I had a complete hysterectomy at the ripe old age of 24. I can tell you I never had a decrease in my sexual drive..I think it increased lol nor did I suffer from dryness. I have not had any bad side effects except I now have osteoporosis but heck I am 56 now. I would do it again in a heartbeat. I have 2 children but yes I wanted one more but I have the 2 I am blessed with. If you are at high risk my advise would be do it. Do it before it turns to more and you have to end up with chemo as well.