Bleeding after 20 days of minimally invasive total hysterectomy is generally abnormal and may be due to pelvic infection, poor tissue healing and other factors. It is normal for patients to experience mild bleeding within 14 days after the total hysterectomy, without any other physical discomfort. However, if bleeding still occurs 20 days after the minimally invasive total hysterectomy, it is not normal. It may be due to pelvic infection, or poor healing of the vaginal stump, stump detachment, stump polyps, etc. Some patients may be accompanied by lower abdominal pain, local itching and other symptoms. Such cases, which cannot be repaired by themselves, need to be taken seriously. Patients who still have bleeding 20 days after minimally invasive total hysterectomy need to go to a regular medical institution for relevant examinations to clarify the cause of the disease. They should actively cooperate with the doctor to take relevant treatment measures so as to avoid delaying the condition. During the treatment period, do not have intercourse too early to avoid secondary infection.