I really want to address your question. The O-shot is one of your best options. It sounds as if both your ovaries were removed at the time of the hysterectomy. Therefore you lost estrogen production very quickly and the associated changes of menopause occurred quicker and are more prolonged. The best time to begin hormone therapy is within 2 years of menopause. Starting estrogen after a long absence in your 60's increases your risk of blood clots, heart attack and stroke. Estrogen creams are fairly safe. The O-shot though helps blood flow to the clitoris and G-spot which should help achieve sensation and orgasms. It also helps restore the vaginal tissue to pre-menopausal state, thicker and more lubricated. Only one treatment, possible 2, is needed. It lasts for 12-15 months. It can be repeated many times over many years. Other treatments can augment the O-shot like radio-frequency and laser vaginal rejuvenation, but I'd suggest the O-shot first..
O-shot works by increasing blood flow and vaginal tissue rejuvenation which increases sensation and stimulation. If depression or anti-depressants interfere with sexual desire then the mental aspect won't improve. But definitely sensation will improve which can improve sexual response. Since vaginal tissue improves, bladder symptoms such as over active bladder or stress incontinence improves
