Sex After Hysterectomy

I've been avoiding the "S" word on this blog, mainly because my mother reads it, but it's an important topic, one I have to address. Cover your eyes...

When Can I Have Sex After Hysterectomy?

First things first... do not, I repeat, DO NOT have intercourse before your doctor clears you. You will regret it. If your cervix was removed during the surgery, you now have a vaginal cuff. That means you have stitches-- many, many stitches-- inside your vagina. Ouch! Imagine the pain of ripping and tearing vaginal stitches and needing vaginal surgery, not to mention a lengthy hospital stay. All for a little action between the sheets... worth it? I think not.

Most doctors clear their patients for sex four to six weeks post-op, but some say wait eight weeks, or even longer. It really depends on the specifics of your surgery and your unique recovery. Only your doctor really knows what is going on internally, so it's in your best interests to listen to him.

The First Time

Immediately after surgery, I thought I would never, ever desire sex again... and I was okay with that! My insides felt like they had been put through a meat grinder, and I couldn't imagine ever wanting below-the-belt activities. I found myself hoping my doctor would say I had to wait three months! I actually had a plan to tell my husband that the doctor said that, no matter what my six week checkup held. Sneaky, eh?

Somewhere between the four to six week mark, however, I started feeling more alive, not quite so sore and tender. I was actually thrilled when I got the nooky go-ahead. Thrilled... but scared to death. Would it hurt? Would I bleed? Would it feel different for my husband? And on and on...

So, the big night finally came... and it was absolutely fine. Not exactly fireworks, because we were both so nervous and afraid of hurting me, but... nice. I'm happy to report that everything still works exactly as it should. There was no bleeding, but it's perfectly normal and okay to have light bleeding after the first couple of times. There was also no pain, discomfort, or dryness. Whew, what a relief! Oh, and by the way, it gets better every time.

There is life after hysterectomy... and it's good. Enjoy!

36 comments:

Maribri55 said...

Hello...I was just reading your post and I must say it brings me some relief to read that some light bleeding after intercourse may be normal. I experienced some light bleeding after my second try at intercouse, post hysterectomy. My first time was 8 weeks post hysterectomy and everything was fine but my second time (11 wks post surgery) I experienced the light bleeding during and none afterwards. I am a little scared and still waiting for a call back from my doctor. Decided to do some internet research and found your posting. Wanted to ask, who advised you that some light bleeding would be normal? Thanks Maribri

Anonymous said...

I am scheduled for my hysterectomy in 4 weeks, and I just want to thank you so much for being so candid. Your Blog is just what I needed. I needed someone who had been there, done that. Most sites are so negative, thanks for being so positive!

Anonymous said...

Bleeding is not normal after sex. Terrible advice. I had a little and called my doctor and he had me in for an exam and I had a slight tear. Silver nitrate was applied. No sex again for 2 more weeks. Silver nitrate again. Bleeding could mean more than a silver nitrate fix. If you have bleeding discontinue sex and call your doctor.

Anonymous said...

Slight bleeding the first few times of having sex after hysterectomy with vaginal cuff is very normal. Nurses and my surgeon and numerous of my hyster-sisters have told me so and have experienced it themselves. I am only 5 days postop but I am prepared for it to happen when Im cleared for sex and actually attempt it. Ignore the poster above. Best advice is know your body...ask ur doc these questions prior. Heavy bleeding is never good. slight bleeding or discharge is considered very normal and even expected if u hop to it immediately after getting clearance.

Anonymous said...

Waited the six weeks, had some spotting after, but of more concern I passed some tiny pieces of white plastic. I have a call into my surgeon but he's out of town until tomorrow. Does anybody know what this is and how concerned should I be?

Anonymous said...

I am so glad to read this post!!! I am 5 day post surgery and I feel like I was run over by a truck. I have been worried about sex and glad to hear that things get better. I see one poster doing AB work too,!!!! Yay. I was working out about 5 days per week before my surgery ...

Anonymous said...

I'm a little frustrated. I was cleared @ 6 weeks post op, had sex and about a week after suffered severe abdominal pain that went away after a few hours. Went to dr and he advised slight vaginal cuff separation, applied silver nitrate. Had to wait 3 more weeks, went back Friday, was told all was well. Had intercourse twice, no problems, but this morning, we had intercourse from a different angle, deeper penetration - and no pain but blood afterward :(. I'll call the dr tomorrow but dear Lord does this never end? I don't want to be afraid to have sex with my husband and if I was cleared (both times) I don't understand why I keep bleeding!! Has anyone experienced this?

Tracy said...

From all that I've read, the first few times you have intercourse after complete hysterectomy, it's vital to take it easy! Especially if your partner is large and could hurt you before the operation. Many times the vaginal cavity is shortened slightly, therefore needs to be gently stretched back out before getting more adventurous. That's probably why the first time didn't cause problems, but the second did for one commenter. I'd say take it gently for the first few and at the beginning until it feels comfortable.im just 1 week post op, and my desire for my husband of 18 years has not waned!!! :)

tjean60 said...

I'm facing a complete DaVinci hysterectomy in3 weeks and I'm terrified. My husband an I of 32 years enjoy a very active, fulfilling intimate relationship and I am terrified that will change. The vaginal cuff stories I've Read have been negative but there is no way around a vaginal cuff. Period. I guess I just go into godwits a positive attitude and expect terrific besets backs and hiccups along the road to recovery. I sound like such a baby, I know thousands of women gave undergone a hysterectomy.... But I never have and I'm scared.

MsJoan80 said...

Hopefully this helps some. I had a full hysterectomy via c section on Apirl 20 2016. I was also afraid of all the horror stories of sex afterwards. I was so afraid of losing the urge for it but boy was I wrong. About the 4th week I had to keep reminding myself it was definitely not safe. The URGE was definitely there.Clitoris simulation is ok but my Dr. made it VERY clear nothing inside the vagina until giving the green light to do so. I was give the clear to have sex as of June 01 which was yesterday LOL, didnt happen because I was to afraid. My partner comfort me into it today, to be honest it wasnt the best but im glad I did it because he has been very patient through all this. My partner really enjoyed it he actually said if anything it felt a lil better. Now with that being said it was a little painful but not unbearable and there was slight spotting afterward but nothing my Dr. hadnt mentioned. Main thing is to understand every woman is different, listen listen to your Dr and just be patient. A hysterectomy is a VERY BIG change for your body and will take some time to get back to normal but it doesn't have to be devastating. My opinion from my hysterectomy experience is if you have patients and a wonderful,loving partner with patients then your sex life is not to much to worry about. My mother also had a hysterectomy about 14 yrs ago she didnt have not 1 horror story for me and she is 60 today. Every woman I have talked to who had a hysterectomy said it was the best thing they could have done. All the horror stories I have come across are on the internet. Another little advise I would like to add is talk to your Dr and ask questions. Im 6 week post surgery everything still works and I feel fine. I can tell my body is still adjusting but my Dr did say it would be a few months before the body feel 100%. I will do my best to answer any question if anyone have any. Sending a fast, healthy and happy recovery to all!!

Unknown said...
This comment has been removed by the author.
Anonymous said...

I had a full hysterectomy and waited a year or more before having sex and experienced a little bleeding. Just the other day I had sex it was kind of painful and the bleeding was a little heavier but didn't last long.So I think with different positions and circumstances you need some lube from time to time.

Anonymous said...

Hi, I need some advise. I'm 41 years old and still a virgin (pausing so jaws can drop lol) and I had a partial hysterectomy in 2004, because I had a 7 pound fibroid tumor. Well, I'm dating a guy that I really like, and I wonder if I were to have sex...finally, would I have any chance of bleeding?

Anonymous said...

Hello Ladies!
I just returned from my 6 week post op today! I have a vaginal cuff after removal of my cervix, uterus and fallopion tubes-laporscopic. I've been scared to have sex but was cleared by my doctor today! I thought I would test the waters and kind of played with one of my toys (taking it very slow and easy) It was awesome!! Didn't need lubricate or nothing so I'm more than ready for my husband to get off of work! Patience is a virtue so listen to your doctor and listen to your body! Don't start off being a "PORN STAR" but each woman heals differently! Good luck and Happy Love Making!

Unknown said...

I had a TLH September 9, my Dr gave me the green light yesterday to resume normal activity including sex. My partner and I began to have sex and I had bright red blood, had to put on a pad afterwards. Will call my Dr in the morning but is this something I should be worried about??

Unknown said...

I had a tvah keeping ovaries. Just had sex at 8 1/2 weeks. I had no bleeding but a little soreness during at the cuff. He said he could feel a stitch too. But, all is good where functioning and orgasms are concerned. I was worried too! And it is all good!

Anonymous said...

I was 10 weeks post total hysterectomy when I had sex and I ended up with bright red bleeding. I called my doctor and was seen immediately. I tore a stitch and was given estrogen cream to use for 2 weeks. After 2 weeks if it hadn't healed on its own, it would need to be surgically repaired again. Needless to say, when I get the okay, I am scared to have sex again.

Cynthia said...

My doctor told me from the beginning I needed to wait 3 months but from what I'm reading that is twice as long as normal. I already had the only follow-up appointment I'm going to have and was told I'm healing just fine, but that I still have to wait 6 more weeks! My husband and I are getting pretty frustrated, but I'm trying to be patient even though I feel better than I did before surgery.

Cynthia said...

My doctor told me from the beginning I needed to wait 3 months but from what I'm reading that is twice as long as normal. I already had the only follow-up appointment I'm going to have and was told I'm healing just fine, but that I still have to wait 6 more weeks! My husband and I are getting pretty frustrated, but I'm trying to be patient even though I feel better than I did before surgery.

Anonymous said...

Possibly tiny pieces of stitches

Anonymous said...

5 weeks after total hysterectomy my Dr. Advised me to wait 4 more weeks. :( I'm now 7 weeks post op. I'm too scared to try. I also had vaginal and labia tearing during the vaginal removal.both needing stitched up. Barely tender anymore at all. I had no idea I would have to wait this long. My partner is trying to be patient, but I can tell he is really getting frustrated. He does t believe it takes that long to heal. I had stage 4 endometriosis, fibroids, and polyps. Uterus completely scarred and uterus fused to my bowels, bladder, and appendix.i bleed and passed I've colors. Couldn't work some days there was so much blood. Pnce i bled for over a year straight, light and heavy. I've had 3 blood transfusions. I'm so thankful for surgery, because it saved my life. I. Trying so hard to be patient with this wait

Marry Davis said...

Giving a birth to a healthy child is not too easy. Women who experience cramps after sexual intercourse may be worried, Checkout the right cause of pain after sex and take the best treatment.

Unknown said...

Ok ladies I had a partial laparoscopic hysterectomy in August of 2016 and I waited until Dec 2017 mainly because I was single to have sex again.. But u would think after that long I should be totally healed right? After sex I have light bleeding and spotting and my lower abdomin hurts. Any advice on this.

Anonymous said...

Hello ladies, my doctor told me 8wks. But if I make it to 6wks that would be great. I could not hold out and had sex around 4.5 and 5 weeks. No problems just went slow and took our time and nothing risky.

toni schroeder said...

I am 5 weeks tomorrow post-op DaVinci hysterectomy removing my uterus and cervix it is by far the best thing I have ever done in my life I have five children and have also had a tubal ligation and a cervical ablation this is the easiest and by far the best thing i have ever done in my life take it from me who is in constant movement this will be nothing short of amazing for you please let me know how you feel afterwards

Anonymous said...

I'm actually wondering about this too

Unknown said...

I had surgery on 18th June 2018 on 11 days after I had sex no pain no bleeding just was carefully 1 month after I did it a second time nothing happens I am resting a lot no strain on muscles when it comes to work no sweeping mopping now started cooking today did two short road trips felt great but have not gone out back to work not ready for that type of body movement doctors appointment would be on 2nd august I feel great

Anonymous said...

I've just had sex first time I'm 5 wks tomoro, I've been ready since last week now I'm worried after reading all the posts, it wasn't sore apart from entry but felt ok inside some blood afterwards but feel ok but as I said now I'm scared

Unknown said...

I'm 3 weeks post surgery and my partner cannot hold himself anymore. I want to wait at least for another 3 weeks.im so scared

Anonymous said...

Hi I'm 10 weeks post op now, had infection at 5 weeks and bled, lots of antibiotics and rest and it eventually went. Had sex the first time at 8 weeks and apart from being a little uncomfortable all was OK.... Even managed an orgasm. Ached after in tummy muscles. This week we tried again and I'm still very tentative and won't let him thrust hard as a little worried something might happen but all went well and no discomfort this time and no lube needed either... Yay. Will hopefully get braver and try different things again soon.
I only did it when I was ready and the way I was comfortable...... This was important for me. My body needs to last a long time and I want to look after it as I've already lost some of it, the rest is precious!
Speak to gp if at all worried. Now to go back to work without feeling my bits r going to fall out by the afternoon lol....

Anonymous said...

I am 5 weeks post op now, had the Laparoscopic hysterectomy haven't had a lot of problems I bled the 1st day a little bit it's been pretty easy on me other than waiting for sex but I'm a newlywed we got married the 21st of October and I had my hysterectomy on the 6th of November so it's been rough waiting I see the doctor in 11 days and I'm hoping that he gives me the go ahead but forums like this have definitely helped me hold off from having sex but will be really glad when I can.I was able to keep my ovaries. Good luck to everyone.

Anonymous said...

I had a totally vaginal hysterectomy on December 5th. No incisions externally at all. I have a few very mild cramps and very light pink spotting the 3 days after and that's it. I've had no pain or discomfort. I actually feel great and like I had nothing done. I see my doctor on Friday for my 2 week post OP and all I can think about is how bad I'm ready to have sex with my husband again. Think there would be any chance she would clear me considering how great I've felt and that I have no external incisions healing? Just curious

Unknown said...

I went to my doctor yesterday and he said wait 4more weeks I couldn't wait we had sex me and my husband and now I'm bleeding lightly am I ok or do I need to go to the hospital

Unknown said...

Help

Anonymous said...

6 weeks out had sex and now I'm spotting. Should I be concerned or just let it go for now and see if it stops soon. ?

Anonymous said...

This is so reassuring. I’m 9 weeks post op. J had granulation tissue at 6 weeks that he had to put silver nitrate on. Had intercourse at 8 weeks, very minimal spotting that night only. Did it a couple of days later with more pink spotting. It’s lasted 3 days, is that normal?