Anxiety And Depression After Total Hysterectomy
Experiencing anxiety or depression after a total hysterectomy? Learn why these emotional changes happen, how to cope, and when to seek support for better mental health.
Written by Dr.Sonia Bhatt
Last updated on 8th Jul, 2025
Introduction
Undergoing a total hysterectomy—a surgical procedure to remove the uterus and sometimes the ovaries—can be a life-changing experience. While it may be medically necessary for conditions like fibroids, endometriosis, or cancer, the emotional aftermath can sometimes be overwhelming. Many women experience anxiety and depression after the surgery, which can affect their overall well-being.
If you or a loved one is going through this, know that you’re not alone. This article will help you understand why these feelings occur, how to recognise them, and what you can do to manage them effectively.
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Why Do Anxiety and Depression Happen After a Hysterectomy?
A hysterectomy is not just a physical procedure—it can also have a deep emotional impact. Here are some reasons why anxiety and depression may develop:
1. Hormonal Changes
If your ovaries are removed during the surgery (oophorectomy), your body suddenly loses its main source of oestrogen and progesterone. These hormones play a crucial role in mood regulation. A sudden drop can lead to mood swings, anxiety, and even depression, similar to menopause.
2. Emotional Impact of Surgery
Women may experience a mix of emotions following a hysterectomy.
Loss of Fertility: For women who want children, the inability to conceive after a hysterectomy can cause grief.
Change in Body Image: Some women feel a sense of loss or altered identity after the surgery.
Fear of Health Issues: Concerns about long-term health effects, like early menopause or osteoporosis, can trigger anxiety.
3. Post-Surgery Recovery Stress
Recovering from any major surgery can be stressful. Pain, fatigue, and limited mobility may contribute to feelings of frustration or sadness.
4. Lack of Awareness & Support
Many women aren’t prepared for the emotional side effects, making it harder to cope when they arise.
Signs and Symptoms to Watch For
It’s normal to feel emotional after surgery, but if these feelings persist or worsen, it could be anxiety or depression. Look out for:
Emotional Symptoms
Persistent sadness or hopelessness
Excessive worry or fear
Irritability or mood swings
Loss of interest in activities you once enjoyed
Feeling overwhelmed or helpless
Physical Symptoms
Fatigue or low energy
Trouble sleeping (insomnia) or oversleeping
Changes in appetite (eating too much or too little)
Unexplained aches and pains
If these symptoms last more than two weeks, it’s important to seek help.
How to Cope and Feel Better
The good news is that anxiety and depression after a hysterectomy can be managed with the right approach. Here are some ways to take care of your mental health:
1. Talk to Your Doctor
If your ovaries were removed, hormone replacement therapy (HRT) may help balance mood swings.
Your doctor may recommend counselling or antidepressants if needed.
2. Seek Emotional Support
Therapy: Speaking with a therapist can help process emotions.
Support Groups: Connecting with other women who’ve had a hysterectomy can be comforting.
Talk to Loved Ones: Don’t hesitate to share your feelings with family or friends.
3. Prioritise Self-Care
Exercise: Gentle activities like walking or yoga can boost mood.
Healthy Diet: Foods rich in omega-3s, like fish and nuts, and vitamin D can help.
Sleep Well: Maintain a regular sleep schedule.
4. Mindfulness & Relaxation Techniques
Meditation or deep breathing can reduce anxiety.
Journaling helps express emotions.
5. Educate Yourself
Understanding what’s happening in your body can reduce fear. Ask your doctor questions and read reliable sources.
When to Seek Professional Help
If your anxiety or depression is affecting your daily life—making it hard to work, sleep, or enjoy things—it’s time to reach out. Mental health is just as important as physical health.
Through Apollo 24|7, you can book a consultation with a gynaecologist or mental health specialist, access therapy or counselling services, and receive expert guidance on hormone support and emotional well-being.
Don’t hesitate to seek help—support is available.
Final Thoughts
A hysterectomy is a major life event, and it’s okay to feel a mix of emotions afterward. Anxiety and depression are common but manageable. By taking small steps—talking to a doctor, leaning on loved ones, and practising self-care—you can regain emotional balance and move forward with confidence.
Consult Top Psychologists
Consult Top Specialists for Personalised Advice
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Consult Top Psychologists
Ms. Moumita Ganguly
Psychologist
13 Years • B.ED(Special) Visual Impairment , PG.Diploma in Rehabilitation psychology
Kolkata
M’s Clinic, Kolkata
(125+ Patients)
Ms. Mansi Kothari
Psychologist
7 Years • MA - Psychology
Gurugram
Soulful, Gurugram
Ms. Sharmila Mazumdar
Psychologist
15 Years • Dip in Mental health , Advanced counselling and Psychotherapy.
Kolkata
MCR SUPER SPECIALITY POLY CLINIC & PATHOLOGY, Kolkata
Dr. Richa Kumari
Psychiatrist
10 Years • MBBS, DPM (Psychiatrist)
Bangalore
Apollo Clinic Bellandur, Bangalore
(175+ Patients)
Dr. Rituparna Sannamoth
Clinical Psychologist
5 Years • BSC Psychology, MA Psychology, M. Phil Psychology
Barrackpore
RSV Healthcare, Barrackpore
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