Does hysterectomy affect sex life?

Patient's question:

I had an artificial abortion in January, and three days later, I experienced abdominal pain and uterine perforation. The surgery repaired the uterus and removed the appendix. Since then, I have been plagued by illness. Every time I have my period, the pain is unbearable, accompanied by low-grade fever. An ultrasound revealed a 4.23.8CM cyst in my right abdomen. Two and a half years later, I became pregnant and had a cesarean section, along with the removal of the cyst. Four months later, my period returned, and the cycle was normal with no pain. However, a year and a half later, my period returned, and the pain started again. Traditional Chinese medicine treatment was ineffective, and the only relief during pain was through painkillers. An ultrasound showed no abnormalities in the uterine appendages, and the doctor diagnosed it as suspected endometriosis but did not confirm the location of the endometriosis. Some doctors suggested a complete surgical removal, but

Doctor's answer:

After a woman's uterus is removed, her vagina becomes less deep than before, which is also an important factor affecting the quality of sexual life for couples. Of course, since subtotal hysterectomy preserves the cervix, the vagina maintains its original depth, and the impact on sexual quality is not as significant as in total hysterectomy. However, the postoperative scars also cannot be ignored in terms of their effect on sexual life, as scars can cause certain discomfort. Additionally, regular cervical cancer screening (Pap smears) is required to prevent cervical malignancy, which can also lead to a decline in a woman's sexual quality and even sexual dysfunction.

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