Undergoing a hysterectomy is a big life event. But it doesn’t have to put an end to your sex life.
Today, the Vivastreet experts are discussing how to safely approach sex after a hysterectomy. From how long you need to wait to practical tips, you’ll find everything you need to know in this guide.
What is a hysterectomy?
Before we answer the top questions about hysterectomies and sex, we’ll quickly give the procedure some context.
A hysterectomy is a surgery to remove the patient’s uterus (womb). This is often prescribed for painful conditions like endometriosis, fibroids, and uterine or cervical cancer. In the latter cases, it’s a life-saving surgery.
Hysterectomies are significant procedures with short and long-term side effects. These can include pain and bleeding. The procedure also means the patient won’t be able to carry a baby or have menstrual periods.
When can you have sex after a hysterectomy?
A hysterectomy impacts your sex life, especially right after you’ve had the procedure.
It’s important to focus on healing before you have sex again. Otherwise, you may accidentally slow down or disrupt the healing process. This can also lead to long-term sexual problems. So, following the doctor’s advice is a must!
Typically, doctors and the NHS suggest waiting four to six weeks before having sex after this surgery. This might seem like a long time, but waiting until your scars have healed and any bleeding or discharge has stopped is imperative.
You’ll likely be in pain and won’t fancy any penetrative intercourse for the first few days or even weeks. Many patients report a loss of libido after the operation. If you’re not in the mood, know that it’s completely normal.
As with any sexual intercourse, wait until you’re pain-free and feeling ready. You always have the power to say no.
Different types of hysterectomy
There are different types of hysterectomy surgeries, each with a unique set of side effects, symptoms, and healing times. If you’re unsure, always discuss your personal healing needs with your doctor.
Here’s a quick list of the different operations:
- Total hysterectomy – Where the whole uterus is removed. This includes the cervix and the bottom of the uterus. Some surgeons may also remove a patient’s ovaries and fallopian tubes. A total hysterectomy is the most common surgery.
- Radical hysterectomy – In this surgery, the uterus, cervix, tissue around the cervix, and top of the vagina is removed. This is usually prescribed for cervical or uterus cancer.
- Partial hysterectomy – The cervix is left, and only the top of the uterus is removed. This can also be called a supracervical or subtotal hysterectomy.
Does a hysterectomy change how sex feels?
A hysterectomy won’t take away your ability to enjoy sex. It shouldn’t even affect the sensation of vaginal sex, clitoral stimulation, or your ability to orgasm.
However, it can affect your sex drive and self-lubrication if your ovaries are removed. This happens because of hormonal changes.
Removal of the ovaries can also cause menopause-like side effects, such as night sweats, hot flashes, and forgetfulness.
If your ovaries were removed, you should make sure to stock up on body-safe lubricants to combat the lack of lubrication. This is nothing to be ashamed of, and most couples use lube during sex anyway.
Use the experience to experiment! Try different flavours of lubricants or explore lubricated condoms.
Can you still have an orgasm after a hysterectomy?
Yes, most patients are still able to orgasm after a hysterectomy. Your vaginal and clitoral nerve endings aren’t affected by this procedure.
The only difference you may feel is at your cervix – if it was removed. There will be fewer nerve endings here. However, most women don’t notice this as it’s not central to their climax.
How to have sex after a hysterectomy
Approaching sex after a hysterectomy can make some women feel nervous or even afraid.
It’s important to know that sex is 100% safe if you’ve waited around six weeks before having sex again. If you’re anxious about your healing status, schedule a check-up with your medical caregiver and ask whether you’re ready for sex.
Don’t feel ashamed about talking about sex! It’s a natural desire, and your doctor can give you personal medical advice.
Here are some other tips to remember before you have sex after a hysterectomy:
1. Go slow
Going slow is always a good idea after surgery, as you want to give your body time to adjust, and you want to make sure you’re as turned on as possible.
Focus on tender touches, external foreplay, and setting the mood. Progress onto penetration when you feel ready – not just because it’s ‘the next step.’
2. Communicate clearly
Clear communication should be a part of any sexual play, but it’s extra vital after a hysterectomy.
Talk to your partner about your expectations and boundaries beforehand. Once you begin, tell them what feels good and if anything hurts. Honesty is the most important policy here.
3. Try new positions
Experimentation is key to finding what feels right. While your old favourites may still work, you might also need to try new positions or rhythms to be more comfortable. You can also experiment with oral stimulation or clitoral play before penetration.
4. Calm your mind
Alongside relaxing your body, take time to calm your mind before having sex.
It can be helpful to take deep breaths or meditate. You may also want to unwind with a bath or book after work. Try not to jump from a stressful situation straight into sex.
5. Boost your confidence
You may also want to slip into your favourite lingerie to give yourself an extra boost of confidence. This might not be for everyone. But if you have a favourite bra or outfit, you can use it to your advantage.
The takeaway
A hysterectomy shouldn’t impact your sexual pleasure or ability to orgasm. However, it may change how you approach sex physically and mentally.
Make sure you approach sex with an open mind and explore new positions or play. Go slow, focus on what feels good, and ensure your partner is on the same page. Consent is still crucial!
Read more about sex and relationships on the Vivastreet blog now.
