Hysterectomy – Recovery – NHS

After havinga hysterectomy, youmay wake up feeling tired and in some pain. This is normal after this type of surgery.

You'll be given painkillers to help reduce any pain and discomfort.

If you feel sick after the anaesthetic, your nursecan give you medicine to help relieve this.

You may have:

You may also be slightly uncomfortable and feel like you need to poo.

The day afteryour operation, you'll be encouraged to take a short walk.

This helps your blood to flow normally, reducing the risk of complications developing, such as blood clots in your legs (deep vein thrombosis).

Aphysiotherapist mayshow you how to do some exercises to help your mobility.

They may also show you somepelvic floor muscle exercises to help withyour recovery.

After thecatheter has been removed, you should be able to pass urine normally.

Any stitches that need to beremoved will be taken out5 to 7days afteryour operation.

The length of timeit'll take before you're well enough to leave hospital depends on your age and your general level of health.

If you have had a vaginal or laparoscopic hysterectomy, you may be able to leave between 1 and 4 days later.

If you have had an abdominal hysterectomy,it'll usuallybe up to 5 days before you're discharged.

You may be asked to see your GP in 4 to 6 weeks, but follow-up appointments with the hospital are not usually needed unless there are complications.

It takes about6 to 8 weeks to fully recover after having an abdominal hysterectomy.

Recovery times are often shorter after a vaginal or laparoscopy hysterectomy.

During this time, you should rest as much as possible and not lift anything heavy, such as bags of shopping.

Your abdominal muscles and the surroundingtissues need time to heal.

If you live by yourself, you may be able to get help from your local NHS authority while you're recovering fromyour operation.

Hospital staff should be able to advise you further about this.

After having a hysterectomy, you may have some temporary side effects.

After your operation,there maybe some changes in your bowel and bladder functions when going to the toilet.

Some womendevelopurinary tractinfections or constipation. Both can easily be treated.

It's recommended that you drink plenty of fluids and increase the fruit and fibre in your diet to help with your bowel andbladder movements.

For the first few bowel movements after a hysterectomy, you may needlaxatives to help you avoid straining.

Some people find it more comfortable to hold their abdomen to provide support while passing a stool.

After a hysterectomy, you'll experience some vaginal bleeding and discharge.

This will beless discharge than during a period, but it may last up to 6 weeks.

Visityour GP if you experience heavyvaginal bleeding, start passing blood clots or have a strong-smelling discharge.

If your ovaries are removed,you'll usually experiencesevere menopausal symptoms after your operation.

These may include:

You mayhavehormone replacement therapy (HRT) afteryour operation.

This can be given in the form of an implant, injections or tablets.

It usually takes around a week before having aneffect.

You may feel a sense of loss and sadness after having a hysterectomy.

These feelings are particularly common inwomen with advanced cancer,who haveno other treatment option.

Somewomen who have notyet experienced the menopausemay feel a sense of loss because they're no longer able to have children. Othersmay feel less "womanly" than before.

In some cases, having a hysterectomy can be a trigger for depression.

See your GP if you have feelings of depression that will not go away, as they can advise youabout the available treatment options.

Talking to other women who have had a hysterectomy may help by providing emotional support and reassurance.

Your GP or the hospital staff may be able to recommend a local support group.

How long it'll take for you to return to work depends on how you feel and what sort of work you do.

If your job does not involve manual work or heavy lifting, it may be possible to return after 4 to 8weeks.

Do not drive until you're comfortable wearing a seatbelt and can safely perform an emergency stop.

This can be anything from 3 to 8 weeks after your operation.

You may want to check with your GP that you're fit to drive before you start.

Some car insurance companies require a certificate from a GP stating that you're fit to drive. Check this with your car insurance company.

After a hysterectomy, the hospital where you were treated should give you information and advice aboutsuitable forms of exercise while you recover.

Walkingis always recommended, and you canswim after your wounds have healed.

Do not try to do too much asyou'll probably feel more tired than usual.

Do not lift any heavy objects during your recovery period.

If you have to lift light objects, make sure your knees are bent and your back is straight.

After a hysterectomy, it's generally recommended that you do not have sex until your scars have healed and any vaginal discharge has stopped, which usually takes at least 4 to 6 weeks.

As long as you're comfortable and relaxed, it's safe to have sex.

You may experience some vaginal dryness, particularly if you have had your ovaries removed and you're not taking HRT.

Many women also experience an initialloss of sexual desire (libido) after the operation, but this usually returns once they have fully recovered.

At this point, studies show that pain during sex is reduced and strength of orgasm, libido and sexual activity all improve after a hysterectomy.

You no longer need to usecontraception to prevent pregnancy after having a hysterectomy.

But you'll still need to use condoms to protect yourself againstsexually transmitted infections (STIs).

Page last reviewed: 1 February 2019Next review due: 1 February 2022

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Hysterectomy - Recovery - NHS

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