How do I Avoid Infection After a Hysterectomy?

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  • Written By: N. Madison
  • Edited By: Jenn Walker
  • Last Modified Date: 15 January 2019
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Most women recover from a hysterectomy without incident, but infection is possible. There are ways to prevent infection after hysterectomy, such as the use of antibiotics before surgery. You may also avoid infection by following your doctor's orders regarding care of your incision and waiting to resume sexual intercourse. Additionally, you may find it beneficial to learn the signs of a post-hysterectomy infection. Being aware of the signs of an infection may not prevent one, but may help you to know when to seek treatment if one does develop.

One way of preventing infection after a hysterectomy is by using antibiotics. In some cases, patients are given antibiotics as a prophylactic treatment. This basically means that a doctor administers antibiotics before the surgery in the hopes of preventing infection. Doctors often discontinue the use of these antibiotics about 24 hours after completing the surgery. The idea with this preventative method is that having antibiotics already in your bloodstream at the time of surgery may make infection less likely.

You may also prevent infection after a hysterectomy by carefully following your doctor’s instructions about caring for the incision. For example, nurses can show you how to change the bandage and how to properly clean the wound. Likewise, your doctor’s instructions may warn against wearing tight clothing while your wound heals in order to promote dryness and prevent irritation.


You may also do well to follow your doctor's instructions regarding sexual intercourse and placing things into your vagina following a hysterectomy. For example, your doctor may ask you to avoid sexual intercourse for several weeks following a hysterectomy, especially if you have had a vaginal hysterectomy. Likewise, he may ask you to avoid placing anything inside the vagina, including douche products, for a time after surgery. This is because it is possible to introduce infection to vulnerable areas, even if the object you insert appears to be clean.

Being alert for signs of infection after a hysterectomy won’t necessarily help you avoid one, but may help you recognize the signs and get early treatment. A post-hysterectomy infection can sometimes be serious, and swift treatment is usually necessary. The signs of infection after a hysterectomy include a fever that is higher than about 101 degrees Fahrenheit (38.3 degrees Celsius), chills, and a significant increase in your level of pain. Bleeding that is heavier than you would expect with a menstrual period or an itchy or foul-smelling discharge may also indicate an infection. Additionally, an incision that is reddened, swollen, or leaking fluid or pus may be infected as well.


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Post 3

Paying attention to hygiene and changing bandages is definitely important for avoiding an incision infection. But the most serious infections occur inside the vagina and putting anything in there after a hysterectomy is not a good idea. Many times, there is some light hysterectomy bleeding after surgery and women are tempted to use tampons. I made the same mistake. If bacteria start to breed on the tampon, it can easily move further inside the vagina and infect the newly healing tissues there.

I had an infection after my hysterectomy and was put on strong IV antibiotics. I had to stay at the hospital for several days. My doctor had given me antibiotics before the surgery, but I made the mistake of using tampons for the bleeding I had post surgery.

Post 2

@turkay1-- Even though you didn't follow your hysterectomy aftercare directions, more than likely, you will be okay. But watch out for infection symptoms such as pain and stinging during urination and intercourse. Also watch out for odd colored discharge with a foul smell and fever. If you experience any of these, see your doctor.

The reason that doctors recommend avoiding sex for a while after the operation is to avoid straining and causing damage to the incision before it heals. Urinary tract infections are also common after hysterectomy and sex increases the risk of having one.

It's actually a good sign that you are interested in sex so soon after your operation. I've heard of more than one case where women experience lack of libido and pain during intercourse after their hysterectomy.

Post 1

My doctor told me to avoid having sex for about six weeks after my hysterectomy but my husband and I had sex on the fifth week. Am I at risk of infection?

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