The Secret to Amazing Sex After Hysterectomy

If you’re experiencing painful sex after a hysterectomy, help is on the way! Keep reading!

Hysterectomy Facts

What is a Hysterectomy?

A hysterectomy is the surgery to remove just the uterus (womb).

What does a Hysterectomy treat?

It is a surgical procedure to treat diseases like fibroids, endometriosis, and cancers such as uterine and cervical cancers.

How does a Hysterectomy affect my sex life?

If only the uterus is removed, it often does not affect sexual activity. You just need to refrain from sex for about six weeks after the surgery. Once the surgical wound heals, you can resume normal sexual activity as before. However, there are some exceptions:

50% of Hysterectomies include Bilateral Oophorectomy

For about half of all hysterectomies in the United States, the ovaries are removed along with the uterus, especially when the procedure is a part of cancer treatment. This procedure is called bilateral oophorectomy.

Why Remove Ovaries?

I think we can all agree that ovaries are pretty neat, so why would anyone remove them?
The main reason is cancer prevention:
Estrogen promotes cancers associated with female reproductive tissues:

  • breast cancer
  • ovarian cancer
  • uterine cancer
  • cervical cancer

Removing ovaries eliminates the source of estrogen and thus helps prevent these hormone-sensitive cancers for survivors and women with a family history of breast, ovarian, uterine and cervical cancers.
So you may think that removing your ovaries is all sunshine and rainbows, however:

Hysterectomies can cause Female Sex Dysfunction

The tradeoff of removing ovaries is that you also lose the glands that produce sex hormones, like testosterone and estrogen.

Testosterone, the Libido Hormone

Testosterone is a male hormone but it is also produced in lesser amounts in the female and is thought to promote the female sexual desire.

Estrogen, the Sex Hormone

Estrogen maintains health of all female reproductive tissues, including vaginal tissue, keeping it thick, moist and flexible.

How much of your Testosterone and Estrogen is made by the Ovaries?

The ovaries produce about half of testosterone and nearly all of estrogen for women.

What happens to your sex life after removing ovaries?

When ovaries are removed after a total hysterectomy:

  • estrogen is substantially reduced
  • vaginal tissue becomes:
    1. thinner
    2. dryer
    3. more vulnerable to tear during intercourse
  • libido and sexual desire is decreased
  • arousal is altered because
    1. vaginal lubrication is reduced
    2. vaginal dilation is reduced
  • inability to achieve orgasm
  • dyspareunia (uncomfortable or painful sex)

Estrogen cannot be used by Hysterectomy Patients

Supplementing estrogen in theory can help you to find relief, but:
It is ACTUALLY a Catch-22 situation because estrogen can increase your risk for cancer. This is the very reason that your ovaries were removed in the first place!
It’s a dilemma.
There is some good news, though:
You’re not alone.
About half of all women with hysterectomies in the United States are suffering from various degrees of sexual dysfunction and they cannot use estrogen to find relief.

What about testosterone?

Since estrogen cannot be used in these women who had a hysterectomy, can testosterone help treat their sexual dysfunction?
The answer is “Not really.”

Does Sexual Arousal start in the Brain?

It is currently believed that in a healthy woman, the sexual arousal begins in the brain.
A romantic memory, image, scent, music, or fantasy may act as a trigger to prompt sexual arousal.
As a result, it was believed that female sexual dysfunction is a chain reaction occurs top-down from the brain to the lower parts of the body.
A lack of testosterone would result in decreased libido in the brain.
Subsequently, altered arousal and absent orgasm would follow.
Thus, the brain was thought to be the key and starting place for treating female sexual dysfunction.

Effects of Testosterone on Female Libido

Based on this belief, doctors have used testosterone to treat female sexual dysfunction, but the efficacy has been limited while side effects are significant.
As a result, the American Endocrine Society has recommended against using testosterone to treat women with sexual dysfunction.

Non-hormonal Choices

    • There are many non-hormonal approaches that can help women with sexual dysfunction:
  • vaginal lubricants
  • vaginal moisturizers
  • vaginal dilators
  • laser treatment (MonaLisa Touch)
  • simple nutritional supplement, such as vitamin E suppository
  • advanced nutritional supplement such as NeuEve suppositories and cream

These products are available over the counter and do not require prescriptions. Women can find a product suitable for their age and health condition for long-term use.

Analysis of Non-hormonal Choices

Lubricants, moisturizers and vitamin E suppositories can provide temporary relief for women with early stage vaginal atrophy.
However, these products cannot stop or reverse vaginal atrophy.
Once the vaginal atrophy progresses to late stage these products become useless.
Dilators and laser treatment can help strengthen the vaginal tissue by providing physical stimulation, but these methods may require more work or carry a higher price.

NeuEve – The Best Choice

A desirable non-hormonal option is NeuEve’s advanced nutritional supplement.
It reverses vaginal atrophy by providing a group of nutrients to the vaginal tissue like calcium and vitamin D for bones.
To date, more than 100,000 women, including many with hysterectomy, have used this method safely and successfully for relief of vaginal atrophy.
The oldest woman who has regained sexual ability with NeuEve is 83 years old.

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


  1. My name is Nancy Ortega. I had a hysterectomy and my uterus removed so I have low estrogen. I did not take hormone therapy pill because it makes me have high cholesterol. So I need to find NeuEve. What is right for me start with? Is silk ok?

  2. I had total hysterectomy 16 years ago and never used any vaginal ointment, moisturizers or any thing and have not been sexually active until 1 year ago I met a man who is quite sexually active but I very rarely have any sexual arousal. Can neueve help restore some of the vaginal elasticity and arouse some sexual desires and is it also safe?

  3. I had a total hysterectomy on Dec. 26, 2018.
    I truly didn’t want this done, but I was tired of people telling me to “take out the baby maker and put in the playpen “.
    I also had plans to reverse my ovaries so I could carry my husband’s child since I already had a child with my x, this didn’t work due (couldn’t find the right doctor to reverse my ovaries).

    Now with the complete hysterectomy, I have no desire to make love to my husband. I’m in constant pain with intercourse, and at times I get numbness and the doctors say this is normal.

    Will the NeuEve Silk or Cream help me with this, and get the passion back into my marriage or should I give up and file for a divorce?

  4. It makes me so sad I can’t get my wife aroused after her full hysterectomy. I feel like I’m useless. It hurts so much to know that there’s nothing I can do or say to make her love me again.

    1. Dear Renee:

      Your doctor may have a good reason for this surgery. However, if you have doubts, it would be a good idea to seek a second opinion from an unrelated doctor to make sure that the first doctor is making the right decision.

    2. Don’t get a Hysterectomy it’s the worst thing a women can do to her body . I had an emergency one because a month before I had my 3rd repeat c section . I started bleeding out a month later after I had my baby . I was breastfeeding so I should not of got a period . When I came to the hospital by ambulance they told me it was a heavy period . I know my body it was not a heavy period . They gave me medication to stop the bleeding but 2 days later I was bleeding out again . This time I needed a blood transfusion. I stay the night in the hospital and they try telling me the same thing the following day and release me . I bleed out again 5 days later and that is when my life changed forever . I’m sure the doctor put a hole in my uterus during the c section . In my hysterectomy they took my cervixs as well . I did not have pre cancerous cells . When they take your cervics They call It a vaginal cuff . Mine kept bleeding out it’s been 6 months . Had to have 2 repairs . During that time could not have intercourse with my husband . When they take your cervixs and they sew the top of your vagina it’s not guaranteed For no problems. It can reopen from pooping or the tissue can be stressed out from
      Having sex . Now I’m scared to have sex and your vagina is much different now even the way your body produces discharge . Doctors don’t tells you about prolapse either . If you are a runner 50/50 chance of prolapse . Want to join a boot camp just forget about it . Don’t forget about the bladder problems having to per 20 times a day . I would never suggest a hysterectomy. It ruin my life and it was not by choice .

      1. I am so sorry to hear that. Mine was not by choice either. Friggin dr gave me Necrotizing Fascitiis (Flesh eating disease) bc I was on pitocin for 3 days being a high risk pregnancy (Obviously the baby didnt want to come).Basically I lost fat cells over my ribs and entire front of my abdomen as well as the top of my thighs including a complete hysterectomy and oophorectomy (still had my cervix luckily), then a day later lost my abdominal muscles, so my intenstines literally hang outside my body being held in only by my newly grafted skin (of which I was the donner) so I look like Im pregnant no matter what i wear. Thats just the icing on the cak; when I was planning on having multiple children and someone asks when your due. I’ve wanted to punch them in the face so many times, but I guess its not their fault. The BS of it all is that we tried suing the hospital and 3 different law firms would not take our case. So Im disabled and my husband stays home taking care of me getting paid part time at less than minimum wage…such is life.

    3. Can I ask why youre having t done? I was 27 and it wasnt by choice. You can always get a second opinion, unless its totally neccessary. even then you can get a second opinion. And dont take sytnetic estrogen. always asks lots of questions.

  5. You guys are scaring me. I. 39 Ive had a large ovarian cyst for nearly 17 years recently It got bigger. Ive need surgery for years but do to other help complications no one has wanted to do it so there sending me out of state. Im terified and sad Ive been unable to carry another baby since the cyst ruptered after my second son was born. Basically I no longer have a choice and even though I knew it was unlikely that Id ever carry another pregnancy Im devistatd now hearing your stories I worry that all lose everything that makes me feel like a woman. I love being a woman a wife a mother. And now I worry it will all be gone or atleast a large partnof my identity.

  6. Before my total hysterectomy the mammogram show size of piece rice which was removed by a needle. The two doctors didn’t consult and didn’t leave a Fallopian tube hence l can’t have intercourse. My breast bleed when l took estrogen l am desperate…please help thank you.

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