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Having sex after any surgery can be difficult but after a hysterectomy may be particularly daunting. Some women are concerned about sexual side effec...
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Welcome -- -- -- -- some Dr.
Manny having sex after any surgery can be difficult after a hysterectomy.
May be particularly daunting.
Some women worry about having the procedure because of the potential sexual side effects joining me now with more on this is chief medical officer of body logic -- Doctor Jennifer -- And you are the expert and in in a lot of these things but.
Let's talk about the hysterectomy because that's a very big you know operation very common operation.
What are some of the conditions.
And that are most commonly it you needed -- -- So some.
The most common things are five parades in the uterus fibroid tumors endometriosis.
Is a common one as well where women have a lot of pain.
Heavy -- heavy bleeding is something that frequently can lead to a hysterectomy habits and those are probably the three most common things that we would say right.
Because the cancer side of it people on screen so frequently so it's very rare to see that.
But.
-- -- number one question I think that women have when it comes from hysterectomy.
Is about the sex life yes so does -- impact the sex life if you have a simple hysterectomy.
He now it's an interesting question and there's definitely answers on both sides of the point.
I do you caution patience that it does concern me that it could interfere with their sex life.
I think -- depends on how bad the symptoms are that are leading you to get the sister act.
Like if you're not feeling bad if you're not feeling pain if you're not suffering from heavy bleeding which by the way.
Those are -- conditions and those could be possibly treated in some ways by hormonal balancing.
So that kind of -- the hysterectomy but -- a woman is in so much pain or so much discomfort so much leading.
Yes her sex life is really you know -- the hysterectomy or may be right said -- -- to -- -- may be helpful for her but there are concerns.
Especially in women you know there's new research that shows now that some women are much more sensitive in her cervix then other went right so.
And that the cervix may be part of their or gas -- ability.
So if you take the cervix out she may have a lot of trouble after.
Two words and there -- other studies that did don't show that there are some studies that don't show that.
But but so let's get back because this is also you know very common question -- two hysterectomies.
-- a lot of the hysterectomies done today.
Are you know you leave the -- -- and you most of the time you leave it because you want that vaginal vault.
You know -- -- you know I don't want parents so you don't want that vaginal falling out of that falling off of collateral from your point of view.
So let's say because you do have a lot of experience.
You think that it's good to lead the Circuit City can.
I think that it is sexual perspective also.
From the sexual perspective I think it is good to leave the cervix if he can I think it's good from the sexual perspective to leave everything that you can because.
Even when you look at women who have had their ovaries removed.
They go into surgical menopause -- and that's a more severe menopause than a -- -- that happens naturally.
Or even in women who've already gone -- to menopause their ovaries still make testosterone even after menopause.
So when you take out those ovaries even mother postmenopausal.
If that can cause a change and a shift in their sexual drive.
So let's let's break it now for people out there.
Let's see you are 45 years of age we have very bad fibroid it's they need to come out because they're very painful and debilitating and you do have to get heavy period so.
You have a super cervical hysterectomy which is the one that I'm talking about we leave to serve XX patient comes -- Let's say a month or two later everything is healed but she says -- -- you know hurts a little bit wanna have sex and I'm not in the -- and let's take me through a couple of steps of things that you would.
So one thing that you mentioned -- that she's uncomfortable she has some pain with -- that's usually pain that the vaginal opening.
And that is usually caused by a lack of hormones so you can use vaginal estrogen.
And you can eaten beef that up with vaginal testosterone and there are some new studies just last year and vaginal PTA.
So I like sometimes to use a cocktail.
Of all of those harms estrogen testosterone in DT eight in a cream you can combine them right and you can use a very small amount -- the woman can rub that in.
It works like magic within a few weeks the tissues thicken up they get more comfortable and they get more comfortable with sex again -- -- sued that was one issue.
-- the other issue the lack of desire.
That can be a little bit more complicated so one thing is I would tester testosterone levels because testosterone is a -- of desire.
And if she has inadequate testosterone I would consider testosterone replacement through the various methods that we have.
A clean moral laws and injury -- injectable or appellate.
And done.
And what else would we look at so we also look at many other different issues in a woman's like you know -- -- -- -- before right.
Let's talk about the mind couldn't because that's I know I was find that especially.
Hysterectomy cases and I do hysterectomies sometimes I have to.
There's a component as psychological you know the hormones are like I get to hormones -- psychological point -- Components and I'll have a lot to do would it.
You know -- my still.
A -- woman in the sense of your reproductive organs how is my husband going to see me now.
Yeah okay casino and guys are sometimes incredibly.
Insensitive when it comes to.
You know let's say hysterectomy.
-- it's how do we tackle some of the -- things and I know we have a short time in the program but give me a couple of tips there.
Yeah well I think one of the most important things -- things that I called the secret ingredients -- women's sexuality is mindful mess.
So really being able to be present in the moment present in your body because I think too many women get caught up into what's going on in their brain.
And like you said they have these boxes and my womanly am -- this semi -- my enough.
And we have to really get back into the moment the moment of sexuality and enjoy the sensory input that's coming out us.
And when we're able to really sink -- for that moment.
I think that we're able to allay a lot of those fears and problems.
And in -- a waste sex a lot more and that's of course gonna increase the desire to have more sex.
All right.
That great information I think we need to talk more about this but.
People can go to your website which is.
-- land that MT dot com.
Or at the hormone quiz dot com if they wanna take a quiz to find out more about what's going on with their -- All right we'll if you -- -- learning about hormones or anything about your sex life.
You can land -- knows stuff thank you so much.
Thanks very much -- -- have a sex questions sent me an email here -- -- had -- committee of foxnews.com.
I'm not that many thanks for watching.
