How To Lose Weight After A Total Hysterectomy
This core abdominal exercise routine is suited to most women who have received medical approval to return to general exercise which is usually around 6-8 weeks after hysterectomy surgery. The appropriate time to commence can vary depending on many factors including your rate of recovery and the type of hysterectomy surgery performed.
These abdominal exercises should feel pain free during and after exercise. Cease any exercises that cause physical discomfort during hysterectomy recovery unless they have been medically advised.
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This routine does not include intense core abdominal exercises e.g. abdominal curls because research has shown that these types of exercise place pressure downwards on the lower abdomen and pelvic floor
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Try to focus on using the correct deep abdominal exercise technique rather than intensity, especially during early hysterectomy recovery because during this time, your healing internal tissues are vulnerable to strain and long-term damage.
If you have difficulty performing this deep abdominal muscle activation technique, you may instead like to try this same activation pattern lying on your side.
Gradually progress towards completing 10 toning exercises with 3-5 pelvic tilts between each core abdominal exercise according to your level of personal comfort.
Hysterectomy Weight Gain: 5 Ways To Lose Weight After A Hysterectomy
Abdominal exercises can tone the abdominal muscles lying under your belly fat, however abdominal exercises will not ever help you lose belly fat after hysterectomy or in the long-term.
Belly size can increase after hysterectomy. Increased belly size after hysterectomy can happen for a number of reasons aside from weight gain including:
The belly is often swollen after a hysterectomy which can lead to the mistaken belief of having gained belly fat after surgery. Internal lower abdominal and pelvic swelling can take a number of months to subside after a hysterectomy.
Hysterectomy & Hormone Balance
Abdominal hysterectomy and abdominal incisions can cause the deep abdominal muscles to stop working. When these muscles stop working, this can make your belly look floppy and larger in size.
The best way to reduce your weight and lose belly fat after hysterectomy surgery is to incur an energy deficit. To incur an energy deficit you need to use up more energy than you consume.
It’s almost impossible to lose belly fat after hysterectomy through moderate exercise. It takes a large amount of exercise to incur an energy deficit and during your hysterectomy recovery your exercise capacity is reduced.
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Your diet includes everything that you eat and drink and this is an essential part of weight loss and weight management after surgery.
The Mediterranean style diet is an excellent hysterectomy recovery diet. This diet helps you manage your weight, lose weight and includes nutrients,
Fibre and protein. Protein is essential for tissue healing and this is why including protein rich foods on a daily basis during your hysterectomy recovery diet is important.
How To Balance Hormones After Hysterectomy
While the Mediterranean diet is low in red meat some women have iron deficiency before and after their hysterectomy. If you suffer from extreme fatigue or know that your iron levels are low then you may need to increase your consumption of red meat or alternatively use iron supplements as directed by your medical practitioner.
* Legumes can sometimes cause abdominal bloating or gas after a hysterectomy so beware of increasing your legume intake during initial hysterectomy recovery.
During your early recovery focus on weight management rather than weight loss. Your early hysterectomy recovery is not a good time to be dieting or doing too much exercise. Rather, the focus for most women should be managing body weight post-operatively through healthy eating and gentle exercise such as walking.
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Easing Back Into Exercise After A Hysterectomy
The best weight management exercise for most women during initial hysterectomy recovery is walking. Mobilising out of bed and walking improves physical recovery after surgery
Progress your hysterectomy walking program gradually using a time-based approach. The time-based approach involves measuring how long you walk for and increasing the time you spend walking on a weekly basis, rather than increasing the speed or distance walked. Use a time-based approach for walking during the first 6-8 weeks after hysterectomy.
When you are given permission to return to general exercise by your doctor, the best exercises to choose are low impact exercises where at least one foot is in contact with the ground at all times.
Recovery After Hysterectomy: What To Know
1. Thompson JA, O’Sullivan PB, Briffa K, Neumann P, Court S. Assessment of pelvic floor movement using transabdominal and transperineal ultrasound. Int Urogynecol J Pelvic Floor Dysfunct. 2005 Jul-Aug;16(4):285-92. doi: 10.1007/s00192-005-1308-3. Epub 2005 Mar 22. PMID: 15782286.
2. Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn. 2001;20(1):31-42. doi: 10.1002/1520-6777(2001)20:1<31::aid-nau5>3.0.co;2-p. PMID: 11135380.
3. Lynders C. The Critical Role of Development of the Transversus Abdominis in the Prevention and Treatment of Low Back Pain. HSS J. 2019 Oct;15(3):214-220. doi: 10.1007/s11420-019-09717-8. Epub 2019 Aug 29. PMID: 31624475; PMCID: PMC6778169.
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4. Tosti V, Bertozzi B, Fontana L. Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms. J Gerontol A Biol Sci Med Sci. 2018 Mar 2;73(3):318-326. doi: 10.1093/gerona/glx227. PMID: 29244059; PMCID: PMC7190876.
5. Varadhan KK, Lobo DN, Ljungqvist O. Enhanced recovery after surgery: the future of improving surgical care. Crit Care Clin. 2010 Jul;26(3):527-47, x. doi: 10.1016/j.ccc.2010.04.003. PMID: 20643305.

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Lose Belly Fat After Hysterectomy
And if you want to learn how to exercise for weight loss, just fill out the form below, and I’ll send you the article.
If you already had a hysterectomy, I don’t need to tell you what it is. But if you haven’t, and you’re the friend/relative of someone who has (or another personal trainer), it would be helpful to know.
According to WebMD, A hysterectomy is a surgery that involves removal of the uterus. Often, it also involves the removal of neighbouring anatomical strcutures, like the cervix, ovaries and Fallopian tubes. When everything is removed (uterus, as well as the neighbouring structures), that’s often called a “complete hysterectomy.”
Diet Tips During Recovery After Hysterectomy
And there’s more than one way to do a hysterectomy. The surgeon may choose to remove just the uterus, and keep the ovaries, cervix, and other structures. Or the surgeon may decide to remove the ovaries as well, which is called an “oophorectomy.”

So you’ve had your uterus and (maybe) ovaries removed. Now what? Well, the problem that was bothering you, for which the hysterectomy was required is probably gone, but unfortunately, there are some side effects of the surgery, like:
As it pertains specifically to this article, the one we’ll talk about is weight gain. But not every woman gains weight after a hysterectomy. Remember, don’t fret if this is you! There have been many weight loss success stories after hysterectomy.
Reasons Why A Hysterectomy Can Affect Your Weight
Since you landed on this article, I’m guessing that you gained weight after yours. So the answer is “yes”, you do gain weight after a hysterectomy. But according to at least one study, it’s not much – just 3 pounds. However, according to the same study, about 23% of women gain over 10 pounds.
Fortunately, not every woman gains weight after a hysterectomy. If she had a healthy lifestyle (slept well, exercised, ate right, and managed her stress properly) before a hysterectomy, she’s less likely to gain weight after (although there are no guarantees).
Weight loss without deliberate effort after a hysterectomy is very unusual. Just like weight loss without deliberate effort is unusual any other time. So if you’re losing weight after your hysterectomy, and you’re not eating less, exercising more, or doing something specific to lose weight, it may be a cause for concern.
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A very small minority of women experience diarrhea and vomiting after a hysterectomy (usually if they get it for cancerous reasons), in which case, they’re losing a lot of fluid, and weight can be lost. But it’s fluid, and not fat. Definitely not desirable.
In another tiny minority of cases, women just feel better, so they move around more. Maybe it’s not deliberate exercise, but they do more active stuff, like gardening, hiking, or just walking around, so they lose weight that way.
Essentially, if the ovaries are removed, regardless of your age, you go into early menopause. Even if you’re 25, you’re now menopausal. So you’re going to have the hormonal profile of someone who is menopausal as well. And no, it’s not quite as simple as “low estrogen.” It’s much more complex than that. I elaborate on that in my article, Discover Your Menopause Type. Or if you’d like, I strongly recommend the full book,

Weight Loss After A Hysterectomy And Its Side Effects?
However,
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