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Hysterectomy, Cervix, and Intimacy

From the Pre-Op Hysterectomy Articles List

Hysterectomy and Cervix and IntimacyI have heard that keeping the cervix is necessary for pleasurable intercourse following a hysterectomy. Is this true?


Many studies have indicated that sexual response is the same for women who have undergone supracervical or total hysterectomy. Some studies indicate an increase in sexual pleasure for women who have had a hysterectomy. Whether or not the cervix plays a role in intimacy could depend on you and your specific situation.

For women who have been dealing with painful intercourse and frequent bleeding issues, sexual pleasure can increase after a hysterectomy as those issues are resolved. This can be true for any type of hysterectomy.

How you respond to the cervix being touched could also play a part in sexual pleasure. In some cases, women do find it pleasurable to have it bumped during intercourse. For them, there could be a loss of sexual pleasure following a complete hysterectomy. Other women find having the cervix bumped to be very painful. For those women, the removal of the cervix could increase their sexual pleasure by eliminating that source of pain.

Orgasms are still possible for women following a complete hysterectomy. If you have clitoral orgasms, they can remain unchanged following a hysterectomy. Vaginal orgasms may or may not change as nerve endings in the vagina can be affected by surgery. Whether you will be affected will depend on your specific anatomy and surgeon's specific methods. Uterine contractions that occur with orgasms are eliminated with the removal of the uterus.

Lubrication during intercourse is possible without the cervix because there are glands in the vagina that provide this lubrication. These glands respond to hormones produced by the ovaries. Thus, if you retain at least one ovary, vaginal moisture should not be a problem.

Many of the negative symptoms associated with sex following a hysterectomy are related to a change in hormones more than anything. Without adequate estrogen, women may have issues with libido, sexual response, and vaginal dryness. Depression over the surgery or because of hormonal imbalance can also play a part in whether or not sex is pleasurable following a hysterectomy.

When retaining the cervical portion of the uterus is an option, personal choice and physician experience may play the biggest roles in the decision process. There could be surgical and recovery advantages for the supracervical hysterectomy option, but so far no data suggests definite sexual benefits when retaining the cervix.

HysterSisters' members report a wide variety of experiences and suggest you talk to your surgeon about your thoughts regarding the cervix. You should also seek a second opinion about which choice is best for you.



This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

07-15-2013 - 10:31 PM


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