Hello Doctor, My Wife is 42 years old, and past 2 year ago, she had to remove the Uterus due to excessive bleeding, now post that she has become very much weak, her body is also reducing, she get tired frequently and has a mood change, depression, frustration. I asked many ladies about this, and they told me that it is a regular thing and nothing to worry about, but I am very much concerned about this, please advise if is this normal after surgery or required to check with the specialist.

Ans: This I leave it to concerned field specialist to address.
But Women sexual pleasure needs to be looked at differently because there is more emotional play involved in it

Ans: Dear Anonymous,
Two things strike me as I read what you have shared.
1. The effects of the surgery and medications that are possibly not making intercourse a pleasure
2. The effects of menopause which she possibly is undergoing that can temporarily deter the body from being active for any form of sexual intimacy

So, isn't it fair to actually focus on her as she is dealing with two major challenges at this point in time? I do understand that as a man, the way the body works is not at the same pace as it is for a woman. That's how there is a mismatch during key phases of life; childbirth, menopause, illness...
For a woman, her body will cooperate for any form of intimacy only if she 'feels' it from within...with pain and physiological changes during menopause due to hormonal his and lows, it is a challenge.
Work together as a couple on this; understand what is going on with her and what she 'feels'

Address the 'feeling' part and you will get answers to what's going on with her mind and body. Is consulting an option? Yes, it is but after you have tried working together on this. Sometimes, it is good to rule out any medical issues that is causing her to still have pain or a fear due to that pain can be eliminated by working with a mental health professional. Also a Mind Expert, will be able to work on her beliefs on intimacy, sex etc after a certain age...
One can be sexually active as long as they wish to, but it need not be cut short due to health issues or belief issues. Be compassionate as you speak with her and I am sure, things will get better...

All the best!

Ans: Hello anonymous,
Yes it is always better to go for regular follow ups as advised by her Dr.
Also hope she has made lifestyle changes like eating much healthier, avoiding sugar, exercising regularly especially yoga and breathwork should be very good for her to help in her hormone regulation.
Her sleep has to be deep and preferably she should do some form of meditation everyday.
All the best!

Ans: Reason for weight gain is always, taking in more calories and burning out less. There may be emotional eating too which needs to be addressed. Please Consult a Nutritionist and a Fitness Physician to regulate her phtsical exercices