Hello, and I am pleased to help, use of my answers are for educational purposes only.
Removal of the cervix should NOT affect pleasure during intercourse as there have been many studies over the years saying that it does NOT affect you having an orgasm, it does not affect libido, but there are plenty of 'Lay' websites that say otherwise.
The length of the vagina SHOULD not be shortened IF the surgery is done correctly, so this is really not something that should be a concern, but UNLESS you are having this done for cancer, then the length of the vaginal canal should not be shortened.
When all is healed, there should be no difference from previously - and usually by about 6 weeks post operation - your vagina should feel normal.
When you remove the cervix there should be NO discomfort during sex.
NO, a vaginal hysterectomy does NOT injure the vagina.
And as far as hormones - since you are menopausal AND you will be without a uterus, you do NOT need a progesterone with the estrogen
- which means you ONLY need estrogen (in the form of Estradiol ONLY) - and without progesterone, you will NOT be at increased risk of breast cancer with use of Estradiol ALONE.
Also, as far as bioidenticals - you can use them, but you ONLY need Estradiol, YOU DO NOT need Estrone, Estriol, or any progesterone.
And, a simple way of getting Estradiol is by the patch
such as Climara - usually 0.05mg changed per week - or you can use a bioidentical estradiol (which when you look at it chemically, it is the exact same thing, but you pay more for the 'bioidentical' just because it 'says' bioidentical.
I hope this helps, Please click on ACCEPT, thank you for your questions. They were very good questions.