Sex After a Hysterectomy (and Advice for Husbands)

 

If you are a woman (or her husband) and worried about sex after a hysterectomy, this article is for you! In this article we will discuss how the different types of hysterectomy affect your sex life, how long to wait to have sex, and what happens to hormone levels, libido, and sexual function.

What is a Hysterectomy?

It's a surgical procedure to remove the uterus, often employed to treat conditions like fibroids, endometriosis, and various cancers.

How does a Hysterectomy affect sex life?

It depends on what type of hysterectomy: partial hysterectomy (only uterus removed) or bilateral oophorectomy (both ovaries removed).

How does a Partial Hysterectomy (only uterus removed) affect sex?

Generally, if only the uterus is removed, it might not significantly affect sexual activity in the long term.

How soon can I start having sex after a partial hysterectomy?

It’s recommended to refrain from sex for about six weeks post-surgery to allow for healing. After this period, many resume their sex life.

How does a Bilateral Oophorectomy (both ovaries removed) affect sex?

About 50% of hysterectomies include the removal of the ovaries, especially in cases involving cancer.

Why remove the ovaries? Do hysterectomies affect libido?

Though vital for hormone production, ovaries might be removed to reduce the risk of hormone-sensitive cancers. This drastically reduces estrogen levels, leading to changes like vaginal dryness, decreased libido, and possible painful intercourse.

What Happens to Estrogen Levels and Testosterone Levels after a Hysterectomy?

Post-hysterectomy, especially after oophorectomy, you might face a significant drop in estrogen and testosterone. Estrogen is crucial for maintaining healthy reproductive tissues, while testosterone is linked to libido. Therefore a lack of estrogen or testosterone results in vaginal atrophy (shrinking and drying of the vaginal tissues) and a decreased sex drive.

Can I take Estrogen Replacement Therapy?

It’s generally not advised to supplement estrogen post-hysterectomy due to the increased risk of hormone-sensitive cancers. This presents a dilemma for those seeking relief from menopausal symptoms post-surgery.

Can I take Testosterone Replacement Therapy?

While testosterone has been explored for treating sexual dysfunction, its effectiveness is limited, and the potential side effects are significant.

Tips for Sex after a Hysterectomy: What are Non-Hormonal Options for Restoring Sexual Tissues and Libido?

Fortunately, there are non-hormonal methods available that can support women facing sexual dysfunction post-hysterectomy:

  • Vaginal lubricants and moisturizers

  • Vaginal dilators

  • Non-invasive treatments like laser therapy

  • NeuEve (which works by topical nourishment)

    What is NeuEve and how does it work?

    NeuEve is designed to support issues like painful sex and vaginal dryness using nutrients similar to how calcium and vitamin D support bone health. It's a safe, natural, and hormone-free option that has been positively received by many women, including those post-hysterectomy.

    There is hope and potential for a fulfilling sex life after hysterectomy, and exploring these options can be a crucial step toward recovery and comfort.

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    13 comments


    • Kevin Tao

      Hi Kathy, NeuEve doesn’t contain any dairy!

      P. Bohmer, our products will help your vagina get restored back to normal!


    • Kathy H

      I’m desperately seeking help.
      Dryness, pain, emotional all the above . It’s been 5 years since my full hysterectomy( Wishing I had kept my Ovaries… but I had the full one! Estrodial ( sp?) gave me migraines & nausea. “Vaginal horse pee” was a bust as well. Does your product contain dairy? Help I’m so scared I’ve ruined my life forever now!


    • P. Bohmer

      I had hysterectomy and oophorectomy (sp) 20 years ago. I lost any desire for sex and it was incredibly painful. The vagina was dry, small and seemingly impenetrable.
      I just recently learned that my husband of 38 years!!! Thinks I could do something about it and that he blames me for 20 years of being cut off. God!
      I’m willing to try something. I also have chronic neck pain as a result of a mid-sharpen spine, bulging discs, etc. have had 2 surgeries. I’m 70. Can’t help him masturbate or have oral sex due to painful neck.
      Would have been nice had he complained 19 years ago, maybe we could’ve found help.
      Well there ya go, any hope for us?


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    Dr. Renjie Chang

    About the Author

    Dr. Renjie Chang's medical and pharmaceutical experience:
    - OB-GYN in the Peking Union Hospital in China
    - a faculty member of OB-GYN at University of Oklahoma Health Sciences Center
    - drug developer at the Abbott Laboratories in Chicago
    - Founder of Lavax Inc, where she developed an innovative vaginal microbicide for preventing sexually transmitted disease with grants from NIH and Gates Foundation
    - Founder of NeuEve, an all-natural women's health company