Hysterectomy or Hysto is a surgery that you may choose to do at some point in your transition. You maybe advised to have this surgery within about five years of starting testosterone.
Some of the reasons for having this surgery:
- The risk of cancer of the uterus, ovaries or cervix is overcome.
- Smear testing to detect cervical cancer or screening processes to detect cancers of the uterus or ovaries need not be undertaken.
- The lack of a uterus, fallopian tubes and ovaries may help you feel less female.
- Periods or breakthrough bleeding are not possible.
- There is no longer any conflict between the effects of oestrogen and testosterone.
- The dosage of testosterone can be greatly reduced thus minimising the potential for long term side effects due to prolonged high dose testosterone use.
Choosing a Surgeon
In the UK, gynecologists are the experts in performing hysterectomies. However, there are only a few who have experience in undertaking the procedure in trans men. It is worth asking your GP to refer you to a local gynecologist to see if they would be willing to do this, but be prepared they may say ‘no’. Surgeons are rarely entirely comfortable with removing healthy tissue and sometimes they do not understand what it means to be a trans man they may refuse to treat you. You may have to search around for an alternative surgeon. There are surgeons willing to undertake this surgery. If you wish to have lower surgery your surgeon maybe able to perform the hysto at the same time or refer to a gynecologist who can.