Top 3 Questions About Sex After Hysterectomy

If you need to have a hysterectomy, you might be concerned about how the procedure can affect your sex life.

These are the top three questions I'm most asked by my patients about sex after a hysterectomy. And, you may be pleasantly surprised by the answers.

How long do I have to wait after surgery to have sex?

It takes 6 to 8 weeks for a woman to completely heal after surgery. Women experience some discomfort during the healing process. Because of that, many don’t feel like being intimate. For most, the down time is a welcomed time.

How will the surgery affect my sex life going forward?

The uterus is always removed with a hysterectomy. But, depending on the reason for the surgery, the ovaries, cervix and/or the supporting tissue may be removed as well.

Most long-term side effects come with the removal of the ovaries. When the ovaries are removed, the body no longer produces estrogen and testosterone, and this can lead to vaginal dryness/tightness and a lackluster libido.

However, it’s best practice to leave the ovaries intact whenever possible. They’re only removed when absolutely necessary, such as when cancerous cells are found.

And even for women who NEED to have their ovaries removed, there are many options to combat vaginal dryness, tightness or painful sex.

Lubrication
If dryness is an issue, buy lubrication. There are several varieties including warming, flavored or regular. Whichever lubrication you choose, have a little fun with it. Try a few and find one that’s enjoyable for you and your partner.
Stretching
If tightness is the problem, a vaginal dilator can help open the vagina. You can shop in the privacy of your own home by going online. Dilators come in different sizes. Start with the smallest size and work your way up.
Bioidentical hormone replacement
Bioidentical hormone replacement therapy replaces the hormones in your body. Estrogen prevents dryness and tightness and testosterone boosts your desire for sex.

Will I still be able to have an orgasm?

The answer is YES. Women have orgasms in three different ways: uterine, vaginal and clitoral. Mostly, women have clitoral orgasms, which are not affected by the surgery at all. If a woman has a uterine orgasm, she can absolutely relearn how to have an orgasm in another way. Surgery is certainly not the end to an enjoyable sex life.

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Updated January 13, 2022