The effect of hysterectomy on sexual response and sexual
identity is mixed. Most woman go on to have a normal sex
life, some have a heightened response , while others are
less able to have a sexual response following hysterectomy
due to their perceived loss of femininity. Some women may
notice a change in their sexual response after the uterus
has been removed, uterine contractions that may have been
associated with orgasm will no longer be perceived. Other
women may experience a heightened response. This may be due
to the fact that they no longer have to worry about getting
pregnant and no longer have tremendous pain or dysfunctional
bleeding.
If the ovaries are not removed, the outer genitals and the
vagina are not affected and remain lubricated with sexual
response. If the ovaries are removed at the time of
hysterectomy, vaginal dryness may be a problem during sexual
intercourse. Vaginal dryness can be helped with the use of
estrogen cream.
During hysterectomy vaginal tissue is removed and may make
the vagina shorter. Deep thrusting during intercourse may be
painful. Changing positions during intercourse may help,
such as being on top or bringing your legs closer together.
Recently interest in supracervical hysterectomies (where the
cervix is not removed at time of hysterectomy) has grown out
of speculation that women might enjoy better sexual function
after hysterectomy when the cervix is left in place. A new
study has found there is no difference in sexual function or
quality of life when a supracervical hysterectomy is
performed instead of a total abdominal hysterectomy.
Post hysterectomy depression may interfere with sexual
response. Depression may follow a hysterectomy from a
concept that femininity and an intact functioning uterus are
one. Some women link their self-image with reproductive
ability. Menses reminds a woman of her uniqueness where
hysterectomy takes away this cue. Many women have a brief
emotional reaction to the loss of the uterus and ovaries
that erodes their sense of well-being and femininity. If the
problem persists please discuss your feelings with your
doctor.
Be sure if you are considering a hysterectomy you discuss
your personal health and medical history with your doctor.
He or she will help you decide what procedures are best for
you given your personal condition. Many women find this
procedure helpful to their overall health and well-being,
especially if they are at risk for certain cancers or other
debilitating health conditions.
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