How I Prepared & Recovered From My Hysterectomy
15 Dec 2025 · 18 min
JJ Virgin shares how she prepared for and recovered from her hysterectomy, covering fitness, nutrition, and mental preparation strategies. She walks through concrete steps she took before and after surgery to manage pain, maintain strength, and support her body through the process.
Questions this episode answers
Endometrial intraepithelial neoplasia (EIN), a precancerous lesion of the endometrium.
40% risk of concurrent endometrial cancer.
Approximately 1.5 grams of protein per pound of target body weight.
5 grams per day.
Do not lift over 10 pounds for six weeks.
Chapters
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I'm JJ Virgin PhD dropout. Sorry, mom turned four time New York.
Times Best Selling Authority. Yes, I'm a Certified Nutrition Specialist, Fitness.
Hall of Famer, and I speak at health conferences and trainings around the globe.
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I was so fired up for my 60th birthday. I was in the best shape of my life and planning big things for the next decade. It is going to be my decade of expansion. So needless to say, I was not expecting the results from a simple vaginal ultrasound to lead to needing a D and C and then a diagnosis of endometrial intraepithelial neoplasia ein, which is a precancerous lesion of the endometrium associated with a 40% risk concurrent endometrial cancer at the time of a hysterectomy. Oh man. Now this was like one doctor appointment after the next doctor appointment. We're like, everything's being okay. Well, maybe it's going to be okay. Well, and I'm like, holy smokes. So they're like, you got to get a full hysterectomy. So I went and saw a couple doctors and then I settled into the reality of the surgery and the potential health challenges. Now, if you're facing a surgery, especially this one, I'm doing this so that hopefully it can help you. Now, I've got to say, you got to talk to your doctor. Of course I can't give medical advice, but what I'm going to share with you is how I prepared and recovered from this hysterectomy. Because now looking back, honestly, it was a breeze. And you usually don't hear that about hysterectomies. So first thing that started to happen and why I had to have it was I noticed a little spotting and I went to the doctor and then they did an ultrasound, then they did another ultrasound, then they did a D and C. So it kept going on until I got that diagnosis. And when we started to unpack, like, you know, why would this happen? Why would I get this thickening? Honestly, no clue. I am adopted and the one thing I do know about my birth mom is that she'd had a similar diagnosis. But that's all I'd known. And all I knew from that was that she Got the diagnosis that she had uterine cancer, then she went off and meditated at Esalon and then she was fine. So that's all I know. So who knows? But here's what I did to prepare and what was actually amazing about all of this was I discovered the ein diagnosis literally days before. I was walking into a Dr. Joe Dispenza retreat with a bunch of my friends who were active meditators and also physicians. So I go to that Dr. Joe Dispenza retreat and it was bizarre. It was a four day advanced follow up. And it seemed like everything he talked about was the results that they were getting with uterine cancer. And so I'm thinking, well, one of them must have told him. And I was sitting with him at dinner the last night, he goes, no, I didn't know. I go, you kept talking about all the research and how much the research of meditation was supporting, you know, getting a clear diagnosis of being fine with uterine cancer. And he goes, yeah, you're going to be fine. So then I did some healing circles through his group. So that was the first thing that I did, was I started to actively see myself healed fine and do some active meditation. And we'll put into the notes how you can get more involved with Dr. Joe Dispenza's work. But basically I'm a big believer that thoughts create. So I just saw myself healed, I saw myself strong, I saw myself being able to do all the things I wanted to do for decades on. So that was the first thing that mental preparation. And I cannot underscore how important that was. And I also set this up as a challenge. Now I've had. I blew my knee out when I was 17, so I've had to have like five major knee surgeries, complete with a knee replacement and a hip replacement because of all of that. So I've had my share of surgeries and I always approach them as a physical challenge. And I get in the best shape possible form. So that's what I did here too. I knew that what they told me is after you have a hysterectomy, you're not supposed to lift anything over £10 for six weeks. I'll tell you how I handled that. So what I decided to do was get as strong as physically possible before so that I wouldn't lose much. So I literally went into the gym and massively cranked up my resistance. I started to go even harder and I really started to work my core as well. Along with that, I started using something called a couch Ball, which is a pelvic floor trainer, because I thought, you know what? I need to get everything in me as strong as possible. So I started sitting on this couch ball every day as well. So that was the next thing. And I also, of course, was doing my high intensity interval training. Then I worked on my nutrition. Now these are all things that I've been doing anyway. I just made sure I was super duper consistent. I've always been consistent with the way that I eat and making sure that I get the optimal amount of protein. I also been taking creatine. I started that probably last year. It's one of the most important things that I've added into my supplement stack. So I made sure I stayed on that creatine. I made sure that I was on annattoteca trienols. But the big one was to make sure that I was actively using DIM to help detoxify the bad estrogens, along with doing saunas, because saunas help you detoxify as well. So those were the things that I was doing. And then I went in and did surgery. Okay, so the first three days after surgery, I will admit I came home from surgery. I got home at about noon and I actually had to be on a conference call. I told them I don't know if I'm going to be on it, but I was fine. I was on the conference call at 1:30. And the first three days I took it pretty easy, but I made sure that I was getting up and moving because that was super important. I will tell you, those first three days I was really tired. But the thing I didn't realize was going to happen and I didn't hear about this until afterwards. Maybe they don't want to tell you until afterwards because this was the hardest part was that they pump you full of gas and that gas takes a couple of months to really go away. And the first week or two are the worst. Now, he told me it was going to be problematic, but I didn't know it was going to be problematic that long where you look kind of like you swallowed a bowling ball. So that was not very fun the first couple days. So as I was going through the first couple days, what I did was make sure that I was getting what I needed nutritionally. But I was eating smaller meals. So I ate four meals instead of three and smaller because it was just tough because of the gas. What I made sure that I did was take essential amino acids and I did that twice a day. So what I really wanted to make sure of is when you are on bed rest, you become more insulin resistant and you start losing muscle. So what I wanted to make sure is I was doing everything I could to aid healing and not lose muscle. So I took essential amino acids, I kept my creatine going and I upped my protein. Normally I do 1 gram of protein per pound of body weight. I took it to one and a half grams of protein. And I also made sure that I was doing my bone broth protein shake every day because I'm going to get the collagen in there from that as well. Bone broth protein's about 80% collagen, so twice a day. Essential amino acids, one and a half grams of protein per pound of target body weight. This is what I was doing with one of those servings at least was a bone broth collagen blend. I also was getting in my creatine, 5 grams. I was using curcumin. I waited a couple days to start in on some of these things because these things can increase bleeding. So I gave myself a little bit of time first and then I went into curcumin to help reduce inflammation and fish oil. But again, I didn't do those right away. I also used magnesium and vitamin C because you can get a little constipated from all this stuff and some gas pills because it was really hurting. So that was what I did nutritionally. Now, physically, here's some of the other things I did. I started doing red light and I'm fortunate to have a joovv j o o v red light therapy unit at home. You can also use a little red light therapy unit cause you can just put it straight over your abdomen. But I used red light every day to help reduce the inflammation and support healing. I was getting into the sauna so that I could detox out the anesthesia. Couldn't do a cold plunge cause you can't get into a bath for six weeks. But I could do the sauna, so that was another thing I was doing. And then I went back after a couple days and started doing the kuch ball again. Now the big thing they tell you is that you can't lift over 10 pounds because they don't want you to tear the stitches. When I talked to the doctor about what you couldn't do, he goes, I really don't want you to trigger what's called the valsalva. So they don't want you using your deep abs. They don't want you straining so that you would tear these stitches that they put inside You. So what you can do instead is you can use something called blood flow restriction bands, which allow you to work out with much lighter weights, like 10 pounds, and still work your muscles and fatigue your muscles. Another thing you can do is electrical muscle stim. What I did was I used the TRX machine and I just moved my body weight through movements to get started. And I made sure that I wasn't doing anything. I didn't use pain pills so I could feel it and I wasn't doing anything that was making me like clench my abs and really work through here. But I just did simple body weight movement and then I did walking and my different cardio. At home. I have a peloton bike and I have a StairMaster because he said any of the cardio stuff was fine. So I made sure I kept moving because one of the things that can happen with bed rests is that in just a week you can become insulin resistant. Right? That is where your insulin's higher than it should be. And that basically is going to make it very hard for your body to burn fat and you start to lose muscle. So I want to make sure none of that happened to me. And so again, a lot of body weight exercise. And I will tell you that I was out riding bikes and walking within three weeks outside doing a lot of cardio. I didn't find any issues with that. And doing a lot of work with body weight and gradually increasing the weights based on what I could tell through my making sure I wasn't using my abs. At the end of six weeks, I went straight back up to full strength. So really didn't lose anything from any of this stuff. Now that I am three months out, I'm going to do a follow up on all my hormone labs. So I'm going to do blood labs and a Dutch test and I will also do another DEXA scan just to make sure that I've held onto my muscle. Since I do DEXA scans every six months, I correlate them at home with my Tanita scale, my full body Tanita scale at home and a tape measure and I can tell my weight's the same. What everything says at home in terms of body fat's the same. So it looks like everything managed to stay the same, which is what I was really looking for. The big thing that we have to pay attention to as we age is not losing muscle. Now, the big thing I have to say is, of course, this is what I did. And so you always have to talk to your doctor. You want to be super careful with any of these things with any type of lifting again because of stitches, but that's where I went into bodyweight movement and a lot of cardio movement and added and started to add in some hit. So deal is whether or not you have surgery coming up, you're going to want to develop a solid strength training routine to help better prepare and recover from life's challenges. Because you never know when something's going to happen, whether you're going to have to have an operation or an illness or an injury. You want to go in as strong as possible, right? So if you start making fitness a regular part of your routine right now, that future self is going to be so thankful. And to make it simple for you, I walk you through my resistance training routine in this next video and you're going to want to make sure that you download the free cheat sheet that has all my home gym essentials plus an eight week workout plan designed for women over 40. And that's@jjvirgin.com power.
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