Vaginal natural orifice transluminal endoscopic surgery (vNOTES) for gender affirmation

The process of transitioning from female to male in transgender persons usually includes medical treatment as well as surgical interventions, including removal of the uterus and ovaries. Nulliparity and prolonged exposure of the vaginal mucosa to testosterone, which are common among transgender men, may present challenges to performing a vaginal hysterectomy with salpingo-oophorectomy, which is commonly performed only for multiparous individuals.

Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Mohr-Sasson, M Hui, M Bonilla Moreno, A Montealegre Source Type: research