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Menopause Matters magazine ISSUE 81 out now. (Autumn issue, September 2025)

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Author Topic: atrophy and vaginal cuff  (Read 916 times)

purplebee

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atrophy and vaginal cuff
« on: January 28, 2025, 01:47:17 PM »

Hi Ladies, Can I get some feedback pls. I had a Full abdominal Hysterectomy (everything out) just over 5 months ago. I am either having atrophy (although continuing with Evorel Conti 50mgs) and using Blissel Oestrogen gel and YES moisturiser. It feels like the lower part of my abdomen is 'pulling/tight' especially when I try and sleep on my side(s). Could this be scar tissue/atrophy or both? Any other ladies here experience this?
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CLKD

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Re: atrophy and vaginal cuff
« Reply #1 on: January 28, 2025, 02:21:35 PM »

 Did U get a follow-up appt with the Consultant?  It might be worth while self referring to a woman's health physio.  U may need appropriate exercises ;-)

How often R U using the Blissel?  VA treatment can be used every night if necessary. 
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purplebee

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Re: atrophy and vaginal cuff
« Reply #2 on: January 28, 2025, 02:25:24 PM »

My follow up isn't until 18th March. I've been doing kegel exercises.
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purplebee

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Re: atrophy and vaginal cuff
« Reply #3 on: January 28, 2025, 02:33:27 PM »

I forgot to mention,  I'm using Blissel every few  days, maybe I should use it more often?
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bombsh3ll

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Re: atrophy and vaginal cuff
« Reply #4 on: January 28, 2025, 03:13:55 PM »

The pulling tight sensation in certain positions sounds like scar tissue, probably from your surgery. This may well improve with time.

I have a pelvis full of adhesions following being left with appendicitis for 3 weeks, and the discomfort became less and less over time.

Once fully healed, an active lifestyle can really help things soften and stretch out.

However you are on a low dose of systemic estrogen and also blissel is less than one tenth of the strength of regular vaginal estrogen creams, so atrophy is highly likely.

I would seek help for this rather than just putting up with it.
« Last Edit: January 28, 2025, 03:27:19 PM by bombsh3ll »
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purplebee

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Re: atrophy and vaginal cuff
« Reply #5 on: January 28, 2025, 03:23:56 PM »

Thank you Bombsh3ii, it helps to get advice. I have been thinking about upping my Evorel .. Before my surgery I had never experienced atrophy. Which is why I'm thinking it may also be the cuff nerves healing.Also another vaginal oestrogen may be better in this case.
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CLKD

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Re: atrophy and vaginal cuff
« Reply #6 on: January 28, 2025, 04:00:16 PM »

As oestrogen levels drop the body may become dry: inside and out including vaginal atrophy.  Let us know how you get on.
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purplebee

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Re: atrophy and vaginal cuff
« Reply #7 on: January 28, 2025, 08:05:01 PM »

@bombsh3ll..can I ask how long (approx) it took for your scar tissue to become less uncomfortable ?
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bombsh3ll

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Re: atrophy and vaginal cuff
« Reply #8 on: January 29, 2025, 03:09:57 PM »

About a year I think.

Also I know this won't help you but once I was fully healed I started IVF to have my daughter, which took a couple of years but I'm pretty sure the pregnancy stretched things out quite a bit too.

I definitely feel that as much moving and stretching as possible is beneficial, as is doing whatever you can to avoid constipation eg plenty of fluids and fibre.

I have to be really diligent with my bowels even now.

However you had elective surgery without any kind of infection or inflammatory pathology, so this is less likely to form problematic long term adhesions.
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purplebee

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Re: atrophy and vaginal cuff
« Reply #9 on: January 29, 2025, 03:35:43 PM »

Thank you for your reply. I'm in my 70's and I know it will take longer for me to heal. It's just comforting to hear from women that have experienced this surgery x
 
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