Gynecologic Surgery

About Hysterectomy and Oopherectomy

Drs Tami Rowen, Alison Jacoby and others within the Division of Obstetrics, Gynecology and Gynecology Subspecialties offer this surgery as part of gender affirming care for transmaculine patients.

You will have a full intake prior to scheduling surgery where we will discuss the surgery type, review the role of removing the ovaries (oophorectomy) and the route of removing the uterus (hysterectomy). For most patients a minimally invasive approach is offered, either transvaginally or via laparoscopy (making very small incisions on the abdomen). We do not offer metoidoplasty or vaginoplasty at this time, though we can offer a vaginectomy (removing vaginal tissue and closure of the entrance) if it is desired.

Should you remove your ovaries?

This is a very personal decision. The ovaries function by producing hormones such as estrogen and testosterone which have many health benefits. Specifically estrogen provides protection to your blood vessels and heart and keeps your bones strong. Without ovaries the chance of heart disease and osteoporosis increases significantly. This can be prevented, however, with consistent hormone therapy use. If you are on cross hormones with testosterone you will be protected. It’s critical to continue on this hormone therapy regularly and at a sufficient dose until after age 40, ideally until age 50 (or even older if you prefer to continue). There are also medications that can suppress the natural production of hormones from the ovaries if you do keep your ovaries.

The ovaries also contain eggs for reproduction. Even without a uterus you can still use the eggs for a pregnancy. Thus if you are interested in having this option it may be beneficial to retain the ovaries. We are happy to discuss this further in your initial visit and in the surgical planning.

.

Documents required for clearance for surgery:

· Your insurance card and identification

· A complete Medication List and Gynecology History form(provided at your visit) ·

· For insurance purposes, you may need to provide letters from two mental health providers supporting the decision to move forward with gender affirming surgery