The removal of the inner female genitals including the uterus and ovaries is performed from our partner obstetrician and is usually carried out simultaneously with the mastectomy, or any other given time. Although this procedure is not obligatory and has no effect on gender affirmation, it is required to prevent unpredictable hormonal changes on the uterus and to reduce estrogen production, helping the hormonal substitution in general.
The hysterectomy is performed under general anesthesia endoscopically, without big or visible scars. Patients are mobilized on the next day and can leave our clinic after 1-2 days. Some minor bleeding from the vulva is to be expected.
We also offer an optional freezing of ovarian tissue, for male transgender patients who may want to fertilize their own ovaries in the future.