r/FTMHysto

Hello! I have been taking testosterone for I think 5ish years now. Suddenly, I keep getting a monthly cycle every three weeks.

My gender care doctor is an amazing person. She gave me so many options. My problem is me. I’ve never had an OBGYN appointment due to trauma. I was even offered for them to do an in office on the spot check, and I tried and ended up crying and getting dressed again. It was really embarrassing. She said they could give me mild anesthesia, but that also made me scared since I wouldn’t be conscious during it.

She told me I could get a partial hysterectomy and then be at a less risk for things if I’m not wanting to get wellness checks down there. I initially said no, but I’m experiencing another cycle. I’ve gotten blood labs done and everything, and I’m just tired of this.

My main questions are- if I do a partial hysterectomy, do I have to be in T for the rest of my life? Am I more likely to gain weight or rapidly age? Did this change arousal levels?

I’ve been reading lots of conflicting research online and wanted to see if anyone had first hand experience. This is an embarrassing topic for me but I really want to see others point of view before advocating for the surgery to level everything back out

So, 2 days ago I had my last pre hysterectomy consultation and I have the surgery scheduled for mid June, however the doctor says I will have to either dilate the V on my own or they won't be able to do laparoscopic and they'll have to do abdominal instead, which they said has more chance for complications and harder recovery and of course a much bigger scar.

For a bit more context, I am a complete virgin in that hole, never had anything in there, since I was a kid I was absolutely disgusted by that part of my body and never wanted to have anything to do with it, to this day it is still the part of me I have the most dysphoria about, since I started testosterone my dysphoria actually lowered slightly, which is why I was actually able to let them try to do an ultrasound they needed, but it was still the first time in probably over 10 years someone else saw me without underwear(I'm 19, I never had a gynecological exam before), anyways they didn't succeed, they had to do an abdominal ultrasound instead, they also tried to go in with just a finger and it didn't fit either.

Due to the fact that with Laparoscopic hysterectomy the uterus and stuff needs to be taken out through the V hole, they need space for that and so without me dilating it, that wouldn't be possible.

I don't really know what to do tbh, I really don't want to make it so I have higher chances for complications, especially since I am planning on doing phallo and I would prefer to limit the amount of stress my body needs to go through, I also don't really wanna deal with that big of a scar there, but I also know that trying to dilate it enough will not be good for my mental health, which is already not the greatest rn and the extra stress of that would probably do really bad stuff to me.

Is it even possible that I dilate it enough in time? The doctor said they need at least 2 fingers space.

I do think that I will at least try to do it, I think long-term the pros much outweigh the cons, and that in the end it will be worth it, as I know having a very visible scar that big will give me dysphoria and it's gonna be there until I'm able to cover it with a tattoo, which is gonna take a while. But I just wanna know if y'all think that it is actually possible to achieve that in time? Cause tbh I don't really know much about all of that and I am pretty worried about that.

Also, has anyone else gone through something similar? It would kinda help to know that I'm not totally alone in this haha

So I’m 10dpo or so, and tbqh I’ve had a suspiciously easy recovery. Haven’t touched any pain meds stronger than prescribed naproxen and besides bladder spasms on day 2 + general soreness, gas, and pretty significant fatigue I have felt… basically fine?

I’m genuinely struggling to tell how much is too much to do. I went for a longer walk on the beach for the first time since surgery yesterday, probably 20 mins total, and passed out for two hours after but again, didn’t trigger pain or anything. I’ve had some pulling at the abdominal incisions which I’m being careful about, and I think I got a bit worried since my steristrips are coming off a bit and one of my incisions has a small opening where stitches are spitting, but there’s really nothing else.

I’ve cooked for myself here and there, opened car doors, carried things I think under the 10lb limit and haven’t had a huge issue with stairs, but I keep worrying I’ll overdo it without realizing!! I plan do some some walking the next couple days again, in around 1 hour stretches or so. I also have misplaced guilt about lying around all day and having people do everything for me so I’m trying to be mindful of my habit of not getting help when I need it, lol

Did anyone else have a weirdly easy early recovery and struggle with limiting themselves? If my body’s just feeling fine, am I good to keep going as I am?

They were very vague about the compression socks they gave me.. they gave me 3 pairs and said to wear them after the surgery but the morning nurses didnt seem to know how long for

the booklet only says "up to 6 weeks as advised" am I really supposed to wear them daily for the 6 weeks? im back to normal mobility and walking around at this point

So I need some advice. I'm a young transman and I've been having severe cramping pain. I've gone to the doctors and they're very confident that I have endometriosis.

The thing is, I'm not sure what surgery I should do. There's two options.

1. Laproscopy with IUD and fallopian tube removal. (This removal is to make sure i won't get pregnant as I'm horrified of the possibility).
2. Full hysterectomy but I keep my ovaries.

I'm not sure what to do exactly. The doctor told me if I do option 1 and I'm still having cramping then we can see what we can do from there (most likely a hysto). If I do option 2, then I don't have the option of an IUD. I'm just not really sure I'd like an IUD in the first place even if I'm under. Plus then I won't have to worry about bleeding/spotting if I get a hysto. But I'm really not too sure, honestly. I don't know if I should go full gun-ho or if I should take it step by step.

I planned on getting a full hysto anyways in the future, especially since I want bottom surgery, so I guess that's something else I'm considering.​ I guess I'm just worried about going full on into something and I need some advice on what might be the best.

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edit: Thank you guys for the help! I think what worried me was just the fact this was coming sooner than expected, as well as the fact I know I'll have some pushback from my family. But I think I'm going to opt for the full hysto. Hopefully I'll be able to get it without any issues and hopefully it'll be soon.

TW: anatomy terminology

About Me:

I’m an early 30’s trans man trying to get scheduled for hysterectomy. I’ve been medically transitioning since 2019. Like many before me I’ve gone back and forth on keeping some parts of myself given the state of, well, everything, but I think I’m finally certain to remove everything but keeping my vagina for PIV. I’m also looking into meta w/o urethral lengthening and scrotoplasty.

The Situation:

I learned recently my mother has osteopenia. Which means there’s a higher likelihood for me to develop it. The idea of osteopenia and osteoporosis scare me. I’m aware being without ovaries to produce estrogen needed for bone health can also contribute to this. To my understanding testosterone can also help with staving it off but i am not a doctor and can always be wrong about this and the previous statement.

Questions:

- For those of you who had hysto with ovaries removed and it’s been 10 or more years, how are you faring?

- Have you had to do some diagnostic imaging or screenings sooner than guidelines dictate? (Like a DEXA bone density scan or labs?)

- For any that ended up developing osteoporosis or osteopenia, what’s quality of life like? How do you manage your condition?

Obligatory I’m not looking for medical advice. I’m trying to see the what the long term implications for us are when transitioning medically. I see a lot of posts from younger folk, I want to give some of our elders a space to share.

Uh hey guys. 19M, got a total laparoscopic hysterectomy (ovaries, tubes, cervix) on April 28th and since then I’ve been fucking losing it not being able to masterbate and I finally gave in today. Obviously external only. Didn’t feel as good as usual and right as I was about to cum I got this really weird feeling like I was going to pee myself but it wasn’t painful. Tried to keep pelvic contractions to a minimum but obviously that couldn’t entirely be avoided. Now afterwards I’m getting some weird cramps and it’s super uncomfortable. Not bleeding or anything but it definitely hurts. I also totally forgot my evening dose of tylenol so that might be contributing, just took it now. My surgeon never mentioned anything about external stimulation and based on some googling I assumed external stimulation was fine once I felt up to it. Am I all good or did I mess something up? is one week post op enough time?

EDIT: two days later and I'm totally fine guys. I was worried over nothing and felt completely normal the next day. No lingering increase in pain or any weird sensations once the initial cramping was gone. I also did it again (probably not a wise decision) the next day and it didn't hurt at all the second time around, just felt a bit strange. All the comments helped assure me everything was okay so thank you guys. I'm probably gonna delete this because I'm pretty embarrassed but I'll leave it up for a few weeks cause I'm sure some people on here have similar concerns lol. I do recommend waiting longer than I did if you can, two weeks minimum seems optimal based to avoid discomfort from what I've seen. Thanks everyone!

Hi all Tldr : post abdominal hysto, can I not have a post-op consult and try having penetrative sex 12 weeks post op without getting "clearance"?

As summary says, I had abdominal hysto and I'll be 3 months post op at the end of the month. I had the post op with my surgeon 8 days after surgery and that was it, he said I'm all good Ive been back to office work at 10 days, I drove my scooter after 2.5 weeks, ive been back to the gym at around 6 weeks, light/moderate weights I did external sexual stuff I haven't had any bleeding or spotting since All in all, thankfully a typical recovery, only some pain in the stomach here and there where the incision is So, I don't want to go for another post op with a gynecologist and ive never been to one and my surgeon is out of my area rn + i live in a conservative place so as a man i cant exactly ask about having penetrative sex lol... Can I just try having internal sexual stuff or I HAVE to get clearance from a doctor ?

Experiences appreciated Thankss

Surgery is tomorrow. I feel like it’s about to be a lonely ass 2 weeks of recovery. Any suggestions on solo activities I can do to keep my mind busy while stuck in bed? I’m already ready to go back to work 😩

TW: bottom dysphoria

EDIT: I know people mean well and are just trying to help but I’d really appreciate if people stopped suggesting other methods of applying topical E. I made it very clear that my bottom dysphoria is extremely severe and I will not be interacting with that area any way unless I have explicit pre surgery intentions to do so. I was asking about the post op experiences of other people like me who are not able to/were not instructed to use topical E. Please use some discretion and remember what sub you’re in.

So I’ve been on T for 3 years and have some pretty substantial atrophy. I have really severe bottom dysphoria and the atrophy isn’t enough of an issue for me to consider using E cream as I struggle to even acknowledge that area’s existence. I’m never planning on having anything up there anyway so it doesn’t really affect my life. The trouble is that I’m 4 days post op for a laparoscopic total hysterectomy. The surgeon said that he’d recommend me using E cream but it’s not absolutely crucial. I haven’t used it because I physically can’t without wanting to throw up. It’s frustrating because I keep hearing people saying “JUST use E cream”, but it’s not a “just” for some of us, it’s simply not doable. I’m now freaking myself out by hearing about all the ways that atrophy can cause complications and I’m just wondering if there’s anyone out there who’s in the same boat as me? Did you have a smooth recovery without the need for any topical cream? I’m just hoping it’s not going to totally jeopardise my recovery.

I’m exactly a week post-op today and STILL having consistent bleeding. I see all these posts in both this sub and the other hysto sub with people saying they didn’t bleed once or only a couple days and it can feel extremely frustrating when that isn’t your experience, making you feel like something is going wrong. I have been so stressed out about it.

I’ve already contacted my doctor and they don’t seem concerned (not filling a pad an hour, no pain, etc), I’m honestly probably too active which is also odd because all I do is laps around the house for 10 or so minutes whenever I get up to use the restroom. I’m honestly just upset by all this blood and keep worrying about it not knowing what’s going on or why my experience seems so different.

P.S I have NO idea how people stay on literal bed rest this long. My back is absolutely killing me no matter where I lay down or sit. It’s awful

Has anyone pursued a vaginectomy without any other kind of bottom surgery? Sorry if this is the wrong sub for this sort of questio, but it’s hard to find specific information about this.

V-nectomy is a standard step for meta and phallo (can opt-out if you want to keep that anatomy) and I’ve seen that it’s usually combined with full hysto as one procedure or a follow-up surgery in the next step of multi-part bottom surgery. Seems like some surgeons recommend getting full hysto ovaries/fallopian/uterus/cervix removed then six months later get vaginal canal cauterized and sealed to reduce healing risks.

Are there any pictures or first hand experiences anyone can direct me to about v-nectomy as a stand-alone procedure? I don’t want meta by itself and am not going to do phallo for several years at least, but am extremely interested in the possibility of v-nectomy given that some surgeons don’t require the vaginal lining to do UL.

So I help care for a gentleman part time and I’m wondering how long others waited before going back to work as a caregiver.

I don’t lift him up - the things I do is help dress him, push him in his wheelchair, and I will hold down his walker with my arm while he stands up. Putting pressure downward on the walker not lifting. Once in a blue morning I will put my arm under his underarm area for a little bit of support while he stands.

Any feedback appreciate thanks

PS: My surgeon was vague on recovery and said 4-6 weeks but didn’t have time for me to go into detail. I plan to ask again but curious about others experience here. I’m getting laparoscopic

So since this is all coming on rather quickly than I thought (I made a post before asking for advice about my surgery options on this sub about a day ago), I'm now curious about the whole process. My doctor said she'd submit an order today and contact insurance. While I'm waiting, I have some questions.

1. How long is the typical wait time for someone getting a hysto due to endometriosis?

2. What types of surgery is there for hysto? I know there are two kinds, but I forget what the difference is between them.

3. How long is the recovery? I work as a pharmacy tech, which means a lot of running around, stretching, bending, squatting, etc. How long should I request off?

4. What is recovery like? Top surgery was essentially painless for me. It felt like I was sore from doing a hundred pushups the day before. Will it be worse, the same, or better?

5. Was there anything no one talks about that surprised you? Things with recovery, surgery, or after all of it?

6. Is there anything I should bring/have for recovery? Thankfully, I'm more than likely going to be home resting for recovery instead of a hotel like I was for top surgery.

7. Is there anything I shouldn't do during recovery? (Showering, any movement, etc)

If there's anything else you may think of, please mention it! I'm not as well prepared for this as I was my top surgery lol

My hysterectomy is scheduled for June 12 and I'm trying to get prepared. Just wondering what sorts of things I won't be able to do on my own afterwards. I know we're not supposed to lift things for awhile or do any penetrative sex. Will I be able to go down stairs? Or bend down? Or get out of bed on my own? I'm getting laparoscopic surgery, but I imagine my abdominal muscles will still be sore.

im about 3.5 weeks post op and this morning when i went to the bathroom there was a slightly concerning amount of blood. i know its normal to have bleeding again around 2/3 weeks out because of stitches dissolving, but i already had that like a week ago and it already stopped. for several days ive only had very very light pinkish spotting, which i kinda assumed was just my body clearing out blood that was already in there, but this was like proper red Blood. is it normal for bleeding to come and go like this?

for context i have maybe been doing a bit more than i should while recovering, but im not in any pain and haven't been since like day five. it mainly worries me because i had a particularly active day yesterday and the last thing i did before bed was sex (not penetrative) and i do remember being particularly uh.. Tense. during. i dont think its enough blood to be a cuff tear based on what other people say? but im worried i might have fucked something up

When did you resume playing again? Any issues? Trying to see when I can resume music lessons after my surgery.

Hi, I hope this is an okay place to ask for advice!

I’m aware people do not get listened to easily when asking for a hysto - I think I have perfectly reasonable justification for wanting one (HEAVY periods that make me anaemic, pain that only codeine touches, normally 9 or 10 days, never want kids) but I was wondering if anyone had anything they said that actually got the doctor to listen instead of just suggesting another contraceptive (I’ve been on 4 kinds and all gave me bad side effects).

Another hurdle I have which I’m fairly hopeful my doctor will be okay with, is I’m under the trans umbrella so I’m worried it’s going to come across like I’m trying to get gender affirming care through the NHS by deception. I have no issues with gender dysphoria surrounding having a uterus and I just don’t want to be in excruciating pain for a third of each month.

Thank you for listening!