Dr. Sanju Jain

The surgical procedure that is used for uterus removal of a female patient is known as a hysterectomy. From uterine fibroids to cancer in the uterus, there may be a variety of reasons for carrying out this procedure. Here is everything you need to know about the procedure and recovery.

Causes: There are a number of reasons for which one may have to undergo a hysterectomy. If uterine fibroids and other kinds of growth are causing severe pelvic pain and bleeding, then it may be required. This also applied to particularly painful endometriosis. Abnormal vaginal bleeding as well as severe and chronic pelvic pain, are enough of reasons by themselves for going in for this kind of surgery to remove the uterus. Also, when the uterus slides away from its normal position and slips into the vaginal canal, this signifies a condition known as Uterine Prolapse, which will also require treatment in the form of a hysterectomy. Andenomyosis is another reason why this surgery may be required, as this condition results in the thickening of the organ. Finally, if the patient is suffering from cervical or ovarian cancer, then the doctor may recommend this surgery to remove the uterus in case the tumour found has been tested as malignant.

Technique: There are various techniques that may be followed in the course of this surgery, depending on the location, the size and the severity of the condition and the growth that is associated with it. 

1. Open Surgery Hysterectomy: This involves an incision of six to seven inches, in the belly of the patient so as to act on the abdominal region. After recovery, there will be a visible scar on the stomach of the patient.
2. MIP Hysterectomy: The various approaches for this technique include vaginal hysterectomy, laparoscopic hysterectomy, laparoscopic assisted vaginal hysterectomy, and robot assisted laparoscopic hysterectomy.

Risks: While this is mostly known as a low risk procedure, there may be various risks after the surgery including urinary incontinence, vaginal prolapse, formation of fistula where an abnormal link may form between the bladder and the vagina and finally, persistent pain. Infection, haemorrhage and blood clots may also happen in extreme cases.

Recovery: The female patient will automatically start menopause once this uterus removal procedure has been carried out. Usually, the doctor will ask you to refrain from lifting heavy weights for a few weeks after the surgery and also, to abstain from sex for a while. Most female patients reported complete cure of the problem following this surgery. Also, it is not common to find too many side effects after the surgery.

Tips

1. Walking after a month. 
2. Simple streching exercises after a month. 
3. Plenty of fruits and vegetables in diet. 
4. Water intake around 6 to 7 glasses. 
5. Calcium supplements. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

What to do after sex for better health? 
Even when you are in your 40s or beyond, you can still enjoy the best sex of your life. After all, you’re experienced and know exactly what you desire and are not shy about expressing it. But even with experience, it is easy to forget things to do after sex, like using the bathroom and sleeping in the nude. These are the things to remember so your sex life can keep moving full speed ahead.

What to do after sex? 

1. Go pee 
After having sex, you should go to the bathroom and urinate. While you do not have to hurry to go right away, you should eventually pee so you can rinse out any e. Coli bacteria that may have contaminated your urethra during lovemaking. This will help prevent you from developing a urinary tract infection, also known as a uti. Having a uti can affect your sex life, often making it painful to have intercourse until the infection is cleared up by prescribed medication.

2. Reflect on your sensation 
After you are done with lovemaking, take time to reflect on how you feel and how the sex made you feel. Concentrate on the details, remembering what really turned you on. Share these thoughts with your partner right away. Don’t wait until the feelings are gone. However, if it wasn’t your best lovemaking session, it is probably best to leave it be. And instead of turning over and facing the other way, cuddle with your partner after sex. Studies have found this leads to happier relationships.

3. Keep track of abnormal discomforts
Pain happens during sex. This is a common occurrence. There are many causes, such as muscle spasms, lack of lubrication, constipation and even your sex partner accidently hitting an ovary. But not all pain is normal, especially if it is reoccurring, lasts for a long period of time after intercourse and cannot be explained by rough sex play. You should discuss these discomforts with your doctor, as the pain may be associated with an underlying condition like fibroids, uterine or ovarian cysts, endometriosis, tilted uterus or even, though rare, cancer.

4. Avoid soap when wiping 
When thinking about what to do after sex, remember to gently wipe your genital area when done with intercourse. Often, bacteria are transmitted from your partner’s mouth and fingers or lubricants. This can lead to a bacterial or yeast infection. You can simply wipe with a warm washcloth, using water only. You should avoid soap as the fragrances can be irritating to the delicate skin. You need only wipe from front to back on the outside. Your body has its own method of cleaning the internal sections of your vagina.

5. Drink water
Sex is a physical activity, just like jogging, walking or any other exercise. It is important to stay hydrated afterwards so take the time to drink water when done with intercourse. If you get dehydrated, not only your mouth gets dry so does your vagina. Keep water by your bedside if you can. Plus, staying hydrated will make it easier for you to pee after to flush bacteria from your urethra.

6. Take a soak 
If you are figuring what to do after sex and you have the time, take a bath. Why not pamper yourself when you are feeling so good. Not only does it clean your vaginal area, it can hydrate your skin. Consider adding a gentle oil to the water to add moisturizer. Extra virgin coconut oil or baby oil designed for sensitive skin are good options. A warm bath can also help soothe swollen genitals, caused by your lovemaking.

7. Snack on pro biotic food 
Sex often brings on hunger. After all, you just burned a bunch of calories. Eating pro-biotic foods like fermented kombucha or kimchi, as well as yogurt, can replenish the good bacteria in your vagina. It can also reduce your chances of developing a yeast or bacterial infection.

8. Sleep naked 
When considering what to do after sex, don’t forget one of the fun things – sleeping in the nude. You want to keep your vaginal area dry after sex. This will reduce your risk of developing a uti, yeast or bacterial infection. Too shy to go naked? make sure you wear cotton pajamas that are loose-fitting to allow for air circulation.

What not to do after sex?

1. Do not use wet wipes 
Wet wipes are full of chemicals, fragrances, glycerine and oils. These ingredients can cause major irritation of your vaginal area. It can be extra harsh right after sex, when the skin down there is more sensitive. This can lead to dryness, itching, tenderness and inflammation of your genitals. You should never use wipes down there.

2. Don't sleep in sexy lingerie
If you are thinking about what to do after sex, make sure it is not to sleep in your sexy underwear. Most lingerie is constructed by fabrics that trap moisture. Look out for sleepwear made of polyester and rayon. This type of material does not breathe well, preventing your vaginal area from airing out. This can lead to a yeast infection. Either change into cotton underwear or sleep naked.