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Sexual HealthSex after hysterectomyA hysterectomy is the removal of the uterus. This procedure is often accompanied by removal of the fallopian tubes and ovaries. Whether or not the ovaries are removed, a hysterectomy can cause a change in the level of female hormones. This has been associated with a decrease in sexual interest (libido), a slower time to arouse and decreased vaginal lubrication.Use of lubricants may be helpful in alleviating some of the discomfort associated with intercourse. Many of these over the counter products, including Replens, Aqualube, Astroglide and K-Y jelly, are very helpful and simulate “natural” lubrication. Patience is key in dealing with this problem. Spend more time on foreplay. Use lubrication when touching sensitive areas – dry rubbing can be painful. Oral sex can be very pleasurable and the additional saliva may be especially helpful when lubrication is limited. Hormone replacement therapy, when recommended by your health care provider, may help with some of these symptoms, especially vaginal dryness.
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