hello all. feel free to move this topic if it isn't in the right category, I just didn't know where to put it.

I'm ftm and I've been reading up on the necessity of having a hysterectomy done. I'm just really confused about it. Is it really necessary to get a hysterectomy? I've been hearing mixed things from people and I don't even know where to begin. I don't want to have to get one done if I don't need it, but some people say I should bc testosterone HRT may cause uterine cancer within five years of being on HRT. Others have told me it's not likely to happen, and I shouldn't worry about it. I really need advice, I don't want to get any unnecessary painful surgeries if I don't need them.

I don't know about the cancer concern. However, I have read accounts from some FTM people who never have any bottom surgeries and are rather successful in society as men. It is mainly a matter of what makes you comfortable as an individual.

I brought the same concern to my endocrinologist a year and a half ago when I started. She gave me a confused look and essentially told me that my cancer risk would greatly decrease simply due to the female reproductive organs shutting down. The longer those parts are in service, the higher the risk increases (female-bodied individuals that 'start' very early and finish very late are at the highest risk).
As such, she told me that a hysterectomy would be an option but not a necessity. I've since heard the same thing from several other reputable individuals. Unfortunately, it's still recommended that you receive the appropriate checkups on those parts as long as you keep them.

Quote from: Stone Magnum on April 16, 2017, 05:49:59 PM
I brought the same concern to my endocrinologist a year and a half ago when I started. She gave me a confused look and essentially told me that my cancer risk would greatly decrease simply due to the female reproductive organs shutting down. The longer those parts are in service, the higher the risk increases (female-bodied individuals that 'start' very early and finish very late are at the highest risk).
As such, she told me that a hysterectomy would be an option but not a necessity. I've since heard the same thing from several other reputable individuals. Unfortunately, it's still recommended that you receive the appropriate checkups on those parts as long as you keep them.

thanks for the input!! i'm really relieved to hear it's optional. I can tolerate some uncomfortable gyno visits, much rather do that than get a hysterectomy.

It is not necessary. The cancer thing is a myth. Some people do have issues with cramping and spotting after a long period of time on T, but it isn't as pervasive as the internet would lead you to believe.

Quote from: FTMax on April 16, 2017, 08:15:33 PM
It is not necessary. The cancer thing is a myth. Some people do have issues with cramping and spotting after a long period of time on T, but it isn't as pervasive as the internet would lead you to believe.

I, too, wonder about whether to do the hysto-oopho or not.  Have always had healthy parts, and understand the difficulty the body has with surgeries.  Yet, I believe that Dr Miro uses the vaginal tissue in creating the UL.  Any knowledge you have here on specifics would be welcomed.  (Note: I have consult with Dr BL on 12/4 and Dr Miro on 11/3)


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Before assuming that the "cancer thing" is a myth, it would likely be necessary to state that there simply is not enough research out there on the long-term effects of testosterone on the female gonads. 

My GP recommended I have it done within 4 years of starting T.  I had it done last year.

I can only think of positives and benefits to having it done.  However, for someone looking to conceive and carry a genetic child - I can understand the reservations.

I asked my hormone therapy supervising physician about it (years after I had the hysto done--I had heard the same things about cancer) and she said there was no evidence that it increased the risk of cancer. Oh well.

There do exist benefits to getting it. I've never heard T directly causing cancer but i do know hysto lowers the cancer risk. Not having ovaries and a cervix greatly reduces the chance of developing those types of cancer, similar to how top surgery reduces breast cancer risk. A benefit of it is that once you stop naturally producing E your T dose can go down which can cut down your risk for kidney & heart disease like most bio males are naturally predisposed to.
Also without a hysto there's a chance you can develop PCOS or like minded symptoms because long term T use can cause those organs to atrophy. (My mother has had multiples cysts in her ovaries and its an awful thing..)
Lastly, keeping them there does mean you'll have to (or should at least) get checkups for cervical cancer etc eventually.