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Will Sex Be Different after Hysterectomy?

From the Pre-Op Hysterectomy Articles List

Will sex be different after my hysterectomy?Will sex be different after my hysterectomy?


In general, sex should not be different after your hysterectomy. Once your gynecologic issues are resolved, you could find that your sex life improves. In fact, one of the surprising facts about intimacy after hysterectomy is that sex can be satisfying!

Many women find that intimacy is negatively impacted prior to a hysterectomy because of abnormal uterine bleeding, pelvic pain and pressure, fibroids, endometriosis, pelvic organ prolapse, or other issues leading to their hysterectomies. So once the uterus is removed and those symptoms are eliminated, they find sexual activity more pleasurable.

If you have some repairs, such as anterior and posterior repairs, along with your hysterectomy, there may be differences as far as the vagina is concerned. At times, your partner may be able to feel some scarring, but it usually isn’t a problem. The vagina may also be tightened as part of the repairs, but once you are fully healed it should be elastic and stretchable as before surgery. Unless extensive repairs were done, you shouldn't notice that the vagina is shorter.

If you enjoyed having your cervix bumped during intercourse, then you will miss this sensation if your cervix was removed. On the other hand, if having your cervix bumped was painful, sex can be better if the cervix is removed. Though orgasms should continue, if your uterus also contracted pleasurably during intercourse, you will miss that sensation.

If you were dealing with pelvic organ prolapse concerns which were making intercourse difficult, having the uterus removed and the prolapse repaired can make intercourse easier and thus more enjoyable.

If you have menopausal issues following your hysterectomy, either permanently or temporarily, you could experience some vaginal dryness which might affect intercourse. Working to find the right hormone replacement therapy (HRT) balance will help, but you can also use a personal lubricant. Vaginal estrogen can also be helpful for vaginal dryness or vaginal atrophy caused by a lack of estrogen, and vaginal dryness can also help with healing of vaginal repairs.

Complications can occur which could create differences with intercourse, such as a loss of vaginal sensation, but sexual dysfunction is not a common side effect of a hysterectomy. Your sex life should not be over after a hysterectomy.

Though there are some factors and variables which could create some changes, in general women find that sex is either the same or better following a hysterectomy. Before making your final decision to have a hysterectomy, it’s a good idea to discuss intimacy concerns with your doctor as well as seek a second opinion.


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.


01-21-2015 - 10:22 PM


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