As the cervix is left in place, there's still a risk of cervical cancer developing and regular cervical screening will still be needed. New comments cannot be posted and votes cannot be cast. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. For more information, see the NWHNs Consumer Health Information. Current treatment options include: medical/hormonal management. Even if the ovaries have been left behind ('conserved'), menopausal symptoms may be experienced earlier. This is particularly true for Black women, who are half as likely as white women to undergo a minimally invasive hysterectomy, meaning they end up with not only a longer recovery time, but also increased risk of surgical complications. Ovaries are the source of the female hormones, 5. I dont have an answer for you. The continued availability of external resources is outside of the NWHNs control. Do Women Always Need a Mans Consent to Get a Hysterectomy? Robotic? The total recovery time is 4-6 weeks depending on the type of hysterectomy performed. New, "second-generation . Vaginal hysterectomy. fibroids (non-cancerous tumours) in the uterus. If you experience this type of bleeding, it is critical that you seek immediate medical attention. If you have cancer, a hysterectomy may save your life. A subtotal hysterectomy involves removing the main body of the womb andleaving the cervix in place. The previous summary of hysterectomy surveillance in the United States described trends during 1980--1993 . All rights reserved. The uterus is removed through an incision in your lower abdomen. While approximately one-third of American womenmost between the ages of 40 and 44will eventually lose their uteruses, Black women are consistently the most likely to have a hysterectomy. This operation is called a hysterectomy. No state mandates spousal consent for this procedure, and any such proposals would almost certainly . If you dont have insurance or if your insurance wont cover your hysterectomy, you may have to pay out-of-pocket. More Than Half of Women Over Age 50 Have Thinning Hair, Hormone Replacement Therapy May Reduce the Risk of COVID-19 Death in Post-Menopausal Women, The Wild History of Womens Hormone Therapy, What Are Uterine Fibroids? According to one study, women who have undergone a hysterectomy have a nearly twofold increased risk of entering early menopause. People who dont have the pain dont understand how debilitating it can be because all women have cramps sometimes. Washington, D.C. 20005, Email: nwhn@nwhn.org Symptoms, Causes, Diagnosis, Treatment, and Prevention. Using that criterion, only around 10% of women who end up with a hysterectomy needed it. Finally three years ago I had an irregular PAP smear. Elizabeth Broadhurst, 40, from Suffolk, was just 33 when she had a hysterectomy. The NWHN believes that hysterectomies are over-performed. You should also seek asecond opinionto help you determine the best treatment for you. Ask your doctor to define what they mean by sex, advises Dr. Streicher. If you have a hysterectomy, as well as having your womb removed, you may have to decide whether to also have your cervix or ovaries removed. Laparoscopic surgery is used about 45 percent of the time now for hysterectomy, according to Streicher. A vaginal hysterectomy can either be carried out using: A vaginal hysterectomy is usually preferred over an abdominal hysterectomy as it's less invasive and involvesa shorter stay in hospital. Now hysterectomy is one of many options if you have fibroids (noncancerous tumors),excessively heavy periods, or uterine prolapse (a dropped uterus). Another option is myomectomy, which removes fibroids but spares the uterus. During the procedure, asmall tube containinga telescope (laparoscope) and a tiny video camera will beinserted through a smallcut (incision) inyour tummy. For women of reproductive age, hysterectomies are the second most often performed procedure in the U.S. Hormone Therapy Could Help With Physical Changes After Surgery, If you have a hysterectomy that removes your ovaries, then you should talk about the pros and cons of, 6. Design: Retrospective review (Canadian Task Force classification II-1). After years of putting up with monthly flood-like periods, youve consulted with your doctor, who has advised you that the time has come to get rid of the source of the bleeding and proceed with a hysterectomy. Ovaries are the source of the female hormones estrogen and progesterone. This surgery is called radical hysterectomy, and is extremely rare. Next review due: 11 October 2025, total hysterectomy the womb and cervix (neck of the womb) are removed;this is the most commonly performed operation, subtotal hysterectomy the main body of the womb is removed, leaving the cervix in place, total hysterectomy with bilateral salpingo-oophorectomy the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy) are removed, radical hysterectomy the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue, laparoscopic hysterectomy (keyhole surgery) where small cuts are made in the tummy and the womb is removed through a cut in the vagina, vaginal hysterectomy where the womb is removed through a cut in the top of the vagina, abdominal hysterectomy where the womb is removed through a cut in the lower tummy, womb (uterus) a pear-shaped organ in the middle of your pelvis where a baby develops; the lining of the womb is shed during a period, cervixthe neck of the womb, where the womb meets the vagina; the cervix is the lower part of the womb and not separate, vagina amuscular tube below the cervix, fallopian tubestubes that connect the womb to the ovaries, ovaries small organs by the fallopian tubes that release an egg each month. It's incredibly unlikely that a doctor will perform a hysterectomy on women ages 18-35 unless it is absolutely necessary for their well-being and no other options will suffice. Based on existing evidence, the American Congress of Obstetricians and Gynecologists has stated that for patients in whom the approach is appropriate, a vaginal approach has the fewest complications and blood loss, quickest recovery, and is the most cost-effective. Its a real disservice to women, she says. According to SPICe, there is no nationally prescribed age restriction for undergoing a hysterectomy, although clinicians would discuss the implications of the procedure for a woman of. But if your cervix was removed, it takes about six weeks for the back of the vagina to heal. At what age do doctors allow women in the United States to have a hysterectomy? Hazel Galloway was diagnosed with cervical cancer when she was 26. Go here to subscribe to Prevention and get 12 FREE gifts. The MorcellationTechnique Has Both Advantages and Risks, To be able to remove the uterus during a minimally invasive surgery, surgeons cut it into small sections and may use a process called, Morcellation doesnt cause cancer, adds Streicher, but if the person had a specific kind of cancer, you could potentially spread the cancer by morcellation. This, 9. As such, removing the uterus to manage these symptoms may not offer any benefits. Full recovery usually takes four weeks. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Seek out a doctor that listens carefully to your concerns and respects your decisions about your body. You still have your clitoris and labia, which are highly sensitive. heavy menstrual bleeding that hasn't improved with other treatments. Hi there, I had a full hysterectomy aged 36 years of age, I'm now 71! Can I have a hysterectomy by choice? In fact, endometriosis a condition that can be marked by severemenstrual cramps, chronic pain, and painful intercourse is not cured by removal of the uterus, according to theOffice on Womens Health at the U.S. Department of Health and Human Services. After the procedure, you will experience significant pain for 24 hours and mild pain for 10 days. What doctors usually mean is vaginal intercourse. Help get women the health care services they need and build the movement for health justice. This is good news in terms of womens autonomy and right to make their own medical decisions. The NHS e-Referral Service is an electronic booking service for people living in England. Whether you need a laparoscopic hysterectomy, vaginal hysterectomy, or abdominal hysterectomy, we have options to compare profiles, do your research or get on the Fast Track to treatment. During a vaginal hysterectomy, the uterus is removed through the vagina. Bruce Willis Has a Rare Form of Dementia, Family Announces, Potential Male Birth Control Pill Shows Promise in Early Lab Tests, As many as 600,000 American women have hysterectomies each year, according to the, Now hysterectomy is one of many options if you have, A partial hysterectomy is surgical removal of the uterus alone, and a myomectomy is removal of only fibroids. Losing both ovaries means these hormones are also lost abruptly, a condition known as surgical menopause. In some cases, after genetic testing, women with BRCA1 or BRCA2 choose to have a preventive surgery. To be eligible for a vaginal hysterectomy, your uterus must be a certain size and not too large. Quick action can help minimize spreading, upstaging, and other risks. You obviously will no longer need to use any form of contraception after a hysterectomy. I wouldn't expect anyone would be willing to do a hysterectomy for you for a couple of reasons: 2: Studies have shown that a large portion of women who get sterilized in their early twenties will regret having the surgery done, and some of these will sue their ObGyns for regret. You will likely be asleep during the procedure and spend two nights in the hospital. Patients who have an abdominal hysterectomy will usually stay in the hospital 2-3 days. Absolutely! Vaginal hysterectomy. I have terrible cramps, heavy bleeding or sometimes light, the pain can be unbearable at times that it hurts to move. 2023 BuzzFeed, Inc. All rights reserved. Hysterectomy is performed for a variety of reasons, including invasive cancer of the uterus, cervix, vagina, fallopian tubes, and or ovaries; polycystic ovary syndrome (PCOS); unmanageable infection or bleeding; and serious complications during childbirth, such as a rupture of the uterus. This method also gives the surgeon a good view of your pelvic organs. Although your hormone levels decrease after the menopause, your ovaries continue producing testosterone for up to 20 years. There are several gynecologic conditions which can cause disruption in a womans life:abnormal uterine bleeding,endometriosis,adenomyosis,uterine fibroids,pelvic prolapse,pelvic congestion, andpelvic inflammatory disease. Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. Why Trust Us? Duringa total hysterectomy, yourwomb and cervix (neck of the womb)is removed. Donate via Bequests, Donor Advised Funds and Retirement Vehicles. Life is short so you should spend time doing the things you enjoy.. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. I'm not sure how yours is being done but mine was an incision and staples. A hysterectomy is a major operation with a long recovery time and is only considered after less invasive treatments have been tried. .css-1pm21f6{display:block;font-family:AvantGarde,Helvetica,Arial,sans-serif;font-weight:normal;margin-bottom:0.3125rem;margin-top:0;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-1pm21f6:hover{color:link-hover;}}@media(max-width: 48rem){.css-1pm21f6{font-size:1rem;line-height:1.3;}}@media(min-width: 40.625rem){.css-1pm21f6{font-size:1rem;line-height:1.3;}}@media(min-width: 64rem){.css-1pm21f6{font-size:1.125rem;line-height:1.3;}}How to Navigate a Cancer Diagnosis, 6 Staph Infection Signs You Should Never Ignore, Why Self-Care Is Important for Long-Term Health, The Most Common Signs of Burnout, Explained, Heart Health Is the Secret to a Sharper Brain, Bethenny Frankel, 52, Details POTS Syndrome Battle, The Best Cooling Pillows for Hot Sleepers, Derms Reveal 12 Ways to Get Rid of Nail Ridges. Possible complications that can impact a womans sex life includes vaginal dryness and a lack of interest in sex. What Would a SCOTUS Decision Mean for Reproductive Health? For minor bladder and bowel issues, bladder training,strengthening pelvic muscles, certain medications, and/or lifestyle adjustments can be helpful. 10-18 Union Street London SE1 1SZ . You'll no longer be able to get pregnant after the operation. Other women are donedone with the bleeding, the pain (say, from endometriosis), the feeling that theyre single-handedly supporting the tampon and pad industry and planning their lives around their periods. In certain cancer cases, the upper vagina is also taken out. MINOR PROLAPSE, BLADDER OR BOWEL ISSUES. Having HRT will improve this though. 3. If you feel this way, talk to your surgeon about any risks associated with keeping your cervix. Is This the End of Roe v. Wade? Each woman who undergoes one deals with it in a way that is uniquely hers, she says. Objective: To review postmenopausal hormone therapy for women who have undergone hysterectomy with or without bilateral oophorectomy and to make clinical recommendations regarding changes in regimens compared with those for women with their uterus in place. 4. Her advice is simple: Try not to see it as a battle, which is kind of exhausting. vaginal atrophy. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether there are other problems. That means that even if a hysterectomy is not lifesaving, it may still be a womans best option. Objective: To analyze the feasibility and technique of dissecting the urinary bladder from the lower uterine segment during total laparoscopic hysterectomy in women who have previously delivered by cesarean section. But that doesnt necessarily mean menopause. Your decision will usually be based on your personal feelings, medical history and any recommendations your doctor may have. She says: I was so frightened because I thought I wasnt a woman, I wouldnt feel feminine, I was frightened that Id be put into the change [early menopause]. I had my Gallbladder out on the 22nd June 2010. Because of religious refusal policies, however, some private hospitalsparticularly religiously affiliated facilitiesmay require signed consent from both spouses. Your doctor may recommend a hysterectomy if you have: cancer of the uterus, cervix, tubes or an ovary. The continued availability of external resources is outside of the NWHNs control. There are various types of hysterectomy. What Is Extensively Drug Resistant Shigella? If you're having an abdominal or a laparoscopic hysterectomy, you'll usually have it under general anaesthesia. Agenetic counselorcan help you understand and explore your options if you have tested positive for a genetic mutation such asBRCAorLynch Syndrome. In some cases, if the ovaries are removed during the surgery, it can cause a decrease libido (desire for sex). If you have had a hysterectomy, you may not need progestogen and may be prescribed estrogen-only HRT. prolapse of the uterus. Keep the ovaries? Laparoscopic hysterectomy is possible in women who have never given birth vaginally before. The opening in your abdomen gives the . If you need to have a hysterectomy, it's important to be as fit and healthy as possible. For women of reproductive age, hysterectomies are the second most often performed procedure in the U.S. If the ovaries are removed at the time of hysterectomy, as well as the estrogen level falling, there is also a 50% decrease in testosterone production. A hysterectomy is a major operation. Cancer Research UK is a registered charity in England and Wales (1089464), Scotland (SC041666), the Isle of Man (1103) and Jersey (247). A company limited by guarantee. If the link you are looking for is broken, contact us atnwhn@nwhn.orgto request more current citation information. Rae Martin, 55, from Herne Bay had a hysterectomy at the age of 34 after suffering with heavy periods for years. Hair loss after hysterectomy. Please correct the issue, then click Submit. The operation usually takesabout anhour to complete. In most other cases, a hysterectomy is done to improve a womans life. RELATED:10 Cancer Screenings Every Woman Should Know About. Laparoscopic hysterectomy (keyhole surgery): It is suitable for almost all patients, even those with previous surgery (e.g. While hysterectomy rates are falling in industrialized countries, about one-third of U.S. women will have had the procedure by age 60. Feeling a little down or having a sense of loss after a surgery is normal. There are different types of hysterectomy. As soon as you have a hysterectomy, you can not develop, and for numerous ladies of childbearing age, this is a considerable loss. Always visit a doctor in real life if you have any concerns about your health. Ends heavy bleeding. However, depending on the reason for your hysterectomy and the type of hysterectomy you have had, you may be advised to use estrogen and progestogen combined HRT. In cases of cancer, an extended or radica l hysterectomy may be performed. Can a woman get a hysterectomy at any age? A laparoscopic hysterectomy is usually performed under general anaesthetic and takes from 60 - 90 minutes Your surgeon will make several small incisions (cuts) in your abdomen (stomach) So your surgeon has room to work, your abdomen will be inflated with carbon dioxide gas Cohens hysterectomy at age 28, recommended by her gynecologist, did not even diminish her, 3. pelvic pain which may be caused by endometriosis, unsuccessfully treated pelvic inflammatory disease (PID), adenomyosis or fibroids. Orgasm may be fine, oral sex too, and vibrator use as well your questions need to be specific. Fax: (202) 682-2648, Website Design for Healthcare Organizations by Blackbaud. More and more research I have stumbled upon hysterectomy and Ive made the decision of not wanting to have children anyway. Ive been on birth control for a year and the bleeding and occasional spots have increased since then. Try your primary doctor and see if they can recommend a gynecologist that would be okay with doing . The 36-year-old lived with endometriosis symptoms from the age of 12 but wasnt diagnosed until she was 26. When the cancer has spread to other parts of the body, hormone therapy may be used. Does insurance cover elective hysterectomy? RELATED:10 Ways to Relieve Period Cramps. First, a bit of background. Please contact the moderators of this subreddit if you have any questions or concerns. A hysterectomy can be performed in several ways, from a full abdominal surgery to minimally invasive laparoscopic or vaginal methods. Some of the benefits a hysterectomy for endometriosis may have are: Relieve pelvic pain, painful periods and ovulation pain. Hysterectomy, therefore, falls under the. A transgender person may choose to have a hysterectomy. Conservative surgery using a minimally invasive method may be one option, and will preserve the uterus. DISRUPTIVE, UNRESOLVED GYNECOLOGIC CONDITIONS. A total hysterectomy with bilateral salpingo-oophorectomy is a hysterectomy that also involves removing: The National Institute for Health and Care Excellence (NICE) recommends that the ovaries should only be removed if there's a significant risk of further problems for example, if there's a family history of ovarian cancer. Hysterectomy rates declined during 1980--1986 and increased steadily during 1988--1993. I expected to have crazy hot flashes, mood swings, and night sweats all the time, and was pleasantly surprised to find out that I barely had any of those symptoms, Cohen says about her experience after hysterectomy. Industrialized countries, about one-third of U.S. women will have had the procedure and spend can i have a hysterectomy by choice uk in! Website design for Healthcare Organizations by Blackbaud vaginal hysterectomy, your uterus must be a womans best.! Surgeon a good view of your pelvic organs the uterus is removed through incision! This surgery is used about 45 percent of the vagina to heal policies however... Advice, Diagnosis or treatment be performed news in terms of womens autonomy and right to make own. Your doctor may have are: Relieve pelvic pain, painful periods ovulation. Ways, from a full hysterectomy aged 36 years of age, hysterectomies the! Diagnosed with cervical cancer when she was 26 steadily during 1988 -- 1993 removed it... Surgery is called radical hysterectomy, it can cause a decrease libido desire! Organizations by Blackbaud highly sensitive a vaginal hysterectomy is a major operation with a hysterectomy the pain dont understand debilitating. And respects your decisions about your health determine the best treatment for you battle which! Of reproductive age, I & # x27 ; t improved with other treatments cramps, heavy or..., women who end up with a long recovery time is 4-6 depending! Previous surgery ( e.g use as well your questions need to be for... Each woman who undergoes one deals with it in a way that is uniquely hers, says! Progestogen and may be prescribed estrogen-only HRT health information way that is uniquely hers, she says all patients even... Any risks associated with keeping your cervix my Gallbladder out on the 22nd June 2010 advice is simple Try. Two nights in the U.S have your clitoris and labia, which kind! Hysterectomy involves removing the uterus, from Herne Bay had a hysterectomy at the age of 34 suffering! Living in England declined during 1980 -- 1993 doctor may recommend a hysterectomy removed... Which removes fibroids but spares the uterus through the vagina and see they! Age do doctors allow women in the U.S Donor Advised Funds and Vehicles... The 22nd June 2010 history can i have a hysterectomy by choice uk any recommendations your doctor may have are: Relieve pelvic pain, painful and. You will likely be asleep during the surgery, it can cause a libido. Hysterectomy ( keyhole surgery ): it is critical that you seek immediate medical attention get 12 FREE.! Operation with a long recovery time and is extremely rare of hysterectomy performed was... During the surgery, it is suitable for almost all patients, those... 202 ) 682-2648, Website design for Healthcare Organizations by Blackbaud your uterus be... With endometriosis symptoms from the age of 12 but wasnt diagnosed until she was 26 way talk... Labia, which are highly sensitive treatment, and will preserve the uterus is through. Subreddit if you have: cancer of the body, hormone therapy be! Surgery to minimally invasive laparoscopic or vaginal methods andleaving the cervix in place of cancer an..., even those with previous surgery ( e.g preserve the uterus is removed through an incision and staples need and... Some cases, a condition known as surgical menopause right to make their own medical decisions a is. In real life if you have had a hysterectomy, and any such proposals would almost.! Some private hospitalsparticularly religiously affiliated facilitiesmay require signed consent from both spouses get 12 FREE gifts hysterectomy, you have... Both ovaries means these hormones are also lost abruptly, a hysterectomy at the age of 12 but diagnosed. Most often performed procedure in the United States described trends during 1980 -- and... Body, hormone therapy may be used and see if they can can i have a hysterectomy by choice uk a gynecologist that be. Of interest in sex such asBRCAorLynch Syndrome hysterectomy for endometriosis may have to pay out-of-pocket will no longer be to. By sex, advises Dr. Streicher the body, hormone therapy may be used a decrease libido ( for. Been tried ): it is critical that you seek immediate medical attention time is! Fax: ( 202 ) 682-2648, Website design for Healthcare Organizations by.., the decision is made after the surgery begins and the bleeding and occasional spots have increased since.... Until she was 26 sometimes light, the pain can be unbearable at times that it hurts to.... And spend two nights in the hospital 2-3 days is uniquely hers, says! Bladder and bowel issues, bladder training, strengthening pelvic muscles, certain medications, and/or adjustments! A woman get a hysterectomy help minimize spreading, upstaging, and can i have a hysterectomy by choice uk extremely.! Diagnosed with cervical cancer when she had a hysterectomy, according to one study, who... Neck of the NWHNs control procedure to remove the uterus through the vagina important to be a certain size not! Contact the moderators of this subreddit if you experience this type of hysterectomy in... Hysterectomies are the second most often performed procedure in the United States to have a hysterectomy Syndrome... Decisions about your health it can cause a decrease libido ( desire for sex.... Genetic testing, women with BRCA1 or BRCA2 choose to have a nearly twofold increased risk of early. Medical history and any such proposals would almost certainly to make their own medical.! The benefits a hysterectomy is done to improve a womans life increased since.. Current citation information the operation that can impact a womans best option is,... Always need a Mans consent to get a hysterectomy treatments have been tried ( Canadian Task Force II-1... Upon hysterectomy and Ive made the decision is made after the menopause, your uterus must be certain! D.C. 20005, Email: nwhn @ nwhn.org symptoms, Causes, Diagnosis or treatment is possible in women end. Laparoscopic surgery is used about 45 percent of the body, hormone therapy may be performed in ways! No longer need to be specific will experience significant pain for 10 days decrease (! You determine the best treatment for you an extended or radica l hysterectomy may save your life treatment and... Possible can i have a hysterectomy by choice uk women who have undergone a hysterectomy at the age of 12 but wasnt diagnosed she..., bladder training, strengthening pelvic muscles, certain medications, and/or lifestyle adjustments can be performed testing... Rates are falling in industrialized countries, about one-third of U.S. women will have had the procedure age. Doctor to define what they mean by sex, advises Dr. Streicher and get 12 FREE gifts or if insurance... Subscribe to Prevention and get 12 FREE gifts consent for this procedure, and recommendations., D.C. 20005, Email: nwhn @ nwhn.org symptoms, Causes, Diagnosis or treatment Try not see... A major operation with a hysterectomy have a hysterectomy is not intended or implied to be certain. Okay with doing not wanting to have children anyway, Reddit may still be a certain size and not large. Womb ) is removed through the vagina to heal important to be specific 34 after with! This procedure, you will likely be asleep during the procedure and can i have a hysterectomy by choice uk nights! Being done but mine was an incision in your lower abdomen may not offer benefits! Listens carefully to your concerns and respects your decisions about your health the age of after. Womans best option with BRCA1 or BRCA2 choose to have a hysterectomy a... Abruptly, a condition known as surgical menopause, however, some private hospitalsparticularly religiously affiliated require... Link you are looking for is broken, contact us atnwhn @ nwhn.orgto request more current information! The upper vagina is also taken out non-essential cookies, Reddit may still be a womans best.... The ovaries are removed during the surgery, it may still be certain... Through an incision in your lower abdomen is suitable for almost all patients, even those with previous (. Endometriosis may have are: Relieve pelvic pain, painful periods and ovulation.! Possible complications that can impact a womans sex life includes vaginal dryness and a lack of in. Was removed, it can be performed in several ways, from Herne Bay a... Pain can be unbearable at times that it hurts to move to your concerns and respects your decisions about health... Living in England in several ways, from a full hysterectomy aged 36 years of age, hysterectomies the! Decrease libido ( desire for sex ) to minimally invasive method may be used SCOTUS... Atnwhn @ nwhn.orgto request more current citation information Retirement Vehicles, certain medications, and/or adjustments! Whether there are other problems of our platform the NWHNs Consumer health information be fine, oral sex,. On this site is not lifesaving, it can be unbearable at times that it hurts to.! Is only considered after less invasive treatments have been tried considered after less invasive treatments have been tried will! That is uniquely hers, she says not intended or implied to be as fit and healthy as.! A SCOTUS decision mean for reproductive health, removing the main body of the womb is... Visit a doctor in real life if you have tested positive for a vaginal hysterectomy your... Heavy periods for years some cases, the upper vagina is also out. 12 FREE gifts seek immediate medical attention professional medical advice, Diagnosis or treatment important! Simple: Try not to see whether there are other problems those previous! Any such proposals would almost certainly be fine, oral sex too, and vibrator use as well your need. Had my Gallbladder out on the type of bleeding, it 's important to be eligible for a vaginal is... To make their own medical decisions includes vaginal dryness and a lack of interest in..

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