Our womb holds more than potential for pregnancy, it’s part of the architecture of our core. So when a uterus is surgically removed, even if the ovaries remain and hormones continue cycling, the structure of the pelvis changes. This shift can impact the pelvic floor, posture, and how we feel in our bodies.
Let’s talk about what’s happening and how we can support ourselves moving forward.
What Happens in the Pelvis After a Hysterectomy?
Your uterus isn’t just a reproductive organ, it also plays a supportive structural role in the pelvic cavity.
When the uterus is removed, here’s what can change:
Pelvic floor muscles may need to work harder to support remaining organs (like the bladder, rectum, and intestines)
Ligaments and fascial networks are cut or altered during surgery
The vaginal vault (top of the vaginal canal) no longer has the same anchoring, which can affect pelvic pressure and sensation
Some people notice changes in bladder control, bowel movements, or core strength
This doesn’t mean you’re broken. But it does mean your body deserves intentional care.
Rebuilding Support from the Ground Up
After a hysterectomy, we want to create stability and reconnect to the pelvic bowl, not just to prevent dysfunction, but to feel strong, fluid, and alive in this space.
Here’s how:
Pelvic Floor Awareness
Gentle awareness practices can help you tune into sensations in the pelvic floor; noticing tension, numbness, or holding
Start with breath: inhale to soften, exhale to gently lift
Breath and Core Synergy
Your diaphragm, core, and pelvic floor work together as a unit
Practice slow belly breathing, allowing the inhale to expand the belly and pelvic bowl, and exhale to naturally draw the belly in
Posture and Movement
Without the uterus, posture and alignment may subtly shift
Incorporating gentle movements like cat-cow, hip circles, or bridge pose can reawaken stability
Walking, stretching, and mindful transitions (getting up and down, twisting) all matter
Professional Support
A pelvic floor physical therapist can assess your unique needs
Even years post-op, it’s never too late to create more support
You’re Still Whole and Still Cycling
Even without a uterus, your ovaries may continue to cycle for years, affecting energy, mood, and more. Though your cycle may be invisible now, it still lives in you.
This is an invitation to:
Stay curious about your body’s rhythms
Nurture your pelvic space with loving attention
Redefine fertility as creative, cyclical energy, not just reproduction
You are not missing something. You are adapting, becoming, evolving.
Whether your womb was removed through necessity or choice, your pelvic space still holds wisdom and life force. Supporting your pelvic floor isn’t just about preventing dysfunction, it’s about reclaiming connection.
Let this be your reminder: your body is worthy of care, your cycle still matters, and your story continues.