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It is common to wonder what effect, if any, a hysterectomy will have on a person's sex life. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Sign up for a free Medical News Today account to customize your medical and health news experiences. We may share your information with third-party partners for marketing purposes. Sexual Medicine Reviews3 4— Why does it hurt when I ejaculate? It is normal to be a little apprehensive about having sex after a hysterectomy. Although a hysterectomy may cause certain changes in the pelvic areas, it usually does not affect the ability to enjoy sex. But, it is vital to give the body time to heal, and an orgasm tenses the muscles in the pelvic region, potentially straining any healing wounds.