Does Your Stomach Get Bigger After Hysterectomy?
Wondering if your stomach will get bigger after a hysterectomy? Learn the common causes of post-surgery bloating and tips to manage abdominal changes effectively.
Written by Dr. J T Hema Pratima
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 12th Oct, 2025
Introduction
A hysterectomy is a surgical procedure to remove the uterus, and sometimes other reproductive organs like the ovaries and fallopian tubes. Many women wonder whether their stomachs will get bigger after this surgery. The answer isn’t straightforward, as several factors can influence changes in abdominal size post-hysterectomy. Let’s explore why some women may notice a larger stomach after the procedure and what can be done to manage it.
Consult Top Specialists for Personalised Health Advice
Why Might Your Stomach Appear Bigger After Hysterectomy?
Several factors can contribute to post-surgery abdominal bloating or weight gain:
1. Post-Surgical Swelling
After any surgery, including a hysterectomy, the body naturally responds with inflammation and swelling. This can make your abdomen look and feel bloated for several weeks. The swelling usually subsides as your body heals.
2. Weight Gain
Hormonal changes, especially if the ovaries are removed (oophorectomy), can lead to weight gain. Lower estrogen levels may slow metabolism, making it easier to gain weight around the abdomen.
3. Weakened Abdominal Muscles
The surgery can temporarily weaken the abdominal muscles, leading to a loss of core strength. This may cause the stomach to appear more prominent, especially if you don’t engage in gentle post-surgery exercises to rebuild muscle tone.
4. Gas and Digestive Changes
Some women experience bloating and digestive discomfort after a hysterectomy due to changes in bowel movements or gas buildup. This can make the stomach feel distended.
5. Lack of Physical Activity
Recovery may limit movement for a few weeks, leading to reduced physical activity. This can contribute to weight gain or muscle loss, making the stomach appear larger.
How to Manage Abdominal Changes After Hysterectomy?
Making small, consistent changes to your lifestyle can support healing and improve abdominal tone over time.
1. Give Yourself Time to Heal
Swelling and bloating are normal in the first few weeks. Avoid tight clothing and allow your body to recover naturally.
2. Stay Active (When Cleared by Your Doctor)
Once your doctor approves, start with light activities like walking to improve circulation and reduce bloating. Gradually reintroduce core-strengthening exercises to rebuild abdominal strength.
3. Eat a Balanced Diet
Focus on fibre-rich foods like vegetables and whole grains to prevent constipation and bloating. Stay hydrated and limit processed foods, which can cause water retention.
4. Hormone Replacement Therapy (If Needed)
If your ovaries were removed, discuss hormone replacement therapy (HRT) with your doctor to manage menopausal symptoms and weight changes.
5. Strengthen Your Core
Pelvic floor exercises (Kegels) and gentle yoga can help restore muscle tone. Avoid heavy lifting until fully healed.
6. Monitor Weight Changes
If you notice significant weight gain, consult a nutritionist or doctor for personalised advice on diet and exercise.
When to Seek Medical Advice?
If your stomach remains swollen, painful, or hard after several weeks, consult your doctor. Persistent bloating could indicate:
Infection
Fluid buildup
Digestive issues
Hernia
Conclusion
While some women may notice a temporary increase in stomach size after a hysterectomy, it’s often due to swelling, hormonal changes, or reduced activity. With proper care, diet, and exercise, most women can regain their pre-surgery abdominal tone over time.
If you have concerns about post-hysterectomy changes or need guidance on recovery, consider booking a consultation with a specialist through Apollo 24|7 for personalised advice.
Consult Top Gynaecologists
Consult Top Specialists for Personalised Health Advice
Dr. Shruti I
Obstetrician and Gynaecologist
7 Years • MBBS, MS (OBSTETRICS & GYNAECOLOGY)
Bangalore
Apollo Clinic Bellandur, Bangalore
Dr Homeira Nishat
Obstetrician and Gynaecologist
34 Years • MBBS, Diploma in Obstetrics & Gynaecology
Bengaluru
Cure Hospital and Clinic, Bengaluru
Dr. Sanjan Das
Obstetrician and Gynaecologist
15 Years • MBBS,MS
Bengaluru
Apollo Clinic, Sarjapur Road, Bengaluru
Dr. Renuka Chandran
Obstetrician and Gynaecologist
30 Years • MBBS, MD, DGO, Masters in Advanced Ultrasound in Obs & Gynea
Bangalore
Apollo Clinic Bellandur, Bangalore
Dr. Jyothi Rajesh
Obstetrician and Gynaecologist
22 Years • MBBS, DGO(DNB)
Bangalore
Apollo Clinic Bellandur, Bangalore
Consult Top Gynaecologists
Dr. Shruti I
Obstetrician and Gynaecologist
7 Years • MBBS, MS (OBSTETRICS & GYNAECOLOGY)
Bangalore
Apollo Clinic Bellandur, Bangalore
Dr Homeira Nishat
Obstetrician and Gynaecologist
34 Years • MBBS, Diploma in Obstetrics & Gynaecology
Bengaluru
Cure Hospital and Clinic, Bengaluru
Dr. Sanjan Das
Obstetrician and Gynaecologist
15 Years • MBBS,MS
Bengaluru
Apollo Clinic, Sarjapur Road, Bengaluru
Dr. Renuka Chandran
Obstetrician and Gynaecologist
30 Years • MBBS, MD, DGO, Masters in Advanced Ultrasound in Obs & Gynea
Bangalore
Apollo Clinic Bellandur, Bangalore
Dr. Jyothi Rajesh
Obstetrician and Gynaecologist
22 Years • MBBS, DGO(DNB)
Bangalore
Apollo Clinic Bellandur, Bangalore
