What Is a Hysterectomy?

A hysterectomy is a surgical procedure to remove the uterus. For transgender men, non-binary individuals, and others undergoing gender-affirming care, a hysterectomy may be an essential step to align their physical body with their gender identity. The procedure may also involve removing additional reproductive organs, such as the cervix, fallopian tubes, and ovaries, depending on the individual’s needs and goals.

Who Is a Candidate for a Hysterectomy?

Hysterectomy is typically recommended for:

• Transgender Men and Non-Binary Individuals: Seeking to affirm their gender identity by removing reproductive organs associated with menstruation and fertility.
• Individuals with Dysphoria: A hysterectomy can alleviate dysphoria related to having a uterus or experiencing menstruation.
• Medical Reasons: Such as chronic pelvic pain, endometriosis, or uterine fibroids.

Candidates should be in good overall health and consult with an experienced surgeon to determine if this procedure aligns with their goals and medical needs.

Types of Hysterectomy

There are several types of hysterectomy procedures available, depending on individual preferences and medical requirements:

• Total Hysterectomy: Removal of the uterus and cervix.
• Subtotal (Partial) Hysterectomy: Removal of the uterus while leaving the cervix intact.
• Radical Hysterectomy: Removal of the uterus, cervix, parts of the vagina, and surrounding tissues, often performed for medical reasons.
• Hysterectomy with Salpingo-Oophorectomy: Removal of the uterus, fallopian tubes, and ovaries for a more comprehensive gender-affirming procedure.

Benefits of a Hysterectomy

• Gender Affirmation: Reduces dysphoria by eliminating menstruation and fertility-related organs.
• Improved Quality of Life: Resolves discomfort or pain associated with medical conditions like endometriosis or fibroids.
• Aligns with Long-Term Hormone Therapy Goals: For those on testosterone therapy, a hysterectomy can reduce health risks associated with the uterus and ovaries.

The Hysterectomy Procedure

The hysterectomy is typically performed under general anesthesia and can be done using different surgical techniques:

• Abdominal Hysterectomy: A traditional open surgery with an incision in the lower abdomen.
• Vaginal Hysterectomy: Removal of the uterus through the vaginal canal.
• Laparoscopic Hysterectomy (Minimally Invasive): A less invasive option using small incisions and a camera for precision.
• Robotic-Assisted Hysterectomy: A highly precise, minimally invasive method using robotic surgical tools.

The choice of technique depends on the individual’s medical history, anatomy, and preferences.

Recovery and Aftercare

Recovery times vary based on the surgical technique used, but general guidelines include:

• Initial Recovery: 2-6 weeks, depending on the procedure.
• Managing Pain and Discomfort: Pain medication and rest are crucial during the early stages of recovery.
• Avoiding Strenuous Activities: For at least 4-6 weeks or as advised by your surgeon.
• Follow-Up Appointments: Ensure proper healing and address any concerns.

Adhering to your surgeon’s aftercare instructions is essential for a smooth recovery.

Risks and Considerations

As with any surgery, a hysterectomy carries some risks, including:

• Infection or excessive bleeding.
• Reactions to anesthesia.
• Damage to surrounding organs, such as the bladder or intestines.
• Emotional or hormonal changes, particularly if the ovaries are removed.

Discussing these risks with your surgeon will help you make an informed decision.

Finding a Skilled Surgeon

Choosing the right surgeon is crucial for a successful hysterectomy. At TransMD, we connect you with trusted and experienced surgeons who specialize in gender-affirming procedures. Our directory ensures you receive compassionate and affirming care throughout your journey.

FAQs About Hysterectomy

Q: Will I need a hysterectomy to start hormone therapy?
A: No, a hysterectomy is not required to begin testosterone therapy. However, it may be recommended later for certain medical or personal reasons.

Q: Can I combine a hysterectomy with other gender-affirming surgeries?
A: Yes, many individuals combine a hysterectomy with procedures like metoidioplasty, phalloplasty, or chest masculinization surgery.

Q: What is the cost of a hysterectomy for gender-affirming care?
A: Costs vary depending on the surgeon, location, and specific procedure. Consult with your chosen provider for detailed pricing and insurance options.