Pilates After a Hysterectomy: Safe, Structured and Sensible Recovery

A hysterectomy is common, but recovery is individual.

The uterus is removed, sometimes along with the cervix and ovaries. The surgery may be abdominal, laparoscopic (keyhole) or vaginal. Each variation affects healing differently.

Two women can both say, “I’ve had a hysterectomy,” yet have completely different needs.

Even when scars are small, internal healing is significant.

There may be:

• Altered pelvic floor support

• Changes in pressure tolerance

• Hormonal shifts (especially if ovaries were removed)

• Scar tissue affecting movement

• Fatigue

  
  

If the ovaries are removed, surgical menopause occurs immediately. This can affect bone density, joint stiffness and muscle strength.

Pilates supports recovery without rushing. Early focus includes:

• Diaphragmatic breathing

• Rib mobility

• Gentle pelvic floor coordination

• Neutral spine awareness

• Nervous system regulation

  
  

We start in supported positions such as supine or side-lying. Strength builds gradually.

In the early stages, we avoid:

• Strong curl-ups

• Planks

• Heavy resistance

• Long lever abdominal work

• Breath holding

• Aggressive twisting

  
  

Healing tissue needs time. Pressure management is essential.

We also monitor for red flags such as pelvic heaviness, dragging sensations, incontinence or scar pain and refer appropriately if needed.

Long term, progressive strength work becomes important, particularly if menopause has been triggered surgically.

You are not fragile. But you are healing. And that deserves respect.

If you would like careful, experienced guidance, contact us for details of the Pilates and Gentle Pilates face-to-face classes in Oxfordshire around Didcot and Abingdon, or online classes to do live or on demand.