You may still be able to function sexually after a total hysterectomy, but it may affect the quality of your sex life. When the uterus is removed in its entirety, what is affected is the production of menstruation and the conception of a fetus. Since the uterus is not directly involved in sex, as long as a woman’s ovaries and vagina are functioning normally, she has sexual function and can have a sex life. Therefore, total hysterectomy has nothing to do with sexual function. Total hysterectomy involves removal of the uterus and cervix, which will shorten the vagina and may affect the quality of sexual life, but the effect is limited and varies from person to person. Some women may also develop a psychological shadow and need psychological counseling to rebuild their self-confidence. After total hysterectomy, if a woman feels unwell, she should go to a regular hospital in time to find out the cause of the problem and get treatment under the guidance of a doctor.