Long Term Constipation After Hysterectomy
Struggling with long-term constipation after a hysterectomy? Discover common reasons for persistent bowel issues, effective strategies for relief, dietary tips, and when to seek medical advice for lasting comfort and digestive health.
Written by Dr.Sonia Bhatt
Last updated on 9th Jul, 2025
Introduction
Undergoing a hysterectomy (surgical removal of the uterus) is a major procedure that can bring relief from various gynecological conditions. However, some women experience longterm constipation afterward, which can be frustrating and uncomfortable. If you're dealing with this issue, know that you're not alone—many women face similar challenges.
In this article, we’ll explore why constipation happens after a hysterectomy, how to recognize it, and what you can do to manage and improve your digestive health.
Why Does Constipation Occur After Hysterectomy?
Constipation after a hysterectomy can happen due to several reasons:
Surgical Effects on Pelvic Muscles & Nerves – The surgery may affect the nerves and muscles in the pelvic region, slowing down bowel movements.
Hormonal Changes – If the ovaries are removed (oophorectomy), hormonal shifts (especially lower estrogen) can impact digestion.
Pain Medications – Postsurgery pain relievers (like opioids) often cause constipation.
Reduced Physical Activity – Recovery may limit movement, slowing digestion.
Adhesions (Scar Tissue) – Internal scar tissue can sometimes interfere with bowel function.
Symptoms of Long-Term Constipation
If you’re experiencing any of the following for weeks or months after surgery, it could be longterm constipation:
Infrequent bowel movements (less than 3 times a week)
Hard, dry, or lumpy stools
Straining during bowel movements
Feeling of incomplete emptying
Bloating or abdominal discomfort
Consult Top Gynaecologists
How to Manage & Improve Constipation?
Ways to manage constipation:
1. Dietary Changes
Increase Fiber Intake – Eat more whole grains, fruits (apples, pears, berries), vegetables (leafy greens, carrots), and legumes (beans, lentils).
Stay Hydrated – Drink plenty of water (at least 8-10 glasses daily) to soften stools.
Limit Constipating Foods – Reduce processed foods, cheese, red meat, and refined carbs.
2. Lifestyle Adjustments
Exercise Regularly – Gentle walking, yoga, or pelvic floor exercises can stimulate bowel movements.
Establish a Routine – Try to go to the bathroom at the same time daily.
Avoid Holding It In – Respond to the urge to go promptly.
3. Over the Counter Remedies (If Needed)
Fiber Supplements (Psyllium husk, Metamucil)
Stool Softeners (Docusate sodium)
Mild Laxatives (Only under doctor’s guidance)
4. Pelvic Floor Therapy
If nerve or muscle damage is suspected, a pelvic floor physiotherapist can help strengthen and retrain bowel function.
When to See a Doctor?
While occasional constipation is common, consult a doctor if:
No relief despite dietary/lifestyle changes
Severe pain or bleeding during bowel movements
Unexplained weight loss
Persistent bloating or nausea
Long-term constipation could sometimes indicate adhesions or other complications needing medical attention.
Take Charge of Your Digestive Health
Recovering from a hysterectomy takes time, and digestive issues can be part of the journey. By making small, consistent changes, you can improve your bowel health and feel better. If constipation persists, don’t hesitate to seek help. You can consult a specialist on Apollo 24|7 for personalized advice or schedule any necessary tests.
Consult Top Gynaecologists
Consult Top Gynaecologists
Dr. Abhishek Daga
Obstetrician and Gynaecologist
20 Years • MBBS, MS (Obstetrics & Gynaecology)
Kolkata
Gynae Care Fertility Centre, Kolkata
(150+ Patients)
Dr. Sushma Krishnegowda
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20 Years • MBBS,DGO – Obstetrics & Gynaecology,DNB – Obstetrics & Gynaecology,Laparoscopic Training
Bengaluru
Apollo Hospitals Sheshadripuram, Bengaluru
Dr Bhawna Garg
Gynaecological Oncologist
26 Years • MBBS, MS, (PGI MS ROHTAK) FELLOWSHIP GYNECOLOGY ONCOLOGY, (CANCER INSTITUTE CHENNAI)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr Lekha K L
Obstetrician and Gynaecologist
15 Years • MBBS,DGO & DNB in Obstetrics and Gynecology
Angamaly
Apollo Hospitals Karukutty, Angamaly
Dr. Dhwaraga Jeyaraman
Obstetrician and Gynaecologist
16 Years • MBBS, MS OG, DGO
Chennai
Apollo Speciality Hospitals OMR, Chennai
(50+ Patients)
Consult Top Gynaecologists
Dr. Abhishek Daga
Obstetrician and Gynaecologist
20 Years • MBBS, MS (Obstetrics & Gynaecology)
Kolkata
Gynae Care Fertility Centre, Kolkata
(150+ Patients)
Dr. Sushma Krishnegowda
Obstetrician and Gynaecologist
20 Years • MBBS,DGO – Obstetrics & Gynaecology,DNB – Obstetrics & Gynaecology,Laparoscopic Training
Bengaluru
Apollo Hospitals Sheshadripuram, Bengaluru
Dr Bhawna Garg
Gynaecological Oncologist
26 Years • MBBS, MS, (PGI MS ROHTAK) FELLOWSHIP GYNECOLOGY ONCOLOGY, (CANCER INSTITUTE CHENNAI)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr Lekha K L
Obstetrician and Gynaecologist
15 Years • MBBS,DGO & DNB in Obstetrics and Gynecology
Angamaly
Apollo Hospitals Karukutty, Angamaly
Dr. Dhwaraga Jeyaraman
Obstetrician and Gynaecologist
16 Years • MBBS, MS OG, DGO
Chennai
Apollo Speciality Hospitals OMR, Chennai
(50+ Patients)
