Sexual intercourse after a hysterectomy

After a hysterectomy it is not easy for a woman to return to normal life, much less sexual life. The surgical operation can produce effects on the physical and psychological planes, so it is important that you have the support of your partner and that you know how to be strong.

Hysterectomy

A hysterectomy is a surgical procedure in which The uterus or part of the uterus is removed. In some cases, the ovaries or fallopian tubes can also be removed. Thus, depending on the organs affected, the physical sequelae of the hysterectomy can be several. Between them:


  • Menopause, if the ovaries are removed
  • Infertility, in case of removal of the uterus.
  • Urinary incontinence. The morphology of the pelvic area is altered after the operation. Thus, if pelvic floor strengthening exercises are not performed, incontinence may be present.
  • Vaginal dryness especially in case of removal of the ovaries.
After a hysterectomy, the woman can experience many changes both on the physical and psychological levels.

However, as is logical, the extirpation of such an important part of the reproductive system It can also cause psychological sequelae in women. Indeed, infertility or menopause before time can lead to a decrease in self-esteem, including depression.

On the other hand, if the woman is also of childbearing age, these feelings may be even more acute.

Sex after hysterectomy

With regard to sexual relations, the physical and psychological effects of hysterectomy may have Negative consequences that seriously affect sexual life.

However, with help and understanding from the couple, effort to recover and the advice of a specialist, there is no reason to think that sexual life was also extirpated during the intervention. Conversely, Sex can be a pleasure again.

Let's see now the main consequences of hysterectomy in sexual life and how they can be overcome:

Dyspareunia or pain during relationships

Initially, pains may appear during relationships, so it is time to move on to new pleasures.

After about six or eight weeks after the intervention, sexual intercourse can resume. However, It is possible that the woman feels pain (dyspareunia) during them. The reasons can be many: lack of natural lubrication or shortening of the vagina (depending on the method of hysterectomy applied), among others.


To facilitate penetration, therefore, they can be used lubricants that will help to replace the lack of natural lubrication. In addition, we must always keep in mind that the goal of sex is not necessarily just penetration.

So, maybe it's the time to focus on other equally pleasurable aspects of sex, and in experiencing new things. As a couple, you can discover other forms of pleasure until penetration is possible without causing any kind of pain.


Decreased sexual pleasure

Many women report a decreased sensations of sexual pleasure after a hysterectomy. Since the uterus is no longer there, cervical-uterine orgasm is no longer possible. However, this does not mean that a woman who has undergone a hysterectomy is not able to experience an orgasm.

On the contrary, it is time to discover, as we said, that sex is much more than penetration. It's time to focus on the clitoris and enjoy the intensity of clitoral orgasm.

It's time to discover the preliminaries, the personal bond, the caresses and kisses, the erogenous zones of each one and other types of orgasm equally pleasurable.

Decreased sexual desire

We must focus on facing this new stage that can lead to a new sex life more carefree and pleasant.

Among the psychological consequences of hysterectomy is the decrease in sexual desire. It is logical, of course, that the hormonal changes affect the libido and that some women mistakenly believe that their femininity has been reduced after the operation. It may even show symptoms of depression and low self-esteem.

However, with support and effort and, if necessary, therapy, These problems can be fully overcome. Also, it is not necessary that we focus only on the negative aspects of hysterectomy. In effect, the performance of this intervention is a medical indication whose objective is to avoid worse illnesses (cancer, for example).

Also, hysterectomy can end with pain that existed previously, now allowing a painless and satisfactory relationship. That is to say, Sex life can even improve after the operation. As indicated in a study on the effects of hysterectomy on sexual function: