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How to Pick the Best Name for Your Baby
Expectant parents spend hours preparing the nursery, poring over pregnancy and delivery books and going to childbirth classes. Yet surprisingly, many decide their child’s given name within a matter of minutes, often spending more time selecting...
The Best Breastfeeding Advice I Ever Got
Recently I was with a group of Mothers who were discussing the breastfeeding advice they had received as brand new Moms. I realized quickly how fortunate I was to have been given the best advice I ever got on breastfeeding by my own Mother. The...
Twins Pregnancy - a Father's Point of View
So you’re expecting twins. Congratulations! Are you still in shock? I sure was. The thought of bringing two babies into the world at one time scared the heck out of me, especially since I was already the father of two boys (ages five and...
Understanding Ectopic Pregnancy
Did you know that... symptoms of ectopic pregnancy typically include lower back, abdominal, or pelvic pain. The pain usually gets worse before it gets better and more often than not vaginal bleeding will occur. I am expecting my first child in...
You Don't Have To Suffer With PMS
We now know that premenstrual syndrome (PMS) is experienced by 60% of all women. What causes PMS has been difficult for researchers to pin down because each woman experiences symptoms differently. PMS Symptoms When making the diagnosis,...
 
The Effect of Hysterectomy
on Sexual Response and Sexual Identity

The effect of hysterectomy on sexual response and sexual identity is mixed. Most woman go on to have a normal sex life, some have a heightened response , while others are less able to have a sexual response following hysterectomy due to their perceived loss of femininity. Some women may notice a change in their sexual response after the uterus has been removed, uterine contractions that may have been associated with orgasm will no longer be perceived. Other women may experience a heightened response. This may be due to the fact that they no longer have to worry about getting pregnant and no longer have tremendous pain or dysfunctional bleeding.

If the ovaries are not removed, the outer genitals and the vagina are not affected and remain lubricated with sexual response. If the ovaries are removed at the time of hysterectomy, vaginal dryness may be a problem during sexual intercourse. Vaginal dryness can be helped with the use of estrogen cream.

During hysterectomy vaginal tissue is removed and may make the vagina shorter. Deep thrusting during intercourse may be painful. Changing positions during intercourse may help, such as being on top or bringing your legs closer together.

Recently interest in supracervical hysterectomies (where the cervix is not removed at time of hysterectomy) has grown out of speculation that women might enjoy better sexual function after hysterectomy when


the cervix is left in place. A new study has found there is no difference in sexual function or quality of life when a supracervical hysterectomy is performed instead of a total abdominal hysterectomy.

Post hysterectomy depression may interfere with sexual response. Depression may follow a hysterectomy from a concept that femininity and an intact functioning uterus are one. Some women link their self-image with reproductive ability. Menses reminds a woman of her uniqueness where hysterectomy takes away this cue. Many women have a brief emotional reaction to the loss of the uterus and ovaries that erodes their sense of well-being and femininity. If the problem persists please discuss your feelings with your doctor.

Be sure if you are considering a hysterectomy you discuss your personal health and medical history with your doctor. He or she will help you decide what procedures are best for you given your personal condition. Many women find this procedure helpful to their overall health and well-being, especially if they are at risk for certain cancers or other debilitating health conditions.
About the Author

James W. Brann, MD, FACOG Dr. Brann is a board certified Obstetrician and Gynecologist and a Fellow of the American College of Obstetricians and Gynecologists. Signs of Pregnancy, Chlamydia, Hysterectomy, Early Pregnancy Symptoms

 

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