How to maintain the uterus after removing the ovaries

After the ovaries and uterus are removed, maintenance is required through nutritional supplements, moderate exercise, psychological adjustment, wound care and regular review. Postoperative care after ovariohysterectomy mainly includes a balanced diet, moderate activity, emotional management, incision observation and medical follow-up.

1. Balanced diet

After surgery, the intake of high-quality protein such as fish and eggs should be increased to help tissue repair. It is necessary to supplement iron-rich animal liver or spinach every day to prevent anemia. Moderate consumption of soy products can provide phytoestrogens, but it should not be excessive. Avoid high-fat and high-sugar diets to control weight gain. The cooking method is mainly steaming, and spicy and irritating foods are reduced.

2. Moderate activity

Low-intensity exercise such as walking can be performed 1-2 weeks after surgery, no more than 30 minutes each time. Avoid heavy lifting or strenuous exercise for 6 weeks to prevent pelvic floor muscle damage. During the recovery period, you can practice Kegel exercises to enhance pelvic floor support. Maintain long-term aerobic exercise 3-5 times a week, such as swimming, yoga, etc. If abdominal pain or vaginal bleeding occurs during exercise, stop immediately.

3. Emotional management

Changes in hormone levels can cause mood swings, and anxiety can be alleviated through mindfulness meditation. Join a support group to share experiences and reduce feelings of isolation. Maintain close communication with your partner and seek psychological counseling when necessary. Divert your attention by developing new hobbies. If you have insomnia at night, try soaking your feet in warm milk or hot water to help you sleep.

4. Incision observation

Keep the abdominal incision dry and clean, and disinfect it with iodophor 1-2 times a day. If you find redness, swelling and exudation, you need to seek medical treatment promptly to rule out infection. Avoid rubbing the surgical site vigorously while bathing. No bathing or swimming is allowed within 3 months. Wear loose-fitting cotton underwear to reduce friction and irritation. Scar hyperplasia can be improved by applying silicone gel.

5. Medical follow-up

Hormone levels and pelvic ultrasound need to be reviewed 1 month after surgery. Have a bone density test every year to prevent osteoporosis. If you experience menopausal symptoms such as hot flashes and night sweats, you may want to consult for hormone replacement therapy. Monitor hormone-related risks with regular breast exams. Keep complete surgical records for reference in subsequent diagnosis and treatment.

Sexual intercourse should be avoided for 3 months after surgery, and recovery can be resumed only after a reexamination after 6 weeks to confirm recovery. Pay attention to supplementing calcium and vitamin D to prevent bone loss. Establish a regular schedule and ensure 7-8 hours of sleep. Use sunscreen when going out to prevent skin aging caused by estrogen deficiency. Record any abnormal changes in your body and communicate with your attending doctor in a timely manner. Do not take hormone-containing health products or drugs by yourself.