Beyond Surgery: Keys to a Fulfilling Sex Life After Hysterectomy


On the day of your surgery, you may wake up feeling nervous, yet eager for a new beginning. The surgery goes well and initially, everything seems fine. However, as time passes, you may encounter new challenges. Perhaps you had endometriosis affecting your sex life, and even post-hysterectomy, issues persist. It's frustrating when problems continue, but I've crafted this blog to address these concerns, specifically focusing on the relationship between hysterectomy and sexual health.

Let’s start with the basic facts about hysterectomy:

What is a Hysterectomy? It's a surgical procedure to remove the uterus, often employed to treat conditions like fibroids, endometriosis, and various cancers.

How does a Hysterectomy affect sex life?

Generally, if only the uterus is removed, it might not significantly affect sexual activity. It’s recommended to refrain from sex for about six weeks post-surgery to allow for healing. After this period, many resume their sex life.

Considerations with Hysterectomy:

A notable point is that about 50% of hysterectomies include the removal of the ovaries, especially in cases involving cancer. This is known as a bilateral oophorectomy.

Why remove the ovaries? Though vital for hormone production, ovaries might be removed to reduce the risk of hormone-sensitive cancers. This drastically reduces estrogen levels, leading to changes like vaginal dryness, decreased libido, and possible painful intercourse.

Addressing Estrogen and Testosterone:

Post-hysterectomy, especially after oophorectomy, you might face a significant drop in estrogen and testosterone. Estrogen is crucial for maintaining healthy reproductive tissues, while testosterone is linked to libido.

Can I take Estrogen?

It’s generally not advised to supplement estrogen post-hysterectomy due to the increased risk of hormone-sensitive cancers. This presents a dilemma for those seeking relief from menopausal symptoms post-surgery.

What about testosterone?

While testosterone has been explored for treating sexual dysfunction, its effectiveness is limited, and the potential side effects are significant.

Exploring Non-Hormonal Options:

Fortunately, there are non-hormonal methods available that can support women facing sexual dysfunction post-hysterectomy:

  • Vaginal lubricants and moisturizers
  • Vaginal dilators
  • Non-invasive treatments like laser therapy
  • Nutritional supplements, including advanced options like NeuEve

NeuEve: A Nutritional Approach

NeuEve is designed to support issues like painful sex and vaginal dryness using nutrients similar to how calcium and vitamin D support bone health. It's a safe, natural, and hormone-free option that has been positively received by many women, including those post-hysterectomy.

There is hope and potential for a fulfilling sex life after hysterectomy, and exploring these options can be a crucial step toward recovery and comfort.

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  • Suzan

    What do you have to treat clitoris atrophy?

  • Ellen B O'Reilly

    How soon after a total hysterectomy is it safe to use the silk suppositories and dilators? I used them for months before the surgery. A small section of the top part of my vagina was also removed. It should be healed in 4 weeks. Surgery was Jan 12, 2023.

  • Becky

    After my historectermy I lost all desire to have sex. Is there a pill that can take to get the feeling back.

  • Kevin Tao

    Hi Kathy, NeuEve doesn’t contain any dairy!

    P. Bohmer, our products will help your vagina get restored back to normal!

  • Kathy H

    I’m desperately seeking help.
    Dryness, pain, emotional all the above . It’s been 5 years since my full hysterectomy( Wishing I had kept my Ovaries… but I had the full one! Estrodial ( sp?) gave me migraines & nausea. “Vaginal horse pee” was a bust as well. Does your product contain dairy? Help I’m so scared I’ve ruined my life forever now!

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Dr. Renjie Chang

About the Author

Dr. Renjie Chang's medical and pharmaceutical experience:
- OB-GYN in the Peking Union Hospital in China
- a faculty member of OB-GYN at University of Oklahoma Health Sciences Center
- drug developer at the Abbott Laboratories in Chicago
- Founder of Lavax Inc, where she developed an innovative vaginal microbicide for preventing sexually transmitted disease with grants from NIH and Gates Foundation
- Founder of NeuEve, an all-natural women's health company