Q: Why do I have cramps after a hysterectomy?

You describe cramps, not unlike menstrual cramps, after masturbation. Orgasm includes contraction of pelvic floor muscles, and it sounds like you're experiencing some spasms of those muscles. Radical hysterectomies often require tissue removal or dissection surrounding the uterus and ovaries. It's likely your spasms are caused within nerves and muscles that are still healing.

I suspect this will improve with continued healing, but using an anti-inflammatory medication like ibuprofen may help relieve the pain. If, three months or so after surgery, when most healing has taken place, the spasms and pain persist, a consultation with a pelvic floor physical therapist may be helpful. They can assess the muscles and nerves of the pelvic floor and often remedy persistent pain.

Continue that healing work! I'm hopeful the pain will resolve itself.


2 Responses

Dr. Barb
Dr. Barb

October 23, 2018

Autumn, it isn’t too surprising that intercourse wasn’t completely comfortable this soon after surgery. That doesn’t necessarily mean there was any harm done, 6 weeks following surgery a lot of healing has occurred and it isn’t likely you can cause any ‘damage’. The cause of pain after surgery can be from an array of possibilities and likely just the healing process that will improve over time. An exam by the surgeon would be helpful to carefully assess to make sure there aren’t other factors that may be causing pain, and that it is just in fact a healing/time related matter.

 Autumn
Autumn

October 23, 2018

I am finally 6 weeks out of a complete robotic hysterectomy and was intimate with my partner last night but this morning I’m experiencing major cramping and pain, my partner noticed I still have some stiches left over from the surgery and I’m now wondering if we caused any damage or if pain is normal

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