Hysto.

[Aussie Jay]

I don't know the specifics in Australia, but it is possible.  I know guys who've done it.

I'm sure it's possible mate, I just prefer not to complicate my life any further than I have to! I don't want them - my lady balls are of no use to me as they don't produce the right hormone in the right amount or sperm - so honestly why bother keeping them?! Besides I still get pain, like worse than I ever got before T about once every couple of weeks just to remind me they're there... I'd rather not know and that they weren't!! Haha 


As it is my hysto is being done through the public system so it's completely cost free to me    and while I'm going under the knife anyway - why not just have it all done at once and never have to worry again... Or about the possible costs later on.

[Soren]

I would recommend a full one- take out the ovaries, fallopian tubes, uterus and cervix. If you're on T, it'll convert enough to keep you from getting osteoporosis, and weight-bearing exercise will help that too. If you still have some stereotypically lady parts, you'll still need to see a lady doctor. And ovarian cancer is deadly and hard to detect; do you really want to risk dying from chick cancer?

[Jayr]

And ovarian cancer is deadly and hard to detect; do you really want to risk dying from chick cancer?

Nooooooo!


Umm I have a weird question to ask. I'm actually embarresed to ask but

When you get a full hysto, they take the cervix out right?
Um can you still have sex with your vajayjay if they take out the cervix? o.o
I hope I don't sound too silly.

[Arch]

I want everything taken out and the whole hole scraped out and sealed over.

I do worry about sexual function, though, and that's my only realistic worry. I've read accounts from women, not trans guys, whose orgasms are adversely affected after hysto. Those parts have some role in orgasm that isn't fully understood yet. My orgasms are MUCH better than they used to be, and I would hate to give them up and go back to less intense ones--or even be unable to orgasm altogether. I don't know what the likelihood is or how much medical literature there is on hysto and orgasms. But it does worry me. On the other hand, I can't keep these parts in the long term. I guess I'll just have to take what...comes.

I also have a crazy dream that I should keep the egg factories because someday we might be able to do some kind of genetic manipulation to turn them into testicles, but I know good and well that this type of procedure wouldn't be available anytime soon, if ever. I guess that when they did it on mice, those mice were already genetically engineered in some way...but wouldn't it be great if the docs could flip a switch and turn those organs into T-producing organs?

[sneakersjay]

I had no change in pre or post hysto orgasms, FWIW.  And yes, they take your cervix, but occ they don't so you should specify before you go under that they are taking it ALL out.

[mm]

Jayr, that is a good question many women having a hyster ask the same question.  The cervix is cut out of the top of the uterus and then the top is closed maybe a little shorter but not much is my understanding.  The effect of a hyster on orgasms is a much bigger question that has been studied and you can find women on all sides.  Some have no change as sneakerjay stated, some have better and some say they are zero or very weak.  I read that it depends why the hyster is done and how much pain is re leaved by the surgery.  When the time comes, that is when I have the money, I will have a total hyster as I have to need or want for those parts.  Those parts can only cause me problems in the future.  I still have AF with pms every month.

[Soren]

Nooooooo!


Umm I have a weird question to ask. I'm actually embarresed to ask but

When you get a full hysto, they take the cervix out right?
Um can you still have sex with your vajayjay if they take out the cervix? o.o
I hope I don't sound too silly.

Yeah, it carries cancer risk and there's no need to have one if you don't have the other stuff. And you should be able to, after it heals, of course.

[Paul]

I was at the Trans Health Conference in Philly a couple of months ago and one of the speakers touched on this.  The healthiest option is to keep the ovaries (the female gonads). Every male has a certain level of Estrogen needed in their system, just like every female needs a certain level of testosterone in their system.  By taking out the ovaries you completely take away the estrogen and any way of producing it therefore making yourself wicked sick right after surgery and possibly having to TAKE Estrogen to get your levels back to the normal male range.  Keeping the ovaries allows for all normal hormone levels of both E and T with minor side effects Immediately fiollowing surgery. 

[Arch]

I was at the Trans Health Conference in Philly a couple of months ago and one of the speakers touched on this.  The healthiest option is to keep the ovaries (the female gonads).

I don't think this is a realistic option for me. I am having everything sealed up...

But I've always wondered about this. When you take large (male) quantities of T, doesn't that shut down the ovaries completely? What did they say about this?

[mm]

Paul, I can see the point of keeping them.  The other side of the argument are several.  Cancer of the ovaries is hard to detect and the survival rate is not real good.  You have to have annual checkups which involved an exam through the vagina, which I want to avoid if at all possible.  The idea of having to see a GYN in their office when I am a guy is something I want to avoid.  If and when I get bottom survey I think I would like to have the extra hole closed up.  For me I think I would chose to have everything removed.  Each has the decide what is best for them.

[Paul]

I don't think this is a realistic option for me. I am having everything sealed up...

But I've always wondered about this. When you take large (male) quantities of T, doesn't that shut down the ovaries completely? What did they say about this?

The ovaries still produce what is typical make level of estrogen.  Cisguys' bodies produce it natrually and so do ours, through the ovaries. 

[Arch]

So, when we get bottom surgery, why do they remove the ovaries instead of bringing them down into the scrotum? Maybe the tubes aren't long enough, or maybe the whole mess needs to stay connected to everything else...but I wish I could have real organs down there, not implants.

Listen to me. It will be years before I can afford bottom surgery. And if anything goes wrong with my inner parts, I might have to have a separate hysto procedure well before I get to phallo.

[Adio]

I was at the Trans Health Conference in Philly a couple of months ago and one of the speakers touched on this.  The healthiest option is to keep the ovaries (the female gonads). Every male has a certain level of Estrogen needed in their system, just like every female needs a certain level of testosterone in their system.  By taking out the ovaries you completely take away the estrogen and any way of producing it therefore making yourself wicked sick right after surgery and possibly having to TAKE Estrogen to get your levels back to the normal male range.  Keeping the ovaries allows for all normal hormone levels of both E and T with minor side effects Immediately fiollowing surgery.

I'm sorry, but this is just plain incorrect.  In AFAB bodies estrogen is produced primarily by the ovaries but also by fat/adipose tissue, adrenal glands, the liver, and breasts.  In AMAB bodies the two main ways are through the testes and by the conversion of excess testosterone to estrogen.  If you take out the ovaries and stay on T, then there is not going to be an issue.  There are still back up sources of estrogen production that will likely mimic the appropriate levels found in people AMAB.

[Aussie Jay]

FWIW I agree with Adio. Plus the organs we currently have aren't producing the correct levels of either hormone so how would that change just by having the other stuff removed? The excess T in my body is going to be converted to E anyway right...? My dose of T is still going to have to stay just as high as it is now to overcome my natural production of whatever, whereas if I have them out - I can lower the dose along with my risk of high blood pressure, cholesterol, excess production of red blood cells etc and I don't have essentially useless organs in my body, atrophying and possibly becoming harmful and trying to kill me one day.. Plus I plan on bottom surgery too and having everything down there sealed off.

[mm]

Arch, I think that the blood supply is one problem, the arteries are not long enough.  Also getting them down in the new scrotum and holding them there in position.  This a good idea if the problems can be solved.  I am years away from lower surgery and hope that the procedures are more refined when I get far along.

[Jayr]

Wow LOTS of things to consider o_o

Taking T was an easy decision.
Top surgery is just as easy, my chest is too big for keyhole,
so double incision is the only option I've got, and my favorite anyway.

Didn't think the whole hysto part of transition was gonna be the hardest to decide on.
Everyone has very good points o:

[Jayr]

So, when we get bottom surgery, why do they remove the ovaries instead of bringing them down into the scrotum? Maybe the tubes aren't long enough, or maybe the whole mess needs to stay connected to everything else...but I wish I could have real organs down there, not implants.

AMEN to that!
I'd love to know why they haven't made that possible yet.

[mm]

Jayr, after I finished the reply last night I through about size and then this morning looked up the size of testis, about like a small chicken egg, and ovaries, about the size of a shelled almond nut.  So they would be very small in your scrotum probably would be hard to even find in there.  You would want testis that looked like they had schunk up from not having T available.

[supremecatoverlord]

The ovaries still produce what is typical make level of estrogen.  Cisguys' bodies produce it natrually and so do ours, through the ovaries.

I don't think cisguys have ovaries.
Your speaker is wrong and I don't see why any guy would desire to keep his ovaries with all the additional complications it could actually bring about.
I totally agree with Andy and think you  (and that speaker) need to look into the how hormones work in the human body a little bit more.

[Adio]

I don't think cisguys have ovaries.
Your speaker is wrong and I don't see why any guy would desire to keep his ovaries with all the additional complications it could actually bring about.
I totally agree with Andy and think you  (and that speaker) need to look into the how hormones work in the human body a little bit more.

I'm curious about who this speaker is and what their qualifications are.  I also don't understand how someone would want to keep their ovaries but remove everything else.