Some trans people have a hysterectomy with bilateral salpingo-oophorectomy as part of gender-affirmation treatment. Some benefits of this procedure may include prevention of monthly bleeding, possible reduction in testosterone dosage, elimination of the risk of ovarian, uterine and cervical cancer, as well as the need for cervical screening and decreased gender dysphoria.
This procedure involves removal of the uterus, ovaries and fallopian tubes usually via laparoscopic surgery. Three to five tiny incisions are made on the abdomen through which the surgeon uses long, narrow instruments to detach the uterus, fallopian tubes, ovaries and cervix. These tissues are removed through the vagina, and the top of the vagina is closed with stitches. At times, the procedure must be done through a larger abdominal incision. This procedure results in permanent infertility.
Additional information about hysterectomy with bilateral salpingo-oophorectomy can be found on the Transgender Health Information Program website: transhealth.phsa.ca