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Decreased sexual drive after a hysterectomy

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I an 53 years young been married for 38 years and love my husband I had a total hysterectomy 2 years this June. I don't want to have sex I don't feel like being touched by him and when we have sex I get nothing out of it but discomfort and a uti most of the time. when he touches me in bed I get up go to bathroom but don't go back nothing is said about it later. He also just started hormone replacement probably why he is so much more interested. Is this normal and why does this happen? what can I do?


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replied February 15th, 2010
Hysterectomy Answer A10054


Given the data you reported (hysterectomy 2 years ago, do not want to have sex, feeling discomfort despite loving the partner), you might have been experiencing decreased sexual drive because of the hysterectomy.

It was not told whether the ovaries were removed during the hysterectomy and what the cause for the hysterectomy was. If the ovaries were removed, the changes in the hormonal production pattern might have lead to decreased sexual drive. This might be the cause for your condition if your menopause started recently. You might need time to adapt to the condition. You might want to visit a gynecologist for hormonal laboratory tests. If the hormones are extremely low you might be recommended hormone replacement therapy (for example, phytohormones containing over-the-counter products). Please be aware that giving hormone replacement therapy is not recommended if the hysterectomy was done due to cancerous tissue that might be hormone-dependent.

On the other hand, it is not uncommon for women after a hysterectomy to feel decreased sexual drive. The problem might be more mental than physical. As a matter of fact, many women report that they somehow do not feel as they are “whole” any more and that something that makes them a woman is missing. A woman often identifies her sexuality with her genitalia including the uterus. In this case, counseling with a psychotherapist might be helpful.


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