Facing a total hysterectomy may feel overwhelming, particularly when thinking about its effects on your sex life. This article covers common concerns and provides reassurance that enjoying a fulfilling sex life after surgery is possible. With guidance on recovery, emotional support, and treatments like hormone replacement therapy, you can find helpful advice to navigate this new chapter with confidence.
In the past, a total hysterectomy was a woman’s only choice. Today, it’s rarely performed unless there’s no other option. The result is that most women don’t consider how having sex after hysterectomy will affect their lives.
Even if they do, the life-or-death situation that forces them to get the hysterectomy probably trumps any possible adverse effects on their sex life.
On the other hand, if you’re facing a total hysterectomy or recovering from one, this journey doesn’t have to be frightening or lonely. Hysterectomies are no longer something that women have to hide or be afraid to talk about.
There’s no shame in having a total hysterectomy, and your sex life doesn’t have to suffer. Many women, before undergoing this surgery, are concerned about how it might impact their relationships, both emotionally and physically. One common question that arises is, ‘Can a man tell if a woman has had a hysterectomy?’, and the answer is no. Most women who’ve had a total hysterectomy have reported improved or unchanged sexual function after surgery. This is good news.
How Long to Have Intercourse After Hysterectomy?
According to the American College of Obstetricians and Gynecologists (ACOG), women who’ve had a hysterectomy should refrain from inserting anything in their vagina for 6-8 weeks. This includes a penis, fingers, sex toys, tampons, and douches.
You may experience some vaginal bleeding or pain for several weeks after surgery. You may also feel differently about yourself or sex.
If you’re struggling emotionally after a total hysterectomy:
- Take time to grieve if you need to.
- Let go of any shame that you may feel around getting a hysterectomy.
- Know that a hysterectomy is not your fault.
- Understand that you’re not less of a woman because your uterus and ovaries are no longer there.
- Seek out a trusted friend or counselor if you need support.
Can a woman without a uterus have intercourse?
A hysterectomy can cause specific changes in your pelvic area, but it usually does not affect the ability to enjoy sex. In most cases, women can resume healthy, fulfilling sex lives after healing from a hysterectomy. This usually takes 4-6 weeks.
Sex without a Cervix
For most women, having a total hysterectomy should not affect the sensation in the vagina or the ability to orgasm. Sex still feels good with both the uterus and cervix removed. Sometimes, the vagina is slightly shorter after surgery, but this should not cause problems with sexual activity.
If you have had sufficient time to heal, bleeding or pain during post-hysterectomy sex should not occur. If bleeding or pain does occur, talk with your doctor.
Can You Have Sex After Hysterectomy?
During a total hysterectomy, your ovaries are removed, which means that you are no longer producing estrogen or progesterone. The symptoms that you may experience are similar to those of menopause because your body is going through the same type of hormone deprivation in both scenarios. If you haven’t been through menopause yet, then you may feel overwhelmed if menopause symptoms strike.
Low to no estrogen levels can cause a whole host of symptoms, including
- hot flashes
- night sweats
- anxiety
- weight gain
- depression
- low libido
- insomnia
- fatigue
- mood swings
- vaginal dryness
- thinning of vaginal tissue
- and more
You can see why these symptoms might affect your sex life, particularly the changes to your vagina and sexual desire. Both thinning vaginal tissue and vaginal dryness can make sex painful.
A lowered sex drive not only affects your desire to initiate or have sex but also ties into low energy levels, which keep you dragging along.
That doesn’t mean that your sex life is over! Most menopausal and post-hysterectomy symptoms can be addressed.
What to Expect After a Hysterectomy
Vaginal Dryness
Vaginal dryness can cause discomfort and pain. It’s important to address this issue with your healthcare provider to find appropriate solutions.
Can I have an orgasm after hysterectomy?
Low libido could stem from a variety of causes. Libido is complex. It’s different for everyone. Sometimes all it takes is to change the narrative around what it means to have a hysterectomy and how it affects your self-worth.
If the underlying cause has to do with a longstanding psychological block or emotional issue that has been uprooted by your experience with having a hysterectomy, counseling is an option, as are visits with a sex therapist.
Some simple suggestions that you can try to fire up your sex drive are
- changing sexual routines
- focusing on foreplay
- incorporating vibrators and sex toys
Physical Issues
Although rare, there are occasions when a total hysterectomy can change your pelvic and vaginal areas. If these changes cause sexual dysfunction, there are treatments that will improve the situation.
For example, you could try pelvic physical therapy, laser vaginal rejuvenation, or o-shots to revive the tissues and muscles in your vagina and pelvic floor.
Hormones
If you’ve had a total hysterectomy, you’re likely to suffer the symptoms of a hormone imbalance because it’s triggered menopause. Hormone imbalances are easily detected and treatable using Bio-Identical Hormone Replacement Therapy (BHRT). BHRT can solve most, if not all, of the worst of your symptoms if they stem from a hormone imbalance.
Exploring Sex After Hysterectomy – The Role of BHRT
At Nava Health, we’ve found that the best way to address any sexual issues that come up after a total hysterectomy is to apply a whole health plan combined with hormone replacement therapy.
Sex After Hysterectomy Is Possible with Nava’s Support
Don’t underestimate the power of your sex life on your overall wellbeing. Your sexual health is just one of many facets of your overall wellness. It’s normal to have a lot of questions after having any form of hysterectomy and to worry about what your life will be like, including your sex drive after a hysterectomy.
If you have more questions, or are struggling with changes to your sex life after a hysterectomy, contact us for a consultation. We take a compassionate, holistic approach to healthcare. We’ll look at your situation as unique, consider you as a whole person, and work with you to find a course of treatment that will revitalize your sex life!
More Questions About Hysterectomy, Answered
What long-term side effects will a hysterectomy have on my hormones?
If your hysterectomy involves removing the ovaries, it may cause a significant drop in hormone levels. Since the ovaries produce estrogen and progesterone, their removal could lead to symptoms like menopause, such as hot flashes, mood swings, and vaginal dryness. Your hormone levels may not change much if your ovaries remain intact,. Every person’s experience is different. Hormone replacement therapy (HRT) might be suggested to manage symptoms and support your overall health.
How might a hysterectomy affect my mental health?
The emotional impact of a hysterectomy differs from person to person. While some may find relief from symptoms like heavy bleeding or pain, others could experience feelings of loss, anxiety, or depression, especially if the surgery impacts their sense of femininity or fertility. Your emotional response might depend on your reasons for the surgery, your views on reproductive health, and the support you receive. Counseling or support groups can offer valuable help in managing these psychological effects.
Are non-hormonal treatments available for post-hysterectomy symptoms?
Yes, non-hormonal options are available for managing symptoms after a hysterectomy. For vaginal dryness, over-the-counter lubricants or moisturizers may be helpful. To address hot flashes, lifestyle adjustments like dressing in layers, using fans, and avoiding triggers like spicy foods might provide relief. Incorporating regular exercise, a nutritious diet, and stress management techniques can also enhance your overall well-being.
What impact does a hysterectomy have on fertility and family planning?
A hysterectomy permanently eliminates the ability to become pregnant, as the uterus is removed. If you wish to have children in the future, you might consider options like surrogacy or adoption. It’s crucial to discuss your family planning goals with your doctor before the surgery to explore all possible options and make informed decisions. For those who no longer wish to have children, a hysterectomy may provide relief from certain medical issues without affecting their family planning objectives.
How can I care for surgical scars and promote physical recovery?
To care for surgical scars, keep the incision clean and dry, following your doctor’s wound care instructions. Applying silicone gel or sheets might help minimize scar development. Over time, scars will fade and become less noticeable. For your overall physical recovery, eat a balanced diet, stay hydrated, and gradually increase your activity level as advised by your doctor. Avoid heavy lifting and strenuous activities until you’re fully healed. Physical therapy may be recommended to help rebuild strength and mobility.
What lifestyle changes should I consider after surgery?
After surgery, adopting certain lifestyle changes could support your recovery and long-term health. Eating a balanced diet full of fruits, vegetables, lean proteins, and whole grains can promote healing. Staying hydrated and avoiding smoking and alcohol are also important for recovery. Gentle exercise, such as walking, can help maintain a healthy weight and improve your mood. Managing stress through techniques like meditation, yoga, or deep breathing exercises may further enhance your overall well-being.
What exercises are recommended for recovery and pelvic floor health?
Yes, there are exercises that can aid in recovery and support pelvic floor health after a hysterectomy. Gentle activities like walking can help your overall recovery and reduce the risk of complications such as blood clots. Pelvic floor exercises, including Kegels, can strengthen the muscles that support your bladder, bowel, and uterus, improving bladder control and pelvic health. Start with light exercises and gradually increase intensity as your body heals. Always consult your doctor or a physical therapist before starting any new exercise routine.
What should I anticipate during the recovery process?
During recovery, expect to spend several weeks resting and slowly returning to normal activities. You may experience pain, fatigue, and some bleeding or discharge at first. Your doctor will provide pain management, and it’s crucial to follow their instructions on medications and activity restrictions. Attending all follow-up appointments is important to monitor your healing progress. While recovery times vary, most clients can resume regular activities within six to eight weeks.
How can I get ready both emotionally and physically for the surgery?
Preparation involves both mental and physical readiness. Educate yourself about the procedure and what to expect during recovery by discussing your concerns with your doctor. Emotional preparation might include seeking counseling or joining a support group to manage any feelings of anxiety or loss. Physically, focus on improving your health through a balanced diet, regular exercise, and quitting smoking if needed. Arrange for help at home during your recovery and create a comfortable environment for rest and healing.
A Medical Director, and one of the first physicians to join the Nava Health & Vitality Center, Dr. Douglas Lord has made significant contributions to our Center and its founding principles. Dr. Lord has helped develop and implement the Nava Method™—Nava’s proprietary approach to total body wellness. He has also been instrumental in liaising with other expert practitioners to successfully implement Nava’s range of therapies, treatments, and products.