon in women.
I wonder if you have a lot of adhesions and scar tissue on your bladder, that one of the only things that makes sense, scar tissue can do odd things, it doesnt really show up on an ultrasound or mri, you might want to ask for a diagnostic laproscopic. My left ovary was entirely covered in scar tissue, attached to my bowel ,I suffered for a year until I found a doctor to believe me, he didnt know what was wrong but agreed to exploratory surgery. He was astonished, he said " Good Lord, no wonder you where in such pain>
My advice dont stop till you find a dr willing to help you, there is no lodgical reason to keep treating u for a uti if your cultures are comming up negatigative.
I wonder if you have a lot of adhesions and scar tissue on your bladder, that one of the only things that makes sense, scar tissue can do odd things, it doesnt really show up on an ultrasound or mri, you might want to ask for a diagnostic laproscopic. My left ovary was entirely covered in scar tissue, attached to my bowel ,I suffered for a year until I found a doctor to believe me, he didnt know what was wrong but agreed to exploratory surgery. He was astonished, he said " Good Lord, no wonder you where in such pain>
My advice dont stop till you find a dr willing to help you, there is no lodgical reason to keep treating u for a uti if your cultures are comming up negatigative.
I googled a search for trouble urinating after hysterectomy and found you guys. I too have the same problems, pain in abdomen that doubles me over and problems urinating, but i always feel i have to go. I am in the bathroom every few minutes trying to go. This is my second bout since my partial hysterectomy on 10-07-08. I was treated for a UTI even though my urine sample was negative. Same thing today, my urine was negative but i was given the same antibiotic as last time which is only going to be temporary I am afraid. I also had severe endometriosis. My uterus and cervix was removed. I don't have an urge for intamacy with my husband now. All of these things worry me. I am awaiting an appt with my ob/gyn...
Id be inclinded to think you either have an uti, kidney or bladder infection, could also be kidney or bladder stones i think you need an urologist not gyn, doesnt sound related to year old surgery, unless possible bladder prolapse.
Cherie
Cherie
I had my hysterectomy on 9-2 I have had the same pain and trouble with the urine. Im a little worried but I see him Friday, His nurse isnt any help and always says thats normal , She told me it was normal to have bleeding for 2 months and it wasnt =) I would say call him asap ! Tell him or her what is going on so that you know you are ok , Never worry about calling , That is their job
Good luck
Good luck
I had a salpingo oopherectomy right side on 8/28. Saw doc all is well. Yesterday 9/9 I started having acute abdominal pain doubling me over. Called gyno they have me going in tomoro, pathology report is fine. I have pain, vomiting, nausea, trouble urinating. I'm scared. Anyone got any helpful advice?
I too had that same problem and it turned out to be a UTI due to the use of the catheter during surgery. Call your doctor and tell them. Mine perscribed me an antibiotic 5 days ago and it's much easier to urinate now. I suggest calling your doctor's office ASAP.
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