General Information

The underlying problems that cause women to decide to have a hysterectomy can reek havoc on their sex lives. Perhaps you’re having heavy and unpredictable bleeding, prolapse of your uterus, or pain. Once you’ve made the decision to have a hysterectomy, you’re most likely looking for the return to more normal functioning, including enjoying your sex life.

older couple hold each other

There are several surgical techniques for removal of the uterus. Make sure you understand which technique your surgeon will use.

Common surgeries include:

  • Vaginal Hysterectomy – Uterus is removed through the vagina.
  • Abdominal Hysterectomy – Uterus is removed through incision in the abdomen (stomach).
  • Laparoscopic Hysterectomy – Through small incisions in the abdomen, video technology is used to remove the uterus through the abdomen or the vagina.
  • Partial Hysterectomy – The uterus is removed but the cervix is left in place.
  • Total Hysterectomy – The uterus and the cervix are removed.
  • Oophorectomy – The ovaries are removed. This is sometimes done in addition to a hysterectomy.
  • Hysterectomy with Bilateral Salpingo-Oophorectomy – The uterus, cervix, ovaries, and fallopian tubes are removed.

Sexual recovery and function can be affected differently depending on what type of procedure you’re having. Ask your surgeon what types of effects your surgery will have on sexual relations.

Studies show that women who are psychologically healthy and have sexual satisfaction prior to hysterectomy generally have a quality of life that is at least the same or better after surgery. Keep in mind, if you were having relationship problems prior to your hysterectomy, those problems will likely still exist after surgery.