No. You don't have to have a hysterectomy if you're transitioning — this is entirely up to you. Many transgender men don't feel comfortable when they have female reproductive organs, as it doesn't match the way they feel inside. However, other transgender men feel surgery just isn't for them.
If you're not sure about whether this surgery is right for you as you move through your transition, feel free to make an appointment to speak with Dr. Kong. She's experienced in the area of transgender medicine and is always welcoming, supportive, and understanding of the unique issues that transgender patients face today.
Be aware that you need to undergo a pelvic examination prior to the surgery. Pelvic examinations can be embarrassing and emotionally challenging for transgender men, but they are a necessary part of the process.
In many states, including California, you can't legally change your gender until a licensed physician certifies that you've undergone "clinically appropriate treatment" during your transition. Dr. Kong can complete this form for you after performing a hysterectomy.
Before a hysterectomy, make sure you understand how the surgery can impact your hormones. You'll no longer have female hormones, but you'll also lose the small amount of testosterone produced by the ovaries. This means you'll need to rely on testosterone therapy for all of your testosterone, and that may mean dosing changes.
Hysterectomies were once done only as open abdominal surgery that required very large incisions of up to a foot long. Today, doctors can perform hysterectomies with minimally invasive techniques that require a few tiny incisions around 8-12 mm each.
The smaller incisions cause far less blood loss and also result in dramatically smaller scars. Patients experience less pain as well. Recovery time is around two weeks after a minimally invasive hysterectomy compared to six to eight weeks for open surgery.
If you’re going through a transition or planning to begin your transition soon, know that Dr. Kong is transgender-friendly and wants to help. Make an appointment with the online tool or call anytime to get started.
Dr. Kong accepts most PPO insurance providers. Please reach out to the office if you do not see your insurance provider listed here!