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Radical parametrectomy (hysterectomy) and effects on intercourse Radical parametrectomy (hysterectomy) and effects on intercourse

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Unread 09-16-2011, 10:54 AM
Radical parametrectomy (hysterectomy) and effects on intercourse

I have another question about radical parametrectomy. My doctor recommended surgery over radiation because I'm 38 and sexually active with my husband. When I looked up radical parametrectomy, I learned that the surgery involves removing the upper part of the vagina and surrounding tissue. Why is shortening my vagina better for sex than radiation? Is my doctor assuming my husband is only 3 inches long? Is there a chance my husband will no longer fit?
Unread 09-16-2011, 02:36 PM
Re: simple RAVH vs parametrectomy & lymph node dissection

Lanaa -

I can only guess that your Dr. is thinking that the damage caused to the vaginal tissue would be more impactful than the shortening of the vagina. Since in this case he / she would expect the tissue to be more like it is now than experience any radiation damage.

You are right to ask about your husband because there are many threads here of women who had radical hysterectomies and had to change their interactions quite a bit (different positions, using things that would not allow full penetration).

You should ask your Dr. these questions.

Unread 09-16-2011, 04:13 PM
Re: Radical parametrectomy (hysterectomy) and effects on intercourse

Radiation can cause vaginal stenosis which can cause pain and other complications during sexual intercourse. Surgery doesn't cause this sort of complication.

The doctor will probably only take about an inch of the upper part of the vagina. Things will feel a bit different, but you can joke you have a designer vajayjay.

But, I agree with tauruslady, you need to keep track of all of your questions and present them to your Oncologist.
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Unread 09-17-2011, 12:03 AM
Re: Radical parametrectomy (hysterectomy) and effects on intercourse

If you search the site, I know there have been other discussions about how surgery affected people's sex lives. I didn' t have the same procedure you're having but my vagina was shorter after my cervix was taken. It seems like using dilators has helped it stretch out a bit, but maybe that's just wishful thinking on my part.
Unread 09-18-2011, 11:56 PM
Re: Radical parametrectomy (hysterectomy) and effects on intercourse

I had a radical hysterectomy a little over a year ago. At first sex was difficult, painful and a little numb, but if you give it time the vagina does stretch back to its original size. Things are pretty much back to normal now. I am 36 so the Dr told me radiation wasn't a good choice. Radiation puts you into menopause early, when it is very beneficial for us to still have functioning ovaries. Another benefit is if the cancer returns, you can still have radiation as an option. From what I have heard, radiation can only be used once.

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