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5 Tips for Resuming Intercourse after Hysterectomy

From the Intimacy After Hysterectomy Articles List

I’m having a hysterectomy and I am concerned about how it will affect my sex life. Will my sex life be over if I go through with my hysterectomy?I’m having a hysterectomy and I am concerned about how it will affect my sex life. Will my sex life be over if I go through with my hysterectomy?


It’s not uncommon to be concerned about how a hysterectomy will affect intimacy. Though in general most women have a satisfying and fulfilling sex life following their hysterectomy, sexual issues can and do occur so being aware of the possibilities can help you prepare.

One thing to keep in mind is an oophorectomy is more likely to cause sexual issues rather than your hysterectomy. When the ovaries are removed, estrogen levels are affected which can then have an impact on intercourse. Without adequate hormones, you can experience vaginal dryness, loss of desire, and even a lack of response. As such, if you also have both ovaries removed, you’ll want to talk to your doctor about hormone replacement therapy (HRT) or alternative options.

Here are some tips which you might find helpful as you resume intimacy following your hysterectomy.

Take it slowly.

While a satisfying sex life is possible following a hysterectomy, you may need to take it one day at a time. It can take some time for you and your partner to adjust physically and mentally to all the changes which can occur along with a hysterectomy, so allowing time for both of you to reach a comfortable and satisfying point is important. Create a romantic atmosphere, talk to each other, incorporate a massage, etc. Don’t rush back into intercourse and don’t rush the act either. There is more to intimacy than the physical act, so put some time and thought into being tender and affectionate even before you engage in actual intercourse. Follow simple do's and don'ts when resuming intimacy and you and your partner should both be satisfied.

You need to heal emotionally, too.

Besides the physical healing that needs to be done to your body, you may also need emotional healing. A hysterectomy can affect how you feel about yourself as a woman, and the health issues leading to your hysterectomy may have negatively impacted your relationship and how you feel about yourself. You and your partner may also be dealing with fears regarding your health and healing. It’s not uncommon for both of you to feel nervous about resuming intimacy, so take it slowly and don’t forget to communicate with each other.

Your vagina shouldn’t be shorter and should still expand following a hysterectomy.

One of the fears women experience is that their vagina will be shortened following a hysterectomy. If your vagina is shortened, it should be only by a diminutive amount that should not impact intercourse. In addition, as long as you have adequate hormones, your vagina should continue to be elastic so that it will be as supple and accommodating as it was prior to your hysterectomy. Regardless of the size of your partner, you should be able to accommodate him following your hysterectomy as your vagina should not be significantly shorter.

Consider using a personal lubricant.

Even if you have never needed one before, you should consider using a personal lubricant in the early days of returning to physical intimate acts. The various products could make things work more smoothly as you adjust physically and emotionally to your hysterectomy. Given time, you may find you will not need personal lubricants depending on your hormonal situation, but they can be helpful initially when you might be nervous and newly healed.

Wait until your doctor clears you.

No matter how frisky you may feel or how much your partner may beg, it is very important that you not engage in any intimate activities until you are cleared by your doctor. This includes outercourse, oral sex, and even self-stimulation. Only your doctor can let you know if you have healed sufficiently enough so that these actives will not cause complications that could delay healing and affect intercourse even longer. There can be tender and healing tissues that require complete pelvic rest, so be safe and wait to resume intimacy until your surgeon gives you the green light. You want to avoid complications such as vaginal cuff tears which can be painful and scary.



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.


12-24-2014 - 03:30 PM


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