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Question:
I had a appendicitis, ruptured, and I have also had 2
surgeries for cyst removals on my right ovary. All three
surgeries I was opened from above belly button to
pelvic area. Now, with all the adhesions, I am
wondering if a hysterectomy would be of relief to my
abdomen? I am not able to have children, as a result of
my tubes being bound up by the adhesions, I am 28
years old, married for 10 years. Is there a way to open
the tubes??
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Answer:
by Annette Owens: (05/15/2004)
Prior to your question, you list the following key
words: decreased vaginal lubrication, painful
intercourse, low sex drive, lack of sexual desire, not
feeling like a sexual person anymore.
I suggest that you have your hormone levels (estrogen,
testosterone) checked. The function of your ovaries
may have been affected by the cysts and surgeries you
have had. Many of the symptoms you mention could
well be related to low hormone levels, and you may
benefit from hormone replacement therapy. Both
vaginal dryness and sexual interest can improve from
estrogen treatment. Once lubrication is better,
intercourse may be less painful. Your doctor or
gynecologist can determine whether you are a
candidate for this treatment. Also, in order to relieve
decreased lubrication you can use lubricants
(Astroglide, K-Y jelly, or other types) sold over the
counter in most pharmacies.
Reasons for painful intercourse include vaginal dryness
and adhesions from surgery. It is hard for me to answer
whether a hysterectomy would give you relieve. I
would start out by trying to relieve your vaginal dryness
first before you advance to more drastic measures.
Have a candid conversation with your gynecologist
about different possibilities. He or she also most likely
will be able to give you a better answer than I am able
to (due to the limited information I have) about
whether it is possible to open your tubes up. This will
depend much on the amount of adhesions you have and
the surgical interventions you have had.
Just for your information, you could check out the
following two web sites about vulvodynia (pain related
to the vulva): Dr. Glazer’s Vulvodynia Web Site
(http://www.vulvodynia.com); National Vulvodynia
Association (http://www.nva.org).
Good luck,
Annette Owens, MD PhDReviewed by Sexual Health Editorial Team
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