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No Vaginal Sensation and Weak Orgasm After Hysterectomy | Ask the Expert
Thank you for your questions. It sounds like there are two changes you have experienced and so I will address them separately. Neither of your symptoms is related to the <a href="https://www.mylifestages.org/health/womens_health/what_is_a_hysterectomy.page">hysterectomy surgery</a> that predated the onset of your symptoms by several years. The <a href="https://www.mylifestages.org/health/menopause/hot_flash_relief.page">hot flashes</a> and night sweats are due to <a href="https://www.mylifestages.org/health/menopause/menopause_perimenopause.page">menopause</a>. Your residual ovary is producing less estrogen which causes hot flashes and night sweats. It sounds like you are satisfied with the relief you have experienced with the over the counter supplement. Great to hear. Regarding the change in sexual function you are experiencing, there is not a simple answer. Female sexual function, sensation and orgasm is complex and multifactorial. Without knowing your age, complete medical history and the medications and supplements you take, it is not possible for me to trouble shoot what might be causing your symptoms. And, most importantly, a physical exam with your gynecologist is important in the setting of having altered sensation in your vagina. Because there are hormonal, physical, emotional, and medication components that have significant effect on sexual function, you would benefit from an in person visit with your doctor to discuss causes and solutions for this problem. <strong>Read more:</strong> <a href="https://www.mylifestages.org/health/sexual_health/womens_sexual_health.page">Sexual Health for Women</a> <a href="https://www.mylifestages.org/health/menopause/prozac_for_menopause.page">Coping with Menopause</a> <a href="https://www.mylifestages.org/health/menopause/menopause_videos.page">Menopause and Perimenopause videos</a>
Women's Health,Menopause,

Question:

I had a hysterectomy (one ovary is left) due to fibroids. I started having severe hot flashes and night sweats. I’m taking a supplement which has worked. But I still have no vaginal orgasm, a weak climax with masturbation, and no vaginal sensation.

Answer:

Holly Nath, M.D.Holly Nath, M.D.Obstetrics and GynecologyPalo Alto Medical Foundation
Expert
Holly Nath, M.D.Obstetrics and GynecologyPalo Alto Medical Foundation

Dr. Nath's professional interests include laparoscopy for the treatment of gynecologic surgical problems such as ovarian cysts or endometriosis; medical and surgical treatment of bleeding abnormalities and fibroids, including minimally invasive hysteroscopy; contraceptive counseling and management; diagnosis and treatment of HPV related problems; and care for high-risk pregnancies.

Thank you for your questions. It sounds like there are two changes you have experienced and so I will address them separately.

Neither of your symptoms is related to the hysterectomy surgery that predated the onset of your symptoms by several years.

The hot flashes and night sweats are due to menopause. Your residual ovary is producing less estrogen which causes hot flashes and night sweats. It sounds like you are satisfied with the relief you have experienced with the over the counter supplement. Great to hear.

Regarding the change in sexual function you are experiencing, there is not a simple answer.

Female sexual function, sensation and orgasm is complex and multifactorial. Without knowing your age, complete medical history and the medications and supplements you take, it is not possible for me to trouble shoot what might be causing your symptoms. And, most importantly, a physical exam with your gynecologist is important in the setting of having altered sensation in your vagina.

Because there are hormonal, physical, emotional, and medication components that have significant effect on sexual function, you would benefit from an in person visit with your doctor to discuss causes and solutions for this problem.

Read more:
Sexual Health for Women
Coping with Menopause
Menopause and Perimenopause videos

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