10 Reasons Your Stomach May Be Bigger After Hysterectomy

If you've recently undergone a hysterectomy, you may be wondering why your stomach is bigger.

This is a common question that many women have after this procedure. In this article, we will discuss nine of the most common reasons why your stomach may be enlarged after a hysterectomy.

What is a hysterectomy?

A hysterectomy is a surgical procedure to remove the uterus. The surgery may also involve the removal of the ovaries and Fallopian tubes.

A hysterectomy is usually performed to treat benign conditions such as uterine fibroids, endometriosis, or pelvic support problems.

In some cases, a hysterectomy may be performed to treat cancerous conditions such as cervical cancer or ovarian cancer.

The decision to have a hysterectomy is a personal one and should be made after careful consideration of all treatment options.

After a hysterectomy, it is common for the stomach to appear larger due to the loss of internal support for the abdominal organs, but there are many other reasons why it might seem bigger.

In most cases, this is a temporary side effect and the stomach will return to its normal size over time.

Reasons Why Your Stomach May Be Bigger After a Hysterectomy

Having a hysterectomy can cause some pretty drastic changes to your body. One of the most common (and unfortunately one of the most noticeable) changes is the enlargement of your stomach.

Here are some of the top causes:

Loss of support of internal organs

The removal of the uterus leads to a loss of support for internal organs like your small and large intestines.

Without this support, these critical organs are forced to stretch and move downwards towards the pelvis, leading to a larger overall profile in the midsection.

Furthermore, the connective tissue between different parts of the abdomen can become lax after surgery, resulting in more noticeable bulges in certain spots.

Weight Gain

Some women experience weight gain as a side effect of hormonal changes following the surgery.

In particular, there is less estrogen in the body after a hysterectomy, which may lead to increased fat storage and weight gain in certain areas such as the belly.

Another factor that can contribute to post-surgery belly bulge is changes in eating habits.

Many women find that they have a hard time managing their appetite after surgery due to pain or discomfort, which can result in overeating or bingeing on unhealthy foods.

Certain lifestyle factors can also play a role in expanding your waistline. For example, physical inactivity or lack of regular exercise after surgery can lead to an increase in sedentary behaviours and make it more difficult for you to maintain your weight loss goals after a hysterectomy.

Excessive stress or lack of sleep after surgery may also contribute to bloat or other problems with digestion.


After a hysterectomy, it is common to experience some swelling in your abdomen.

This swelling (usually referred to as "swelly belly") can cause your stomach to appear larger than usual, even if you haven't actually gained any weight.

There are a number of factors that can contribute to this swelling, including inflammation, fluid retention, and changes in your circulation.

Gas and Bloating

One possible reason your stomach may be bigger after a hysterectomy is gas and bloating. This can be due to the surgery itself, as well as the pain medication you may be taking.

When the uterus is removed, the intestines are no longer supported in the same way. This can cause them to become twisted or kinked, which can lead to a build-up of gas.

In addition, some women may experience increased inflammation and food sensitivities after a hysterectomy, resulting in gas and bloating that make their bellies appear larger.


One common reason why your stomach may be bigger after a hysterectomy is constipation. This occurs when the bowels do not move regularly, which can cause bloating and abdominal pain.

There are several reasons why constipation may occur after a hysterectomy, including pain medication, a sedentary lifestyle, and a lack of fiber in the diet.

Hormonal Changes

The ovaries produce hormones such as estrogen and progesterone, which help to regulate the menstrual cycle. When the ovaries are removed, these hormone levels can drop, leading to weight gain.

In addition, the body may hold on to more fat in order to compensate for the loss of hormones.

Damage to the Abdominal Muscles

One reason why your stomach may be bigger after a hysterectomy is damage to the abdominal muscles.

While many hysterectomy surgeries allow for the removal of the uterus through the vagina, others require more invasive measures.

During these surgeries, the surgeon has to make an incision in the abdomen in order to remove the uterus.

This can often result in damage to the muscles and tissues in the area. The damage can cause the stomach to protrude more than it did before the surgery.

In some cases, this may be a temporary side effect that will eventually go away. However, in other cases, the damage can be permanent, causing the stomach to remain larger than it was before the surgery.

Scar Tissue

If you notice that your stomach is bigger after a hysterectomy, one of the reasons may be scar tissue.

Scar tissue is the body's natural way of repairing itself after surgery. The problem is that sometimes, the scar tissue can become thick and hard, making it difficult for the organs to move around as they should.

This can cause your stomach to look bigger than it actually is. Additionally, scar tissue can also cause pain and discomfort.


One reason why your stomach may be bigger after a hysterectomy is a seroma. This is when fluid collects in the space where your uterus was removed.

A seroma can happen if you had a lot of bleeding during your surgery, which can cause blood and fluids to collect in your abdominal cavity. Seromas can also happen if you have a lot of scar tissue from previous surgeries.

If you have a seroma, your doctor may recommend that you have it removed with another surgery.

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The Impact of Hysterectomy on Your Body Image

For many women, their uterus is central to their sense of self. It's not just a reproductive organ - it's a symbol of femininity, of womanhood.

So when a woman undergoes a hysterectomy - the surgical removal of the uterus - it can be a very disorienting and upsetting experience.

Not only are you faced with the loss of her reproductive ability, but you may also feel like you've lost a part of your identity.

Combine this with a larger than normal stomach and this can lead to a significant impact on your body image.

You may feel less feminine, less attractive, and less whole. It's important to remember, however, that this is just a temporary feeling.

With time, most women adjust to their new bodies and come to accept them - including their hysterectomies - as a part of who they are.

Coping With a Bigger Stomach After Hysterectomy

After a hysterectomy, many women experience a proliferation of fat and tissue in the stomach region. This can be very difficult to cope with, both physically and psychologically.

To begin with, the increased size of your belly may make it difficult for you to exercise properly, leading to weight gain and feelings of sluggishness.

Additionally, this may induce feelings of shame or embarrassment when you are around others, especially if you have always held yourself to a certain standard of physical fitness in the past.

However, there are several steps that you can take to help manage these symptoms and feel more confident and empowered in your own body.

For example, you might try incorporating some healthy foods into your diet that can help burn excess fat.

Additionally, regular exercise will encourage your body to produce more natural endorphins and reduce symptoms like mood swings and irritability.

With time and patience, you will find ways to cope with the changes brought on by your hysterectomy and rediscover the confidence that makes you uniquely beautiful.

Enjoyed the article? 

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About the author 

Mallory Milne

Mallory is a 38-year-old mom of two and the founder of HGHH. After battling through challenging complications from Essure, a permanent form of birth control that has since been pulled from the market, Mallory underwent a hysterectomy in 2020 and experienced difficulty losing weight. Understanding the roadblocks women face when trying to achieve their fitness goals after a hysterectomy, she created HFHH to provide support, tips and guidance for other women on their journey to weight loss and better health.

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