The doctor said, “You have healed well and you’re free to do what you want.“ 

It’s been over nine weeks since surgery.  I've had very little physical activity during those weeks, not even walking, because I was instructed to restrict even that.  The challenge now is building slowly while challenging my body appropriately.

Prior to surgery I was teaching up to seven Jazzercise classes per week and a lot of that was cardio. I was lifting moderately heavy weights. I've lost cardiovascular endurance and strength. Cardiovascular conditioning declines more quickly than muscular conditioning but both areas will require a re-building phase.  No matter what fitness levels were prior to surgery, we all share several important considerations as we start to exercise post-hysterectomy.  

If you are a woman in the United States, you’ve either had a hysterectomy, will have one or know someone who has. I joined thousands of other women on November 26th when I underwent a hysterectomy (uterus/cervix removal) due to suspected adenomyosis and other issues. A salpingectomy (surgical removal of fallopian tubes), single oophorectomy (removal of one ovary) and endometriosis removal was also performed. 

Hysterectomy is so commonplace in the U.S., and now that it can be performed on an outpatient basis, the seriousness and full recovery time is often downplayed.  You will hear about women returning to work 2 weeks after surgery. You will hear stories of little to no pain or complications. It’s truth for those women. You will also hear about women who were couch-bound for weeks, as well as women who had to go back in for revision surgery due to complications.  No surgery and no recovery is going to be exactly the same. Even if you have a complication-free surgery and are fit going into it, a smooth recovery is not guaranteed. It doesn’t mean that those who have a bumpy recovery did anything wrong. My surgeon told me that I’d start to feel awesome after just a few days. Well, it’s been just over two weeks and I am only now starting to feel anything resembling “awesome”…and that’s only immediately upon getting up in the morning.

As you know, I work with women as a personal trainer/coach. One in three will have a hysterectomy by age 60.   For that reason, I’m sharing my experience.

The average woman will experience over 450 periods in her life.  That's anywhere from 1300 to  3000+ days.   Days in which we do what we need and want to do.  But when you have a period problem, it becomes more challenging.  If you are doubled over in pain or have to change your tampon every 45 minutes for several days each month, of course your productivity is going to suffer. (which we know is not normal and warrants a doctor's visit!) While figuring out a treatment plan for improvement, it’d be nice to have the option to plan around the times you feel the most awful, however, how many women can actually do that?  The show must go on.  While we may not be able to plan around it completely, we can develop a better understanding of what’s going on at different points during the cycle and become aware of symptoms and how they respond to various activities.  It’s important to give yourself grace too. Sometimes sweatpants and a hot water bottle is required!

Needless to say...don’t read this if period talk or personal stories bother you! 

“You can do this!” I say as I take two more ibuprofen.    I sort through my leggings and find the black pair that has some, but not too much, compression.  My belly feels large and heavy as I pull the waist band up and over.   Now that my oversized sweats have been replaced with uncomfortable fitted leggings, I search for a loose shirt.   Being a group fitness instructor means class must go on!  I can’t cancel classes monthly so…I take a deep breath and hope that the ibuprofen works well enough to keep me from feeling like my insides are being ripped out. Don’t get me wrong, I LOVE what I do…I just wish my body was more cooperative!

I’m far from the only woman who dreads each month.

• One in ten women have endometriosis, a condition in which tissue similar to the endometrium (uterine lining) grows in places outside of the uterus.  The growths can occur anywhere in the body and are most commonly found around the uterus, ovaries, fallopian tubes, bladder or bowel.  The growths cause inflammation, scarring, and often, intense pain.  Symptoms vary and may include pain, bloating, digestive problems, ovarian cysts, and infertility.
•  Adenomyosis is increasingly diagnosed in women over 35. Similar to endometriosis, adenomyosis involves growth of endometrium in the uterine muscle.  This condition often causes uterine enlargement.  Symptoms can include abdominal distension, severe cramping, and heavy periods.  The symptoms tend to worsen with age until menopause.  I had never heard of this until I was told I may have it.
• Fibroids are noncancerous tumors within the uterine muscle and can lead to heavy, painful periods, anemia, backache, urinary frequency and bowel problems.  These growths can become quite large. Fibroids are a common reason for hysterectomy. 
• Even without specific conditions, menstruation can be difficult to manage, particularly in the teen years and during perimenopause.   

Women's reproductive health and associated conditions are getting more attention these days, thankfully.  We can hope in the years to come they will be more widely recognized and more easily diagnosed and treated.  These conditions are generally considered benign, as in, they won’t kill us.  But that doesn’t mean they're harmless.  Problem periods DEFINITELY add to the challenge of meeting fitness and wellness goals.  For some, daily activities of living are also negatively impacted.

We don't talk about periods very often yet so many of us suffer each month.   I am interested in other women's experiences.  Maybe you are too.  Continue reading for mine.