Are you taking Spironolactone or other androgens? These medications are intended to reduce testosterone which is the hormone largely responsible for the sex drive in both men and women. If testosterone production is suppressed for any reason - either naturally or with medication - then your sex drive is likely to be effected. Also, estrogen in the Pill has also been found to reduce libido in a segment of the natal female population. But this does not mean a less than satisfactory sex life post op. Libido and being orgasmic are different. As was mentioned, whereas libido is largely in the head, orgasm is based on a combination of factors including nerve ending. But since we are not physicians, I suggest you talk to your doctor about this.
