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What Results Can You Expect After a Vaginal Hysterectomy?

Clip Number: 19 of 57
Presentation: Vaginal Hysterectomy
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Reviewed By: Arthur Schoenstadt, MD
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After the surgery, you will no longer have a uterus. Because of this, you will not have a period, and you will not be able to have children.
In most cases, if your ovaries are not taken out, they will keep on making hormones. Later in life, you will probably have a normal menopause. Menopause is a change you normally go through when your ovaries make less hormones. Some patients may have symptoms of menopause even if the ovaries have not been taken out. This happens because, after surgery, the ovaries may stop making hormones for a short time. They will usually start making hormones again in about 3-6 months. Some women might use some kind of hormone therapy during this time, if their doctor prescribes it.
Sometimes, the ovaries will not make hormones again. This means your body will stay in menopause. Although, this does not happen very often.
If your ovaries are taken out, your body will go into menopause, even if you are young. You won't have periods and you may have the usual symptoms of menopause, such as hot flashes or getting sweaty while you are sleeping. Without the hormones from the ovaries you are also at risk for other health problems. Please talk to your doctor about them.
Hormone replacement therapy is one way to help relieve the symptoms of menopause and make you more comfortable. You can take hormones by mouth, by a skin patch, or by a shot. Ask your doctor if you are interested in learning more about this.
Sometimes women get depressed after this surgery. Many women feel depressed because they can't have children anymore. If this happens, talk to your doctor about it. Prepare yourself by talking about it with your doctor and your family. You should also learn about the surgery as much as possible and try to have the surgery at a stable time in your life so you can concentrate on healing. If you are having the surgery to fix a problem, remember that the surgery might not fix it completely.
You might find that sex is different after the surgery. Sometimes your vagina may be dry. Medicine and lubricants can help with the dryness. Sometimes you might be worried or scared about having sex. Again, try to be gentle with yourself. Most women also get their normal sex drive back in a short period of time.
If the surgery made your vagina shorter, you will need to talk with the doctor or nurse about the most comfortable way to have sex. Over time the vagina will go back to its normal length. Having intercourse regularly and taking estrogen can help this along. Some women have trouble with orgasm after the surgery. Usually this does not last long.
If you have questions or concerns please talk to your doctor. It is important that your expectations about the surgery match your doctor's.

Vaginal Hysterectomy

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