Sex After A Hysterectomy

Apparently, removal of the cervix after a hysterectomy can inhibit the sexual experience for women. Sometimes doctors remove a healthy cervix during hysterectomy in the event that the organ may become cancerous in the future. Experts not agree with surgically removing perfectly healthy organs because they might become cancerous sometime in the future.

In some hysterectomies, the ones where the cervix is removed, the top of the vagina is rolled down like a toothpaste tube and then sealed. Scar tissue will eventually grow in that area, which keeps it sealed. The problem with this is that some women who have had shortened vaginas spoke about painful intercourse.

From the Annual Report On Sex Research, described the physiology of orgasm in women:

Sex After A Hysterectomy

The uterus and cervix play a role in the physiology of orgasm. Orgasm appears to be a neurological genital reflex. A biphasic motor response results first in contractions of the smooth muscles of the fallopian tubes, uterus, and paraurethral glands of Skene. The second phase consists of contractions of the striated muscles located within the pelvic floor, perineum, and anal sphincter. The sensation of orgasm is probably caused by the sensory stimuli from the contractions of the internal genitalia (i.e., uterus, cervix, vagina) that reach the brain. The conscious recognition of these sensory impulses is believed to be the experience of orgasm (Hasson, 1993; Segraves & Segraves, 1993). As a consequence, it is conceivable that surgical removal of the uterus can affect orgasm.

One possible reason for a woman's difficulty with sex after hysterectomy could be because of "surgical damage to the pelvic autonomic nerves during total hysterectomy." This damage "partially disrupts the nerve supply to the blood vessels of the vaginal wall, which is responsible for the neural control of the lubrication response." Some women have experienced a lack of lubrication after a hysterectomy. Surgical damage to the pelvic autonomic nerves may be the reason for that problem.

From an expert said, physiological ovarian failure that takes place in postmenopausal women results in marked decreases of estrogen and androgen levels. The physiological decrease in estrogen levels is thought to be the cause of sexual dysfunctions in women, such as reduced vaginal lubrication and dyspareunia [painful intercourse] (McCoy, 1994).

Women need not fear that they will lose their sexual desire after hysterectomy. They need not worry that a hysterectomy will negatively impact their sexual experiences. While some women have experienced difficulties after having a hysterectomy, many women go on to live healthy, enjoyable sex lives after the procedure.

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Perimenopause After Partial Hysterectomy

If a woman has a partial hysterectomy done, she will definitely want to know how to find out whether she is going through perimenopause. While a woman will not have irregular or missed menstrual period that is one of the first symptoms of perimenopause, she will notice many other symptoms.

A partial hysterectomy does not involve surgical removal of the ovaries. Hence, the woman will end up reaching menopause in a natural manner. Perimenopause after partial hysterectomy has many symptoms and some of them are listed below:

1. After partial hysterectomy, when a woman enters perimenopause phase of her life, she will experience mood swings as well as irritability. These mood swings occur due to hormonal changes that take place in the body and have nothing to do with the circumstances in the woman’s life.

2. Sleeping problems is another sign of perimenopause. Here, the woman will either find it difficult to fall off to sleep, or if she falls off, she will find it difficult to sleep through the night. In case a woman has not had sleeping problems earlier and is now in her mid-40s, most probably she is in perimenopause.

3. Fatigue is another sign of perimenopause.

In addition to the aforementioned symptoms, the woman will experience other symptoms of perimenopause, like hot flashes, lowered sexual desire, dryness of the vagina, depression, dizziness, and memory problems.

If you notice any of these signs, you are most probably in perimenopause. However, a woman should consult a doctor to confirm this as these symptoms can be brought on by many other health problems. While a woman will not have menstruation or irregular menstruation, the above symptoms should give a clue to the doctor whether she is in perimenopause after partial hysterectomy or not.

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Laparoscopic Surgery For Endometriosis

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Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. Instead of using a large abdominal incision, the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. If the surgeon needs better access, he or she makes one or two more small incisions for inserting other surgical instruments.

For a laparoscopy, the abdomen is inflated with gas (carbon dioxide or nitrous oxide). The gas, which is injected with a needle, pushes the abdominal wall away from the organs so that the surgeon can see them clearly. The surgeon then inserts a laparoscope through a small incision and examines the internal organs. Additional incisions may be used to insert instruments to move internal organs and structures for better viewing. The procedure usually takes 30 to 45 minutes.

If endometriosis or scar tissue needs to be removed, your surgeon will use one of various techniques, including cutting and removing tissue (excision) or destroying it with a laser beam or electric current (electrocautery).

After the procedure, the surgeon closes the abdominal incisions with a few stitches. Usually there is little or no scarring.

Source: www.revolutionhealth.com

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Endometriosis Recur After a Total Hysterectomy (Partial Hysterectomy)

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In endometriosis, the endometrial cells grow over the fallopian tubes, ovaries or the tissue lining the pelvis. So, if a partial or subtotal hysterectomy is done, only the uterus is removed, leaving the ovaries, fallopian tubes and cervix. The endometrial cells requires estrogen to prevail. Ovaries produce estrogen which influences the endometrial cells outside the uterus. That is why even after a partial hysterectomy, endometriosis can recur, rather it remains, with same symptoms as before the hysterectomy surgery, specially during ovulation. A total hysterectomy also does not remove the ovaries hence, there are chances of endometriosis recurring. However, if both the ovaries are removed, it minimizes endometriosis recurrence, since the source of estrogen i.e. the ovaries are removed. The process of removal of both the ovaries along with the uterus and fallopian tube is called hysterectomy (complete or partial) with bi-lateral salpingo-oophrectomy. Nevertheless, if you are taking estrogen therapy for any reason, this may stimulate the endometriosis again.

All the above surgical methods will not necessarily bring about complete menopause in women. However, it does terminate the possibility of bearing children. In partial hysterectomy, since a very small part of the uterus is left along with the cervix, some women may experience mini-periods. But in total hysterectomy, the entire uterus along with the cervix is removed, so ideally there should not be any periods or bleeding. If the ovaries are still present, they produce the hormones required for the monthly cycle. Hence, the monthly cycle persists i.e. all the other PMS symptoms will persist while only the bleeding will have stopped.

It is always suggested that women who undergo hysterectomy for endometriosis should ask their gynecologist to check the extent of the endometriosis, and then opt for the appropriate removal method to avoid the side effects of a hysterectomy. Do not feel depressed if you are suffering from endometriosis after hysterectomy. Remember, there may be many like you out there, so always have faith!

Article source: www.buzzle.com

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