I am 33 years old and have been told I need to have a total hysterectomy and ovaries removed. I am worried about my sex life afterwards. I am afraid I will lose sensation, lubrication and it will hurt. I am also afraid it will not feel the same for my husband. I would like to know honest opinions from a man and woman on this subject. Thanks!
Welcome to ehealthforum,
After total hysterectomy (removal of uterus and cervix), your surgeon will close the vagina on top with stitches (which will take time of about 6-8 weeks to heal to get sealed with formation of scar tissue becoming a closed tube). If ovaries are left intact, you should not have any problems with hormonal levels and lubrication. If ovaries are also removed, you might have problems in getting adequate lubrication (the symptoms will resemble menopause). The practice of foreplay before vaginal penetration should allow enough lengthening of vagina. Your partner may feel vagina as shallow, and you can give feeling of more depth by other ways (if required). Visit your doctor/gynecologist for follow-up evaluation before resuming your sexual life. Vaginal dryness should be avoided (use ample and suitable lubrication), and avoid intercourse in positions that allow for deep penetration (for initial few weeks) as these may irritate/damage the closure. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest.
please don't be at all concerned. I am now 66 years old, and had a total hysterectomy 25 years ago. The key thing is to get enough estrogen replacement, and you'll be good to go! Great benefits from a hysterectomy - no more periods, no more PMS, and with a strong enough dose of estrogen you will have enough lubrication and a great sex drive. The estrogen patch costs a little more than the pills, but is much much better - it delivers a steady dose of estrogen reliably which the pills do not. Also very convenient. If dryness during sex is an issue despite hormone replacement, get the estrogen cream as well. It comes with an inserter, and only has to be used twice a week - same as the patch. Good luck - you will be just fine.
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