Women’s Post-hysterectomy Experiences: A Content Analysis

Abstract

Background: Exploring women’s post-hysterectomy experiences can help identify related challenges and support the development of coping strategies. Objectives: This study aimed to describe women’s experiences after hysterectomy using content analysis. Methods: This qualitative study used a conventional content analysis approach. Ten women who had undergone a hysterectomy were purposively recruited from the gynecology ward of Amir-al-Momenin Hospital in Zabol, Iran, in 2025. Data were collected through semi-structured interviews and analyzed using Graneheim and Lundman’s method. Credibility and ethical standards were ensured. Results: Four main categories and 10 subcategories emerged: the dual spousal approach of support versus abuse following hysterectomy (supportive spousal approach post-hysterectomy and abusive spousal approach post-hysterectomy); fear of loss following hysterectomy (fear of losing feminine identity, fear of marital breakdown, and fear of exacerbated conflicts due to in-law interference); marital disconnection post-hysterectomy (emotional neglect and sexual detachment); and marital accommodations post-hysterectomy (pretending compatibility, unexpected benefits of hysterectomy, and spousal companionship). Conclusions: Participants reported limited spousal support, accompanied by feelings of loss of feminine identity, marital strain, and emotional and sexual disconnection. Despite dissatisfaction, none pursued divorce, seemingly because of reduced self-esteem and diminished self-image. A minority reported supportive husbands or positive outcomes. These findings highlight the need for preoperative education and counseling for both women and their spouses to strengthen coping strategies, improve marital adjustment, and enhance quality of life.