Hysterectomy: Difference between revisions

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    {{disclaimer|The Nonbinary Wiki is written by volunteers who are not necessarily experts on medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.}}
    {{Template:Surgeries}}
    [[Hysterectomy]] is any kind of [[surgery]] to take away some or all of the uterus, and sometimes other parts of the reproductive system, depending on the kind of hysterectomy.
    [[Hysterectomy]] is any kind of [[surgery]] to take away some or all of the uterus, and sometimes other parts of the reproductive system, depending on the kind of hysterectomy.


    Since this wiki isn't Wikipedia (see Wikipedia's article on [https://en.wikipedia.org/wiki/Hysterectomy hysterectomy]), this page should focus on aspects of hysterectomy that are relevant to people who are [[nonbinary]], [[transgender]], and [[intersex]]. Unlike many resources on hysterectomy that assume the patient is either a [[cisgender women|cisgender woman]] or a [[transgender men|transgender man]], this page should use [[gender neutral language]] for the surgery patient.
    Since this wiki isn't Wikipedia (see Wikipedia's article on [https://en.wikipedia.org/wiki/Hysterectomy hysterectomy]), this page should focus on aspects of hysterectomy that are relevant to people who are [[nonbinary]], [[transgender]], and [[intersex]]. Unlike many resources on hysterectomy that assume the patient is either a [[cisgender women|cisgender woman]] or a [[transgender men|transgender man]], this page should use [[gender neutral language]] for the surgery patient.
    '''Content warnings:''' This page is not safe for work, because it talks about reproductive organs and genitals.


    ==Transgender people and hysterectomy==
    ==Transgender people and hysterectomy==
    For transgender people, including some nonbinary people, a hysterectomy is part of their [[transition]]. A person doesn't need to have a hysterectomy in order to validate their [[gender identity]] unless if that is what they personally want to do. For transgender people, their reasons for getting a hysterectomy may include:
    For transgender people, including some nonbinary people, a hysterectomy is part of their [[transition]]. A person doesn't need to have a hysterectomy in order to validate their [[gender identity]] unless that is what they personally want to do. For transgender people, their reasons for getting a hysterectomy may include:
    * Getting rid of menstruation because it troubles their [[gender dysphoria]]
    * Getting rid of menstruation because it troubles their [[gender dysphoria]]
    * Making it so they can't get pregnant
    * Making it so they can't get pregnant
    * As part of changing their genitals to how they want them to be
    * As part of changing their genitals to how they want them to be
    * Satisfying their region's requirements for changing their [[legal gender]]. (Some countries require [[transgender men]] to get hysterectomies in order to change their paperwork to say "male." Other countries don't require this specific procedure, and require only that they get some kind of "[[bottom surgery]]" in order to say that the person's "[[sex]]" has been changed. Some countries don't require any kind of bottom surgery for transgender men at all.)
    * Satisfying their region's requirements for changing their [[legal gender]]. (Some countries require [[transgender men]] to get hysterectomies in order to change their paperwork to say "male."<ref name="JeftovicStojanovic2018">{{cite journal|last1=Jeftovic|first1=M.|last2=Stojanovic|first2=B.|last3=Bizic|first3=M.|last4=Stanojevic|first4=D.|last5=Kisic|first5=J.|last6=Bencic|first6=M.|last7=Djordjevic|first7=M. L.|title=Hysterectomy with Bilateral Salpingo-Oophorectomy in Female-to-Male Gender Affirmation Surgery: Comparison of Two Methods|journal=BioMed Research International|volume=2018|year=2018|pages=1–5|issn=2314-6133|doi=10.1155/2018/3472471|quote=In many countries, hysterectomy with salpingo-oophorectomy is a condition for legal recognition of the male sex [...] it can be performed as an isolated procedure, or at the same time with mastectomy and/or sex reassignment surgery.}}</ref> Other countries don't require this specific procedure, and require only that they get some kind of "[[bottom surgery]]" in order to say that the person's "[[sex]]" has been changed. Some countries don't require any kind of bottom surgery for transgender men at all.)
     
    Most kinds of hysterectomy make it so the person is very unlikely to get pregnant ([[sterilization]]). However, as long as there are still some parts of the ovaries and cervix, there may be some risk left of ectopic pregnancy (a pregnancy developing outside the uterus, in which the pregnancy is almost always non-viable and life-threatening to the pregnant person). Some kinds of hysterectomy make a person stop menstruating and go through menopause, though it doesn't necessarily get rid of all symptoms related to menstruation.


    Most kinds of hysterectomy make it so the person is very unlikely to get pregnant ([[sterilization]]). However, as long as there are still some parts of the ovaries and cervix, there may be some risk left of being able to get a very dangerous non-viable kind of pregnancy (ectopic pregnancy). Some kinds of hysterectomy make a person stop menstruating and go through menopause, though it doesn't necessarily get rid of all symptoms related to menstruation.
    It is possible for a hysterectomy to be performed at the same time as a [[Top_surgery#Mastectomy|mastectomy]] and/or a [[phalloplasty]], or it can be done on its own.<ref name="JeftovicStojanovic2018" />


    ==Kinds of hysterectomy==
    ==Kinds of hysterectomy==
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    *[http://neutrois.me/2013/03/05/hysterectomy-for-ftms-part-1/ Neutrois Nonsense: Hysterectomy for FTMs]
    *[http://neutrois.me/2013/03/05/hysterectomy-for-ftms-part-1/ Neutrois Nonsense: Hysterectomy for FTMs]


    [[Category:Practical resources]][[Category:Surgery]][[Category:Transition]]
    ==References==
    {{imported from nonbinary.wiki| type = page|It is part of nonbinary.wiki's import of the original Nonbinary Wiki and is licensed under [https://creativecommons.org/licenses/by/3.0/ CC BY 3.0].}}
    {{reflist}}
     
    [[Category:Transition]]

    Latest revision as of 00:24, 25 June 2022

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    This article mentions reproductive organs, surgery, and genitals. If you are not comfortable with reading about this kind of topic, we suggest you take a step back.
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    Disclaimer
    The Nonbinary Wiki is written by volunteers who are not necessarily experts on medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.


    Surgeries and procedures

    Hysterectomy is any kind of surgery to take away some or all of the uterus, and sometimes other parts of the reproductive system, depending on the kind of hysterectomy.

    Since this wiki isn't Wikipedia (see Wikipedia's article on hysterectomy), this page should focus on aspects of hysterectomy that are relevant to people who are nonbinary, transgender, and intersex. Unlike many resources on hysterectomy that assume the patient is either a cisgender woman or a transgender man, this page should use gender neutral language for the surgery patient.

    Transgender people and hysterectomy[edit | edit source]

    For transgender people, including some nonbinary people, a hysterectomy is part of their transition. A person doesn't need to have a hysterectomy in order to validate their gender identity unless that is what they personally want to do. For transgender people, their reasons for getting a hysterectomy may include:

    • Getting rid of menstruation because it troubles their gender dysphoria
    • Making it so they can't get pregnant
    • As part of changing their genitals to how they want them to be
    • Satisfying their region's requirements for changing their legal gender. (Some countries require transgender men to get hysterectomies in order to change their paperwork to say "male."[1] Other countries don't require this specific procedure, and require only that they get some kind of "bottom surgery" in order to say that the person's "sex" has been changed. Some countries don't require any kind of bottom surgery for transgender men at all.)

    Most kinds of hysterectomy make it so the person is very unlikely to get pregnant (sterilization). However, as long as there are still some parts of the ovaries and cervix, there may be some risk left of ectopic pregnancy (a pregnancy developing outside the uterus, in which the pregnancy is almost always non-viable and life-threatening to the pregnant person). Some kinds of hysterectomy make a person stop menstruating and go through menopause, though it doesn't necessarily get rid of all symptoms related to menstruation.

    It is possible for a hysterectomy to be performed at the same time as a mastectomy and/or a phalloplasty, or it can be done on its own.[1]

    Kinds of hysterectomy[edit | edit source]

    There are several kinds of hysterectomy, which take away or change different parts of the reproductive system.

    Hysterectomy without oophorectomy[edit | edit source]

    Hysterectomy without oophorectomy is surgery to take away the uterus and perhaps other parts of the reproductive organs, but without taking away the gonads (ovaries), so the patient's body can still make hormones. This means that the patient won't have to depend on hormone therapy for the rest of their life. They also won't go through early menopause, as would happen if they had a hysterectomy with oophorectomy. Some transgender people choose to have their uterus and gonads taken out because they plan to always take hormones, but other transgender people prefer not to depend on medicine so much.

    Hysterectomy with vaginectomy[edit | edit source]

    Hysterectomy with vaginectomy is surgery to take away the uterus as well as the vagina, so there is no opening there. The patient can still otherwise have the external parts of their genitals (the vulva) that they had before, just not the vaginal opening itself. This makes it impossible for the person to have menstrual flow, or to get pregnant. However, the person might still have endometriosis, which is menstrual bleeding inside other parts of the body. This operation might not get rid of all their symptoms related to menstruation. Some transgender people seek this because they're uncomfortable with having a vagina.

    Alternatives to hysterectomy[edit | edit source]

    Hysterectomy is a major surgery, and it can take the patient a year to fully recover from it. It can also be very difficult to get doctors to give a hysterectomy just by a patient's request. These are both big challenges. People who want some of the benefits of a hysterectomy would do well to find out about alternatives to the procedure that give similar benefits.

    For people who want to make sure they can't get pregnant, but don't mind menstruation so much:

    • There are some kinds of long-term but non-permanent kinds of birth control, such as birth control pills, or an Intra-Uterine Device (IUD). This can be useful if it's taking a long time to get a doctor who will give the person a permanent method. It can also be useful if the person thinks they might consider pregnancy in the future. The drawbacks are that pills change one's hormone balance in ways that transgender people might not want. The IUD has a long-term risk of getting unexpectedly dislodged, in which case it can hurt the person badly, or fail to protect against pregnancy.
    • For people who are sure they want a permanent method, they can get their "tubes tied". Tubal ligation is 99.9% effective against pregnancy, forever. It's a much easier surgery to recover from than hysterectomy. Tubal ligation doesn't change the patient's hormone balance or menstruation. There are even non-surgical methods of tubal ligation, which are as easy to recover from as getting an IUD.

    For people who want to stop menstruating, but don't mind the possibility of pregnancy so much:

    • Birth control pills can be used to change a person's menstrual flow. Ask a doctor about how to do this.
    • Taking testosterone can make a person's menstrual flow lessen or stop. It's not an effective way to prevent pregnancy.

    For people who want to prevent both menstruation and pregnancy:

    • Birth control pills.
    • Tubal ligation with uterine ablation. For people with a uterus, this operation is meant to lessen or stop a patient's menstrual flow, by cauterizing the inside of the uterus. This an alternative to removing the uterus, and has no effect on the menstrual cycle or hormone balance. Uterine ablation has to be done after a tubal ligation (or, alternatively, oophorectomy) to make pregnancy impossible, because otherwise the patient is at risk for getting dangerous non-viable pregnancies.

    External links[edit | edit source]

    References[edit | edit source]

    1. 1.0 1.1 Jeftovic, M.; Stojanovic, B.; Bizic, M.; Stanojevic, D.; Kisic, J.; Bencic, M.; Djordjevic, M. L. (2018). "Hysterectomy with Bilateral Salpingo-Oophorectomy in Female-to-Male Gender Affirmation Surgery: Comparison of Two Methods". BioMed Research International. 2018: 1–5. doi:10.1155/2018/3472471. ISSN 2314-6133. In many countries, hysterectomy with salpingo-oophorectomy is a condition for legal recognition of the male sex [...] it can be performed as an isolated procedure, or at the same time with mastectomy and/or sex reassignment surgery.