Deep sadness, depression, sexual dissatisfaction, or premature menopause are the consequences of the removal of the uterus. Women should be aware of the possible complications of hysterectomy before they decide to take this step.
Hysterectomy: risks and consequences associated with it
Hysterectomy is a surgical removal of the uterus. The most common causes for surgery are severe disorders, bleeding and benign tumors of the uterus, in particular, fibroids.
Many women believe that if there is no need for motherhood, then removal of the uterus will be acceptable. However, the uterus is an important sexual organ. Its absence can have far-reaching consequences that you need to know before the operation.
Consider the consequences of the removal of the uterus with myoma women may face. Subtotal and total hysterectomy are distinguished, and depending on the type of operation, the consequences also vary. In the case of significant fibroids, endometriosis, or cancer, hysterectomy may be subtotal, when the cervix is preserved, or common, that is, the organ is removed completely. In view of the pathology, it is also sometimes necessary to remove the ovaries and fallopian tubes. In this case, we are talking about total hysterectomy with oophorectomy.
In women who have not yet reached menopause before surgery, after the subtotal hysterectomy with preserved ovaries, the hormonal cycle remains almost unchanged. However, numerous studies suggest that accelerated ovarian dysfunction may occur due to the removal of the uterus.
The consequence of the total removal of the uterus and ovaries is the complete cessation of the production of sex hormones, which is accompanied by the typical symptoms of menopause. That is, menopause comes prematurely. Therefore, often after hysterectomy, treatment with hormones is recommended in order to compensate for their deficiency and reduce discomfort. However, the effects of uterus removal after 50 years among postmenopausal women have no effect.
Due to hysterectomy, urinary incontinence may also be observed. Experts believe that the removal of the uterus from the pelvic tissue affects the mechanism of the urethral sphincter, as well as the supporting tissues of the urethra and bladder neck. Unintentional loss of urine, especially in case of sudden exertion, such as coughing, laughing or lifting heavy objects, is a consequence of the operation to remove the uterus with myoma.
Life continues after surgery
Whatever the pros and cons of hysterectomy, there is a symbolic turning point for any woman who often has psychological consequences. Regardless of age, maternity took place or not, surgery is experienced as a difficult irreversible step, which gives rise to a feeling of loss of femininity. However, in most cases, hysterectomy brings real relief and physical health.-
Psychosocial problems of hysterectomy
The psychological consequences of removing the uterus can be depression, irritability, sleep disorders, and a certain way of thinking due to disability. Psychological and physical aspects of hysterectomy can also affect the social aspect of a woman’s life. As a result of the breakdown and lack of energy there is a loss of interest in ordinary activities, apathy comes.
Women who have psychological problems due to the arrival of early menopause due to hysterectomy may be offered a course of hormone replacement therapy to alleviate the condition. Cognitive and drug therapy may be recommended before and after hysterectomy.
It must be understood that a whole range of emotions after the removal of the uterus is normal. Try to enlist the moral support of a loved one in this busy time of your life.
Sexual life after removal of the uterus
Studies have shown that the main concern of women undergoing hysterectomy was anxiety about the consequences of this intervention for subsequent sexual activity. According to the results, 13-37% of women talk about the deterioration of their sexuality, but, paradoxically, 16-47% of the fair sex noticed improvements.
In the course of the research, the main problems related to the sexual life of patients were studied. We list them:
- Pain during intercourse. The percentage of women experiencing pain during sex is between 40.8% before the intervention and 14.9% 24 months after surgery. Women who have not experienced any pain during intercourse before a hysterectomy, rarely feel it after surgery. The exceptions were those who had depression before the hysterectomy.
- The frequency and power of orgasms. An increase in the number of women experiencing an orgasm was noted - 62.8% against 71.5% before and after the procedure. In addition, more and more women say they have a strong orgasm after surgery.
- Vaginal dryness is the most common problem. Many women who experienced dryness before the operation did not feel any improvement in this regard after it. In addition, 12% of women who did not have this difficulty, faced with it after a hysterectomy. Doctors say that during an intervention on the uterus, the ovaries can suffer damage that slightly alters the hormonal balance and causes a lack of vaginal lubrication.
- Sexual attraction. Most women after surgery say they have become more sexually attracted.
In no case should not take the results of the study as a signal that the removal of the uterus can improve the sex life of healthy women. It is designed to help make a difficult decision on the indications for hysterectomy. Be healthy!