Bleeding 40 days after total hysterectomy needs to go to the hospital for review to confirm whether it is caused by poor healing of the incision stump, vaginal inflammation, etc. According to the cause, measures such as anti-inflammatory treatment to stop bleeding, extraction of sutures and medication should be taken. 1. Poor healing of the incision stump: you need to go to the hospital for examination to see if there is any cracking at the incision suture, non-absorption of suture, etc. If the cracking is not serious, anti-inflammatory and hemostatic treatments are needed, and the time for hemostasis may be longer. Suture non-absorption, need to draw out the line, as long as the suture line out, the stump will heal. 2. Vaginal inflammation: Vulvovaginal pseudomycosis, trichomonas vaginitis, bacterial vaginosis, may lead to a small amount of vaginal bleeding phenomenon, the need for leukorrhea test, a clear diagnosis of the symptomatic use of medication. Vulvovaginal pseudomycosis can be treated with conazoles, and trichomoniasis and bacterial vaginosis can be treated with metronidazole and tinidazole. Bleeding 40 days after total hysterectomy need to go to the hospital for a clear diagnosis of the cause, by the doctor according to the specific conditions, to formulate individualized diagnosis and treatment plan, so as not to delay the treatment.