Testosterone Risks & Not Getting A Hysterectomy?

[xAndrewx]

     Mostly this is just about the hysterectomy. I 'm going to be getting insurance soon & hopefully starting T soon. Through everything I read I've never come across the needing to get a hysterectomy within 3 years after getting T until now. It worries me because I don't have a stable job and don't know that I'll be able to get insurance to cover it or if I will be able to afford it. Anyone have more information on if this HAS to be done and if they know anyone who didn't get it done within three years?

     I want to live my life as male and it is worth the risks for me but still I am a little scared. Is that normal?

[Flan]

there isn't much risk, although there may be false positive cervical dysplasia. the whole kit and kaboodle will atrophy, the extent will vary.

(source)

Thirty-two young women (sic) who desired sexual reassignment were treated with large doses of androgen for a period of 1 year or more, followed by total hysterectomy. Histological examination revealed marked atrophy of cervical epithelium which could mimic dysplasia, and variable degrees of endometrial atrophy. The ovaries showed occasional corpora lutea indicating that even in the face of long term androgen therapy, ovulation may occur.

[xAndrewx]

Thanks for the info Flan That's pretty interesting, not something I've heard of before. I'll look into it that more.

[xAndrewx]

Thanks Kvall, I agree. As much as I hate those parts I can live with them rather than put myself in debt with money I don't have. I'll be seeing a doc for Testosterone anyways so I'll see if I can find a GP who has experience doing lower exams to avoid the awkward "man at the gynecologist" thing but if I have to I'll deal with it and see one even though I shudder at even typing that word.

[insideontheoutside]

I would suggest just keeping an eye on everything in the way of tests. The doctor should know what tests to be performing. There's a lot of variables involved with how something like cancer or another disease could develop, but if you go to a doctor who has worked with other FTM patients they should be more well-versed in any risks, etc.

[xAndrewx]

I don't know of any doctors around me who have worked with transgender people in general. I've tried looking it up but couldn't really find any. My ftm friends all see different doctors so I can't really ask for a recommendation. I guess I'll just have to call around once I find out who my insurance covers and ask whether they've worked with any trans men in the past?

[insideontheoutside]

Or maybe ask the friends or people here who are in that situation (getting regular tests done to check for anomalies while on T) to see what tests they are getting done. At least that would arm you with some knowledge on what the normal procedures are if you're stuck with a doc who's never worked with any transmen.

[Brotherhood4U]

I had mine 5 years after T and I was fine

[xAndrewx]

Thanks for answering Brotherhood4U. Welcome to the forum

[austin86]

hey Michael, as far as getting those parts examined my endocrinologist actually told me he would do it. He said most of his trans patients are more comfortable with him doing it. so perhaps you will get an endo that is qualified to do such things, i hope so bro.

[xAndrewx]

Thanks for the info Austin That would probably be best. I think the doctor that my therapist who wrote my T letter recently is referring my to a gyno so she can do my hormones and maybe do that as well so I don't have to feel like I'm taking a trip to the "woman doctor" which is what my aunt always calls it.