Hysterectomy and Oophorectomy Experiences of Female-to-Male Transgender Individuals

This study surveyed 134 female-to-male transgendered individuals (FtMs) in order to obtain information about their experience of hysterectomy and oophorectomy. The survey was designed to explore motivation for undergoing surgery, access to care, surgical complications, postoperative changes, and use of standards of care. The survey was distributed at transgender conferences and online via transgender email lists and Web sites. Results demonstrated a wide range of postoperative experiences. Common motives for the surgery were to remove organs that were incongruent with the individual's identity (58%) and also concern about the potential for future medical problems associated with masculinizing hormone therapy (60%). Many sources advocate lowering testosterone after oophorectomy, yet our data reveal that virtually equal numbers of individuals increased (23%) or decreased (25%) testosterone levels postoperatively, and nearly twice as many maintained the same dose (44%). For many respondents hysterectomy and oophorectomy came before a year of living full-time in their preferred gender role (34%), before a full year on hormones (41%), or chest reconstruction (54%). This not only reflects the diversity of experience in this population but also has implications for the relevance and implementation of the Standards of Care for Gender Identity Disorders.