The evaluation of vaginal bleeding after hysterectomy begins with a history and physical exam, including a pelvic exam.

Physical findings in a woman with vaginal bleeding after hysterectomy include:

• Abdominal tenderness
• Bleeding from the surgical wound
• Vaginal bleeding
• Vaginal discharge
• Vaginal polyp:
• During pelvic examination

Tests may be necessary to make the diagnosis of vaginal bleeding after hysterectomy.

Tests that may be used to evaluate vaginal bleeding after hysterectomy include:

• Complete blood count
• Coagulation profile
• Vaginal culture
• PAP smear
• Vaginal biopsy