Sex After Total Hysterectomy: the Good News

happy elderly couple - what to expect after a hysterectomy
Medically Reviewed
September 1, 2021

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. 

And 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 – both the uterus and cervix removed – does not affect the sensation in the vagina or the ability to orgasm. 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 sex after hysterectomy 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 really rub you the wrong way. (Sorry, this is a heavy topic, and we thought a little humor was appropriate.) In all seriousness, vaginal dryness can ruin sex. Who wants to have uncomfortable, painful sex? If this is the only symptom you’re experiencing, all you need to do is experiment with various lubricants until you find one that works for you.

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

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.


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 Intercourse 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 whole health 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 life.

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 juice your sex life back up!

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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.

Article Name
Sex After Total Hysterectomy: the Good News
We delve into all the issues surrounding the shock of having a total hysterectomy, and offer information and advice to ensure your sex life can be just as good if not better afterwards.