For many of us, sex is very different post hysterectomy. I think I always just took for granted that orgasms would be there, and never spent much time thinking about where( what part of my body) they came from. I just enjoyed the ride.
Post hysterectomy, I lost the type of orgasm that came from my uterus - duh. unfortunately for me this had become my favorite part. Sometime around breatfeeding, my husband got really excellent at breast stimulation and could bring me to multiple orgasm just with that. I know it was around breastfeeding, because when he got me good my milk would let down, so we always kept a towel by the bed. I was going off like a fountain. after breastfeeding, the experience changed some - it was a bit less messy- but he could still give me fabulous uterine contractions with breast stimulation. combined with penetration I was in heaven. After that, I always steered my hubby away from clitoral stimulation, which has a more "electrical stimulation" kind of feel to me, and can be actually annoying until the orgasm comes. From clit stim, I want an orgasm because I am uncomfortable. I remember when I was a newlywed waking up and feeling like this and thinking I was aroused, and we really did have toe curling sex back then too, but it was different. Really did get better over time.
Now I am a year post hysterectomy - it was vaginal and I kept my ovaries. I am only 47 and am showing no signs of menopause before or since surgery. And yet sex is very different. No, I am not dry, and I would not say my sex drive is gone, but sex is so much less than it was, that I am not so desperate for it anymore. For the first 5 months or so I became more and more depressed as I realized how changed my orgasms were. I can't have "my favorite kind" of orgasm anymore, so at first it felt like I couldn't orgasm at all. I tried hormones even though my hormone levels were fine. I found that it made me feel that clitoris stimulation feeling - annoyed and uncomfortable until orgasm. But since I had to retrain both myself and my husband as to what would get me there, lots of the time I just felt uncomfortable. The orgasms that I could get were so much less than I had before that it hardly seemed worth it. It was "make yourself uncomfortable so you can have sex and get depressed."
Fortunately after awhile you forget exactly what those great ones were like, and you learn better how to get those not quite so good ones, so it does improve. Best time is when he catches me sleepy and I still think it is going to be fantastic, because I am most into it then. Unfortunately most of the time I am awake and know what I am getting. I try to remember that this stuff made me crazy when we first started, and enjoy it, and at times I can, but I guess I am not quite as motivated as I once was. I don't know how to explain that it is not a lack of desire, but a lowering of expectations. I can have that " Oh god, reach down my shirt, up my skirt, etc or I am going to burst" feeling, but the burst ends up being more like a balloon slowing deflating than an explosion.
I know not everyone's orgasm is the same, so I will say that the thing that bothers me most is that my breasts don't seem "connected" to the process anymore without the uterus there. If breast stimulation does a lot for you, then I think that might be a good predictor you are going to have a change in orgasm experience. Read carefully that some women say post hysterectomy things are even better . . .it is definitely not the same for everyone. But if the surgery is an optional one, think about it and weigh your options. Wish I had. . .