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Sarah Mitchell — Reviewed writer, former magazine editor
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How to Handle Have Sex After a Hysterectomy Step by Step

When have sex after a hysterectomy leaves you confused, worried, or unsure what it means, a clear step-by-step approach can help you sort the signal from the stress. This guide explains how to understand the situation, reflect on what matters, choose a practical next step, and know when to ask for trusted support.

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Part 1

How long after a hysterectomy can you have sex?

1

You should wait at least 4-6 weeks before having sex.

You should wait at least 4-6 weeks before having sex.
It will take at least that long for your surgical scars to heal and for any bleeding or discharge to stop. However, some doctors may advise you to wait 8 weeks or more before you have sex (including using sex toys inside your vagina), so be sure to follow your healthcare provider's aftercare instructions closely.
  • It will take at least that long for your surgical scars to heal and for any bleeding or discharge to stop.
  • However, some doctors may advise you to wait 8 weeks or more before you have sex (including using sex toys inside your vagina), so be sure to follow your healthcare provider's aftercare instructions closely.
  • It will take at least that long for your surgical scars to heal and for any bleeding or discharge to stop.
  • However, some doctors may advise you to wait 8 weeks or more before you have sex (including using sex toys inside your vagina), so be sure to follow your healthcare provider's aftercare instructions closely.
  • It will take at least that long for your surgical scars to heal and for any bleeding or discharge to stop.
Part 2

Can I still have an orgasm after a hysterectomy?

1

Yes, you can still enjoy sex and have orgasms.

Yes, you can still enjoy sex and have orgasms.
Women experience 3 types of orgasms: clitoral, vaginal, and uterine. Since your uterus will be removed during your hysterectomy, you won't experience uterine contractions during orgasm after your procedure. However, you can still experience clitoral orgasms, and many women will still have vaginal orgasms, as well.
  • Women experience 3 types of orgasms: clitoral, vaginal, and uterine.
  • Since your uterus will be removed during your hysterectomy, you won't experience uterine contractions during orgasm after your procedure.
  • However, you can still experience clitoral orgasms, and many women will still have vaginal orgasms, as well.
  • Women experience 3 types of orgasms: clitoral, vaginal, and uterine.
  • Since your uterus will be removed during your hysterectomy, you won't experience uterine contractions during orgasm after your procedure.
Part 3

Does sex feel different after a hysterectomy?

1

Some women do notice a difference during sex.

Some women do notice a difference during sex.
These changes might include feeling less sensation during penetration, experiencing dryness during sex, and having less intense orgasms. Also, if you normally experience contractions in your uterus during an orgasm, you likely won't feel this anymore, since your uterus will be gone.
  • These changes might include feeling less sensation during penetration, experiencing dryness during sex, and having less intense orgasms.
  • Also, if you normally experience contractions in your uterus during an orgasm, you likely won't feel this anymore, since your uterus will be gone.
  • These changes might include feeling less sensation during penetration, experiencing dryness during sex, and having less intense orgasms.
  • Also, if you normally experience contractions in your uterus during an orgasm, you likely won't feel this anymore, since your uterus will be gone.
  • These changes might include feeling less sensation during penetration, experiencing dryness during sex, and having less intense orgasms.
Part 4

How can I make sex more comfortable after I have a hysterectomy?

1

Over-the-counter lubricants and hormone replacement are helpful for dryness.

Over-the-counter lubricants and hormone replacement are helpful for dryness.
Some women have trouble with vaginal dryness after a hysterectomy. Sexual lubricants are very helpful with this—try experimenting with different brands to find one you like. You might even find that this adds a fun new element to your sex life!
  • Some women have trouble with vaginal dryness after a hysterectomy.
  • Sexual lubricants are very helpful with this—try experimenting with different brands to find one you like.
  • You might even find that this adds a fun new element to your sex life!
  • Some women have trouble with vaginal dryness after a hysterectomy.
  • Sexual lubricants are very helpful with this—try experimenting with different brands to find one you like.
2

Do pelvic floor exercises to help improve sensation during sex.

Do pelvic floor exercises to help improve sensation during sex.
During your recovery, your doctor or physical therapist will advise you when to start doing pelvic floor exercises to help restore strength to the area. Pelvic floor strength is important for things like bladder control, but it will also help you experience more sensation during penetration.
  • During your recovery, your doctor or physical therapist will advise you when to start doing pelvic floor exercises to help restore strength to the area.
  • Pelvic floor strength is important for things like bladder control, but it will also help you experience more sensation during penetration.
  • During your recovery, your doctor or physical therapist will advise you when to start doing pelvic floor exercises to help restore strength to the area.
  • Pelvic floor strength is important for things like bladder control, but it will also help you experience more sensation during penetration.
  • During your recovery, your doctor or physical therapist will advise you when to start doing pelvic floor exercises to help restore strength to the area.
Part 5

Will I lose interest in sex if I have a hysterectomy?

1

You may find that your libido is affected, especially at first.

You may find that your libido is affected, especially at first.
You might be hesitant to get back into the bedroom because you're nervous that it will affect the healing process. In that case, don't rush; it's important to wait to have sex until you feel comfortable. Also, if you had your ovaries removed, your body will go into menopause—and many women find that they have less interest in sex during menopause due to the hormonal changes that are happening.
  • You might be hesitant to get back into the bedroom because you're nervous that it will affect the healing process.
  • In that case, don't rush; it's important to wait to have sex until you feel comfortable.
  • Also, if you had your ovaries removed, your body will go into menopause—and many women find that they have less interest in sex during menopause due to the hormonal changes that are happening.
  • You might be hesitant to get back into the bedroom because you're nervous that it will affect the healing process.
  • In that case, don't rush; it's important to wait to have sex until you feel comfortable.
Part 6

Is bleeding after sex normal following a hysterectomy?

1

No, you should talk to your doctor about this.

No, you should talk to your doctor about this.
Bleeding can indicate that you weren't completely healed from the procedure, so you need to see your doctor right away to make sure nothing's wrong. Your doctor will likely do a vaginal exam to check on your healing, and they'll talk to you about how to treat the problem.
  • Bleeding can indicate that you weren't completely healed from the procedure, so you need to see your doctor right away to make sure nothing's wrong.
  • Your doctor will likely do a vaginal exam to check on your healing, and they'll talk to you about how to treat the problem.
  • Bleeding can indicate that you weren't completely healed from the procedure, so you need to see your doctor right away to make sure nothing's wrong.
  • Your doctor will likely do a vaginal exam to check on your healing, and they'll talk to you about how to treat the problem.
  • Bleeding can indicate that you weren't completely healed from the procedure, so you need to see your doctor right away to make sure nothing's wrong.

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