Early Hysterectomy: Getting Back Your Sex Drive

Dear Dr. Patti:

Help! I'm only 34, I've had a hysterectomy, and now I have NO interest in sex. My husband is getting frustrated and so am I.

L

Question:

Dear L:

I am sorry to hear that it was necessary for you to have this surgical procedure at so young an age. That must have been emotionally difficult for both of you. There are medical interventions that can help you regain some of your sexual appetite, but the first step may be some inner healing, not the physical kind.

Make sure that you are not holding back feelings about no longer being able to become pregnant and bear children. So many women are socialized (even in these days) to consider themselves not-quite-a-woman if they can't produce kids. Of course, that's nonsense, as being a woman is defined in many other ways. So be sure that you are not shutting down your sexual essence due to imagined inadequacies. If that is the case, it's time for a little professional help to allay your concerns, correct your thinking and help you heal the wounds.

As for rejuvenating that sexual drive, you have several options. If you had your ovaries removed along with your uterus in the hysterectomy, then your body is no longer manufacturing the hormones that contribute to sexual drive and functioning. Consult with your gynecologist first about hormone replacement therapy, which may include estrogen, progesterone and testosterone. Yes, women make their own supply of the male hormone, which is the key for sexual desire and functioning. "The Hormone of Desire," by Dr. Susan Rako, is an excellent book that spells out the story of female testosterone supplementation. You may want to recommend it to your gynecologist, if s/he is not up on that treatment mode.

Second, there is an effective homeopathic alternative. Called Vigorex Femme and made of aveena sativa (the extract of green oats), this product stimulates testosterone production in your own body. It can be ordered at (800) 541-2968. There are also several herbs and natural remedies (generally available at health- food stores) that can help the post-surgical healing process and the restoration of organ functions. Some of these include dong quai, white Korean ginseng, and kava kava.

Finally, give yourself a chance to recharge. Start with simple pleasures with your partner. Explore the sensual side of shared touch, and talk, talk, talk with him about your feelings as your relocate your sexuality. Best of luck.

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