--- title: "Cause of Bloating After Hysterectomy | Sutter Health" description: "I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended." url: "/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300" --- 1. Home / 2. Cause of Bloating After Hysterectomy # Cause of Bloating After Hysterectomy * * * Medically reviewed by - Wesley S. Hilger, M.D., FACOG ## Question I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended. ## Answer After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms. These menopausal symptoms may include hot flashes which can have a detrimental effect on one's quality of life. Evamist is a type of hormone replacement therapy that is delivered through absorption through the skin. The estrogen in Evamist is called Estradiol and is derived from plant sources. Evamist is applied by spraying the medication on the skin. The use of hormone replacement therapy can result in side effects that can be bothersome. Some of the common side effects from estrogen include headache, breast pain, irregular vaginal bleeding (in those who have not had a hysterectomy), bloating, stomach cramps, fluid retention, hair loss, nausea and vomiting. It may be that you are experiencing bloating due to the Evamist. I would recommend you consult with your physician. Options for dealing with these symptoms would include changing the dose of Evamist, changing the type of estrogen used, or changing the route of administration. Of course ruling out other causes of bloating, not associated with the estrogen, would be important as well. ## Explore related topics Women's healthMenopause ## Meet our care team Wesley S. Hilger, M.D., FACOG Urogynecology Female Pelvic Medicine and Reconstructive Surgery ## Related questions View all questions - Health Q&A ### Best Treatment for Menopausal Depression What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs? - Health Q&A ### Birth Control During Menopause I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause? - Health Q&A ### Can Estrogen Withdrawl Cause Digestive Problems? I'm a senior citizen in good health. I stopped taking estrogen two months ago. Within 10 days I started having soft, gray colored stools and gas. A recent colonoscopy test was normal. I don't eat dairy products. Could stopping estrogen be the cause? - Health Q&A ### Clitoris Changes with Age Does the clitoris disappear with age? After 70? - Health Q&A ### Do High FSH Levels Cause Joint Pain? My FSH level is 77. Can menopause be a reason that my knee joints hurt? I don't have any sports injury. Will it resolve in time? View all questions ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Cause of Bloating After Hysterectomy"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalWebPage","@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#medicalwebpage","url":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300","name":"Cause of Bloating After Hysterectomy","description":"After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms.","inLanguage":"en-US","medicalAudience":{"@type":"MedicalAudience","audienceType":"Patient"},"isPartOf":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers"},"breadcrumb":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#breadcrumblist"},"mainEntity":{"@type":"Question","@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#question","name":"Cause of Bloating After Hysterectomy","text":"I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.","acceptedAnswer":{"@type":"Answer","@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#answer","text":"After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms. These menopausal symptoms may include hot flashes which can have a detrimental effect on one's quality of life. Evamist is a type of hormone replacement therapy that is delivered through absorption through the skin. The estrogen in Evamist is called Estradiol and is derived from plant sources. Evamist is applied by spraying the medication on the skin. The use of hormone replacement therapy can result in side effects that can be bothersome. Some of the common side effects from estrogen include headache, breast pain, irregular vaginal bleeding (in those who have not had a hysterectomy), bloating, stomach cramps, fluid retention, hair loss, nausea and vomiting. It may be that you are experiencing bloating due to the Evamist. I would recommend you consult with your physician. Options for dealing with these symptoms would include changing the dose of Evamist, changing the type of estrogen used, or changing the route of administration. Of course ruling out other causes of bloating, not associated with the estrogen, would be important as well.","url":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300","author":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#expert"}}},"publisher":{"@id":"https://www.sutterhealth.org/#medicalorganization"},"reviewedBy":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#expert"}} ``` ```json {"@context":"https://schema.org","@type":"Person","@id":"https://www.sutterhealth.org/ask-an-expert/answers/cause-of-bloating-after-hysterectomy-1051061300#expert","name":"Wesley S. Hilger","honorificSuffix":["M.D.","FACOG"]} ```