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Hysterectomy and weight gain

Many women complain about gaining weight after a hysterectomy and they often put it down to the surgery itself. However, it is entirely possible that weight put on after a hysterectomy is simply down to not modifying the amount eaten to take account of the hugely reduced amount of exercise being taken and comfort eating.

It is unfortunate as well, that the majority of hysterectomies take place when women are entering a phase of life where it is more difficult to shed the extra pounds due to changes in the metabolism.

If a woman has an abdominal hysterectomy, she may also appear to gain weight simply because of where the scar is situated, which can seem to create a sort of ‘pouch’ effect. The swelling in this area does go down in time, but the abdomen will never be completely flat again.

202 thoughts on “Hysterectomy and weight gain

  1. I had a massive weight gain just after the hysterectomy on Tuesday, it is slowly coming down but it worries me

  2. Hi I had a bilateral salpingo-oophorectomy (full hysterectomy) 20 years ago at the age of 48, after many years of total misery excruciating pain and heavy bleeding, from the day after the operation I knew I had done the right thing I felt like a new person, yes I had a slight weight gain and sometimes a bit of pain and discomfort, but on the whole it was a life changer, I did go into the operation with a very positive attitude that it was going to be the best thing that could happen to me, now 20 years on I am a healthy 68 year old with no weight problem and fell younger than I did at 48.

  3. I have really bad PMT and i am seriously considering a full Hysterectomy but i am worried about the time off work and the weight gain…any advice??

  4. I had a hysterectomy on 18 April 16, I can honestly say the trapped wind pain was the worst, but thanks to medication and peppermint cordial this was soon relieved. I did put on weight through not being able to exercise, as my job involved me being on my feet for a good 6.5 to 7.5 hrs a day. My diet stayed pretty much ch the same, so know it was more down to the lack of exercise.
    I am doing great, not quite back on full time hours yet, but certainly don’t regret having surgery. I had fibroids and had irregular bleeding for months leading up to this decision, I had already had an eblation which worked for awhile, but was not completely successful.
    Make sure you talk through all concerns before having surgery I’m glad I did.

  5. I had a full hysterectomy 5 months ago due to a large cyst and fibroids. My recovery was painful and frustrating for the first few weeks – the wind and constipation caused no end of pain. The bikini-line scar is fantastic however, and I’m glad I had dissolving stitches. I returned to work full-time after 8 weeks on reduced duties, and am now almost completely recovered. I have a large pouch at my tummy which despite healthy eating and exercise is refusing to budge, but I’ve been told this will never completely go and will take a while longer to reduce. I’m 42, and have never felt better. My surgeon kept 1 ovary in to prolong menopause due to historical family medical issues, which has helped, and I have no regrets at all. My mood, personality, sex drive etc have not been affected, if anything I’m easier to live with as I’m not constantly worrying due to previous cervical cancer and scares, and the pain has gone.

  6. l had hysterectomy 20 year go + since put weight every time l eat puke up l am 69 year old


  8. Hi Its been two weeks since I have had a total abdominal hysterectomy due to fibroid and endometriosis . I’m doing okay and I’m not so sore were the scar is but am getting a few odd twinges here and there but ibuprofen help.First week was really tough but feeling a lot better so hopefully it will be well worth it.

  9. Hi Ebon510,

    I may be a good idea to discuss all of your concerns with your Dr. I can’t tell you whether to have a hysterectomy or not but if you’ve already had a myomectomy then it would probably be worthwhile having the hysterectomy.
    As for your concerns about the after effects from the surgery; surgery will not change your personality (unless it is brain surgery and something goes wrong!). The other things you mention will not happen as a result of surgery either.
    A hysterectomy only removes the uterus, you may or may not have you ovaries and fallopian tubes removed, called “bilateral salpingo-oophorectomy”, this will be something to discuss with your Dr. If you have your ovaries removed, you will go through menopause. This may cause some mood changes as your hormones will change but this can be managed with hormone replacement therapy and may only be short-lived.
    Urinary incontinence will only happen if there is a major problem during surgery causing damage to your bladder. This is very rare.

    I had a hysterectomy in my 30’s and it was the best decision of my life. After suffering from fibroids for years, I finally had my life back. The only change to my personality was a positive one. After being ill for years, I was myself again and could enjoy life again. My waistline is better than it was, for some weeks after the surgery my belly was swollen and sore, but as soon as I recovered I could exercise and my wasitline improved to better than it was before the surgery. I’ve had no urinary problems at all. My sex drive is better 🙂 I no longer have to worry about contraception, periods, fibroids or pain so I can just enjoy myself.

    The only bad thing about my hysterectomy is the scar but that really isn’t that bad at all. If you have a vaginal hysterectomy you won’t even have a scar.

    Chat to your Dr about your concerns. I hope it all works out well for you.

    1. Hi I have had a full hysterectomy just like yours,has your weight changed afterwards

    2. I had a laparoscopic hysterectomy when I was 29 (it was an emergency basis) Ovaries weren’t removed due to my age.

      I’m 37 now. I’ve tried everything. I’m currently going to Get in Shape for Women 2 nights a week and to be perfectly honest, I’m not sure if that’s working. Everyone says that I’m not doing my job. I’ve finally stopped eating the “unhealthy” foods and drinking soda but I’m still not seeing any results.

    3. Thank you for your informative comment.

  10. I have been doing research and listening to women comments on the complications after having a hysterectomy. My GYN doctor suggested I have a hysterectomy. I have a uterus full of fibroids. I went to the Dr. in Nov, 15. I was having lower lateral abdominal pain in the area of my left ovary. I had been taking Ibuprofen daily and multiple times during the day. When my Dr. said she recommended a hysterectomy. My thoughts were I don’t want to have surgery. I thought of all the negative things I have heard along the way. I was very concerned with weight gain after surgery. Also the change in your personality, never having a waistline again, urine incontinence, zero sex drive and list goes on and on. In 1988 I had a Myomectomy a procedure to remove fibroids. I never wanted to have a hysterectomy. I think it is how I was socialized or how I was raised to think. This doctor is the first to tell me I needed to have a hysterectomy. I know with my situation and family history it is probably necessary. Maybe, I needed to post this to help me with my decision to have the surgery. You know Dr.’s will tell you some things. But most times they leave out some important truths. Your comment posts have enlightened me.
    #praying for direction

    1. I had a full hysterectomy 9 weeks ago& honestly the pain is nothing compared to what it was, I’m still a little more after the surgery but can already manage to do everything I couldn’t with the pain before the op

    2. Hi , I just had my hysterectomy on the 12th April and yes, its not for the faint hearted and its a big thing to have to go through. I have to say though, I already don’t regret it. My problem was multiple fibroids on of which was a broad ligament fibroid crushing my bladder, as a result I couldn’t even make a cuppa tea without being caught out cross legged in the middle of the kitchen floor not being able to move for fear of wetting myself. All of that is now gone. The worst was the wind pain of course but with the aid of laxatives and small regular meals that also seems to be settling down. Maybe I am having it easy but I think (hope) I’m doing quite well although my husband tells me I’m being inpatient. A tough thing to go through but I’m glad I’ve had it done, for me, I think its going to be the best thing I will ever have to do to my body. I certainly hope I never have to do anything close to this again though. Good luck to anyone else who has to go through this procedure. x

      1. Hi Barbra,
        My name is Chrissy, I’m 53 years old, and
        I had my lap- hyst December 3rd 2015. I was pretty fit going in, and have been eating extremely “clean” since my op. For me, the swelly belly has been the worst part of my experience. I’m eight months out, and my tummy is pretty flat in the morning. As the day goes on, and the more active I am, the more swollen I will be at the end of the day. No matter what, I get my workouts in for each day. But eating right is the real key to keeping the weight off. If you eat junk food, you will have a undesirable weight gain, with or without the hysterectomy. Most people don’t want to hear that.. But eating unhealthy really is at the root of ALL weight gain. My waist line is coming back slowly… But it IS coming back.. Hot flashes are a small irritation. Now the good stuff!! No more horrible pains in my stomach!! No periods or PMS is great!! Sex is better than ever before!! Yes, you heard me correct!!! If you are in pain, and the doctor’s believe this is the right surgery to get you out of pain, it’s a no brainer..
        Good luck!

    3. I had a total laprascopically assisted vaginal hysterectomy 4 weeks ago and it was the best decision I made. Prior to the op I had started to get urine incontinent and had put this down to other reasons, but the reason I opted to have a hysterectomy was the fibroids and the fact all the women in my family had suffered previously and all ended up having a hysterectomy after several (what were then known as) D&C’s, I think they now call it myomectomy or ablation. I recovered extraordinarily well, yes I think I may have gained an inch around the waist but I’ve never felt better!! I have full bladder control again which I never thought I would have, no more bleeding for weeks on end and no more need for cervical smears (which I always dreaded after a nasty colposcopy several years earlier). I still have my overies as there was nothing wrong with them and this will hopefully keep my hormones level and delay menopause. I’m 47 and it was the best decision of my life!! I’d had my 3 daughters and was now a grandmother, what point was there in keeping what was becoming a major inconvenience!!

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