Through cancer, I had to have a radical hysterectomy and oopherectomy when I was 44.
My gynae told me that I would have sexual dysfunction, ie as my cervix had been removed, it wasn't possible to vibrate during sex, hence no orgasm. He also told me that as I was going to go into an early menopause, I would have dryness issues etc.
My experience is that I now find it impossible to orgasm satisfactorily. I can enjoy sex, but it's definitely not the same.
He was wrong about the dryness issues - none at all.
The other thing that hasn't been mentioned, is that by removing all female organs, I now don't have the natural oestregon that makes you a woman. Not having the same hormone level has definitely had an effect. My skin is poorer and I have aged; I don't feel the same about myself sexually and despite being a really positive person,just feel I'm not the same person any more. I sense a definite loss which I could never have envisaged.
HRT definitely helped and I felt so much better in myself. It compensated for all the menopausal issues etc.
However, it might be worth noting that one year after the womb cancer, I got breast cancer and had to have a mastectomy so that didn't do a lot for my femininity lol
I know this all sounds very negative and I really didn't want it to. Yes it has affected my sexuality; something I miss terribly, but hey I'm glad to be alive!!!