What effect does a hysterectomy have on sexual function?

Question

Some studies have shown that 10 to 40 percent of women experience a decrease in sexual response or libido following the operation. This may be related to a testosterone deficiency that can develop if the ovaries are removed, which in turn reduces the production of androgens. This imbalance can be treated through hormone therapy, including the use of natural testosterone creams applied vaginally. (most hysterectomies spare the ovaries, however, thus sparing ovarian hormonal function.) since contractions of the uterus can contribute to orgasm, some women report that they have more difficulty reaching a satisfying orgasm.

Surbhi Agrawal · Accepted Answer

Some studies have shown that 10 to 40 percent of women experience a decrease in sexual response or libido following the operation. This may be related to a testosterone deficiency that can develop if the ovaries are removed, which in turn reduces the production of androgens. This imbalance can be treated through hormone therapy, including the use of natural testosterone creams applied vaginally. (most hysterectomies spare the ovaries, however, thus sparing ovarian hormonal function.) since contractions of the uterus can contribute to orgasm, some women report that they have more difficulty reaching a satisfying orgasm.