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4 Questions About Hysterectomy That You Are Too Embarrassed to Ask

Sex after hysterectomy, incontinence and more answers

A woman who's had a hysterectomy reflects on her life at the beach.

Sex after hysterectomy, incontinence and more answers

Hysterectomies are very common in the United States as are questions about what to expect after this surgical procedure to remove a woman’s uterus.

Some women considering a hysterectomy may feel uncomfortable asking their doctors about how the procedure may affect certain parts of their personal life. For example: What is sex after a hysterectomy going to be like?

There are no embarrassing questions, however. Not when it comes to your health.

“Where your body and your health are concerned, there are no embarrassing questions,” says Anupam "Bobby" Garg, MD, OB-GYN and robotic surgeon at Scripps Clinic. “We want to help you feel comfortable about your procedure and make sure we address your concerns.

Who needs hysterectomy?

A hysterectomy is the second most common surgery among women in the United States. A C-section is the most common.

A hysterectomy may be performed to treat several medical conditions, including painful uterine fibroids, cancer and endometriosis. Depending on a woman’s medical needs, the surgeon may remove other reproductive organs, such as the ovaries and fallopian tubes.

Hysterectomy used to automatically mean open surgery with a long incision across the abdomen to remove the uterus, which resulted in a lengthy recovery. Minimally invasive laparoscopic surgery has now replaced open surgery in many cases. This type of surgery requires only a few small incisions, resulting in less pain and bleeding, a faster recovery time and minimal scarring.

Robotic surgical techniques have made it possible for some women to have a hysterectomy through a single incision in the belly button.

Four questions to ask about what to expect after hysterectomy

Dr. Garg answers four of the most frequently asked questions about hysterectomy.

1. When is it safe to have sex after hysterectomy? Will it feel the same?

In most cases, you’ll get the green light for intercourse about four to six weeks after surgery. This is generally enough time for your incisions to heal, and any vaginal bleeding or discharge to stop. Most women say sex feels the same. If your condition caused painful intercourse before your procedure, it will likely feel better. If you do experience discomfort or bleeding during sex, let your doctor know.

2. Will the procedure affect my bladder or cause urinary problems?

A hysterectomy should not have any long-term effects on your bladder. Some women experience bladder spasms during the first several weeks after surgery, but generally improve with time. If you have spasms that are painful, your doctor may prescribe medication for pain relief.

3. Will my pelvic organs prolapse later?

Pelvic organ prolapse occurs when the pelvic floor muscles that hold your reproductive organs in place become weakened or damaged. As a result, the organs may prolapse or drop out of position.

Minimally invasive hysterectomy usually does not increase the risk of pelvic organ prolapse. Your doctor may recommend exercises to strengthen your pelvic floor muscles and prevent organ prolapse. In rare cases where treatment is needed, minimally invasive surgery can correct the condition.

4. Will I go into menopause early?

Removing only your uterus will not send you into menopause. You will still ovulate, but you will not have a menstrual period or be able to become pregnant. If your ovaries are removed as well, you will no longer ovulate and will be in menopause.

“The type of hysterectomy that is best for you depends on your medical condition, your plans for a family and other individual factors,” says Dr. Garg. “Discuss your concerns with your doctor, and together you will determine the approach that is best for you.”