I'm a gynecologist. I perform hysterectomies. And I've spent years not having a good enough conversation with my patients about what might happen to their sex life after surgery.

In this episode, I'm covering everything you deserve to know before — or after — a hysterectomy when it comes to orgasm and sexual function.

We cover:

→ Why not all hysterectomies are the same — and why the type you have matters for orgasm

→ The three pathways to orgasm and which ones are affected by surgery

→ Total vs. supracervical hysterectomy: does keeping the cervix make a difference?

→ What happens when the ovaries are removed — and why hormone therapy should start immediately, not weeks later

→ The question your surgeon almost certainly hasn't asked you (but should)

→ What's common, what's not, and honest expectations

→ For those already post-op: what help actually exists

I'm Dr. Carolyn Moyers — board-certified OB-GYN, Menopause Society certified physician, Fellow of the International Society for the Study of Women's Sexual Health and practicing gynecologic surgeon. This podcast is for women who want real clinical information without being talked down to.

─────────────────────

RESOURCES MENTIONED

─────────────────────

ISSWSH Provider Directory (sexual medicine specialists): isswsh.org

The Menopause Society: menopause.org

Pelvic floor PT directory: pelvicrehab.com

Sky Women's Health: skywomenshealth.com

─────────────────────

KEY RESEARCH

─────────────────────

Komisaruk, Frangos & Whipple (2011) — Journal of Minimally Invasive Gynecology (PMC3090744)

Kilkku P. (1983) — Acta Obstet Gynecol Scand

Rhodes et al. (1999) — JAMA

Goetsch MF. (2005) — Am J Obstet Gynecol

─────────────────────

6 QUESTIONS TO BRING TO YOUR SURGEON

─────────────────────

1. Is my cervix being removed? Why? Is supracervical hysterectomy an option?

2. Are my ovaries being removed? What is the plan for hormone therapy starting immediately after surgery?

3. What surgical route are you recommending and what does that mean for nerve preservation?

4. Can we discuss how this surgery might affect my sexual function — specifically orgasm?

5. What alternatives to hysterectomy have we considered?

6. Should I see a sexual medicine specialist before or after surgery?

─────────────────────

Sky Women's Health sees patients in-person in Fort Worth, TX and virtually across Texas and West Virginia.

This episode is for educational purposes only and does not constitute medical advice.

🔗 Connect with Dr. Carolyn Moyers

📸 Instagram: @drcarolynmoyers

🎥 YouTube: @drcarolynmoyers

🌐 Website: www.skywomenshealth.com