Sex After Hysterectomy
Women are being cleared for sex too early.
At 6 weeks, even if your sutures are healed, the tissue is at about 50% of normal strength.
In fact, sex is the most common cause of vaginal cuff tears.
My intention is NOT to scare you. Cuff tears are still very rare.
But I believe information is empowerment, and most of my clients who wait longer are happy with that choice.
I’m a big fan of taking a step-by-step approach to preparing your body for sex:
Try external stimulation first. The acts of arousal and orgasm are a LOT of work for your pelvic floor. Let your body get used to that.
Begin penetration only when arousal and orgasm are NOT painful and you don’t have spotting after sexual activity.
Consider beginning penetration with a tool like the OHNUT, a wearable silicone ring that limits penetration depth (your partner wears it).
Keep sex gentle for 16 weeks after surgery. The most common time for cuff tears is at 11 weeks, per current scientific research.
You may need to be gentle for longer if you’re having spotting, cramping, or pain during or after sex.
There are many harmless reasons for bleeding after sex. Vaginal dryness is a common one… but any bleeding or pain with sex should be checked out, even if you’re already “cleared.”