r/FTMHysto

Pre-Op Exam Accommodations?

I'm hoping to one day get a hysterectomy, vaginectomy, and meta. I understand that especially for meta, that probably means some type of pre-op exam. I'm not opposed to it in theory, and understand why it's important, but I'm afraid it may end up being a barrier to surgery.

I've had one gyno exam in my life about 6 months ago at age 23. It was planned to be external only, but had to be cut short to less than 5 seconds because I was shaking uncontrollably and kept muttering "no". I think my heart rate was like 140bpm. I then kept shaking on and off into the next day, and STILL feel freaked out by the exam. This was without pre-op anxiety meds, so with them, and knowing it would result in the chance to no longer have bottom dysphoria, I may be able to push through an external exam. Now, they may need to get someone to hold my legs open if I'm shaking uncontrollably, and they might have to ignore some crying, but I could push through.

I have more concerns about an internal exam. I genuinely don't know if that is even possible. I can manipulate my external anatomy with great anxiety. I have literally NEVER been able to do anything internal, and just the thought tends to trigger an extreme reaction. Take this with a grain of salt, but I ran an experiment where I took my blood pressure with a home arm monitor over a few normal days, low-normal, and after one of my anxiety sessions just thinking about potential internal things and suddenly I had stage 2 hypertension!!!!!!

I've heard of alternatives to paps before hystos like doing the self swab, and even that would be impossible. Having someone actually do it to me would be easier, because then they could hold me down and continue doing it even if I started screaming. I can't force myself to do that.

I'm willing to work with a surgery team, but I also need to be realistic about my limits.

Do I have too much bottom dysphoria to get bottom surgery?

reddit.com
u/Superb-Arm4522 — 9 hours ago

Hormones & Menopausal Symptoms

Ik that most cis women that have full hysterectomies will undergo HRT to help manage the menopausal symptoms of the surgery and its aftermath but since Im already on a form of HRT (3yrs on T) how will those symptoms effect me?

Has anyone on here (post op only) run into issues with menopause symptoms? How did u manage? How long did they last post op?

Has anyone here had to change their T dose to better cope with these symptoms or have to change it for other reasons?

To those who havent had menopausal symptoms, wut other things should I expect post op?

Any info is greatly appreciated 👏

reddit.com
u/OvidiousN3 — 1 day ago

What checks are done post op?

Hello, I’m an 18 year old trans man. I live in Australia and I’m hoping to get a hysterectomy within the next few years, fingers crossed. Just wondering what checks are typically done post op? I’m guessing every country is different? Do any of them involve the surgeon checking things internally? That’s something that I’m not really comfortable with, and honestly kinda scares me. I don’t need a pap smear or internal checks done pre op, I’ve already emailed a clinic with questions about that. Just thought I may as well ask here for post op, I’ll get a quicker answer lol

reddit.com
u/NoodlesBlep — 2 days ago

Concern regarding penetration

I'm planning to get hysto next year with full removal of the uterus, cervix, tubes and ovaries. The thing is I've never had anything in my vagina because of dysphoria and simply because I don't want to. I really never want to use that part of me and never have anything penetrate me there. My question is does this surgery require penetration during the check ups, the surgery itself or recovery? I've read people having to dilate but is that a universal experience or not? Is it possible to go through with the whole process not have anything inserted?

reddit.com
u/Various_Sale860 — 2 days ago

I'm all over the place. Good Lord.

So im 40 days post-op. I went in for my post op check in and they couldn't asses due to how narrow and tight my canal was. She could only insert a fingernail worth, and she felt a band of scar tissue. She was unable to feel the cuff at all. She didn't feel comfortable clearing me since the cuff was hiding behind the scarring and said she wanted to do a vaginoscopy. I'm so tired of this. The fact that my canal couldn't even tolerate their instruments last time, which caused a big laceration, makes me uneasy and extremely nervous. I also hate that part of my body and knowing people have to be down there again really fucks with me on a different level. It's scheduled for Sept 3rd, and I know I need to do this, but i just can't take it anymore. The spotting, the tenderness, the worry of moving wrong. Plus, I feel so guilty about missing work due to having a small team. I'm due to go back to work Monday, and I hate that I'll have to miss shortly after.

Has anybody had this done due to their canal being extremely narrow and small? They've got to use pediatric instruments on me. I've also never used that part of myself. Been on T almost 10yrs now. I can't do this anymore.

reddit.com
u/ishootblankss — 2 days ago

anyone else experience fat infiltrating the umbilicus after hysto?

since a month or so post op ive had little pea-sized nodules in different spots around my belly and right behind my bellybutton, they get inflamed and can hurt pretty badly. i complained enough for a CT (since theyre too small to be hernias and at first they kept disregarding it saying it was from injecting T there even though it kept worsening for a month after I switched to thigh injections 🙄) that found “infiltration of the subcutaneous fat at the infraumbilical anterior body”.

doctor says basically just take NSAIDs to manage and wait a few months for improvement. just wondering if anyone else dealt with this and if anything seemed to help? the only thing ive found that has reduced pain/swelling is a prescription of celebrex but its a bit tough as it seems to be worsening my nausea/acid reflux as a side effect

reddit.com
u/Own_Substance111 — 1 day ago

Part of my recovery!! 1 year post op

I watched to spread this information out! I’m doing PT due to my hysterectomy and just other nervous symptoms regarding my pelvic.

Dilators is part of my PT and I’m excited to use them for my recovery. They can be expensive, so I found an organization that provided them for me and all I had to pay was the shipping fee! If you need the information lmk!

u/IWantTheBestForYOU — 3 days ago

Has anyone had a hysterectomy and stage one of phalloplasty in the same surgery?

Hello everyone, apologies if this has been asked before but I honestly have no idea what key words I need to find it, and apologise if this doesn't seem like the right sub to post in, but I have posted to the phallo sub, it just takes a while to be approved or rejected.

I have to have a hysterectomy abroad, it seems like my most beneficial option aside from cost due to extreme wait times, and lack of both trans care and female care that doesn't include medical-misogyny and associated barriers, even in private care. Due to this, and also wanting to start phalloplasty as soon as possible due to the long recovery periods etc. I've asked if a surgeon would be willing to combine stage one phalloplasty and the hysterectomy. No matter if I have them seperate or combined, I will have to stay for multiple weeks and travel both times, so for both time off work and costs, it would be beneficial for me, plus a combined healing period versus multiple requests with my job.

The hospital I have contacted said they are willing to combine the surgery, it just has to be any other hysterectomy aside from the NOTES technique. They've also stated that in stage one they would do a vaginectomy, urethral lengthening, and pre-fabrication.

Has anyone else combined these procedures; what was your experience?

- How did your hysterectomy heal, what technique did you ask for?

- How did your stage one heal?

- Do you feel that either of these impacted any further gender care or your SRS process?

Etc.

Thank you for any replies.

reddit.com
u/unknownpuddle — 2 days ago

How to Start Hysto Process?

I'm trying to get on my way with phalloplasty n ik the first thing I'll need done is a hysterectomy but idk what to do to start this process (in terms of going thru insurance). Ik for my top surgery I needed 1 letter from my licensed therapist n 1 from my PCP but is this any different? Who do I call to know what they'd want on the letters? How was the process for those in Cali? Any peticular common issues that are avoidable n how to keep from getting them?

I have MediCal n am in Northern California if that helps.

reddit.com
u/OvidiousN3 — 3 days ago
▲ 7 r/FTMHysto+1 crossposts

Hysterectomy at 18

Is there anyone here that could help me find a doctor willing to preform a hysterectomy on me? Im 18 and trans ftm, ive been on hormones for 10ish months. Im not bleeding or anything but ive been having DEBILITATING cramps. Im talking not able to move for hours type of pain, Almost once a day at this point. Im tired of this. I dont even want my uterus to begin with. I know finding someone to listen to my problems will be hard because of me being 18 but I cant handle this type of pain any longer, it just keeps getting worse.

reddit.com
u/hiking-reptile768 — 7 days ago

Insurance partial denial 1 day before surgery

Insurance approved the hysterectomy but denied the cyctoscopy that my surgeon explained is a standard check to ensure the urethra was not damaged by the primary procedure. Surgery is scheduled for Tuesday which leaves one business day to deal with this prior authorization issue.

My medical team failed to send the proper documentation and peer-to-peer review the partial denial within a reasonable timeframe. I finally got a hold of someone competent this week to assist with an expedited appeal but insurance still claims they haven’t received the documents my surgeon’s office faxed over.

At what point do I consider postponing my surgery? The hysterectomy itself was approved, can I refuse to sign consent for the cystoscopy? Can insurance still be convinced that the cystoscopy is a standard and necessary part of this procedure?

reddit.com
u/sunshineleopard — 6 days ago

Getting laproscopic hysto in the morning but very nervous due to no past penetration

As the title states. I’m going to a very reputable doctor in the US and I know I’m in good hands. But I’m nervous as hell because I’ve never inserted anything in my… hole. And even when I’ve tried I couldn’t (like the times I tried to get a paps smear). As I understand, the “interior contents” are pulled out through there

Surgeon is aware of this and reassured me it’ll be okay but I’m just wondering if there are any other guys here with similar situation that already went through the surgery. How bad was the external pain and how did healing feel? I’m most afraid it will flair up a wave of dysphoria since I personally do get a lot of bottom dysphoria. The thought alone of being spread out like a rotisserie chicken causes me a lot of anguish

Thanks and will update you all tomorrow

reddit.com
u/Crazy_Way6822 — 8 days ago

Recovery advice needee

Hey folks,

I’m planning to have a hysto by the end of the year.
I will be on my own.. I will have someone picking me up from the hospital but will be alone with my cat at home.
Can you please tell me more about the recovery process?
I will do grocery shopping, meal preps and all of that beforehand so I don’t forsee myself carrying anything heavy and exerting myself. The only thing I would need to do is care for my cat (clean the litter, feed her etc).
Any advice is greatly appreciated .

reddit.com
u/Unfair-Hurry-861 — 8 days ago

Got it done yesterday!

Got it all removed! I feel so weak and tired but also glad that it's finally over. It was very stressful preparing for this surgery because I got it done in another country – in Poland, while I'm from Lithuania.

I was supposed to get the surgery July 16 but I got sick and the date got moved. I paid out of pocket, via bank transfer using Revolut and with all the fees it was around 4k EUR.

When I woke up from surgery I felt no passage of time so my first thought was 'why aren't you doing the surgery?'. Quickly I realized the surgery was over and I felt so happy and free!

When I woke up I felt like I really really had to pee but that was because of the catheter. I also feel bloated but haven't been able to pass any gas.

They took my catheter out yesterday at 9 pm and threatened to put it back in this morning because I hadn't peed on my own yet. So I got up to pee and started bleeding all over the floor. But the nurses said it's within expected amount of bleeding. So far have peed 2 more times, each time there was less and less of blood.

I wasn't told this beforehand but I had to do bowel prep when i arrived to the hospital, it was not fun. Also had to shave my stomach and entire downstairs area. I got my first meal about an hour ago after 44 hours of not eating.

I will be getting discharged on day 3 Post-Op, I was initially planning to stay until day 4 but changed my mind. It's very boring here in the hospital. And since my surgery went with no complications, the doctor said I can be released even tomorrow morning.

I have to say everyone here is very respectful and nice. The fact that I'm trans never even came up, I haven't gotten any intrusive questions. They're simply treating me as a patient after surgery.

I will have to stay in Poland until day 7 PO to get my stitches removed and because it's a bad idea go on an 8 hour car ride any sooner.

I was also given some rehab instructions, they were in polish though, so I used chatgpt to translate.

Overall physically i feel like shit but my spirits are up!

u/Obscene-Banana-Eater — 9 days ago

2nd surgery cancelled

Pretty much what the title says ... I'm so exhausted of the US medical system. First hysterectomy got cancelled before I made it to the pre-op check. This time it was cancelled 17 hours before surgery. All because of insurance both times of course. Still going to fight for it, but holy fuck is this frustrating, and they aren't even trying to hide the transphobia behind their "reasoning".

Words of comfort or anyone wanting to rant are very welcome here.

reddit.com
u/CoolCartoonist7126 — 9 days ago

Bottom surgery question

Hello. I live in Canada and will be going in for my first consult at an obgyn for my hysterectomy and to see what I am wanting for surgery. I REALLY am anxious about it as I do not know what to expect... I assume they will be taking a look down there but I would really like to hear from others.

reddit.com
u/Most-Parfait-7532 — 10 days ago

Cramping

Hello! My hysterectomy (ovaries preservation) was 3 months ago. Does anyone still get menstrual cramps? I thought it would go away but I just got one for 2 minutes today. Apparently hormones can cause it to happen. I thought if you removed the uterus it wouldn't cramp lol. I don't notice any other changes.

reddit.com
u/auroicverso — 9 days ago
▲ 2 r/FTMHysto+1 crossposts

Bad cough 3 weeks post op. Cough causing pain and spotting.,Don’t wanna go to the ER. Any support?

I got a cold but I was born very very premature (3 months early) so I’m already prone to excessive coughing from a common cold. I have done everything I can do (humidifier, honey, cough meds otc, benzonatate/tessalon, afrin, cough drops, prop up, inhaler, everything.

Normally it sucks ass but I can deal with it (barely)

But now im 3 weeks post op and history of pelvic floor spasms is making coughing cause really bad pain. In all the muscles of my torso, my insides of all my pelvis and my cuff area hurts a lot.
I’m probably objectively fine bc this coughing has only caused some minor spotting but Jesus I can’t get a break and I can’t stop coughing and crying. I’m coughing so much and it hurts enough that instead of just pain and being sad I’m getting progressively more really angry like I want to punch something 😭😭😭😭

Idk even if nobody can do anything can someone at least tell me I’m not alone 😭?

reddit.com
u/Medicalhuman — 9 days ago

Cervix removal side effects / complications ?

In the early stages of researching and considering partial hysterectomy including fallopian tube and cervix removal. Context: gay trans man who bttms in the front, been on T almost 10 years, on E cream for now repaired atrophy. Fallopian tube removal seems like it could be a good bc option for me along with some gender affirmation. Considering cervix removal additionally since it would remove cancer risk and need for exams. however would come along with potential side effects like loss of sexual pleasure mostly from removing the sensitive spots surrounding the cervix like the a spot, or pelvic floor complication. Would appreciate any informed info or personal experience on cervix removal. Thnx

reddit.com
u/Avi_981 — 14 days ago

Hysto Recovery with Work

I have hysto (laparoscopy/keyhole) in October in Leicester, UK.

I was told people usually have five weeks off work. I'm a community mental health nurse who works 13 hour days and I know I need to be able to do an emergency stop safely in my car. My job is mentally demanding and I need to be able to safely break away if grabbed or do CPR if needed as part of work.

I was wondering what people's experiences of hysto recovery are and how long you had off work, especially if you do a similar job to me?

Thank you.

reddit.com
u/pocket__cub — 12 days ago