Adverse events and practice considerations for transgender patients undergoing hysterectomy

Transgender individuals are people whose gender identities do not align with their sex recorded at birth. For transgender men, gender affirming care often involves using testosterone and undergoing hysterectomy to reduce dysphoria associated with menses. (1) Two large studies have found no increased rate of postoperative complication in a transgender cohort compared to cisgender women undergoing hysterectomy. (2, 3) However due to vaginal atrophy from testosterone and gender dysphoria, it has been suggested that transgender patients may seek care for vaginal bleeding (VB) more often than their cisgender counterparts.

Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Pando, L Gerlach, SA Challa, A Pan, J Francis Source Type: research