wait for your reply ... share ur story together 

Personally, I plan on having a hysterectomy done before I get top surgery, but that's just me. Everyone's transition is different, and you should take the steps in the order that works best for you. There's no official guideline on how to transition or exactly what you need to do to transition (for example, some guys never get top surgery because they don't want it). Just do what makes you feel more like yourself.

Because if you do not hysterectomy, even if injected T will still be wasted, right? After the release of the uterine estrogen is still operating. my T cost too high ...damn it ... (thks for ur reply buddy.

No, it'll work regardless of whether you've had a hysterectomy or not. After you get a hysterectomy though, you won't need as high of a dose of T.

I don't think it'll make that much difference if that's why you're considering hysto over top surgery.  The T overruns the oestrogen production and suppresses it, as evident by cessation of the menses.  As far as I understand, after a hysto doses can go down a little but I doubt that'd save you a ton of money (someone can correct me if I'm wrong here).  Also worth noting that once you have a hysto, that's it!  You're on hormones for life and if you're worried about money - pre-hysto if you can't afford T your body will be able to handle the cessation better than having absolutely nothing after a hysto.  Removal is often more because it's body parts that person won't use anyway so if it's unwanted, even if the risk of cancer is unconfirmed, it's not worth risking for most.  Also it brings one closer to male, especially with regards to correct gender markers.  But risks aren't confirmed (not enough information), and the procedure is merely recommended, not a physical necessity (unless issues arise), although that shouldn't be confused with necessity for some individuals who need that step for mental well being.

For me I'm more interested in top surgery first because that's something I can physically see.  I'm not going to essentially see a lack of something inside, but I will feel better with a proper flat chest.  But then if you don't have a big chest, then hysto might be preferable for gender marker reasons.

The way I see it for myself is that here in Canada I can get a Drivers license with a M gender marker.  So getting a hysto isn't a major rush for me unless problems arise.  My chest however, I want that gone a decade ago, so that's definitely a priority for me.

But it is sad that I was born in Malaysia an Islamic State! ! even transgender need change ID also need many bucks ... USD1=RM 3.09 covert to RM(ringgit malaysia)
tats y i said my cost too high for injection ... i buy testosterone RM2500 (USD810) .......Because there is no hysterectomy, so injecting T also very frequent right now. me do injection thrice a week  any recommend?) =) me on T only second month. did't have any experience.

Are you able to get testosterone imported from another country? I don't know the specifics of doing that, but I believe I read about a guy doing so. If that's an option for you, it could be cheaper that way.

YEA, I'VE FOUND. IT JUST ONLY USD75 FOR NOW WHAT TESTOSTERONE I'M USING. but i'm just afraid detained by Customs... if that is true then i waste my bucks again ....sobb..My country not same u guys western country =( this is just normal to ur country but to me that's hard

Well, just to clarify, I'm not trying to encourage you to do anything illegal. That wouldn't be good. I'm just saying, see if there's a way you can get it cheaper. What about health insurance--is there any chance that would cover part of the cost for you? See what your options are.

We're not supposed to talk doses but injecting 3 times a week is WAY too much. You need to speak to a doctor about your dose ASAP. Too much T won't do you any good, more likely worse because excess T is converted to oestrogen! Also, lower doses starting out can help you keep your hair (I believe this is unconfirmed but I have hope). Honestly, I don't know anyone who injects 3 times a week! I just started T and I inject only once every 2 weeks.

I also agree that three times a week is a lot more than anyone else I've ever heard of.  It's not going to speed up your changes, and can have an effect on your emotions, and as excess testosterone is converted into oestrogen it can be worse for you.  There are some guys on here who have had a hystoectomy, and I think at least one has said that their dose hasn't changed from before.  I really doubt that much testosterone is getting wasted.

Quote from: dreaming.forever on July 01, 2013, 03:13:03 AM
After you get a hysterectomy though, you won't need as high of a dose of T.

Not necessarily. I've had a hysto and my dose is still on the higher end. It all depends on how your body metabolizes the hormone.

As to the OP's question. Given a choice I would have had my top surgery before my hysto but mine was a medical necessity. Had some issues going on down there. So my transition is going name change, hysto, T, working on getting top done next year, and then legal mumbo jumbo completed. After that I'm going to save for bottom but there's no rush on it for me personally.

T dose does not change with a hysto. Been there, done that.

Hystos tend to heal faster, so you could, in theory, get both done sooner (not necessarily the healing, just the procedures), if you did that before top surgery. Also, I've heard some surgeons prefer you to be on T for a while before doing top surgery, as it changes the tissue.

Quote from: Ansley Ender on July 03, 2013, 02:11:45 AM
Hystos tend to heal faster.

I've always noticed that top surgery heals relatively quick on guys. Mainly the nips and not being able to lift your arms will be the most annoying aspects. Not looking forward to being a T-Rex for weeks.

Hysto isn't awful but takes awhile to heal. I think I was completely healed about 6 weeks. Mine was an open procedure. They removed my remaining ovary, uterus, and cervix. Then did a vaginal cuff to close it off. The worst part of healing is extreme cramps when you have to use the restroom. I guess the intestines press on the cuff. Not sure but it's awful. In the end it's completely worth it. Never have to have an exam down there again.

Quote from: Simon on July 03, 2013, 01:41:52 PM
Hysto isn't awful but takes awhile to heal. I think I was completely healed about 6 weeks. Mine was an open procedure. They removed my remaining ovary, uterus, and cervix. Then did a vaginal cuff to close it off.

Do they always use a vaginal cuff or does it depend on the type of hysterectomy you get (that is, whether you get a total hysterectomy or a partial one)?

Quote from: dreaming.forever on July 03, 2013, 09:51:13 PM
Do they always use a vaginal cuff or does it depend on the type of hysterectomy you get (that is, whether you get a total hysterectomy or a partial one)?

They do a vaginal cuff if you opt to have your cervix removed. I had read that some surgeons automatically do it but some don't because it increases the risk for complications but I specifically asked for it. Why? Because if you have your cervix removed you're not required to have pelvic exams any longer which was a huge plus for myself. The best way I can describe a cuff is after they remove the cervix they sew it closed up there kinda like the toe of a sock.

Does anyone know anything about T and PCOS?

I'm excited to pay off my car in the next few months/this next year (fingers crossed) so I can get top surgery, but lately I've been worrying that with my current PCOS, doctors are going to suggest I get a hysto as soon as possible after starting T. Since I've stopped taking my feminizing pills, my ovaries have been hurting pretty bad every now and then, usually halfway through my "month" and then again at the end. :/ I don't know if that's just them giving up on the idea of me being female, or if there's possibly something wrong that could make T more complicated (I know endo is common in PCOS).

Even if I did want to bind, I don't have the luxury due to my scoliosis, so obviously top surgery is my IMMEDIATE surgical priority, over something that can't even be seen. I've always dreamed of going topless on the beach one day, and as excited as I'm already getting over the idea of surgery, I just know life is going to throw a wrench into my plans.

If finances weren't an issue, I would do top surgery first. I'm a camp counselor in a coastal area/in training to be a marine biologist, so I spend a lot of time coming up with ways around awkward swimsuit situations. I can barely bind while on dry land-- it's definitely not going to be a viable option while learning to scuba dive! My life will be infinitely easier once I don't have to work around relatively large moobs all the time.

However, realistically, it will be way easier to convince my health insurance to take out my uterus. I've already had one ovary taken out in emergency surgery due to a very painful ovarian torsion (which the surgeon thought was appendicitis until mid-surgery), so I imagine it wouldn't be difficult to convince my insurance to cover my getting the rest out eventually.

Right now, most of my financial resources are going to things like rent and college, so it may be a while before either surgery happens. Now that I'm on T and have the right name and gender on my ID, I'm not in a huge hurry for the rest.