 [ Symptoms ] complete hysterectomy 4 yrs ago been or hrt for 6 mo been spotting and bleeding for 2 weeks what could cause this  i do not have my cervix [ Disease ] if you had a complete hysterectomy uterus and cervix removed then you should not have any vaginal bleeding hormone replacement therapy would not cause vaginal bleeding it is very important that you see a gynecologist for an exam to determine where the bleeding is coming from because some sources of bleeding can be signs of cancer sometimes it is difficult for a woman to know where the blood is coming from   vagina urethra bladder or anus it may be something benign like granulation scar tissue in the vagina or a urethral irritation regardless see your doctor as soon as possible for an exam to rule out any serious cause