The infamous radical hysterectomy: that monumental surgical event where your plumbing is removed, leaving you to navigate life with a somewhat minimalist approach to reproductive anatomy. You might be left wondering, “Is there still a chance for me to enjoy the big O?”
Well, dear readers, grab your tea and settle in, as we dive into the surprisingly complex world of post-hysterectomy orgasms, where anatomy meets amusement, and science tries to keep up.
The Anatomy of Pleasure: What’s Left After the Great Extraction?
First, let’s address the elephant—or, shall we say, the uterus—in the room. In a radical hysterectomy, you bid farewell not just to the uterus but often to the cervix, ovaries, and possibly a few other bits and bobs that may seem superfluous (until they’re gone). However, while it may seem like a full-on demolition job, your body still has some fascinating mechanisms in place for pleasure.
Despite the lack of traditional plumbing, orgasms are still possible, thanks to a delightful ensemble of nerves and tissues that haven’t been evicted. The clitoris, which is the true hero of the orgasmic narrative, is still very much in residence, and it has a splendid network of nerve endings that can be stimulated. So fear not, fellow pelvic adventurers; the potential for pleasure may still exist—even if the plumbing is decidedly less robust.
How the Body Gets Down to Business Without the Usual Gear
Now, let’s take a brief jaunt into the science of pleasure. Our key players here are the delightful neurotransmitters—dopamine, serotonin, and oxytocin. Even post-hysterectomy, the body’s response to sexual stimulation remains impressively intact. The brain is a marvellous organ, always ready to adapt, finding ways to deliver pleasure even when parts of the original “equipment” have been, shall we say, decommissioned.
Studies have shown that sexual arousal and orgasm involve the same neural pathways, whether you have all your original parts or a customized selection of plumbing. The clitoral network is rich with sensory nerves, and, believe it or not, the pelvic floor muscles are still intact, providing a solid platform for those pleasurable sensations. So while the machinery may have been altered, the joy of sex can still be very much alive.
The Role of Hormones in Post-Hysterectomy Bliss
However, let’s not overlook the hormonal aspect of this escapade. With the ovaries often taken out, you might be dealing with lower oestrogen levels post-op, which can impact libido and pleasure. Oestrogen is a key player in maintaining vaginal health and sensitivity. If you’ve got less of it, you may find that your sexual experiences are a tad different than they used to be (think: drier than the Sahara). But fear not! There are solutions at hand.
Enter Localized Estrogen Therapy:
Vagifem, a localized oestrogen treatment delivered via a convenient little pessary, can help restore the moisture and elasticity of vaginal tissues, significantly enhancing comfort and pleasure. Localized oestrogen is a true hero here, as it targets the vaginal area directly, resulting in fewer systemic side effects than traditional hormone replacement therapy (HRT).
Trust me, this is crucial information! No one bothered to warn me about the disastrous effects of skipping localised oestrogen—I had to learn that lesson the hard way. If you’re curious (or need a laugh at my expense), you can read all about it in another blog post!
And for those who find themselves still navigating the seas of dryness or discomfort, Intrarosa is another contender, which includes dehydroepiandrosterone (DHEA). This miracle worker transforms into oestrogen and testosterone in the vaginal tissues, offering a one-two punch for restoring your sexual health and vitality.
It’s crucial to note that blood serum oestrogen levels and localized vaginal oestrogen are two separate issues. While your blood levels might not reflect the delightful changes happening down below, local treatments can significantly improve your experience. It’s as if the body has its very own underground railway system for hormones—one that keeps the local delights running smoothly, regardless of what’s happening above ground.
The Great Orgasmic Experiment: What to Expect
So, what’s the takeaway? While orgasms after a radical hysterectomy may require a bit of a rethink, they are still VERY possible. You might have to explore new techniques, focus on different erogenous zones, or even engage in a bit of creative foreplay. Think of it as a new chapter in the book of your sexual life—complete with plot twists, unexpected characters, and perhaps a few cheeky moments that require a good sense of humour.
**A Quick Guide to Maximizing Post-Hysterectomy Pleasure:**
1. Experiment: Try different positions, toys, or techniques. You might discover new pathways to pleasure that you hadn’t previously considered. I shall defo do a toy review post!! You’re welcome!
2. Communication: If you have a partner, talk about what feels good and what doesn’t. It’s a team sport, after all.
3. Localised Oestrogen is a Must: Don’t overlook the benefits of Vagifem or Intrarosa. They can make a significant difference in your comfort and enjoyment.
4. Lubrication: Do yourself a favour and invest in some quality lubricant. A little help goes a long way!
6. Hormone Replacement Therapy: Absolutely essential! I’m a passionate advocate for HRT, and I’ll dive deeper into this in many posts. And let’s not forget—testosterone is a real ally, especially once your oestrogen levels are finely tuned to suit you!
Conclusion: The Adventure Continues
So there you have it—a whimsical romp through the land of post-hysterectomy orgasms. While the plumbing may have undergone a significant renovation, the potential for pleasure is still alive and kicking (or at least gently shimmying). Embrace this new phase of your sexual journey with an open mind, a dash of humour, and spirit of curiosity.
Let’s just say, things took a rather unexpected turn for me, sexually speaking, after the operation. I truly felt as though a cherished part of me had gone missing. But take heart—it can indeed be reclaimed. If you’re not quite there yet, believe me, with a bit of hormonal fine-tuning and a renewed sense of self-love, pleasure can still be found. It took me some time, and while it may not be as “predictable” or “reliable” as before, all is certainly not lost.
As we’ve learned, it’s not about the parts you’ve lost but how you make the most of the ones you still have. Here’s to new beginnings, unexpected joys, and the delightful possibility of the big O, even after the radical hysterectomy. Horahhhh!
Have a read:
- Clitoral Nerves and Orgasms Post-Hysterectomy
Many women can still experience orgasms after a hysterectomy due to the preserved network of clitoral nerve endings.
Healthline – G-spot and Orgasms After Hysterectomy - Role of Pelvic Floor Muscles in Sexual Function
The pelvic floor muscles remain intact and contribute to pleasurable sensations post-hysterectomy.
MedicineNet – Does Sex Feel Different After a Hysterectomy? - Localized Estrogen Therapy for Vaginal Health
Localized estrogen therapy can improve vaginal lubrication and elasticity, helping to alleviate dryness and enhance sexual comfort.
NHS – About Vaginal Oestrogen
My Fav Menopause Doctor – Louise Newson
Here are links to Dr. Louise Newson’s articles on testosterone, libido, and localized oestrogen:
Genitourinary Syndrome of the Menopause
A discussion on managing genitourinary symptoms of menopause with Dr. Louise Newson and Professor James Simon.
Read here on DrLouiseNewson.co.uk
Testosterone: Beyond Libido
Dr. Newson discusses the benefits of testosterone supplementation for women, especially in enhancing libido when other HRT options aren’t sufficient.
Read here on DrLouiseNewson.co.uk
Oestrogen in Patches, Gels or Sprays Factsheet
This article provides an overview of localized oestrogen treatments for managing vaginal health, dryness, and discomfort.
Read here on Balance-Menopause.com
The Importance of Testosterone for Women
An informative guide on the role of testosterone in women’s health and its broader benefits beyond libido.
Read here on Balance-Menopause.com
Testosterone for Women Appointments
Details on accessing testosterone therapy and consultations for women.
Read here on NewsonHealth.co.uk
What is Intrarosa and How Do I Use It?
This article covers the use of Intrarosa as a localized oestrogen treatment to relieve symptoms like vaginal dryness and discomfort associated with menopause.
Read here on Balance-Menopause.com
