Pelvic Health After Hysterectomy: What You Should Know

A hysterectomy can be life-changing, bringing relief from chronic pain, bleeding, or fibroids. But what many women don’t hear enough about is this: your pelvic health still matters after surgery.

In fact, it matters even more.

Today, we’re breaking down what actually happens to your pelvic floor after a hysterectomy surgery treatment, and how you can support your body during recovery and beyond.

📍 First: What Happens to the Pelvic Floor After Hysterectomy?

Your pelvic floor is a group of muscles that support your uterus, bladder, and bowel. After uterus removal surgery, that structure changes.

Depending on the type of hysterectomy (partial, total, or radical), you may experience:

• Shifts in organ position (especially the bladder)

• Changes in muscle support

• Potential weakening of pelvic floor strength

• Higher risk of prolapse (in some women)

• Pressure or discomfort during certain activities

But don’t panic, these changes are manageable and often preventable.

⚠️ Common Pelvic Health Issues Post-Hysterectomy

Here’s what you should look out for:

• Urinary incontinence (leaking while sneezing or coughing)

• Vaginal pressure or a “heavy” sensation

• Pain during intercourse

• Difficulty with bowel movements

• Pelvic organ prolapse (rare, but more likely if pelvic floor is weak)

✅ How to Protect and Improve Pelvic Health After Surgery

These proactive steps can help your pelvic muscles stay strong and supported:

1. Pelvic Floor Exercises (Kegels)

Start gentle Kegels once your doctor approves. These exercises tighten and lift pelvic muscles, helping with bladder control and internal support.

2. Work with a Pelvic Floor Physiotherapist

A specialist can evaluate your muscle tone, posture, and function and create a customized plan.

3. Avoid Heavy Lifting in Early Recovery

Even lifting groceries too early after laparoscopic hysterectomy can strain the pelvic floor. Follow post-op instructions strictly.

4. Stay Hydrated and Eat Fiber-Rich Foods

Constipation can stress your pelvic area. Drink plenty of water and load up on veggies and fruits.

5. Check Your Posture

Believe it or not, sitting and walking correctly reduces downward pressure on your pelvic floor.

🧘 Mental + Emotional Wellness Counts, Too

Pelvic discomfort or changes after surgery can lead to anxiety, self-consciousness, or even intimacy challenges. It’s important to:

• Communicate openly with your partner or provider

• Acknowledge your emotions without shame

• Seek therapy or pelvic rehab if needed

Final Word

Hysterectomy might remove your uterus but it doesn’t remove the need to care for your pelvic health.
In fact, it’s an opportunity to reconnect with your body in a new, empowered way.

If you’re preparing for or recovering from hysterectomy surgery treatment, don’t overlook your pelvic floor, it’s literally holding you up.

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