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For women who have undergone or are about to undergo a hysterectomy, you may be wondering if you can even have sex post-hysterectomy. The great news is you still can! You might also be asking if and how your hysterectomy can impact your normal sex life. While a hysterectomy can put sex on pause after the procedure, it shouldn’t stop you from enjoying the pleasures of sex once you have recovered. You’d be happy to hear that most women report that their sex lives improved and did not change after having a hysterectomy.
Table Of Contents
What is a hysterectomy?
First things first, a hysterectomy is a surgical procedure wherein the uterus or womb of a woman is removed, the sexual organ in which babies grow during pregnancy. Having a hysterectomy means you will no longer get your period or be able to get pregnant.
A hysterectomy is usually performed because of cancer, fibroids, uterine prolapse, or abnormal bleeding. It is also possible for the fallopian tubes, ovaries, cervix, and other surrounding structures to be removed depending on the woman’s medical needs.
If the ovaries are also removed, be prepared to experience hormonal changes, such as decreased libido. This is because estrogen and testosterone, the hormones that dictate your libido or sex drive, are produced in the ovaries. Removal of the ovaries also ushers in menopause, which can cause vaginal dryness.
After a hysterectomy, recovery normally takes around 4-6 weeks. This is when incisions typically heal and any bleeding or discharge will have stopped. However, recovery still depends on the kind of hysterectomy performed and how the surgery was done. If after six weeks, you still don’t feel ready to have sex, it’s perfectly fine to wait it out.
Having a total hysterectomy done positively impacts sexual function and can lead to a better sex life. Because the hysterectomy addresses symptoms such as heavy period bleeding and intense pain, women can finally go back to enjoying sex.
Is the G spot still there after a hysterectomy?
Here’s an anatomy lesson for you: the G spot technically isn’t a distinct body part. It’s an elusive point on the vaginal wall said to be the key to achieving intense orgasms. The nerves and organs that were affected or removed during the procedure can affect your sex drive but not the sensation in your vagina.
And since the G spot is not a body part, it will remain even after a hysterectomy. If you were able to achieve orgasm from stimulation of your G spot before surgery, the same can happen after surgery.
Does sex feel different for him after hysterectomy?
Men will be happy to know that sex post-hysterectomy is not much different from penetrative sex pre-op. Since a hysterectomy involves the removal of the uterus, which is too far for the penis to penetrate, it should not affect how male partners experience sex. Studies support this, proving that hysterectomy does not affect sexual pleasure for men.
If vaginal dryness occurs, it’s nothing some lubricant can’t fix. In instances where the hysterectomy was performed because of cancer or uterine prolapse, this can alter the shape of the vaginal canal, potentially causing pain during penetration.
How can I make sex more enjoyable after a hysterectomy?
For both partners to enjoy sex after a hysterectomy, it’s important to make sure you have recovered fully before having sexual intercourse again. This means waiting for the six-week mark or when your doctor recommends it to be safe.
Once your doctor has cleared you and you begin having sex again, allow yourself time to get aroused. Getting aroused and feeling the stimulation may not come as quickly as it used to, but it doesn’t mean it will be like that forever. Take this as a chance to lengthen the foreplay, build up your body to pre-hysterectomy, or try mindful sex (if you haven’t tried it).
Be honest and communicate with each other about what feels pleasurable and what does not. Talk to your partner and remain open so you can work things out together and ultimately enjoy. If sex hurts post-hysterectomy due to vaginal dryness, ask your doctor about vaginal estrogen tablets, rings, or creams. You can also use silicone-based or water-based lubricants. These may help to make sex more enjoyable.
Without a cervix or uterus, the sensation during sex or orgasm can change, and you may want to try the below positions until you find one that feels the most comfortable and brings the most pleasure. While these may not be new to you, these are great opportunities to experiment and discover what arouses each other.
Best sex positions after a hysterectomy
Cowgirl
The Cowgirl position involves the receiving partner straddling the penetrating partner, taking control of the rhythm and depth of penetration. This position is particularly beneficial after a hysterectomy because it allows the receiver to set the pace and angle, minimizing discomfort and ensuring gentle, controlled movements. It also provides an opportunity to find the most comfortable and pleasurable angles, making post-surgery intimacy more enjoyable and less painful.
How To Do It
- With the male partner lying down, straddle him and climb on top.
- Using your hand, guide his penis inside of you.
- Slowly move your hips front and back or in a circular motion, whichever is your preference.
- Continue until you achieve an orgasm.
Spooning
The spooning position has both partners lying on their sides, with the receiving partner’s back against the front of the penetrating partner. This position is ideal after a hysterectomy because it allows for gentle, shallow penetration while maintaining close, comforting body contact. The relaxed nature of spooning helps avoid any strain on the abdominal area, providing a soothing and intimate way to reconnect sexually post-surgery.
How To Do It
- You and your partner lie on your sides facing the same direction.
- If you are the receiving partner or small spoon, bend your top leg in front of you. This setup permits easy access and deeper penetration.
- The penetrating partner or big spoon inserts his penis from behind.
- He grinds his hips upward and downward, with both of you feeling every movement.
69
In the 69 position, both partners lie in opposite directions, allowing for simultaneous oral pleasure. This position is beneficial after a hysterectomy because it avoids strain on the abdominal area while providing intimate and mutual stimulation. The 69 position allows couples to focus on each other’s pleasure in a comfortable and balanced way.
Pro Tip: 69 has other variations you can test if you’re feeling creative and want to try something new.
How To Do It
- One partner lies on their back while the other climbs on top facing the other direction.
- Align your genitals to your partner’s mouth and have them do the same.
- Both of you then begin to perform oral sex on each other.
- Women can suck, lick, and wrap their hands around their partner’s penis and move up and down for some good head.
- Men can lick their partner’s clitoris and look for the G spot while possibly fingering them at the same time.
Missionary With Pillow
The Missionary position with a pillow elevates the hips of the receiving partner, providing a comfortable angle for penetration. This position is excellent after a hysterectomy because it reduces strain on the abdomen and enhances comfort. The pillow support allows for gentle and controlled movements, making intimacy more pleasurable and less physically demanding.
How To Do It
- Place the pillow in the center of the bed.
- Lie on top of it with it directly under the small of your back.
- Spread your knees open, and have your partner get on top of you.
- They penetrate inside of you, thrusting in and out.
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