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Sex After Hysterectomy - What Should You Know?

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A hysterectomy may cause a brief halt in the woman's sexual life, and it will take a few weeks before one can get their sex life back. Read on more to know about it.

Medically reviewed by

Dr. Raveendran S R

Published At November 18, 2022
Reviewed AtMay 3, 2023

Introduction:

Hysterectomy is one of the most common surgical treatments performed for women. It is usually used to treat various female reproductive system disorders. It is a major operation that alters a woman's reproductive system. Sex after a hysterectomy affects a woman physically, emotionally, and even socially. This varies depending on the procedure and any complications that may have arisen during or after surgery. The following article outlines the effect hysterectomy has on the body and how it affects sex for both partners.

What Is a Hysterectomy?

The surgical removal of the uterus is called a hysterectomy. The uterus is the pear-shaped organ in a woman’s pelvis that holds a baby during pregnancy. Ovaries and fallopian tubes are also removed during a hysterectomy. This type of surgery is usually done to treat cancer of the uterus, ovaries, or cervix. Hysterectomy treats other conditions, such as endometriosis and fibroids.

When Should One Start Having Sex After a Hysterectomy?

A hysterectomy can be performed as a total or partial removal. In a total hysterectomy, the surgeon will remove the uterus, including the cervix. In a partial or supracervical hysterectomy, the surgeon removes the upper part of the uterus, leaving the cervix in place. This means that you no longer have a menstrual cycle and cannot become pregnant. You may have some vaginal discharge for a few weeks or months after surgery. You may also have some vaginal bleeding or spotting for the first few weeks. Most people can resume sexual intercourse four to six weeks after a hysterectomy. For most women, this time frame is sufficient for full recovery from the surgery. Many factors can influence the rate of healing and recovery for each person - ranging from their age and medical history to what type of hysterectomy was performed. It is important to listen to your body during this time and pay attention to any unusual pain or discomfort you may feel as you get back into your routine life. Please consult your physician if you experience any discomfort or pain immediately so they can help you adjust medications or manage postoperative symptoms effectively.

How Does Hysterectomy Affect Sex?

While a hysterectomy provides relief from certain medical conditions, it can also have a major impact on a woman’s sexual life. The loss of the uterus can also cause psychological effects that can impact sexual satisfaction. Some women may feel less feminine after a hysterectomy, which can affect their desire for sex. It can cause problems with arousal, lubrication, and orgasm. It can also lead to a loss of sexual desire. These problems can be tough to deal with. They can cause a lot of stress and anxiety. Hysterectomy can affect sexual function in several ways. First, it can cause changes in hormone levels. This can lead to vaginal dryness, hot flashes, and other menopausal symptoms. Second, the surgery can damage the pelvic nerves and blood vessels, which can lead to pain during sex. Third, the loss of the uterus can sometimes cause the vaginal walls to collapse, making intercourse difficult or impossible. If you are undergoing any of these symptoms, talk to your doctor. Some treatments can help, such as hormone therapy, lubricants, and pelvic floor exercises.

How Does Hysterectomy Cause Dyspareunia?

The most frequent postoperative complications of hysterectomy are dyspareunia (pain during sexual intercourse). This can be caused by a variety of factors, including surgical damage to the pelvic floor muscles, scar tissue formation, and changes in hormone levels. While some women may able to manage their dyspareunia with lubricants and other treatments, others may find that the condition severely impacts their sexual quality of life. It is important to speak about the potential risks and benefits with your physician if you are thinking about having a hysterectomy.

How Does Hysterectomy Affect Orgasm?

There is no clear data on how hysterectomy affects orgasm. Some women report that their orgasm is more intense after having a hysterectomy, while others report no change or less. The effect of hysterectomy on orgasm may depend on individual factors such as the effect of women’s age, the type of hysterectomy done, and their overall health. The surgery can also cause scarring and adhesions in the pelvic area, which can make it difficult for a woman to feel aroused.

What Are the Tips for Having Sex After a Hysterectomy?

There are a few things that can be done to improve sex after a hysterectomy.

  • Consult with your physician to check if any physical restrictions should be followed.

  • Many women report feeling a loss of sensation after the surgery, so experimenting with different types of stimulation may be necessary to find what feels good.

  • Lubrication is often key to comfortable and enjoyable sex after a hysterectomy.

  • You can also try different positions during sex.

  • Communicating with your partner about your needs and desires is essential to having a satisfying sexual experience.

If you are experiencing pain during sex after a hysterectomy and cannot or do not want to use medication, talk to your doctor about non-drug options. Identifying the underlying cause of pain is necessary to avoid it in the future and find ways of relaxing.

Conclusion:

The sexual function does not usually decrease after a hysterectomy. Most women continue to enjoy sex, and if you experience any problems with your libido or vaginal dryness, treatments can help improve sexual satisfaction after a hysterectomy. These include hormone therapy, vaginal moisturizers, and sex therapy. It is important to follow advice about when to resume sexual activity. If you are concerned about how a hysterectomy may affect your sexual satisfaction, talk to your doctor about your options.

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Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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