Unable to orgasm after Total Hysterectomy

I am 7 weeks out from a complete hysterectomy. Everything gone. In my first couple weeks Post op I experienced spontaneous orgasms that awoke me from my sleep. I had no idea what was going on. I have since learned that those orgasms came from a pelvic floor that was spasming and during a normal orgasm the pelvic floor does contract. Mine just so happen to be doing it on its own. Not something u want as mine lead to spams Of the urethra also. I am now doing pelvic floor physical therapy to stretch my pelvic floor so it is not so tight! Weird concept.

I too have had a full hysterectomy 14 months ago, and am no longer able to orgasm. I feel completely and utterly empty inside, no feelings whatsoever. My heart is broken at the thought of knowing my sex life will be void for the rest of my life (my poor husband). I am only 48 yrs old and have absolutely no sensation during sex. I cry every time I think about never having another orgasm again. I too believe that nerves were severed during my operation. My surgeon ran into many complications during the procedure. I actually was not able to even try having sex until exactly one year after surgery. It took me that long to heal properly. I had to keep going back into the office for a check-up every 2-3 months to see how my healing was going. One time they had to use silver nitrate to remove a bunch of scar tissue and "clean me up" as he said..... this was soooo painful and I ended up in the ER a few hours later for the pain. Yes, I agree this conversation needs to be discussed with patients before surgery. I NEVER would have gone through with this surgery if I had known I will never give a s**t or care to have sex again. The Dr's or nurses never had this discussion with me before surgery. I feel so stupid for never even thinking that my sex life would be affected from a total hysterectomy. I thought I did so much research, I even went to another Dr for a 2nd opinion before I had the surgery. No one ever discussed "your sex life will/could suffer."

hi hun

I had a tvh nearly 3 years ago now and before I had my OP my Urogynacologist asked me about orgasm whether I gad vaginal or clitorus orgasm when having intercourse.

for me I didnt seem to have strong orgasm through sex but rather clitorus stimulation so even after my op I was able to orgasm through clitoral stimulation.

I have to say He did warn me about this before so for me I cant complain all with my surgeon.

have you tried clitoral orgasm hun? for me it makes no difference if it's not vaginal as it's all pleasurable for yiu and yiur partner.

hi hon im not sure when you posted but i had a total hysterectomy 7 weeks ago (Oct 2020) and my 6 week check a week ago i had read all sorts about lost orgasms after the op so i plucked up the courage to try and have one before in case i couldnti used a vibrator on my own and still havnt had sex with my husband but guess what? even though i havnt got a uterus anymore it felt like the normal uterine contactions you have during one it was fine maybe trh this with no pressure and see how it goes? good luck x

It was nareina who sent a message replying to something I wrote years ago. This lady so far is suffering the same problem that I have had for years following my hysterectomy. Hun I have more vibrators than Anne Summers, and a very good education of how things work. I am glad for women who say their orgasm hasn't been affected by surgery but mine has due to an incompetent surgeon who has probably severed nerves. There are women like myself who have been butchered, sorry if this offends, and there are those who say they are OK. It's a lottery. And suggesting that 'it is all in (my) head' like some women have suggested just makes me so angry.

I am 63 and 28 years post complete abdominal hysterectomy. Prior to surgery,, I had multiple intense orgasms during sex with my husband. I also was not told anything about the life altering reality of reduced quality of the sex in my marriage. I was not put on any HRT until 5 years later with a new female GP. she told me that unfortunately, 99 percent of the male surgeons who perform hysterectomy do not even understand the nerves that are being severed and what that does to a woman sexually afterward. She put me on bioidentical estrogen which helped with vaginally atrophy, moisture level and some moodiness but absent the bioidentical progesterone, I had no desire for sex at all. I recently have found a new provider who has worked with me to balance all of my hormones with bioidentical estradiol, progesterone, and DHEA which increases testosterone. it has taken nearly a year but I have list nearly 20 pounds, my breasts are getting firmer, I am not a crazy moody witch anymore, I have energy and sleep like a baby! I also have a sex drive for the first time since before my surgery... I'm wearing my husband out! he is suffering from hormone imbalance and has recently begun bioidentical TRT and he is feeling better as well. We feel like a couple of youngsters again!

I have never recovered from the nerve damage or lack of sexual stimulation from not having a cervix in my ability to have a fulfilling orgasm the way I used to do, however, through prayer and some self re-exploration of my body I have learned how to have meaningful sex with my husband again. the fact that at our ages we are hungry for each other and feel good physically and emotionally, we realize that having God glorifying sex doesn't always have to end in a massive orgasm....but is at least fun trying!