How soon after commencing hormone treatment should an F.T.M. undergo hysterectomy?
This is difficult to say, but arbitrarily I would say within 4 years. Should all F.T.M.s plan to undergo a hysterectomy at some point in their life? Not necessarily, but within a certain span of time. Are there specific problems an F.T.M. might experience e.g. breakthrough bleeding, which might indicate an early hysterectomy? No, this bleeding nearly always can be managed with pro-gestational drugs. What would be the reasons for an F.T.M. not to undergo a hysterectomy? A high risk for undergoing surgery, which is rare. Is there any particular method that a surgeon should use, and if yes, why? In Holland we have a Gynaecologist who is able to do a vaginal hysterectomy which leaves no scar. Intervention is a bit difficult in a person whose vaginal canal has not been widened by child birth so the average Gynaecologist is hesitant to do it. It would be good to find a Gynaecologist who is prepared to do this. It is technically more difficult. An alternative is so-called laparoscopic removal
