I've researched about what to expect from my running after I have a full abdominal hysterectomy, but I haven't found much. I'm in the best condition I've been in since I started running--I've done six marathons, an ultra, plus many shorter-distance races. I'd like to know how much fitness and endurance I should expect to lose after six weeks of no cross training and no exercise other than walking. Should I do any strengthening exercises to prepare for running again? Thanks--Debi

Debi,
A total abdominal hysterectomy is not a minor procedure. You will feel fatigued, but going into the operating room in great physical condition like you describe is a major plus for you. There are not good guidelines for return to activity after surgery. I was trained on six weeks--patients cannot do anything for six weeks. Of course, I pressed that after each of the surgeries I have performed, and I've found that patients were able to return to activities much more quickly than recommended. For you, the reason for your hysterectomy can make a difference. Cancers may have a different return profile than fibromyomas or other benign issues. I would recommend starting with walking as soon as you feel able and gradually increasing the time and intensity. When it feels right, start a walk-jog program and advance it as you feel comfortable.
How much endurance will you lose? Well, fitness is similar to money: it's hard to get and easy to lose. If you sit for six weeks, you'll need to do a fair amount of catch-up training to get back to your pre-surgical fitness level. But if you gradually increase your activity as you feel well, it will take less time.
From my observational experience with patients and co-workers who have had hysterectomies, the return to work and activity is individualized. I have been surprised at the variability and reaction to the procedure. Some have been back to activity in a short time and others were not ready at six weeks post-surgery. You seem dedicated to your health and fitness, and I would expect a rapid return on your part. Some women are also affected by the loss of the uterus. If you have difficulty with your return, make sure to discuss your feelings with your physician.
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Cheers,
Bill
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