Transgender Men and Hysterectomies - Nebraska Medicine
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- Опубліковано 30 чер 2024
- Ryan Sallans, a transgender speaker and author, interviews Dr. Jean Amoura, a transgender care and hormone therapy specialist at Nebraska Medicine. In this second video, they discuss transgender men and hysterectomies. To schedule an appointment, call 402.559.2666.
- Наука та технологія
THANK YOU for clarifying what will happen to your hormones after a hysterectomy/oopherectomy!! Whenever I bring it up to (my doctor or in online chatrooms like Hyster Sisters), there's a heavy emphasis on "You're young, so you want to keep your insides intact in case you change your mind later." And I'm sO tired of people making decisions for me and not giving me the information as to _why_ they have that opinion. Thank you so much!!
Sick
Thank you! I've been suffering from anxiety over whether or not to get an oopherectomy because I don't take T and I don't want to get on hormones. This information helped a lot.
thank you so much for putting this information out there, as an AFAB trans person it’s so hard to find information to help inform me about my own health
I am only 3 minutes in, and I am about to cry. They currently have me in physical therapy for pelvic floor pain. It often comes on sporadically (sometimes after exercise), but pretty consistently occurs immediately after orgasm. When she said “occurs after orgasm” I felt a wave of relief wash over me.
Thank you for this great informative video! Highly appreciated.
Hi there, Really happy to find this kind of direct info. I’m a 47 y.o. cisgender woman in perimenopause, learning about the effects of “ovary failure”. The literature as I understand it indicates that removal of both ovaries leads to an increased mortality rate of 28%. That’s huge, especially for young people. I’m trying to find out if trans men are being informed about ALL the known increased health risks that come with menopause or if there are elements to trans gender health care that counter the risks.
Do all the associated consequences of menopause apply to trans men who undergo oophorectomy?
Thanks and all the best.
Thank you for this. What a relief! 🙏😇
Thank you for this resource!!
Wow! This is such great information. The doctor provides reassurance and knowledgeable fact-based responses. Really good stuff.
this is awesome, thanks for sharing
so helpful! this helps calm my anxiety. trans information needs to be easier to get to!
This helped me alot to figure out which surgery im gonna do.i dont think i deal with them pullin anything thru a canal tho lol
super helpful
Are there longevity studies? Would it be beneficial to go on HRT (estrogen) getting hysterectomy / oophrectomy...? (Also would men live longer if we took estrogen HRT, at least after a certain age for cardioprotective reasons?)
Your comment is from 10 months ago but I decided to reply. Maybe it is still helpful for you.
In case of gender dysphoria long term studies show no significant long term benefit of hormone therapy and sex-reassignment surgeries. Short term self-evaluation is a "honey-moon" effect. The long term cross-sex hormone use shorten life expectancy by causing more and more medical problems as the time passes. Estrogen reduces libido significantly. Surgeries increase su*c*dal behavior and can dramatically drop the quality of life. (constant medical problems)
Look up these:
Varied Reports of Adult Transgender Suicidality: Synthesizing and Describing the Peer-Reviewed and Gray Literature
Noah Adams,1,* Maaya Hitomi,2 and Cherie Moody3
Non-suicidal self-injury and suicidality in trans people: A systematic review of the literature
Ellen Marshall 1 2, Laurence Claes 3, Walter Pierre Bouman 1, Gemma L Witcomb 1 2, Jon Arcelus 1 4
The article “Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study” by Richard Bränström, Ph.D., and John E. Pachankis, Ph.D. ---- for this there is a published correction, previous results incorrectly found benefit in surgeries but later review of data found no evidence for benefit.
Sweedish study 1960-2010
An Analysis of All Applications for Sex Reassignment Surgery in Sweden, 1960-2010: Prevalence, Incidence, and Regrets
May 2014Archives of Sexual Behavior 43(8)
DOI:10.1007/s10508-014-0300-8
SourcePubMed
Authors:
Cecilia Dhejne
Karolinska Institutet
Katarina Oberg
Stefan Arver
Karolinska Institutet
Mikael Landén
University of Gothenburg
There are many more, I won't copy here everything. I hope you know how to read the text, because the language is very specific. Nuances matter.
@@moma-b The reason all major medical groups support it is because there are 30 years of massive data showing the opposite- I’ve of course already read (and absolutely nuance matters) the small handful of cherry picked studies- most from overtly anti-trans groups- and one, on a clinic (now closed) that, while the concern was that their screening standards were insufficiently rigorous (and I fully AGREE)- still showed no reversals of transition or harms to its patients even so.
Trust me, if all one uses
For ‘logical rigor and attention to nuance’ when doing medical literature nuance, is confirmation bias, one dooms oneself to bad science- and spinning medicine on its head, (Every medical group in the world is wrong about evidence based medicine, because these six outliers!).
I don’t care that anyone disagrees with me, that’s fine, but in disagreement- we should act with at least a modicum of epistemic integrity.
We all know that in the millions of cisgender people as well as the tens of thousands of trans people- hrt has fairly well known and yet also manageable risks. That it carries risks (and ways to balance for them) is no reason to make HRT, or any risk-bearing medication or treatment illegal.
If you are implying that hrt should be banned for trans people BUT not cis people- well, obviously that’s just gender bias, not medical reasoning. If your argument is that the risks of hrt outweigh the benefits, tout-court, make THAT argument- and again, tell us why your cherry picked studies outweigh the bulk of evidence the AMA and FDAetc use in determining safety and efficacy.
@@palominox64 I don't imply anything. Imo, adults can do whatever they want with their life. Some drink alcohol, others smoke, millions of people are getting different kind of plastic surgeries and millions use different kinds of legal or illegal drugs. Many of these people also struggle with some kind of mental disorders. Exactly that's why I do not argue with anybody. I share the info I have found and read, hoping it may be useful for someone.
If you have studies to share, I gladly read those too. Please don't try to link them, youtube doesn't support that. Just write the title of the study and the authors (like I did) so I can find them. Thank you in advance.
So what Buck Angel said that if you don't do it you'll probably die... he was basically trying to really scare us? Ai yai yai it's so confusing when you have two totally opposite opinions lol
The fact that this doctor didn't mention that females with high levels of testosterone are at a higher risk of PCOS, metabolic disease, insulin resistance, cancer (uterine) and heart disease is fucking irresponsible and dangerous. This is what happens when you mix politics with medicine, physicians feel pressured to be PC to a point where they literally start ignoring science. It absolutely *is* necessary to get a hysterectomy if you're taking testosterone. I can't believe this woman still has a license. Unbelievable!
Transmen are biologically female. So whatever applies to women's health, also applies to them. And no ob-gyn would advise a regular woman to take testosterone due to the dangers. But somehow, if she says she's trans, biology doesn't matter? This is lunacy.
www.news-medical.net/news/20200212/High-testosterone-in-women-ups-risk-for-cancer-diabetes-and-metabolic-disease.aspx
It really depends. Some trans people will have no issues with their reproductive health, others will. That's why it's important to have regular gynecological exams if you have the organs as well as general doctor visits.
@@vegetaismydad5382 I already had PCOS, taking testosterone doesn’t give you PCOS, you either have it or you don’t, and then you can choose to treat it how you want. My undesirable PCOS symptoms have lessened and been treated by testosterone and I am much more comfortable. Genuinely if you aren’t trans, don’t evangelize about our bodies and medical conditions.
@@vegetaismydad5382 And trans men who take T are just as at risk of heart disease and stroke as cis men, as our levels are maintained and regulated to a healthy level that would be the equivalent of a cis mans healthy range. There is no undue danger here, other than not giving medical care to trans people that eases their very real risk of death associated with gender dysphoria and discrimination.
*she
which checkups are recommended years after a hysterectomy? there are trans guys saying you won't have to go to a gynecologist afterwards.
Bwaha, those women are deluded. If you get your pouch ripped put you of course will need gynaecological aftercare!
Are there any dangers for non binary folx that have both hysterectomy and oopherectomy?
Only if you are not taking a hormone treatment of some sort! You need hormones (either estrogen or testosterone) to maintain bone health.
Definitely.
"Non-binary" is a *social* term. You are still biologically the sex that you are. When it comes to medical issues, it's imperative to acknowledge the reality of biology as it literally is responsible for your overall health, ffs.
@@vegetaismydad5382 pretty sure that talking about a hysterectomy and oophorectomy is acknowledging "the reality of biology". Since y'know, they're talking about removing organs that AFAB people are born with. You can say that you're nonbinary but still let healthcare providers know relevant information.
Folks is already a gender neutral term omfg
If I get a hysterectomy without removing the ovaries, do I still have to take T or will my own hormone supply still suffice?
Ovaries produce estrogen female hormone..no use if u r in transtion FTM
@@nightrider2876 I'm nonbinary and I REALLY wanna get rid of my uterus, but I don't want to be dependent on T
u can keep ovaries and remove uterus and fallopian tubes. Bcz body need hormones or else ur bonus become week and u will fall sick all the time. Ovaries produce hormone to to bodies.. u won't get pregnant and no period problem...but check befor taking any medical steps with ur endocrinologists
If you keep your ovaries and didn't have any hormonal issues before surgery, then you shouldn't need any supplemental hormones post-surgery.
@@mori5509 I ended up getting both the hysterectomy and oophorectomy because it was the right decision for me. I'm not on hormones because I never wanted them and it so happened that my surgeon discovered I had endometriosis during surgery, so they also advised me against getting on hormones. It's been 6 months and my hormone levels aren't dangerously low. What ever you decide, make sure you have a good medical team on your side. I had my primary, cardiologist, GYN and endocrinologist all on the same page. I hope you find this helpful.
Let me know I will do it on a day to day life and challange is....it's the hardest part of breathing
I love how she says menstrual cramps....what!!! She has idea!!! What cramps feel with any kind of medicine...maybe she should take ir her self...it is SOOOOOOOOOOOOOOO!!!!!!!!!!!!!¡!!! PAINFUL!!!!!!! THAT IR TRIGGERES OTHER PAIN
I should do a youtube. Channel explains exactly what happens... in not just this and that.
So, early menopause and bone loss when you treat women with a hormone designed for men. Also a greatly increased risk of heart attack and cancer. Vaginal atrophy as well.
Are you listening?
Going on Testosterone does not cause "early menopause." The decrease in production of estrogen due to the introduction of testosterone is not equivalent to the gradual decrease in production of estrogen equated with menopause. There is also not a link between transitioning and a higher risk of cancer or bone loss. Heart attacks are more common for trans men who take testosterone because heart attacks are more common for anyone with testosterone in their bodies (same goes for high blood pressure and cholesterol).
@@nicc.5574 no, the risk of heart attack for transmen is double that for men.
Your not treating a woman tho
@@nicc.5574 _"Testosterone does not cause "early menopause."_
Why not? The symptoms are the same. Some MtF trans people suffer from osteoporosis too.
Sexual assault