What effect does a hysterectomy have on sexual function?

Question

There is some evidence that removing the uterus and cervix, as is done during a total hysterectomy, can affect the quality and intensity of orgasm. That's because the uterus as well as the vaginal muscles contracts during orgasm and because the nerve pathways that are involved in sexual response and orgasm with vaginal stimulation (pelvic, hypogastric and sensory vagus nerves) may have been cut or destroyed.
There's also evidence that the cervix plays a major role in orgasm. First, it dilates to improve the likelihood of conception. Second, it is very sensitive to touch, so the pressure of the penis on the outside of the cervix can stimulate nerve endings that trigger an orgasm. In women who say this pressure is a trigger for orgasm, many find they're unable to orgasm after hysterectomy.

Prithviraj Singha · Accepted Answer

There is some evidence that removing the uterus and cervix, as is done during a total hysterectomy, can affect the quality and intensity of orgasm. That's because the uterus as well as the vaginal muscles contracts during orgasm and because the nerve pathways that are involved in sexual response and orgasm with vaginal stimulation (pelvic, hypogastric and sensory vagus nerves) may have been cut or destroyed.
There's also evidence that the cervix plays a major role in orgasm. First, it dilates to improve the likelihood of conception. Second, it is very sensitive to touch, so the pressure of the penis on the outside of the cervix can stimulate nerve endings that trigger an orgasm. In women who say this pressure is a trigger for orgasm, many find they're unable to orgasm after hysterectomy.