In a perfect world, every woman has a partner in her life who enables her to have earth-shattering orgasms, intimacy, and amazing sex on a regular basis. He also cooks, gives massages, and makes the bed. If that is the case in your home, things will most likely be exactly the same after your surgery since the most important thing that determines what sex after hysterectomy is like, is what sex before hysterectomy was like.
Virtually every woman expresses concerns, if not to her doctor, to her partner, or even herself about how hysterectomy will affect her sexual function, desire, and desirability. Unfortunately, studies have shown that only half of gynecologists initiate a discussion of sex and few patients (about 13%) are willing to bring it up themselves. That means a lot of women who worry about their postoperative sexuality do just that, worry.
Recent studies show that in the absence of oophorectomy, there are no significant adverse effects of hysterectomy on sexual function. However, many women report changes in sexual response after surgery. A lot of speculation exists concerning the loss of the cervix and its effect on the quality of orgasm, but again, there are little data to support this theory (see chapter 19).
A 1999 study published in The New England Journal of Medicine tracked over one thousand women during the two years after their surgeries and, unlike many earlier studies, evaluated sexual function both before and after hysterectomy. The results of the study were reassuring and validated what most gynecologists (but not most pre-op patients) knew all along. Seventy-seven percent of the women in the postoperative group were sexually active one year after surgery, in contrast to only seventy-one percent of the group the year before. This finding is not surprising, given that the study also demonstrated that the number of women who experienced pain during sex decreased from 19% to 4%. The quality and number of orgasms increased, as did overall libido. The bottom line is that frequency of sexual activity consistently increased and sexual dysfunction decreased.