I'm actually not super interested in having my reproductive organs removed either, or at least, it's not a huge priority for me. However, an FTM friend of mine keeps getting ovarian cysts on his, and I was actually surprised that his doctor put him on T after he had already had surgery to remove cysts there, as I've read that T can agitate that condition. But hey, it's not my body/doctor. I guess in a few years I may ask my endo if there's medical necessity/recommendation for it, but for now, I guess I'm fine having my ovaries, and even my uterus. It's not a huge deal for me, but no, you can't die from getting everything removed and then not medically replacing hormones. Otherwise, like someone said, our dogs wouldn't be very lively. 😀