Does hysterectomy affect sex life?

Nov 15, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Whether hysterectomy affects sexual life depends on the specific circumstances. If the surgery removes only the uterus while preserving the cervix, sexual function is usually unaffected. However, if both the uterus and cervix are removed, sexual life may be impacted. It is recommended to have thorough discussions with the doctor before surgery to understand potential effects, and to actively engage in physical and psychological recovery after the operation.

In general, whether hysterectomy affects sexual life depends on the specific circumstances. If the surgery removes only the uterus while preserving the cervix, sexual life is usually unaffected; however, if both the uterus and cervix are removed, sexual function may be impacted. If any discomfort occurs, it is advisable to seek medical attention promptly. The detailed analysis is as follows:

If during surgery only the uterine body is removed while the cervix is preserved, the structure and function of the vagina remain relatively intact. The cervix is part of the vaginal anatomy and plays important physiological roles, such as secreting lubricating fluids. Therefore, when the cervix is retained, vaginal lubrication and sensation are typically preserved, allowing sexual activity to continue normally.

When both the uterus and cervix are removed, the structure and function of the vagina may be somewhat affected. The surgery may result in shortening of the vagina, which could impact comfort during sexual intercourse. Additionally, removal of the cervix may reduce the secretion of vaginal lubricating fluids, leading to vaginal dryness and potentially affecting the quality of sexual life.

It is recommended to have thorough discussions with your doctor before surgery to understand potential impacts, and to actively engage in physical and psychological recovery after the procedure.

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