There is no menstrual pain after total uterine excision because menstruation does not usually come back after total uterine excision. Normally menstruation is made up of the shed endometrium, which is composed of blood, vaginal epithelium and cervical mucus. Under the influence of the cyclic secretion of ovarian hormones, a woman’s menstruation will be regular. However, after a total hysterectomy, without the uterine lining, naturally there will be no more menstruation, so there is even less menstrual cramps. Women are often forced to have their uterus removed for treatment of some serious gynecological diseases, such as uterine fibroids, gynecological malignant tumors, adenomyosis, and so on, when the condition is more serious. If there are uncomfortable symptoms after total hysterectomy, you should consult a doctor in time so as not to cause serious harm to your body.