Be Careful of Pelvic Surgery

I received a question recently from a woman who had lots of fibroids and was contemplating surgery to remove her uterus. She had also met the best lover of her life and didn’t want her awesome orgasms to change after surgery. She brought up that in the book Women’s Bodies Women’s Wisdom by Christiane Northrup she says: “Even if the ovaries are left intact some woman experience orgasm differently after hysterectomy probably because the cervix and the uterus act as a trigger point for orgasm. These women feel the deep rhythmic contractions of the uterus as a very satisfying part of orgasm. Once the uterus is gone they sometimes experience the loss as a change, an actual decrease in orgasmic depth.”

After congratulating her on attracting such a wonderful lover into her life, I responded as follows:

I do hear regularly from women whose sexual response and whose orgasms change after any pelvic surgery. It really is a tricky thing. The occasional woman indicates things get even better! You may find that your sex-life in general improves after the fibroids are gone if they cause you great discomfort now. I caution women against surgery unless it is absolutely required and always recommend a second opinion.

Now that all said, the surgeon has a great deal to do with how your sexual sensation is after surgery as does your state of mind. There are two different nerve pathways in the pelvic floor that bring sexual pleasure to a woman. Please check with your surgeon about his/her familiarity with these nerves and get reassurance that they won’t be affected. The clitoral nerve pathways have only been mapped within the last decade so not all surgeons know what not to snip at!

I’m not a doctor and certainly suggest further research into exactly what the surgeon will do (or not do) to ensure you remain as intact sexually as possible. Some women have found clitoral sensation greatly reduced after surgery so please be proactive. As for what Dr. Northrup says, she is fabulous and I believe what she says. Remember though, she says ‘some women’ so it isn’t a matter of fact that all women will experience that. Good luck with your new lover,and remember that it is your body and you have a right to ask whatever you want about how it is treated.


Kim Switnicki, ACC
Sex Educator & Intimacy Coach for Women
Rediscover your passion for sex and have a juicy marriage that lasts!


Author of “Great Sex for Hard Times” and “G-Spot PlayGuide: 7 Simple Steps to G-Spot Heaven!

Free Report here on the Top 10 Ways to be a Sexier, more Confident Woman

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