Sex after Hysterectomy FAQs

People understandably worry about the impact on their sexual lives following a hysterectomy. Although there is no direct effect on libido or arousal levels from the procedure, there are psychological and physiological changes that can affect closeness.

For example, fluctuations in hormones or mental health issues like anxiety or low self-esteem can lead some women to feel less sexually aroused than usual. The pelvic anatomy can change after a procedure that removes the uterus and maybe other reproductive organs, which can affect how you feel or cause you pain when you have sexual relations.
*This is not medical advice

Will I still be able to have sex after a hysterectomy?

Yes, in most cases, women can resume sexual activity after a hysterectomy once they have fully healed from the surgery.

How soon after a hysterectomy can I resume sexual activity?

It's essential to wait until your doctor gives you clearance, which typically occurs after the post-operative healing period, usually around 6 to 8 weeks.

Will sex feel different after a hysterectomy?

Some women may experience changes in sensation or arousal due to the removal of the uterus, but many find that sex feels relatively similar to before the surgery.

Are there any restrictions or limitations on sexual positions post-hysterectomy?

Your doctor may advise avoiding certain positions that put excessive pressure on the pelvic area during the initial recovery phase, but ultimately, it depends on your comfort level and any specific post-operative instructions.

What if I experience pain or discomfort during sex after a hysterectomy?

If you experience pain or discomfort during sex, it's essential to communicate with your partner and speak to your healthcare provider. There may be underlying issues that need addressing, such as scar tissue or pelvic floor dysfunction.

Is it normal to feel anxious or self-conscious about my body after a hysterectomy?

It's entirely normal to feel a range of emotions, including anxiety or self-consciousness, after undergoing a major surgical procedure. Talking to your partner and seeking support from friends, family, or a therapist can help ease these feelings.

Will I still be able to experience orgasm after a hysterectomy?

Yes, many women are still able to experience orgasm after a hysterectomy. Orgasm involves more than just the uterus, and the removal of this organ typically does not affect the ability to climax.

Can hormonal changes after a hysterectomy impact my sexual health?

Hormonal changes, particularly if the ovaries are also removed during the hysterectomy, can influence sexual health. Your doctor may recommend hormone replacement therapy to help manage symptoms such as vaginal dryness or decreased libido.

How can I communicate with my partner about my concerns regarding sex after hysterectomy?

Open and honest communication is key. Express your concerns and feelings to your partner in a non-judgmental and supportive manner. Encourage your partner to share their thoughts and concerns as well.

Are there any specific precautions I should take to protect my pelvic floor during sex?

Engaging in pelvic floor exercises can help strengthen the pelvic muscles and improve sexual function. Additionally, using lubrication and taking things slow during intercourse can help prevent discomfort or injury.

Will I need to use lubrication or other aids to enhance comfort during sex post-hysterectomy?

Depending on individual factors such as hormonal changes or vaginal dryness, using lubrication or other aids like vaginal moisturizers may enhance comfort and pleasure during sex.

Can I still get pregnant after a hysterectomy?

No, a hysterectomy involves the removal of the uterus, making pregnancy impossible. However, if the ovaries are preserved and hormone production continues, you may still experience symptoms of menopause.

What can I do if I experience vaginal dryness or irritation after a hysterectomy?

Using over-the-counter lubricants or moisturizers can help alleviate vaginal dryness and irritation. If symptoms persist, speak to your doctor, who may recommend hormone therapy or other treatments.

Are there any long-term effects of a hysterectomy on sexual function or satisfaction?

While some women may experience changes in sexual function or satisfaction after a hysterectomy, many find that any initial challenges improve over time as they adjust to their new normal. Open communication with your partner and seeking support from healthcare professionals can help address any lingering issues.