According to UpToDate, a vaginal hysterectomy is only an option when a hysterectomy is needed for a medical reason other than cancer and the uterus is not greatly enlarged. While a vaginal hysterectomy appears to have fewer complications than an abdominal hysterectomy, a vaginal hysterectomy still involves risks that women should be aware of before undergoing this procedure.
Infection
It is common for women to suffer a low-grade fever upon completion of a hysterectomy. The fever becomes a problem when the patient's temperature becomes high and doesn't go down on its own or with medication--this is an indication of infection. According to UpToDate, infections occur in less than 5 percent of those who undergo this procedure; when infections do occur, they are typically treated with intravenous antibiotics.
Deep Vein Thrombosis (DVT)
DVT is the medical term used for the development of a blood clot or clots in the patient's lungs or legs. The risk of suffering from DVT is at its highest for six weeks following the surgery. In some cases, women are administered medication before surgery to help prevent blood clots from occurring. For women taking birth control pills, UpToDate recommends discontinuing them one month prior to their vaginal hysterectomy surgery, as birth control pills increase the chances of developing blood clots.
Hemorrhaging
Hemorrhaging is the medical term for an excessive loss of blood and occurs in only a small amount of women undergoing a vaginal hysterectomy. While this occurs in less than 1 percent of women, according to Gyno, it may require a blood transfusion or an additional surgery to stop the bleeding.
Bowel and Bladder Problems
According to UpToDate, constipation is a complication that occurs in most women after having a hysterectomy. This problem is rectified with the use of stool softeners, laxatives and added fiber in the diet.
Some women may also experience difficulty urinating. During the first 24 to 48 hours, a catheter may be used to ensure that the bladder drains properly. In many cases, the catheter can be removed within one or two days when normal bodily functions resume.
Menopause
Menopause generally strikes around the age of 51. However, the removal of the uterus can prevent blood flow to the ovaries, forcing the body into early menopause.


