Adjusting to my longed-for hysterectomy has continued to be surprising and rewarding. The vastly reduced endometriosis symptoms are almost the least of it. I know how to adjust to pain. The impact of being sterile and no longer menstruating has a much stronger effect on me. My ease with my own body and inhabiting it is much smoother. My body dysmorphia and dysphoria is no longer cyclically-devastating. It's clear to me now that I had a cycle of dread and suicidal ideation tied to my menstrual cycle. Now that I no longer bleed or have most menstrual symptoms, I no longer have a week or two month to wind up up up into intolerable devastation and then need to spend another week or so winding down from my distress.
I am happier. I cry more easily. I recognize the specifics of what I'm feeling and process the emotions much more readily. I am still sleeping more than usual, and much more than usual when I have exercised that day. I still feel funny twinges and pulls in my abdomen. I still have pelvic floor sensitivity. My PT exercises for those lingering surgical effects are enough, and recovering from surgery does not distress me.
Being profoundly weaker than before surgery is an interesting exercise in feeling vulnerable. I rarely felt physically vulnerable pre-op. I have always been very strong, and almost limitless. I had the strength to do anything and the stamina to do it as much as I'd wish. Now I regularly have the disconcerting experience of running out of energy. Like a car out of gas, instead of a slow, winding-down of ability with rising clumsiness as a warning that tomorrow I will be slow and sore. The effect is more like running out of energy when I'm sick with a fever than the process of tiredness I am more used to.
But it doesn't distress me. I was distressed most of the time, before. Endo flares would leave me furious, feeling sick in my soul, betrayed, and hopeless. And in agony, of course. I was in pain most of the time.
I dream of being pregnant so much more lately than I ever have before. But instead of being trapped in a syrupy nightmare of unwilling gestation, now I realize in my sleep that this is impossible. I'm sterile. and the dream changes in a blink of an eye to something totally innocuous.
I have fewer nightmares now, and I remember my dreams more. Usually I don't even remember that I have dreamed. Now I often wake up with linger flashes of awareness that I was dreaming, and a little knowledge of the context that fades quickly. I know that I dream almost every night, instead of only knowing that I had a nightmare once every few months.
So many interesting, unforeseen effects. I wish I had been able to have a hysterectomy when I was fourteen, and started having menstruation so painful I curled into the fetal position and was unable to straighten for days on end. What a different life I would have had! Free, for nearly all my adolesence. From the first time I learned what menstrution was, I was horrified and sickened by the idea of being subjected to it. And it was truly horrible. Free now, and free to reclaim as much of the childhood I wanted, now. But grieving the years of being medically suffocated and physically tortured by my incurable and previously untreated condition.
Sometimes I feel like I was so disgusted by being cursed with a uterus and breasts that my body turned on me and made me suffer in turn. For many years, that thought was one of my regular torments. Now I can turn that thought away. Another change.