experience the least amount of change to their
surgery. A hot water bottle applied to the
internal orgasms, for whom the contractions
of the uterus and cervix comprise the majority
activity will naturally stimulate blood flow
of their pleasurable sensations, may notice a
▪Talk with your healthcare professional about therapies that have been effective for
Hysterectomy
There is research that suggests retaining
other women in restoring sexual response:
acupuncture, the use of a vacuum clitoral
device, topical creams to enhance arousal,
consensus on this issue. Currently, “nerve-
estrogen or testosterone, or even Viagra-
like prescriptions. There is non-systemic
estrogen available as an estrogen ring or as
a small tablet that is inserted into the
Post-hysterectomy recommendations from
vagina that helps to increase blood flow to
women who’ve “been there”: Sexual Response ▪The more aware a woman is about her own
sexual response, the better equipped she will
be to work through the possible physical and
▪Support with a support group or through a
therapist may be helpful if you find that
hysterectomy. Some women report feelings
of sadness and grief; the loss or diminishment
feelings. While each woman’s experience
RESOURCES:
will be uniquely her own, talking to other
Clinical Updates in Women’s Health Care: Sexuality and Sexual Disorders; The American College of
has a forum where women can ask questions
Obstetricians and Gynecologists, Volume ll, Number
2, Spring 2003. Sexuality and Cancer: For the Women Who Has
▪Take care of yourself. Give your body
Cancer, and Her Partner; American Cancer Society
adequate rest, nutrition, and time to heal
▪If your sexual response has been impaired,
talk with a healthcare provider who has the
The term “hysterectomy” originates from
extensive surgery is done. Your provider
the Latin hystericus (“of the womb”).
should help you understand these changes
is really removed during a hysterectomy:
endometrial ablation. This procedure is a
uterus, cervix, and/or ovaries Although the
term “uterusectomy”( the surgical removal
electrical energy, heat, or cold to destroy
typically done for cancer of the cervix,
of the uterus)might be more easily
understood, it does not cover all situations.
even stop this bleeding. A myomectomy is
Thus, for the purposes of this brochure we
a surgery to cut away the fibroids without
vaginal length. Since the ovaries have been
will use the traditional term hysterectomy.
removing the uterus, so that a woman can
natural hormones estrogen and testosterone
The removal of the uterus, while sparing
Uterine fibroid embolization (UFE), which
the cervix is called a “subtotal
is also called uterine artery embolization
hysterectomy”; the removal of both uterus
(UAE), is a minimally invasive procedure
complain of having difficulty experiencing
and cervix is a “total hysterectomy”; the
that blocks the arteries carrying blood to
removal of the uterus, cervix, fallopian
tubes, and ovaries is a “total hysterectomy
Some women have uterine contractions that
and bilateral salpingoophorectomy”; while
birth control pills and other hormones and
are very pleasurable when having an orgasm.
a “radical hysterectomy” is the surgical
contractions will no longer be present for
Professionals advise that a woman should
along with the partial removal of the pelvic
removal of the cervix decreased their ability
to have an orgasm or that their orgasms were
different. On the other hand, some women
obtained from a physician affiliated with a
find removal of the cervix eliminates painful
Regardless of which method is selected, a
Your Sexual Response
Some experts believe there are three kinds of
orgasms: external, internal, and blended. The
external orgasm relies primarily on clitoral
stimulation. The pelvic floor or internal
orgasm includes G-spot orgasms and those
change; but approximately 20% experience
reached by pressure on the cervix and/or the
a loss of sexual response. Every woman is
combines aspects of both the internal and the
response was impaired by your presurgical
external. Researchers have identified nerves
that relate to these—the pudendal for clitoral
observation, or other surgical procedures;
were functioning normally, you may notice
nerves for vaginal stimulation, and possibly
the sensory vagus nerve that goes directly
discussed with your doctor. The following
desire, arousal, or orgasms. The changes in
from the cervix to the brain, by passing the
are some of the options to be considered.
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