Navigating Intimacy After Hysterectomy
If you’ve had your cervix removed, you might be noticing changes in vaginal lubrication. For many, this change can feel quite significant.
What’s happening?
The cervix is one source of vaginal lubrication, and its removal can make a difference (not for everyone, though)
Often, hysterectomy overlaps with perimenopause or menopause, which brings hormonal changes that impact vaginal and vulvar tissues
This is known as Genitourinary Syndrome of Menopause (GSM), and it can start earlier than most of us realize (late 30s/early 40s)
But there’s more than just physical changes. Fear and anxiety around intimacy after surgery are real. It’s important not to overlook the mental health side of things—give yourself permission to explore what you need to rebuild trust with your body and rediscover your sexuality post-surgery.
It’s okay to take your time. You’re allowed to move at your own pace.
That said, here are a few tips that may help:
Vaginal estrogen is a safe and effective treatment for GSM.
Vaginal moisturizers like those containing hyaluronic acid can be very helpful.
Arousal and lubrication may take longer post-surgery. If this is frustrating, consider seeing a physical therapist with training in sexual medicine.
Changes in sensation can happen, especially around the clitoris. Sometimes hormones are the key, while other times pelvic floor physical therapy can help.
Pelvic floor contractions increase blood flow to the vulvar area. Try contracting your pelvic floor near both the vagina and clitoris, and consider watching in a mirror to see the movement.
Lubricants are safe to use once you’re cleared for penetration. The variety of options is vast, so experiment until you find what works for you.
Be gentle with yourself as you heal and adjust. Your body is still very much yours to enjoy, even as it changes.
Do any of these tips resonate with you? I’d love to hear how you’re feeling on your journey!