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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the cause for the lack of sex drive after a radical hysterectomy?

I had a radical hysterectomy 10 years ago and my sex drive has never been the same. This has become a huge issue in my relationship because I was honest about lack of drive and inability to have an orgasm since that time. Is this unusual? What can I do to improve this situation?
Wed, 8 May 2019
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OB and GYN Specialist 's  Response

The symptoms you mentioned in your question is all related to the surgery you have gone through. A loss of sex drive may occur after a hysterectomy. Although many women do not experience sexual problems after a hysterectomy, some do experience complications.

These may include: Loss of sex drive: A woman may experience a reduced libido if her ovaries are removed, as this will cause a lack of estrogen. Pelvic floor weakness: Doing pelvic floor exercises, such as Kegels, can strengthen the muscles after surgery, improving sex and reducing the risk of incontinence.

Vaginal dryness: Some women experience vaginal dryness after having a hysterectomy. This can often be managed with an over-the-counter lubricant or natural alternative, such as coconut oil. Change in sexual sensation: Some women report a reduction in sensation inside their vagina during sex.

This does not have to negatively affect a woman's ability to orgasm, as the clitoris and labia are still highly sensitive. However, it may mean changing positions and techniques to find what feels right after surgery.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Naira Jahangir,
OB and GYN Specialist
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