My friend had a hysterectomy around 7 yrs ago and also had one of her ovaries removed due to fibroids. Her doctor has recommended her to remove the second ovary too due to a 7cm endometrial cyst which causes her extreme pain when she ovulates. Will her sex drive go completely after the surgery? Will she be able to have an orgasm without intercourse? I know intercourse gets painful cause the tissues dry up and thicken. And does the sex drive go also because of the fear of pain or just the hormones being absent?

Dr. Ramneek GuptaHomeopath27yrs exp

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yes, your sexual desire may change. That?s because both testosterone and estrogen, hormones that are important in sexual desire and intercourse, are produced in the ovaries. These glands produce about half of testosterone and nearly all of estrogen. While testosterone is thought to contribute mainly to desire, estrogen is important for healthy vaginal tissue, keeping it thick, moist and flexible. Without estrogen, vaginal tissue becomes drier and thinner, more likely to tear and lead to painful intercourse. While supplemental estrogen can prevent or minimize this, without it you may find the fear of pain prevents you from having sex. Many studies, however, show an improvement in sexual function after a hysterectomy. This is likely because the surgery eliminates the pain, bleeding or other symptoms that may have caused problems with sex. Also, the surgery eliminates the possibility of pregnancy, thus making sex more gratifying for some women. 

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