I have an appointment with a gyno to discuss hysterectomy and such, and see when and what we'll be doing in the future.
I was wondering; Your personal opinion.
Would you get a full-hysto or partial-hysto(keep ovaries) and why?
Me:
I have NO idea. A complete hysto would be awesome, all that stuff would be out and away. No need to ever worry about maybe getting a cyst or any complication.
But I keep thinking, what if something happens to my thyroid again?? The thyroid for those of you that don't know regulates hormones in your body. I had half my thyroid taken out, and they almost had to take the whole thing out but I got lucky. If my whole thyroid had been taken out, I would have been on a ->-bleeped-<- load of pills and adding hrt in there, would have just destroyed my system more. So taking t wouldn't be an option anymore if lets say something else happens to whats left of my thyroid and If that ever happens and I've had a full hysto? I'd have no more hormones(well I mean estrogen and t) and that can bring up HUGE complications. And there would be no way in hell, I would ever inject female hormones in me.
I don't know....*headache* Partial-hysto is a safe bet. Anything happens, I won't need to inject any hormones in me. I can just get off t safely and that's it. Complete hysto means I don't have to worry about getting a cyst down there. Btw I'm 18 and I've already been operated for cysts, 3 times. So that's a huge problem with me. I was born with a cyst, I'm apparently prone to cysts and all that.
Do i even make sense? Probably not, I can't understand myself v__v
If you can understand everything I'm saying, you're amazing.
I would keep my ovaries just incase I had to go off T, so I would still have hormones.
Plus, I think the less surgery the better. If an organ doesn't have to be removed it shouldn't be.
Personally if I'm not getting periods then I can forget those organs are there. I've talked to my doctor about endometrial ablation. They destroy the lining of your uterus in a quick out patient procedure. Nothing is removed. With the ablation it will greatly reduce or completely eliminate periods. My doctor said about 40% of her patients never got a period again. Various web sites say it's permanent, but actually in young people the uterus can heal and regrow eventually. She's only comfortable doing it after I try depo and IUD first. If those don't work for me then she will do ablation until I need a hysto.
I would get a full hysto. I don't ever plan to go off T and I only have one ovary anyway.
I would get a full hysto done. I plan on having bottom surgery in the future and there's no need to keep those wrong organs. I plan on being on T for the rest of my life when I start. I don't need complications with them when I start T My ovaries and uterus should have never been there to begin with.
So yeah full hysto for me.
I want everything gone. Uterus, ovaries, fallopian tubes, cervix. Why? Because those parts have no business being there. If a v-nectomy would be possible at that time, I'd have it closed off as well.
I would get a full hysto so I never have to go to the gyno again,(if I can ever bring myself to go there for the first visit) and not have to worry about getting any cyst any other complications.
The only problem with the full is the lack of hormones. But I've heard of people not doing any HRT after a full hysto. My aunt had one when she was in her 20's. Never been on HRT a day in her life and she's 75 right now. Everyone's different I guess. But guys who choose not to stay on T after getting a full hysto could always "test the waters" so to speak and keep having their levels checked. I'm a total believer that nutrition and natural supplements can totally help as well. I mean there is evidence to show that women who reach menopause or have full hystos benefit from the natural stuff and can avoid HRT. So I think there are options even if you don't want to be on T for the rest of your life. If you DO want to be on T the rest of your life and have a full hysto you might actually have to supplement with some estrogen. Even men (especially as they age) have a small amount of estrogen.
And as far as stuff causing problems. That potential is there as well. When things go "defunct" (like stop working because you're taking T or because you naturally have a lot of T or because stuff wasn't 100% from word go like in my case) they have a tendency to cause problems. So it's something you have to continually keep an eye on.
Either way, there's positives and negatives to each choice. I'd love to have all this defunct female crap taken out of me before it causes a serious problem.
full for me. had a cyst when i was 11 and don't want to risk anything
plus, the idea of them is just annoying :(
i might consider harvesting eggs if they're sill viable though. the prob won't be though, since I'll have been on 2 for 4 yrs by the time im an adult
I second Andy. Want everything out and not because of not wanting to go to a gyno again, etc. - but because I'm a man and don't want or need female reproductive organs, glands, etc.
I want it all gone, mainly because when I think about those organs I get dysphoric but also because it could prevent further surgery. My mum had hysto but kept her ovaries but a year later she got a large cyst on one them so had to have another surgery to remove her ovaries and as bad luck would have it she got a incisional hernia and had to have that operated on last sunday.
Hopefully it wont be long till I get it done, i've already had the funding approved and had an appointment last thurs to confirm where I want to go :)
Quote from: Kreuzfidel on August 05, 2012, 05:27:21 AM
I second Andy. Want everything out and not because of not wanting to go to a gyno again, etc. - but because I'm a man and don't want or need female reproductive organs, glands, etc.
Yep, this.
I've never gone to a gyno before though and never really plan to.
im pretty sure I would like it all gone, but havent checked it up enough to be 100%
first of all I am not planning on going off T, I feel horrible just being a few days late for T or getting told my T level is too low, and stuff, and generally been better since I started T so I dont think it would be likely that I would go off.
also I think its not posible for me to change my gendermarked unless I do the full surgery, and sure I want my gender marked changed..
Manly I want my ovary removed since we got some cancer risk on my moms side of the famely.
Full. I wanted every last bit of every last part gone. I don't plan to go off T ever. I know several cis men who are on Androgel also, so it's not unheard of for many men to take T later in life.
Since ovarian cancer is a silent disease even in people with normal female hormone levels, who knows how much more silent it will be in someone who doesn't cycle? I am NOT saying that trans guys are more prone to cancer. That has never been proven. Just that if your body isn't doing what it was designed to do every month then you may not have signs that someone whose body does does. If that makes sense.
Just as if I were MTF, if I couldn't afford full lower surgery I'd definitely opt to remove my nuts.
Jay
There is one other small bit of information that my last doctor told me about and that is there is an increase for hernia after a full hysto. The space, although small, that the organs occupy is empty of course. Over time the body should compensate for the empty space but in some individuals a hernia results when remaining organs prolapse. Just one more thing to be aware of. I would imagine if my doctor said something about it most would, but who knows.
Wow all of you bring up good points.
I'm leaning a bit more towards a full hysto right now.
For the simple fact that just like everyone said, I want it all out!
I hope the doctor I'm seeing isn't an ->-bleeped-<- and can seriously help me out on this.
I have no idea if he's seen a trans patient before.
Choosing hormones was easy, picking top surgery is easy as pie, but geez picking what kind of hysto is hard.
There's a LOT of factors, risks, and all that to keep in mind and think about.
Thanks for all your opinions!
I have a lot of thinking to do :P
I don't want a full hysto. I want the option of going off T at some point.
But I need bottom surgery, and I don't think that's compatible with a partial hysto.
I want a full hyster as I have no use for any of those parts and they can only cause me problems in the future. Every period I have ever had has been a problem for me in some way. No guy ever has under controlable blood flowing out down there. Tampons were my friend as I could forget about the blood when I had one in.
I will be having a full hysterectomy in a little over 7 weeks! I can't wait ;D I've never been to a gynaecologist (apart from my hysto consult - and even then everything was external at my request) or had any sort of pap test and much like a couple of the other guys above - I'm a man, I don't need female reproductive organs, I don't want them and I'm not willing to have the necessary checks to ensure they're not going to kill me.. It really was a no-brainer for me!
I mean with a partial, if I kept my ovaries - my T dose still has to overcome my natural production, they still atrophy as they're not doing what they're made to and if they leave the cervix intact well one still has to have those checks to ensure no cancer etc... I know it's not "necessary" surgery per se but for my health and my transition (which let's face it, no two people's are the same!) it is essential.
Why would I risk getting sick when I have the option not to. Plus once I change my birth certificate to say male - how would I go trying to get medicare or my health insurance fund to accept a claim for surgery or treatment relating to my ovaries :-\ My life is complicated enough without adding to it voluntarily right!
Quote from: Aussie Jay on August 07, 2012, 09:27:23 PM
Plus once I change my birth certificate to say male - how would I go trying to get medicare or my health insurance fund to accept a claim for surgery or treatment relating to my ovaries :-\
I don't know the specifics in Australia, but it is possible. I know guys who've done it.
Quote from: Andy8715 on August 07, 2012, 09:29:48 PM
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 :D
As it is my hysto is being done through the public system so it's completely cost free to me ;D 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.
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?
Quote from: Ansley Ender on August 11, 2012, 12:47:28 AM
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.
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?
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.
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.
Quote from: Jayr on August 11, 2012, 01:34:11 AM
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.
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.
Quote from: Paul on August 12, 2012, 08:15:18 AM
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?
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.
Quote from: Arch on August 12, 2012, 12:48:00 PM
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.
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.
Quote from: Paul on August 12, 2012, 08:15:18 AM
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.
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.
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.
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:
Quote from: Arch on August 12, 2012, 05:27:21 PM
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.
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.
Quote from: Paul on August 12, 2012, 04:58:28 PM
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.
Quote from: JasonRX on August 13, 2012, 01:21:38 PM
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.
Quote from: mm on August 13, 2012, 08:31:40 AM
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.
I must confess that I never thought of this. I keep thinking of those experiments with mice...converting one organ into another...I want to make my own T someday! I guess I should just face reality and accept that I'll need implants. Thanks for the wake-up call.
Quote from: mm on August 13, 2012, 08:31:40 AM
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.
Oh okay. Makes sense! I hadn't thought about that. For some reason I thought ovaries were bigger than that.
-
Quote from: JasonRX on August 13, 2012, 01:21:38 PM
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.
The reason I'm debating whether to keep my ovaries or not is because I've had thyroid problems before. I had half my thyroid removed and I was at risk of having he other side removed as well. Doctors said if I need the last part of it removed, adding HRT too the mix would basically destroy my kidneys and all that. For those of you that do not know, the thyroid is like the main hormone department of your body. If I lost my whole thyroid I'd have to be on LOTS LOTS of pills every single day. And since the ovaries also make hormones, losing two BIG hormones creators would mean even more and more pills and shots...it'd be way to much for my bod to handle.
That's why I'm torn in half >.<
I don't want any of those parts in me, because I'm a dude and shouldn't have them.
Just like Jason said. I completely agree with you dude!
But than there's the other side of the damn coin...
I'm probably going to end up having to take a bunch of tests and stuff,
to determine if my thyroid is out of harms way or not.
This is gonna be a hard decision. So many risks on either side.
Quote from: Adio on August 04, 2012, 09:45:07 PM
I want everything gone. Uterus, ovaries, fallopian tubes, cervix. Why? Because those parts have no business being there. If a v-nectomy would be possible at that time, I'd have it closed off as well.
That said it all for me.
For me, when I reach that bridge, I will be opting for a complete removal.
As to the why, there are 2 reasons.
1) The women of my family are cancer factories. Breast, ovarian, cervical.
2) I have poly cystic ovaries & while I appreciate that I only deal with menstruation once or twice a year, those organs were not intended to work in such a shoddy manner. As I understand it, the longer one goes without *flushing*, the higher the risk of endometrial cancer.
Yeah, I think your doctor probably could say best what will work with your particular situation. I'd go for minimizing the likely number of surgeries. I had everything out at once (including the v-nectomy) and am still getting back to normal a year later.
Quote from: JasonRX on August 13, 2012, 01:21:38 PM
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.
Our speaker was speaking from personal experience. As were others in the room that went through the same situation as him. Cismales DO have E in them naturally, obviously just not as much as women.
Quote from: Aussie Jay on August 07, 2012, 09:27:23 PM
I'm a man, I don't need female reproductive organs, I don't want them and I'm not willing to have the necessary checks to ensure they're not going to kill me.. It really was a no-brainer for me!
Plus once I change my birth certificate to say male - how would I go trying to get medicare or my health insurance fund to accept a claim for surgery or treatment relating to my ovaries :-\ My life is complicated enough without adding to it voluntarily right!
Took the words right out of my mouth there, Jay! :p
I had a full hysto done with my lower surgery.
In my life, Ive always found that part the easiest part to deal with dysphoria wise anyway. Out of sight, out of mind (its the v-nectomy thatll bring the biggest relief!! Bring it on!!).
So to me, I didnt care at all to leave any parts of it in there.
I am not sure who you are seeing regarding your thyroid and taking T, I hope it is a reputable endocrinologist. I have had my thyroid killed off years ago and have been on a thyroid replacement since. I take one pill and that is it. I do have to have my levels checked every 6 months or so and they do keep track of my liver functions, but other than that I am good to go. When I started on T about 5 months ago I was a bit nervous about how it would effect my thyroid hormone levels. I went to my endo that keeps track of my thyroid hormone levels and he is the one who prescribes my T. He did start me on a lower dosage, but this was more because I have also had a partial hysto about 5 yrs ago for medical reasons and I am at the age where I am starting to go through menopause, which means a decrease in estrogen production so I don't need as much T as say a 20 yr old. So hormonally I am a bit of a challenge, but my endo is very reputable but has no hesitation with me not having a working thyroid and being on T, and on top of that going through menopause. I can say that I feel great since starting T I have had no problems what so ever. I exercise and eat pretty healthy. Good luck with whatever you decide.
full hysto dont need extra organs that could become cancerous and aslo produce estrogen.