The uterus is one of the internal reproductive organs of women and an important symbol of femininity. The old belief that a woman who has her uterus removed will suffer from mental illness (from the root of the word, hysteria and uterus are cognate) has, fortunately, been disproved long ago. It is true that when a woman has her uterus removed due to some disease, her monthly physiological phenomenon, menstruation, ceases. Since the place where the embryo was conceived is removed, it is no longer possible to have children. However, does hysterectomy affect sex life? This is actually a question that many women want to ask but are ashamed to say. To answer this question, it is necessary to briefly mention the building blocks that women need to provide in human sexuality. Generally speaking, a woman needs a normal vagina to have sex with a man in the general sense (although the concept of sexuality is now generalized), and a woman’s orgasm can be obtained through both the vagina and the clitoris. When a woman undergoes a hysterectomy, the tip of the vagina is cut off at the very top (the so-called vault) and the tip is then sutured together to form a blind end, with the vagina retaining its original structure and function after surgery. Some hysterectomies also preserve the cervix or part of it, and the structure and function of the vagina remains largely unaffected. Since the surgery does not affect the structure and function of the clitoris, which is rich in sensory nerves, the other pathway to orgasm is not affected. Some women who have undergone total hysterectomy complain that the vagina is shorter and that this affects sexual pleasure. In fact, measurements show that the length of the vagina after total hysterectomy is essentially the same as before surgery, except in the case of malignant tumors that require the removal of a longer vagina, so the change in length of the vagina is not a barrier to sexual intercourse. The previous belief that the cervix plays a major role in lubricating the vagina during sexual intercourse has also been disproved after intensive research. If the ovaries are retained, estrogen is still synthesized and secreted, and the vaginal walls and vestibular glands are stimulated by these hormones to produce lubricating fluid. If the ovaries are also removed, menopausal symptoms such as breast atrophy, vaginal dryness and decreased libido will occur due to the lack of estrogen, which will affect sexual life to a certain extent, and the latter can be effectively improved by supplementing with exogenous estrogen. As for the psychological effects of hysterectomy, they can be completely different in different women. Most of them will have a better quality of sex life than before because they are freed from drenching bleeding, hemorrhage, tumor compression symptoms or life threatening tumor, regain their health, and no longer have to worry about pregnancy. However, some women do experience some loss after surgery, mainly in younger women who lack proper understanding of the disease and surgery. These women are more influenced by traditional beliefs and mistakenly believe that the loss of the uterus not only prevents them from having children again, but also equates sexual function with reproductive capacity, believing that the cessation of menstruation is the cessation of sexual function. Women who hold these stereotypes, who are worried about the disease, who harbor fears and negative attitudes toward the operation itself, may be sullen for a long time after the operation, and their sex life will naturally be affected, which is often a psychological rather than a physical problem and sometimes requires help from a psychologist in addition to seeing a gynecologist. It should be noted that sexual life is a matter for both men and women, and the husband’s attitude towards hysterectomy is very important. Some husbands listen to the rumors and do not agree to do hysterectomy despite the pain of their wives’ illness; or they are sullen after the surgery and no longer care about their wives, which can affect the relationship between the couple. If the couple can talk to the doctor together before the surgery to understand the need for the surgery and the general steps of the surgery, it can help to dispel the couple’s worries to reduce the adverse effects. Once again, it is important to remember that if a woman needs to have her uterus removed because of a disease that has weighed the pros and cons, there is nothing to worry about. The loss of the uterus is not the end of the world, the sun rises as usual. Losing your uterus does not mean losing your life, including your sex life.