What you need to know about hysterectomy recovery
Recovering from a hysterectomy can be quite a journey, and comes with a range of changes as you heal and adjust. Alongside the physical aspects of recovery, you might find yourself reflecting on how this procedure affects your fertility too, which can bring up complex and difficult feelings.
For many, processing the impact on fertility is deeply personal and may feel overwhelming at times, and is just as much a part of the healing process as the procedure itself.
Whether your surgery was planned or unexpected, you've just had the procedure or it's coming up, it's completely normal to have questions and concerns about what to expect. We’ll guide you through the recovery process, sharing helpful tips to make your healing experience as smooth as possible no matter what type of hysterectomy you have. From physical changes to navigating emotional ups and downs, we’ll cover all the key aspects of recovery so you can focus on taking care of yourself.
How long does it take to recover from a hysterectomy?
Recovery time from your procedure mainly depends on the type of surgery you've had:
A full recovery from an abdominal hysterectomy, the most invasive type of hysterectomy, can take between 6-8 weeks.[1] A vaginal or laparoscopic-assisted vaginal hysterectomy (LAVH) take up to 4 weeks to recover from, and a laparoscopic supracervical hysterectomy (LSH) can take as little as a 2-3 weeks.[2][3]
However, these are just averages, everyone's healing process is a bit different, so don't worry if it takes you a bit longer to recover.
Recovery time can also depend on your age and level of health at the time of the procedure. For instance, if you have diabetes, you might find that healing takes a little longer. It’s perfectly okay to ask for a little extra help while you recover — maybe someone can lend a hand with heavy shopping bags or other tasks to make sure you don't strain yourself.
Aside from managing pain, taking care of your incisions and avoiding anything that can cause strain or discomfort, the secret to a smooth recovery is simple rest and relaxation. Remember, a hysterectomy is a big deal, so make sure you give yourself time to recover both physically and emotionally. The key is to get plenty of rest and surround yourself with the things and people you love. Whether it’s binge-watching your favourite show, listening to music, or having a cosy chat with a friend, sometimes it's the little things that can make a big difference during your recovery.
What can you expect right after a hysterectomy?
Right after the surgery, you'll spend time in a recovery room, where nurses will monitor you and make sure you're okay. You'll still be under the effects of anaesthesia, so you'll probably still feel pretty drowsy for a few hours after surgery.
After waking up, there might be some pain and discomfort, and where you feel it will depend on which type of procedure you have. If you have an abdominal hysterectomy, you'll usually feel some discomfort and soreness around the incision in your tummy. If you have a vaginal or laparoscopic hysterectomy, you'll feel the effects internally, usually around your pelvic area. But don't worry, your medical team will do everything they can to help you manage this initial pain and keep the risk of infection and complications low.
When you leave the hospital, you should be given a care sheet with advice on your recovery. This could include some simple exercises and how to care for your incisions. It should also break down when certain things will be okay for you to do post-surgery, including having a bath and when you can have sex. Things will be different, and it can be overwhelming adjusting to certain aspects of your life changing, just take it one day at a time and you should see some improvement.
What will happen in the first few days after a hysterectomy?
After a few days, you might start to notice a few more physical and emotional symptoms. While you might not be used to them, they are a completely normal part of the healing process and nothing to be concerned about.
At this point, getting plenty of rest is really important, which also means you can use this time to recharge and take a break from everyday life. So while you're recovering, consider leaving the emails at work and the gym sessions for later down the road.
Some help from loved ones wouldn't go amiss either, especially if you're used to taking on life with a bit more independence. Even simple things can make things easier and less overwhelming, from a friend bringing you a sweet treat or just some help with the hoovering.
At this point in your healing journey, there are a few things you can expect:
Light bleeding, spotting and discharge
It's not uncommon to experience some light vaginal bleeding and spotting days to weeks after your surgery (kind of like a light period). You might also have some watery vaginal discharge that might have a slight pink tinge to it. If you're looking for a simple way to stay comfortable and manage any discharge after your hysterectomy, just pop on a liner and let your body do its thing.
However, if you notice anything more than light bleeding or spotting, have a chat with your doctor.
Cramping
In the first few days and weeks after surgery, you might feel some cramping, similar to what you could expect during your period. Painkillers should help, or even a hot water bottle if you're after something a bit cosier, just make sure to check with your doctor about using one post-surgery.
Fatigue
Any surgery can be exhausting, and a hysterectomy is definitely no exception. So don't be surprised if you're not full of energy right after the procedure. Don't feel like you have to fight the fatigue. If you just want to lounge around on the sofa, go for it — it's your recovery, whatever works best for you.
Gas and constipation
It’s totally normal to have some gas build-up, which can cause a bit of belly or shoulder discomfort. You might also find it a little harder to go to the bathroom at first too, especially if you’re taking certain pain medications. This is particularly common after a laparoscopic surgery (often known as keyhole surgery), but should only last a few days. To get things moving a bit quicker, make sure to stay hydrated and consider taking fibre supplements, but make sure to check with your doctor first.
Changes in your peeing habits
You could either find it a bit harder to pee or find that you're going more than usual. Both can be annoying but are usually temporary.
If you're struggling with incontinence, you could always try some pelvic floor muscle exercises to help with your recovery. If it's just little drops of pee that you're dealing with, try giving a pair of All Intimate Fluids period pants a go. They're designed to keep you feeling comfortable and fresh for up to 12 hours, no matter what flow comes your way (even pee), so you can focus on getting some much-needed rest.
Changes in mood
If your ovaries are removed as part of your hysterectomy (a procedure known as an oophorectomy), this can throw your hormones off balance, leading to changes in mood. If you’re finding it hard to adjust to these mood shifts, reaching out to a friend, doctor, or mental health professional could provide some comfort, support, or maybe even treatment.
Difficulty getting around
After any surgery, walking and moving around can be very uncomfortable at first. However, along with plenty of rest, walking short distances once you're feeling up for it can actually be really useful for your recovery and can prevent any complications like blood clots. Just make sure to listen to your body and go at your own pace, even if it's just walking around a small garden to take in some fresh air.
What if I have other symptoms?
Checking in with your doctor during your recovery process is vital in ensuring you're healing well. If you notice any of these symptoms, it's best to get them checked out immediately:
- Heavy bleeding (soaking more than one pad per hour)
- Fever over 38°C
- Severe or worsening abdominal pain
- Foul-smelling discharge
- Leg swelling, redness, or pain (possible signs of blood clots)
- Shortness of breath or chest pain
What happens in the weeks and months after a hysterectomy?
As you progress further in your recovery journey, you'll start to notice improvement in your symptoms and a light at the end of the tunnel!
That pelvic pain and cramping you had immediately after and a few days post-surgery will improve. But, if you're still experiencing cramping every now and then, no need to panic! This is completely normal while your body is still healing on the inside.
You'll notice your energy levels improving, and it will become easier to move around over time. Just make sure to pace yourself, avoid anything too intense (lifting heavy objects or contact sports, for example) and make sure you're still resting and taking care of yourself.
The spotting and discharge can continue for up to six weeks post-surgery, but should gradually slow down as you heal.
Similarly, the changes in your bowel and bladder functions can continue a few weeks after surgery. But once you start moving a bit more and coming off pain medications, you should be back to normal.
Your incisions will also continue healing, which will develop into scarring and eventually fade, but this can take a few months.
You might still be adjusting to the mental and emotional changes that come with recovering from a hysterectomy, and that's okay. These are big changes that you're going through, so give yourself all the time you need to feel your feelings and come to terms with what's been happening.
What are the long-term symptoms or effects of a hysterectomy?
While many post-surgery symptoms and temporary side effects will resolve themselves as you heal, some might stick around for a bit longer.
Mood fluctuations
Because of the sudden change in your oestrogen levels, you might find that managing your mood becomes a bit more challenging in the long term. It’s completely normal to feel a bit out of sorts as your body adjusts to this change, whether that's coming to terms with physical changes or overcoming difficult feelings. If you find yourself feeling this way, don’t hesitate to reach out to a friend or family member for support or even your doctor if you want to explore any treatment options.
On the flip side, you might find yourself feeling some relief after your procedure, especially if you had it done to prevent a medical condition. However you're feeling, it's all valid and understandable, you could even consider talking to a counsellor who can help you open up and navigate this mix of emotions.
Grieving the loss of fertility
Because your uterus (the part of your body where a baby grows) is removed during a hysterectomy, it means that having a biological pregnancy will no longer be possible. This can be a significant change, and it’s completely understandable to have a mix of emotions about it.
Fertility-related grief after a hysterectomy can be an incredibly deep and personal experience. It’s normal to feel a profound sense of loss, even if the decision for surgery was necessary for your health. It's important to give yourself space and time to feel these emotions, as they are valid. Surrounding yourself with supportive loved ones or seeking counselling can help you navigate this complex emotional journey. Remember, your worth is not defined by your ability to have children, and it's okay to grieve while also finding new ways to heal and redefine your sense of self.
Possible menopausal symptoms
If your ovaries were removed during the hysterectomy (a total or radical hysterectomy), it's likely you'll experience what's called surgical menopause. This is because the levels of oestrogen in your body drop , which also happens during if you went through menopause naturally. If only one of your ovaries is removed, this could lead to experiencing menopausal symptoms earlier than expected.
Experiencing menopausal symptoms post-surgery can bring about a range of emotions.
You may find yourself navigating feelings of loss, confusion, or even sadness as your body goes through significant changes. It’s completely normal to grieve the sense of control you once had over your reproductive health and to feel uncertain about what lies ahead. Discovering what this new chapter means for you may take time, and it’s perfectly okay to seek help as you adjust. This journey may be different than what you expected, but with support from loved ones and options to manage symptoms, you can find your new normal and flourish.
Symptoms of surgical menopause can develop in the weeks or months following surgery, and include:
- Hot flushes and night sweats
- Vaginal dryness
- Mood swings
- Sleep disturbances
- Decreased sexual desire (libido)
If your ovaries were left intact, it's unlikely that you'll experience menopausal symptoms, although some people still develop early-onset menopause within a few years of surgery.[4]
If you are experiencing symptoms of menopause after a hysterectomy, there are treatment options to help you manage them, such as Hormone Replacement Therapy (HRT).
Navigating menopause whenever it happens can be challenging, and it's understandable that you might have questions. To stay up to date with tips and advice for your menopause journey, consider signing up to our newsletter.
Changes in how you experience intimacy
After 6-8 weeks post-hysterectomy, you should be able to go back to having sex, but make sure you're cleared by your doctor first to make sure you're always being careful. But remember, just because you can, it doesn't mean you have to! Just like with every step in your recovery, take it at your own pace and be open with your partner about how you're feeling.
Your sexual experience might be different post-surgery, which is usually nothing to be concerned about. Some people find it more enjoyable, some find it slightly painful due to dryness or scar tissue, and some don't notice any changes at all. [5]If you're struggling to navigate your post-hysterectomy sex life, chat with your doctor to see what they recommend to help.
When will things go back to normal after a hysterectomy?
Recovery after a hysterectomy is different for everyone, but most women start to feel more like themselves within 6 to 8 weeks. By this time, you should be able to return to normal activities and feel less pain and fatigue. However, it can take up to three months or more to fully heal, especially if the surgery is more invasive, like an abdominal hysterectomy.
Remember, any type of hysterectomy is a major surgery, so it's important to be patient with yourself and allow your body the time it needs to recover. Even if that means taking it slower than you'd like, you'll get there in the end!
Tips for hysterectomy recovery
Recovering from a major operation can be pretty full-on, so we've got some additional tips to help you on your healing journey:
- Follow your doctor’s instructions when it comes to medications, exercise and wound healing.
- Use pain relief carefully and as your doctor tells you to, and don’t hesitate to ask for adjustments if needed.
- Stay hydrated to help with healing and avoid constipation.
- Eat a balanced diet, including fibre-rich foods to prevent constipation.
- Use a pillow to support your tummy for comfort when coughing, sneezing, or moving.
- Stick to showers until your doctor clears you for baths.
- Keep your incisions clean and dry, and be on the lookout for any signs of infection.
- Stop any activity if you feel pain or discomfort, no need to push yourself!
- See if someone can assist you with chores and childcare if needed, especially in the first few days and weeks while your wounds are healing. It's ok to ask for help.
Recovering from a hysterectomy is a unique journey for each person, and it’s important to approach it with patience and self-compassion. While the first few days and weeks may be challenging, your body will gradually heal, and with time, you’ll regain your strength and energy. Remember to listen to your body, follow your doctor’s advice, and take things at your own pace.
Whether it’s dealing with discomfort, handling the emotional effects, or getting back to daily routines, recovery is a step-by-step process that shouldn't be rushed. And through it all, know that it's okay to ask for support and take the time you need. Soon enough, you'll find yourself back to normal, feeling stronger and more in tune with your health. Procedures like this can be difficult to get your head around at first, but taking the time to learn more can help you feel more at ease. We're here to help you make sense of hysterectomies and other fertility procedures like tubal ligation .
Medical disclaimer
The medical information in this article is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your doctor for guidance about a specific medical condition.
This article has been reviewed on 6th January 2025 by Karen Joash BSc (Hons), MSc, MBBS, MRCOG PGCert, ILM and MBA, Consultant Obstetrician and Gynaecologist at Queen Charlotte's and Chelsea Hospital. You can find out more about Dr Karen on her Instagram, LinkedIn and X pages.
References:
[1] https://www.nhs.uk/conditions/hysterectomy/
[2] https://www.mayoclinic.org/tests-procedures/vaginal-hysterectomy/about/pac-20384541
[3] https://www.nnuh.nhs.uk/articles/total-laparoscopic-hysterectomy/
[4] https://menopause-expert-kathie-cooke.co.uk/blog-about-menopause-news/36-menopause-after-hysterectomy-how-will-i-know
