Dryness of vagina can be managed by lubricants. Counseling to boost self esteem has to be undertaken. (Photo: AFP)

What could a hysterectomy mean for your sex life? Although everyone heals differently, a person may experience some common side effects after surgery that may initially affect sex. Dr Narayana Reddy, sexologist, says, “People should realise that hysterectomy is not a full stop for sex. It is just a short pause.”

Given time to heal, many women find their enjoyment of sexual activity remains the same after a hysterectomy. “Prima facie, sex life will not be affected post surgery. If the ovaries are also removed, then there will be loss of libido and dryness of the vagina. There will be menopausal symptoms. Some women may equate loss of uterus with loss of femininity. The overall effects depend on the reasons for the removal of the uterus,” says Dr Reddy.

“If ovaries are also removed, then testosterone patches can be applied over the abdomen corresponding to the position of the ovaries. Dryness of vagina can be managed by lubricants. Counseling to boost self esteem has to be undertaken. It is important to include the male partner in the counseling so that he can understand the implications and be supportive. Sex can be resumed approximately six weeks after surgery. If abstinence is too long, the vagina may start shrinking. Any comfortable position can be assumed, although deep thrusting is to be avoided. The other advice depends on the reasons for the surgery,” he adds.