It will take some time to heal after your hysterectomy. You can have sex usually 6 weeks after surgery depending on the procedure you’ve had. Check with your surgeon for advice as to when it is safe for you to have sex. Once you are healed, you might find that sex is much more comfortable without the pain or bleeding you had before your operation.
Orgasms are reflexes and can be affected by many factors. The uterus and cervix play a role in these reflexes through muscle contractions. Once they are surgically removed, orgasms can still occur but may feel different. The vagina also plays a role in orgasms. If a vaginal hysterectomy is done, vaginal orgasms might be less intense. Clitoral orgasms might also be changed, and sometimes weaker. Sensation in the vaginal area might be affected by surgery and can impact arousal and desire.
If you are premenopausal and your ovaries are not removed, you will not have disruption of your normal hormones. If your ovaries are removed along with your uterus, you will go through surgically induced menopause. You will experience the same symptoms as a woman who is going through menopause. These can include vaginal dryness, pain during intercourse, hot flashes, occasional urinary tract infections, urinary frequency and urgency, decreased desire, difficulty reaching orgasm, weight gain, sleep disturbances, and mood alterations. If you have difficulties with these types of symptoms, speak to your doctor. There are many treatments available to treat these issues.
Depending on your age when experiencing early induced menopause, side effects may seem manageable or overwhelming. Young women who planned for future pregnancies may feel deprived of their womanhood and grieve the loss of their ability to have children. Even women who are not planning pregnancies may resent the sudden onset of menopause. Desire for intimacy, arousal, and orgasm can all be affected.