A hysterectomy is a major surgical procedure in which a woman’s uterus is completely removed. In some cases, the ovaries may also be taken out. It’s one of the most common gynaecological surgeries worldwide and can be performed for several medical reasons. In the UK, around 55,000 hysterectomies are carried out each year – meaning there are countless people out there with experience that can support you.

Despite being a routine operation, the aftermath of a hysterectomy can be challenging. While it can often mark the end of a painful chapter, it’s also the beginning of a complex recovery. The surgery affects not only the body, but also feelings about identity, femininity, and the future.

This article will explain what to expect after a hysterectomy and how to care for yourself during this life transition. Whether you’ve already had the surgery or are preparing for it, this guide aims to offer reassurance.

Physical recovery: healing the body

The physical recovery period varies depending on the type of hysterectomy. You can get an abdominal, vaginal, or laparoscopic hysterectomy, but most women need six to eight weeks to heal.

During the first few weeks, it’s common to feel sore, bloated, and easily fatigued. While you shouldn’t be jumping back into exercise, short walks can help improve circulation and prevent stiffness. Make sure you avoid heavy lifting until cleared by your doctor.

You may experience vaginal bleeding or discharge for several weeks as the internal wound heals. It’s also normal to have bathroom changes, but these usually improve with time, hydration, and a balanced diet.

If your ovaries were removed, you may enter surgical menopause. This can result in hot flashes, mood swings, and night sweats. For those in this situation, hormone replacement therapy (HRT) is often recommended.

As your strength returns, you can slowly resume regular activities, including exercise and sex, but make sure to check with your doctor before you make any changes. It’s vital to remember that healing is not linear and some days will feel better than others. Overall, patience is key.

Mental health: healing the heart

Physical healing is visible. There are scars, medications, and appointments for this. However, the emotional side of healing isn’t visible at all, and often, you’re the only one who knows if it needs treatment.

Many women describe feelings of grief or emptiness after a hysterectomy. This is particularly the case if they hoped to have children. Even if fertility was not a concern, the uterus can carry symbolic meaning, and its absence can affect a woman’s sense of identity and femininity.

Hormonal changes can also impact mood, leading to anxiety, irritability, or depression. Reaching out for support from friends, family, or even a professional therapist can make an enormous difference. Support groups, both in-person and online, can also help you feel seen and understood.

Moving forward: rebuilding confidence

Recovery doesn’t stop once your stitches heal. The months after surgery are a time to rebuild confidence and energy. Focusing on gentle exercise, balanced nutrition, and rest can help your physical recovery.  

Emotional healing takes time, too. Consider journaling, meditation, or mindfulness practices to help process your feelings and find peace with your body’s changes. Remember, it’s okay to grieve, but it’s equally okay to celebrate your strength. You’ve been through a major procedure and deserve compassion as you heal.

Finding hope beyond surgery

Life after a hysterectomy can feel like stepping into unknown territory. But, this part of your life is not the end of your story – it’s simply a transition.

Your worth is not defined by your uterus. You are still whole, still a woman, still powerful. Be patient with your body, you only get one in this lifetime after all.