Many women who have undergone gynecological surgery to remove their ovaries, uterus or cervix feel afraid of having sex. Most often it results from fear of losing sexuality, fear that the partner will sense that the woman has been deprived of something.

And although doctors reassure that undergoing gynecological surgery -removal of the uterus , cervix or ovaries - it does not have any significance for a woman's sexuality, the matter is not so obvious.

Sex after gynecological surgery: changes result from physiology

As shown by American research, there are physiological grounds forgynecological operationsto cause problems withsex . In the United States, where such studies were conducted, from 33 to 46 percent. of women admitted that they experience difficulties in sexual arousal and achieving orgasm after performing these procedures. This is especially true of those women who have experienced orgasms when the lover's fingers or penis have reached the cervix and put pressure on it, thereby putting pressure on the uterus. This in turn caused the contractions which were felt as a delightful tremor. The extra blood flow to the uterus during the first and second phases of orgasm (excitement and plateau) caused the uterus to enlarge and elevate, which increased sexual tension throughout the body. And it was the tension that found its outlet in a series of reflex contractions that pushed blood out of the tissues. As a result, contractions were felt in the vagina, uterus, anus. And although the upper part of the vagina and the cervix itself are not very innervated, the repeated pressure of the penis, finger or penis on the cervix "thrust" the uterus and provided an amazing experience.

According to an expertdr Stanisław Dulko, sexologist

Fears are unfounded

Female fears in such cases are primarily a matter of the psyche. The diagnosis itself is a shock for them, and the procedure can make it even worse. Meanwhile, as practice shows, you can always find techniques that can provide even larger, more intense experiences. And if a woman is unable to deal with her fears, she should seek help from a sexologist or psychologist. Sometimes in such casesit is necessary to come with pharmacological drugs, e.g. antidepressants.

In view of such physiology, the absence of a cervix or uterus can significantly worsen sexual experiences. These feelings can also worsen when your ovaries are removed, and thus the level of sexuality-related hormones that they produce drops. And even if the ovaries are not removed, the surgery to remove the cervix or uterus may result in a degree of blood supply to the ovaries and thus lower hormone levels. In addition, vaginal lubrication is reduced following hysterectomy and ovariectomy.

Genital gynecological procedures can shorten the vagina and make intercourse painful. In both vaginal surgery and abdominal opening surgery, scar tissue forms that may cause a woman to experience discomfort during intercourse. Another problem for some women is the sagging of the vagina, which is usually closed surgically where it touches the cervix.

But all these feelings do not have to occur, because a lot depends on sexual habits and attitude towards one's sexuality.

Sex after gynecological surgery: other types of sexual stimulation

If a woman has achieved orgasm mainly by stimulating the clitoris, gynecological surgery will have little or no effect on her feelings. If she has had a vaginal or joint orgasm and is feeling uncomfortable after surgery, this can be changed by mastering other types of stimulation.

It's good to change your sexual position. For example, if a woman is on top, she can freely control the depth and angle of penetration. In turn, the use of lubricant will improve vaginal lubrication.

Hormone therapy, usually recommended by a doctor, is extremely helpful in restoring sexual sensitivity. It is mainly about one of the androgen hormones - testosterone, responsible for the appetite for sex. It is administered precisely to improve libido. However, the treatment should be carefully designed to prevent possible side effects, such as lowering the timbre of the voice, acne, and the appearance of facial hair. Many women who have their cervix removed are concerned about whether their partner will sense it. There can be only one answer here - no. The vagina is shortened after such an operation, so it is not possible for a man to feel empty or uncomfortable in this place.

In addition, some women are concerned about harming themselves by engaging in sexual activity after gynecological procedures. Herethe doctor decides, stating the time when it will be possible. Usually it is after two months or so. Of course, if you experience pain or bleeding during bed games, you should also give it a rest.

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Sex problems