Hysterectomy Recovery: How To Resume Activity Safely
What is a hysterectomy?
A hysterectomy is the surgical removal of the uterus, with or without removal of the cervix, fallopian tubes, and/or ovaries. The surgery can be performed via an incision through the abdomen, laparoscopically, or by removing the organs through the vaginal opening. The particular surgical approach used will also influence your recovery. There are a number of reasons why one might undergo a hysterectomy, including but not limited to a diagnosis of cancer, fibroids, prolapse, and abnormal bleeding.
The do’s and don’ts after a hysterectomy
Typically, your gynecologist will require you to adhere to a set of precautions such as no strenuous activity, no lifting >10lb, and no sexual activity/penetration (aka “pelvic floor rest”) for 6 weeks. But quite often patients find themselves asking “What CAN I do?” So here is a list of some things patients typically can do in the weeks following surgery. Of course, you should always speak with your gynecologist regarding your particular case and make sure you are cleared for the specific activities you are interested in doing.
Rest & Nutrition
First and foremost is allowing your body to rest! - Our bodies require rest for healing.
Keep hydrated - Drink plenty of water (~50% of your body weight in oz) to ensure healthy bowel and bladder habits.
Eat fiber-rich foods to maintain easy bowel movements - it’s not uncommon to feel constipated afterwards due to anesthesia, pain medication, and lying in a hospital bed. The last thing you want is straining on your pelvic floor or abdomen!
Breathing Exercises
Deep breathing exercises have many benefits after surgery including:
Exercise for the lungs to avoid developing atelectasis (partial or total lung deflation)
Aids in relaxation
Can reduce stress and calm the body
Maintains mobility around the ribcage
Walking
The benefits of early walking after surgery have been proven many times over. Research shows this gentle and functional activity help to:
Maintain physical strength
Reduce risk of DVT blood clots
Exercise your lungs
Reduce risk of developing constipation
Increase energy
Reduce stiffness
How to start
Within the first week, start with a short duration (approx. 5min)
Try to walk for 5 minutes over the first two weeks following surgery
Increase walking duration by 5 minutes each week following, unless painful
Constipation Management
Managing constipation after surgery is particularly important because it reduces stress and strain on your pelvic muscles and pelvic organs. Your physician may suggest you take a stool softener for a while after surgery. You can also reduce stress and improve healing by:
Using a squatty potty for bowel movements
Ensuring adequate hydration and fiber in your diet
Avoid complete bedrest and move about as tolerated
Finally…
Once cleared by your surgeon, be sure to schedule an evaluation with a pelvic floor physical therapist to progress through your recovery safely and return to the activities you desire!
