Following the hysterectomy, the woman will remain in the recovery room for several hours, during which pain medication and antibiotics are administered. The woman typically remains in the hospital for three to six days. Prior to discharge, the staples will be removed (abdominal hysterectomy).

Pain and fatigue are normal reactions of the body to a hysterectomy. Full recovery can take between four and eight weeks. No strenuous activities, such as lifting, pushing, pulling and holding babies or children should be attempted during the full recovery period. Sexual activity should also be avoided until the physician approves of the activity.

Following a hysterectomy, most women will need sanitary pads for vaginal bleeding and discharge for several days. However, menstrual periods will completely cease after the procedure (surgical menopause).

In addition to the onset of menopausal symptoms in premenopausal women, a hysterectomy that involves the removal of both the uterus and ovaries leads to a rapid decrease in sex hormones. Many women report a decrease in their sex drive and an absence of the uterine contractions that accompany orgasm.

Also, if the cervix is removed as part of the hysterectomy, the shorter vagina may alter the experience of penetration during sexual intercourse. Another common problem following a hysterectomy is vaginal dryness due to decreased estrogen production. This difficulty, as well as other menopausal symptoms, may be improved with the use of hormones or over-the-counter vaginal lubricants.

Women who have a hysterectomy will still need to receive regular pelvic examinations. Also, for those who opt to leave the cervix intact, a Pap smear will be part of the annual gynecological exam.