Tag Archives: sexual health

Sexual Dysfunction, libido, depression

Hysterectomy |No Need for Silent Suffering

“Oh female problems.”

The statement shuts down questions (especially around men). It is like bringing up PMS or infertility. Female sexuality is mysterious and talking about when things aren’t what they should be is scary.

So knowledge is power and understanding why women must face this surgery and what it means to their ongoing health and wellness can take some of the fear and stigma out of the surgery.


There are various reasons why a woman may need to consider hysterectomy:

  • Cancer of the:
    • Cervix
    • Fallopian tubes
    • Ovaries

      Female Reproductive System, Hysterectomy
      There are multiple option in regard to what needs to be removed in a hysterectomy it is not an all or nothing in some cases.
    • Endometrium
  • Endometriosis
  • Heavy Menses to the point of anemia
  • Pelvic Inflammatory Disease
  • Prolapse of the Uterus
  • Adenomyosis, or a thickening of the uterus

There are other possible treatments for some of these and hysterectomy should be considered after other options have been considered or attempted. Also, no one except the doctor you are currently seeing is going to be offended by you seeking a second opinion. Your uterus is more important than someone’s ego.

In the USA 600,000 hysterectomies are performed each year, at a cost of $5 billion per year. It is the second most common major surgery among women of child-bearing age.

Types of Surgery

Just as there are different causes that lead to a hysterectomy there are different types of hysterectomy. This is both in terms of how the operation is performed as well as in what is removed from the patient.

Taken from Medical News Today ( MediLexicon International Limited, 2015), the three types of hysterectomy are:

A subtotal hysterectomy – only the body of the uterus is surgically removed. The cervix stays.
A total hysterectomy – the body of the uterus and the cervix are both surgically removed.
A total hysterectomy with bilateral salpingo-oophorectomy – the uterus, fallopian tubes, cervix, and ovaries are all surgically removed. This is also known as radical hysterectomy.

Of course technology has made advances and there are different options as far as how the surgery is conducted. Whether it is laparoscopic, robotic or an incision through the vagina, those are less intrusive than traditional abdominal surgery. However, the traditional method may be necessary if other exploration is necessary due to tumors or due to the physical condition of the woman. Though sometimes the method selected is due to the comfort of the surgeon so be sure to ask.

Post Surgery Implications

Any time you are facing removal of such a critical part of the body there are chemical and hormonal implications. These can be scary.  The emotional impact and the connection to one’s sexuality can be scary as well.The surgery can be especially devastating to women of child bearing age who wanted children or even more children. It can be confusing for men to understand how this can impact a couples intimacy post operation recovery.

One of the things many women may have a hard time with post hysterectomy is discussing issues in regards to their sex life. Things such as the need for lubrication, vaginal dryness or even continued pain post operation. Once again, unfortunately, too many women suffer in silence.

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Until Next Time


The Passion Professor



HPV Vaccine and Talking to Our Kids About Sex

Who Gets the HPV Vaccine

HPV Vaccine
To Vaccinate or Not to Vaccinate?

The HPV Vaccine has been approved for 8 years now. Unfortunately, most parents aren’t prepared for the conversation which should take place with their child when the question of the HPV vaccine comes around. Part of the reason is the HPV  vaccine is not mandatory here in the US.    It is also now being proposed for boys. While the target age for girls has been 11- 12 years of age.; vaccines are now suggested as early as the age of 9. I recently did an interview  about this very subject and  it is posted on my media page. HPV is an acronym for the Human Pappilomavirus. HPV is the most commonly transmitted sexual disease. I have researched reports from the CDC, the AMA and several other sources. Those sources have reported anywhere form 40 to 120 variations of HPV. The decision to innoculate your child with an HPV vaccine holds both responsibility as well as opportunity in terms of their future health both sexual and overall.

Which HPV Vaccine: Gardasil® and Cervarix®

Having a background in economics, I understand that statistics can be found and used to support just about anything. If you calculate them the right way. Some of the information regarding the driving need and the importance of this vaccine may require additional questioning by some. For instance the instances of cervical cancer used to support the need for the HPV vaccine include data from developing countries which do not have the sophistication or access to gynecological care as we do here in the US.

What is important is that you know there are two different vaccines available. Gardisil® vaccinates against 4 variations of HPV (#6, #11, #16 & #18).  Cervarix® on the other hand only primarily protects agains HPV strands #16 & #18.  If you are not familiar with the required testing for a vaccination, it may come as a shock to you that they are not tested for long term side effects or viability. This is not just true of these vaccines. The vaccine approval process is a whole other topic for another time. Something very important to note is that Guardisil® has been in use for 8 years and to date has shown that it protects for  up to 8 years.  This is very important when you think about the fact that these vaccinations are being given to youths as young as 9. These youths may not become sexually active for another ten years. We have no way of knowing until year ten if a booster will be needed or not.

The Decision to Vaccinate Your Child with an HPV Vaccine is a Personal One

While I am an advocate of informed decisions and empowering knowledge. I am not a doctor. However  in my research, I did find a fabulous book for parents written by a gynecologist out of NYC by the name of Dr. Shobha S. Krishnan. Her book The HPV Vaccine Controversy: Sex, Cancer, God, and Politics: A Guide for Parents, Women, Men, and Teenagers is a worthy investment if you have no idea where to start or if you are struggling with whether or not to vaccinate your child.

There are lots of factors that go into deciding abut vaccines and your child. Some people are completely opposed to vaccines as a whole. In those cases, this is a no brainer. However, it is just as important for you to talk to your child about safe sex. You will just find another way to discuss what HPV is and it’s affects. If you have vaccinated your child in the past, but now are uneasy about continuing vaccinations or about this vaccination in particular some things you want to consider is your values around sex. The example you set will have a huge impact on your children’s sexual behavior. Not talking about sex or acknowledging that people have sex is not an effective approach. Stressing the importance of self respect and asking questions about a potential partner’s sexual history are difficult to tackle with a 9 year old. Explaining to them that there are diseases that are associated with sexual activity  and what is safe sex versus unsafe sex may be a little easier for them to understand.

Important factors you may want to consider when making a decision about the HPV Vaccine are your family history of cervical cancer, as well as adverse side effects of the vaccine. The HPV vaccine has also had reports of adverse side effects in those patients who suffer from celiac Disease. So, if your child has a history of autoimmune issues you may want to take a closer look at some of the warnings for the HPV vaccine around those cases.

Now Let’s Talk About Sex – And Your Children 

How do you talk to your teen about sex?
How do you talk to your child about sex?

I get asked questions often from parents about how to talk to their children about sex.  The timing of this vaccine is a perfect opportunity to discuss with your child what constitutes sex. Especially since HPV can be transmitted by genital to genital contact and does not require penetration (as in intercourse) for someone to infect their partner. Although the urgency for the HPV Vaccine has been targeted at cervical cancer, other genitalia can be affected. The throat can also be infected if oral favors are part of sexual play.

As an expert, I often have to ask parents “How do you define sex?” Until they have a perspective on their own definition, it is hard to give them guidance about talking to their child. Once we have jumped that hurdle then the answer is as individual as the famaily and the child.

If you have never talked about sex with your child, the hurdle is much higher and the conversation is much different than if you have been using proper terminology and positive dialogue about sex and sexuality since your child’s toddler years. There are lots of places to look in everyday life to bring up the topic. The media uses sex all the time in advertising.  So just watching TV with your child and waiting for a commercial that uses sex is one way. There is also the Bible which has all kinds of references to sexual behavior both good and bad.  Another great place with younger children is at a zoo or a farm. Animals are a great way to talk objectively about reproduction. From reproduction  you can transition to talking about sexuality.

The most important thing to remember when talking to your teens is to make it non-accusatory and more about wanting the best for them. Making a decision regarding the HPV vaccine can open an opportunity for dialogue if you have not talked about sexual activity in the past. This is such an important time in their life.

Please feel free to share comments on how you have talked to your child successfully about sex below. It can help other parents!

For questions about talking to your child about sex or the HPV Vaccine comment below or contact me at:

thepassionprofessor @ patriciamooneyham.com



The Passion Professor