Sex after a hysterectomy (or Do you miss your cervix?)

Hugs, Shadowann. I know what you mean about the pain; I've been dealing with it for over a year, and nothing was done until it became so bad I had to leave my job because I wasn't physically capable of doing it any longer (and I had a job that involved 80% sitting at a desk!)

I didn't have a complete hysterectomy, just the uterus and one ovary, so I'm afraid I don't know the answer to that from personal experience. However, the answers on this thread and in what I've read elsewhere seem to indicate that sex may not be that different, although if you go through menopause because of the procedure you might need to use lube where you might not need it now, and your sex drive may be a bit lower.

As for recovery, I'm only 5 days post-op, so again I can't speak from personal experience, but my doctor told me no heavy lifting or driving for 2 weeks, no intercourse for 4 weeks, and no returning to work for 6 weeks. My fiance took 5 days off from work (Friday through today); he had the surgery date as a day off anyway, and has tomorrow and Thursday as scheduled days off. He's planning to return to work Friday, but will come home if I need him to. It's a bit easier for him, though; he works about 4 miles away, and his father is his boss, so he can get time off for family stuff very easily unless it's the middle of summer. But back to the recovery thing: They had me out of bed standing for a few seconds, then sitting in a chair at 7 pm the day of the surgery (the surgery started at 1 pm and took about 2 hours); the following morning, they got me out of bed walking to the bathroom with help the first time, and then the rest of the day I got myself out of bed to the bathroom and even up and down the hall with no help. I came home less than 48 hours after surgery and spent much of the rest of that day and most of the next in bed, or at least on the couch, but I'm able to do a bit more each day.

A hysterectomy can be pretty scary to think about, but from what I've been told, after it's over you feel much, much better. Even if you do wind up going through menopause because of it. If that did end up happening, your doctor would likely put you on hormone therapy, which would at least damper the mood swings and other hormonal effects. I know that the evening of the surgery, my fiance commented that my color was much better than it had been in months, and even though I have some discomfort from the incision, I don't have the overwhelming pain and discomfort that I've had in my abdomen and pelvis for the past 14 months or so. Blood tests that they did the day after surgery indicated that the anemia I was diagnosed with a year and a half ago has nearly corrected itself; I've been on iron supplements, but recently even those weren't helping. Now that I no longer have the fibroid growing in my uterus or the ovary growing, my blood is going where it belongs.

Good luck, Shadowann, and keep us posted.
 
Thank you, KarennaC. I guess at this point I just need to go in to my doctor and see what he has to say. No sense in freaking myself out until I know for sure, right?

I've always been less worried about how the sex will change physically, if this happens, and more about how it will change from a hormonal point. I have always had a very high sex drive and I've really just hit my sexual peak, which, as I understand it, is hormonally driven. A lack of ovaries will obviously change things. Lube is no big deal, although it is nice for me and my partner when he can gauge how turned on I am by how wet I am. I just don't want to loose my sex drive or loose any of the new things I've recently experienced that I never had before. Lord knows, every woman grows up hearing horror stories about menopause!
 
So... a month and a half after they told me I needed the surgery, I finally had it. They did have to remove one of my ovaries, but were able to leave the other one, so at least I didn't have to deal with instant menopause. They also took my cervix.

I hope you find that your surgery brings you the relief that you deserve. Best wishes for a smooth recovery and a speedy return to a normal life.
 
My dad, who is a doctor (a cardiologist, NOT an GYN!), pointed out that taking my ovaries without knowing exactly what is causing the pain doesn't sound like a smart solution, but I don't know what else can be done! If they didn't find anything during the surgery, what's left to do?!

I agree with your dad. I am sorry that you are living in pain, but the fact that multiple ultrasounds and exploratory surgery found nothing would seem to be a strong indication that something else lies at the root of your suffering.

I have no medical background and can't even make a guess without sounding stupid, but have the Dr's thought of other problems that might manifest themselves in the general area of your discomfort? For example, a pinched bowel (again, pardon my anatomical ignorance).

If traditional western medicine is drawing a blank, have you considered homeopathic medicine, acupuncture, or acupressure?
 
Thank you, KarennaC. I guess at this point I just need to go in to my doctor and see what he has to say. No sense in freaking myself out until I know for sure, right?

I've always been less worried about how the sex will change physically, if this happens, and more about how it will change from a hormonal point. I have always had a very high sex drive and I've really just hit my sexual peak, which, as I understand it, is hormonally driven. A lack of ovaries will obviously change things. Lube is no big deal, although it is nice for me and my partner when he can gauge how turned on I am by how wet I am. I just don't want to loose my sex drive or loose any of the new things I've recently experienced that I never had before. Lord knows, every woman grows up hearing horror stories about menopause!

I understand what you're saying. From what I've heard and read, the hormonal changes at menopause can vary widely from woman to woman. I know women who say they've had the best sex of their life and have been more interested in sex since menopause than they were before, and I know women who've barely even thought about sex since menopause. So I guess it can be hard to predict.

I'd definitely talk to your doctor and find out what he thinks should be done before you worry about it. I'd also advise talking to him about your concerns about your sex drive and so on. He'd probably have some information about post-hysterectomy/post-menopause sex that would set your mind at rest and answer your questions. And those guys hear *everything* when it comes to questions. (I was embarrassed to ask my doctor about clitoral stimulation after surgery; when I finally asked, he chuckled and said, "That's far from the weirdest question I've ever gotten.")

I hope you find that your surgery brings you the relief that you deserve. Best wishes for a smooth recovery and a speedy return to a normal life.

Thanks, pplwatching :) So far so good on the recovery; I'll see what the doctor thinks when I go in for my one week post-op check up later today.
 
Just want to add my testimony in the hopes it might help someone. I had a total hysterecomy (ovaries and cervix removed, plus vaginal shortening) by laperotomy (sp?) 12 years ago, due to ovarian cancer. I was 30. I was not offered, but I demanded HRT (hormone replacement therapy - on the advice of an older friend who had also had a hysterectomy). The most common form is estrogen patches, and they are essential to help prevent osteoporosis. There is an increased risk of breast cancer, but I looked at the stats and decided to take my chances.

Recovery is a lot to do with the type of surgery you undergo. The laperotomy meant I couldn't do anything much for 6 weeks, with the abdominal muscles having been totally cut. I had keyhole surgery six months later to check everything was okay, and the recovery time on that was a lot quicker. It can also depend on what sort of shape you were in to start with. I spent a lot of time holding my belly and my thigh muscles got an amazing workout.

Re sex, I was sensitive for some months afterwards, and emotionally was quite upset about having a shortened vagina. However, I don't even think about it now. It stretches very nicely, thankyou. Also, 12 years on, I have zero problems with lubrication and am having some of the best sex I have had in my life at this time.
 
Lenny, thank you for your post. I had an abdominal incision (the doctor actually used the scar from the two C-sections I've had), so I'm on the 6-week recovery thing, though I'm recovering faster than they'd anticipated. They didn't shorten my vagina, but did remove my cervix, which makes me a little concerned. I don't know that it will change much, though.

I'm glad that things worked out well for you.
 
I agree with your dad. I am sorry that you are living in pain, but the fact that multiple ultrasounds and exploratory surgery found nothing would seem to be a strong indication that something else lies at the root of your suffering.

I have no medical background and can't even make a guess without sounding stupid, but have the Dr's thought of other problems that might manifest themselves in the general area of your discomfort? For example, a pinched bowel (again, pardon my anatomical ignorance).

If traditional western medicine is drawing a blank, have you considered homeopathic medicine, acupuncture, or acupressure?

I have asked my doctor about weather or not it could be a bowel problem, (i.e. my bowels pushing on my ovary, causing pain), but he insists that the body was designed for the two organs to exist, side-by-side, and not interfere with each other. As for it being my bowels that hurt: I have had about a dozen ruptured ovarian cysts and the pain I'm experiencing now is in the exact same place as the pain I experienced when I had the cysts, so I am 99% sure it's my ovaries.

I wish I could do homeopathic/alternative medicine, but I simply can't afford it. It isn't covered by my insurance, and I can't afford to pay out of pocket for it.

Thank you for the suggestions!:rose:

Just want to add my testimony in the hopes it might help someone. I had a total hysterecomy (ovaries and cervix removed, plus vaginal shortening) by laperotomy (sp?) 12 years ago, due to ovarian cancer. I was 30. I was not offered, but I demanded HRT (hormone replacement therapy - on the advice of an older friend who had also had a hysterectomy). The most common form is estrogen patches, and they are essential to help prevent osteoporosis. There is an increased risk of breast cancer, but I looked at the stats and decided to take my chances.

Recovery is a lot to do with the type of surgery you undergo. The laperotomy meant I couldn't do anything much for 6 weeks, with the abdominal muscles having been totally cut. I had keyhole surgery six months later to check everything was okay, and the recovery time on that was a lot quicker. It can also depend on what sort of shape you were in to start with. I spent a lot of time holding my belly and my thigh muscles got an amazing workout.

Re sex, I was sensitive for some months afterwards, and emotionally was quite upset about having a shortened vagina. However, I don't even think about it now. It stretches very nicely, thankyou. Also, 12 years on, I have zero problems with lubrication and am having some of the best sex I have had in my life at this time.

Thank you for this post. It really makes me feel a lot better. I hope to God that I don't have to have a vaginal shortening! The sounds like a bad deal to me! I'm glad it isn't an issue for you now, but that still doesn't sound pleasant. It's nice to know that if this has to happen, there is "life" afterwards! I'm very happy that things are good for you now.
 
I'm a man, so I probably can't appreciate all that goes through a woman's mind at such times. However, my wife had a hysterectomy a decade ago - just her uterus. She was terrified going in - I think it was both a self image issue and fear of premature menopause. In the end, she is cancer free. After the initial healing, our sex life has been better than before.

Best wishes to you.
 
vaginal shortening

I hope to God that I don't have to have a vaginal shortening! The sounds like a bad deal to me!

Sorry if this is TMI folks, but here goes in an effort to allay fears. I am pretty sure none of you have actually measured your vaginal canal. I did. I have 6 inches. Before stretching. OTOH, I haven't measured my partner's penis, but it's of a size that wouldn't make you feel sorry for him. It all goes in. Perhaps I should measure it and get back to you...
 
From a man's POV

My wife had a full hysterectomy due to uterine cancer two years ago. She was fortunate to have an oncologist who performed the surgery using a minimally invasive procedure. The surgery was followed by 6 weeks of radiation therapy (both external and internal).

Our sex life has always been healthy and fulfilling so I was very fearful that we might lose that to the cancer treatments. But my worst fears were never realized. Several months after her final radiation treatment, we resumed sexual intimacy. Her doctor recommended we start having sex again as intercourse actually increased her speed of recovery. She found it painful at first but with ample lubricant and tenderness, we slowly started enjoying sex once again. We have been enjoying sex again for almost 8 months now, and I can say that she has a robust sex life once again.

And she is cancer free...
 
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