Gynecologic Surgery

About Hysterectomy and oophorectomy

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 transmasculine 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 metoidioplasty 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. There is conflicting evidence on the role of the estrogen produced by the ovaries on the risk of heart disease or osteoporosis.  This can be discussed further with your hormone prescriber or surgeon.

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

  • Referral letter from a mental health provider.  Some insurance plans may also require a referral letter from a second mental health provider.

  • Referral letter from your primary care or hormone prescribing provider, clearing you for surgery