How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Owen Your Own Question

Dr. Owen
Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55753
Experience:  Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
18703594
Type Your OB GYN Question Here...
Dr. Owen is online now
A new question is answered every 9 seconds

How does removal of the cervix affect a womans level of pleasure

Resolved Question:

How does removal of the cervix affect a woman's level of pleasure during sex as well as
her ability to have an orgasm ? Is the length of the vagina decreased since there has to
be stitches and a "wall" created when the cervix is no longer there ? Does removal of
the cervix also cause physical discomfort during sex ? Can the vagina be physically
damaged when a vaginal hysterectomy is performed ?

Bio-identical hormones sound like the best option for hrt. Do you agree ? What is the
best source for these ?

Thank you for your time.
Submitted: 4 years ago.
Category: OB GYN
Expert:  Dr. Owen replied 4 years ago.
Hello, and I am pleased to help, use of my answers are for educational purposes only.
Removal of the cervix should NOT affect pleasure during intercourse as there have been many studies over the years saying that it does NOT affect you having an orgasm, it does not affect libido, but there are plenty of 'Lay' websites that say otherwise.
The length of the vagina SHOULD not be shortened IF the surgery is done correctly, so this is really not something that should be a concern, but UNLESS you are having this done for cancer, then the length of the vaginal canal should not be shortened.
When all is healed, there should be no difference from previously - and usually by about 6 weeks post operation - your vagina should feel normal.
When you remove the cervix there should be NO discomfort during sex.
NO, a vaginal hysterectomy does NOT injure the vagina.
And as far as hormones - since you are menopausal AND you will be without a uterus, you do NOT need a progesterone with the estrogen - which means you ONLY need estrogen (in the form of Estradiol ONLY) - and without progesterone, you will NOT be at increased risk of breast cancer with use of Estradiol ALONE.
Also, as far as bioidenticals - you can use them, but you ONLY need Estradiol, YOU DO NOT need Estrone, Estriol, or any progesterone.
And, a simple way of getting Estradiol is by the patch such as Climara - usually 0.05mg changed per week - or you can use a bioidentical estradiol (which when you look at it chemically, it is the exact same thing, but you pay more for the 'bioidentical' just because it 'says' bioidentical.

I hope this helps, Please click on ACCEPT, thank you for your questions. They were very good questions.
Customer: replied 4 years ago.

Thank you for your response, I understand that not everything on the internet is

necsssarily true, so that is why I wanted a second expert consultation. After reading

your response, that prompts a few more questions. Approximately how thick is

the "wall" that is now at the end of the vagina since the cervix is no longer there ?

Since you say the length is not affected, does that mean the end of the cervix was

left in place to help form the wall or are you saying there is vaginal tissue that overlaps

with the cervix which is used to form the wall ?

 

Re the hrt, I was considering more than estrogen in order to have my body function as

it did before the hysterectomy. I don't want all the bad side effects including weight

gain, hair loss, depression, anxiety, vaginal dryness, etc that can occur. I understand

there are pills to insert in the vagina to help counteract the dryness. Is that accurate ?

Does that happen because the cervix is no longer there to produce fluids or is that

a result of the lack of hormones ?

 

I appreciate you answering these related questions.

Thank you.

Wendy

Expert:  Dr. Owen replied 4 years ago.
The 'wall' at the top of the vagina - we call the APEX - it is actually fairly thick because we incorporate the 'utero-sacral' ligaments that USE to hold the cervix /uterus in place - and this then hold the top of the vagina in place - so it very thick.
The cervix usually comes 'down' a bit INTO the vagina - so the vaginal walls that surrounded the cervix are approximated together with the ligaments - it is really a 3-dimensional picture - and sometimes hard to understand - I teach residents how to do surgery in the vagina - and it is very difficult thing to comprehend at first. But the top of the vaginal tissue essentially 're-form' the area where the cervix use to be.
Yes, estradiol pills HELP the healing process and to keep you from getting dry.
Also, Progesterone is usually the Biggest problem with weight gain, depression, and hair loss where as Estradiol should be protective - so there are a LOT of benefits to NOT taking progesterone when you do not need (and you do not without a uterus).
I hope this all helps, PLease click on ACCEPT as this is how Just Answer compensates us in answering your questions, Thank you very much.
Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55753
Experience: Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
Dr. Owen and other OB GYN Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. C.

    Board Certified

    Satisfied Customers:

    1618
    28 years of experience and an award-winning educator.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrCollins/2013-11-3_1283_Cascade669.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1618
    28 years of experience and an award-winning educator.
  • http://ww2.justanswer.com/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5745
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.com/uploads/jmcjrmd/2009-6-26_4212_Joepicture_Edited.jpg Dr. Charles's Avatar

    Dr. Charles

    OB/GYN (Doctor)

    Satisfied Customers:

    140
    Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    MD

    Satisfied Customers:

    1503
    Board certified OB/GYN with 20 years of experience.
  • http://ww2.justanswer.com/uploads/drprabirkumarda/2010-08-07_144928_Photo-0010_1.jpg DR PRABIR KUMAR DAS's Avatar

    DR PRABIR KUMAR DAS

    CONSULTANT GYNAECOLOGIST

    Satisfied Customers:

    1352
    MBBS(CAL)MD(G&O)
  • http://ww2.justanswer.com/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.com/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    442
    Board Certified OB/GYN and accomplished educator
 
 
 
Chat Now With An OB GYN Doctor
Dr. Owen
Dr. Owen
41847 Satisfied Customers
Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate