Hysterectomy Recovery: What Can You Expect?
Around 55,000 hysterectomy operations are carried out in the UK each year. This means about one in five women will have a hysterectomy at some point.
After a hysterectomy, you will have a brief recovery time in the hospital. Your recovery time at home — before you can get back to all your regular activities — will vary depending on the procedure you had.
Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home.
You shouldn’t do any tasks until you talk with your doctor about restrictions. Don’t do any lifting for the first two weeks. Walking is encouraged, but no heavy lifting.
After 6 weeks, you can get back to your regular activities, including having sex.
Vaginal or laparoscopic assisted vaginal hysterectomy
A vaginal hysterectomy is less surgically invasive than an abdominal procedure, and recovery can be as short as two weeks.
Most women come home the same day or the next. Walking is encouraged, but not heavy lifting. You will need to abstain from sex for at least 6 weeks.
Laparoscopic supracervical hysterectomy
This procedure is the least invasive and can have a recovery period as short as six days to two weeks. Walking is encouraged, but not heavy lifting.
The surgeon’s movements are mimicked by robotic arms that make small incisions to remove the uterus.
Most women come home the next day. If the cervix is removed, you will have the same restrictions as you would have for a laparoscopy.
What to look out for
Call your doctor if you have any of these symptoms with any type of hysterectomy:
- Fever or chills
- Heavy bleeding or unusual vaginal discharge
- Severe pain
- Redness or discharge from incisions
- Problems urinating or having a bowel movement
- Shortness of breath or chest pain
Treating side effects of a hysterectomy
If your ovaries were removed with the uterus, your doctor will suggest HRT but your age and medical history are factors to consider when deciding on HRT.
There are non-hormonal treatments that are also offered such as SSRI antidepressants rather than HRT, or a blood pressure medication to treat hot flushes.
Some women experience pain during intercourse after a hysterectomy. It helps to try different positions and lubricants and specific vaginal moisturisers. A low-dose vaginal oestrogen cream, suppository or ring can also help relieve vaginal dryness.
Pelvic weakness sometimes develops after a hysterectomy. If you had some pelvic weakness before surgery, it may get worse afterward — leading to bladder or bowel problems.
Kegel exercises can help strengthen pelvic muscles to help control urinary incontinence problems. For some women, corrective surgery is necessary.
For most women, life without a uterus means relief from the symptoms that caused them to have a hysterectomy — bleeding, pelvic pain, and abdominal bloating.
With relief from those symptoms, women may have better sex — with greater libido, frequency, and enjoyment.
Yet if the ovaries were removed, there are a few more challenges ahead. If you had not gone through menopause before your hysterectomy, you probably will begin having symptoms of menopause such as hot flushes and mood swings.
Your body is adjusting to changes in hormone levels. You may also have some changes in sexual desire and enjoyment, and vaginal dryness.
You may feel a sense of loss and may grieve over the loss of your uterus and your ability to have children. If you had surgery because of illness or cancer, you may feel depressed.
These feelings are normal. Talk to your doctor and/or a counsellor about them. Most women, however, are happy after their hysterectomy.
After a hysterectomy a woman is generally offered HRT, but bioidentical hormones can be helpful to. Which hormone you need replacing can depend on your symptoms or the severity of the following article may be useful.