The shortened vagina can present problems with deep penetration. So why would it be any different for women? Sex Can Improve After Hysterectomy For some women, sexual satisfaction can improve after a hysterectomy. Inability to attain orgasm fell from 7. In the JAMA study, the women had undergone a variety of approaches. Hysterectomy as Sex Therapy? Some may question whether these changes are really due to the loss of my uterus or more so from the loss of my ovaries. However, everyone heals at a different rate. Yet the rates have not declined and the use of robotics seems to be fueling even more hysterectomies with promises of quicker recoveries.
Many nerves, blood vessels, and ligaments are severed to remove the uterus. Doing pelvic floor exercises, such as Kegels, can strengthen the muscles after surgery, improving sex and reducing the risk of incontinence. Other women in the study mentioned above said their hysterectomy had removed their pre-surgery symptoms such as pain , and they had a greater sense of wellbeing and happiness. However, given time to heal, and many women find their enjoyment of sexual activity remains the same after a hysterectomy, while others say it improves. At first I thought the loss of my romantic and maternal feelings was solely attributed to the loss of my ovaries despite taking estrogen. Takeaway It is normal for someone to have a lot of questions after having a hysterectomy and to worry about what their life will be like, including their sex life. This is called the vaginal cuff. I only wish I had found the video prior to my unwarranted hysterectomy. You may be able to have counselling to help you work through your feelings. Loss of sex drive: Thinning tissues may make some sexual activity painful. Hysterectomy can diminish sexual function either directly because of the disconnection of the nerves and blood vessels that supply sexual energy or indirectly via the loss of critical hormones when or if the ovaries are removed or cease to function. Typically, removing the uterus and cervix does not affect the sensation in the vagina or a woman's ability to have an orgasm. But, it is vital to give the body time to heal, and an orgasm tenses the muscles in the pelvic region, potentially straining any healing wounds. Yet the rates have not declined and the use of robotics seems to be fueling even more hysterectomies with promises of quicker recoveries. Over time, the vagina may prolapse as it no longer has the uterine ligaments to anchor it. Sometimes, a woman's sex drive may lower, due to a change in hormone levels. However, I did have occasional orgasms but they were difficult to achieve and very infrequent as well as disappointing compared to before hysterectomy. This loss of sensation can hamper sexual function. When my hormone replacement was inadequate, the thought of sex was repulsive. My Personal Experience Post Hysterectomy I realized very quickly after my hysterectomy that my libido, arousal, and ability to orgasm were broken. It seems that most use a benchmark of impaired sexual function shortly before hysterectomy when gynecologic problems impede sexual activity and function versus prior to the gynecologic problems that are the reason for the hysterectomy. That means all funding must come from you, our readers. Although everyone heals at a different rate, it is recommend that people wait at least 6 - 8 weeks before having sex after a hysterectomy. How long should you wait? According to the American College of Obstetricians and Gynecologists ACOG , after a hysterectomy, a woman should refrain from putting anything in the vagina for about 6 weeks.
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