Hysterectomy - recovery

Hysterectomy/recovery

Hysterectomy

Why its necessary

Considerations

How its performed

Recovery

Complications

After having a hysterectomy, you may wake up feeling tired and in some pain. This is normal after this type of surgery.

Youll be given painkillers to help reduce any pain and discomfort.

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

You may have:

• dressings placed over your wounds


• a drip in your arm


• a catheter – a small tube that drains urine from your bladder into a collection bag


• a drainage tube in your abdomen (if you have had an abdominal hysterectomy) to take away any blood from beneath your wound – these tubes usually stay in place for 1 to 2 days


• a gauze pack inserted into your vagina (if you have had a vaginal hysterectomy) to minimise the risk of bleeding – this usually stays in place for 24 hours

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

The day after your operation, youll 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).

A physiotherapist may show you how to do some exercises to help your mobility.

They may also show you some pelvic floor muscle exercises to help with your recovery.

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

Any stitches that need to be removed will be taken out 5 to 7 days after your operation.

Your recovery time

The length of time itll take before youre 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, itll usually be up to 5 days before youre 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 about 6 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 surrounding tissues need time to heal.

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

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

Side effects

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

Bowel and bladder disturbances

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

Some women develop urinary tract infections or constipation. Both can easily be treated.

Its recommended that you drink plenty of fluids and increase the fruit and fibre in your diet to help with your bowel and bladder movements.

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

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

Vaginal discharge

After a hysterectomy, youll experience some vaginal bleeding and discharge.

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

Visit your GP if you experience heavy vaginal bleeding, start passing blood clots or have a strong-smelling discharge.

Menopausal symptoms

If your ovaries are removed, youll usually experience severe menopausal symptoms after your operation.

These may include:

• hot flushes


• anxiety


• weepiness


• sweating

You may have hormone replacement therapy (HRT) after your operation.

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

It usually takes around a week before having an effect.

Emotional effects

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

These feelings are particularly common in women with advanced cancer, who have no other treatment option.

Some women who have not yet experienced the menopause may feel a sense of loss because theyre no longer able to have children. Others may 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 you about 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.

Getting back to normal

Returning to work

How long itll 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 8 weeks.

Driving

Do not drive until youre 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 youre fit to drive before you start.

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

Exercise and lifting

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

Walking is always recommended, and you can swim after your wounds have healed.

Do not try to do too much as youll 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.

Sex

After a hysterectomy, its 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 youre comfortable and relaxed, its safe to have sex. 

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

Many women also experience an initial loss 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.

Contraception

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

But youll still need to use condoms to protect yourself against sexually transmitted infections (STIs).