Symptoms After Postmenopausal Hysterectomy

After having a postmenopausal hysterectomy, most women experience some symptoms 125. A hysterectomy is the surgical removal of a woman’s uterus 125. A physician may perform a hysterectomy due to disease, chronic pain or uterine prolapse, which is the protrusion of the uterus through the vagina 125. In the United States, about 33 percent of women undergo a hysterectomy by age 60, according to 2010 information from the National Institutes of Health 125. Menopause is a natural occurrence in a woman’s life, during which the ovaries stop producing sexual hormones and menstruation ends.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.


Osteoporosis is a disease that causes bones to become brittle and more prone to breakage. Nearly 25 million postmenopausal women have osteoporosis, according to "The Woman's Guide to Hysterectomy" published in 2002 125. The significant drop in estrogen that accompanies a postmenopausal hysterectomy can cause osteoporosis; a broken wrist is often the first sign of the disease 125. During their postmenopausal years, about 40 percent of women will experience at least one broken bone related to osteoporosis, notes "The Woman's Guide to Hysterectomy."

Emotional Symptoms

Some women experience a strong emotional response to a postmenopausal hysterectomy 125. This is not uncommon. It may be due to a hormonal imbalance or, depending on a patient’s age, feelings of loss related to the end of childbearing years. Although some women feel better weeks after the surgery, other women become depressed and may require psychological counseling or hormone replacement therapy. Other women may experience feelings of relief thanks to the cessation of pain or other symptoms.

Low Sex Drive

After a postmenopausal hysterectomy, a woman may experience a decrease in her sex drive 125. In the March 2010 issue of “Sexuality and Disability,” Dr. Güliz Onat Bayram reports that this may be due to dyspareunia, or painful sexual intercourse, vaginal dryness and low libido. Every woman reacts differently. In fact, some women may enjoy having sex more following the surgery, thanks to the alleviation of pain or bleeding. Hormone replacement therapy and the use of vaginal lubricants can help increase sexual enjoyment.

The Wrap Up

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