r/FTMHysto

post op pregnancy fears

ok i know this is totally irrational but it's still one of my biggest fears. the main reason i got a hysto was bc i was still bleeding after being on birth control for 2 years and E blockers and T for 7 years which was a huge source of dysphoria for me. i also have a HUGE fear of pregnancy. even with birth control and everything, i'd often be afraid something went wrong after bottoming and i somehow did get pregnant. it got to the point that it was impacting my enjoyment of sex at times. i'm post op now and kept both of my ovaries since they looked healthy and that was my surgeon's recommendation. i've come off of E blockers and birth control since they're no longer necessary for bleeding and pregnancy prevention. but, now i have a lingering fear that i'll ovulate into my abdominal cavity, a sperm will slip through the vaginal cuff, and i'll have an ectopic pregnancy. i know it's unlikely but the mere possibility is keeping my irrational brain on alert and making me fear post op sex (which sucks since part of the point of this surgery for me was to fix my feelings around sex). would this be a crazy concern to bring to my surgeon and/or therapist? i want to be able to go back to sex as soon as i'm cleared and able to do so but i also would love to not live with this fear forever.

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u/thinkin-thoughts — 8 hours ago

do you wake up with an iv needle in your arm after the surgery?

maybe a stupid question but i have a severe needle phobia and i forgot to ask questions relevant to this during my consult because i was busy asking questions relevant to all of my other medical phobias because my life is really awesome but anyway can anyone explain to me what to expect with this? maybe different places do these things differently and ill definitely reach out to the surgeon for more info, but can i expect to wake up with a needle in my arm/for how long if so? how long is the needle in your arm before surgery or do you pass out right after its put in? (or is gas used at all? could i ask to have needles placed after already being unconscious?) also, if you wake up with a needle in can i request to have it covered in some way before i wake up so i wont be able to see it at least? the current plan is for me to stay overnight after the surgery if that changes anything

also i just want to emphasize what when i say 'severe phobia' i do legitimately mean severe so please do not respond to this by telling me to just suck it up or something, its not possible for me. im just trying to ensure i will not be in a position where ill try to pull the iv out myself while panicking/acting irrationally. thanks

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u/bluejayhaze — 11 hours ago

Third time's the charm

I should have had my surgery a month ago but then I got covid and it wasn't possible to do the surgery with my symptoms.

Then I finally should have had the surgery this friday. I was already there with my surgery gown and all, but the person before me had major complications and they said they couldn't perform the surgery with the remaining time they had that day.

I got another surgery date for tomorrow (monday) and I'm so nervous. I'm so scared something else is going to go wrong 😭

It doesn't help that I have an anxiety disorder.

Just looking for a bit of support here.

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u/flixsix — 17 hours ago

Experiences with anesthesia?

I finally got my surgery scheduled for this August, thanks to the help from a lot of you guys! I’m super happy but I was wondering about your experiences coming out of anesthesia. I’m 22, but my parents are coming with me because I’ll have no way to get home from the hospital and stuff. I guess I’m worried about saying something crazy while I’m first coming out of the anesthesia. I’m going to ask my surgeon if anyone has to be in there when I wake up. Outside of hospital staff I mean. But has anyone had this issue or am I just paranoid?

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Surgeon is out of town all week unsure about going to Urgent Care

Background info:

I wouldn't typically ask for actual medical advise on here but my surgeon is out of town for two weeks. I'm 3 weeks to the day post op which I know is when the internal suture start to dissolve and people notice an uptickin bleeding. When I had periods they were always light and I would use 3-4 panty liners a day back then. I don't know what qualifies as heavy bleeding as I never experienced it when I had periods. I contacted my surgeon regarding this issue 6am Friday morning but never got a response.

Problem:

I've been wearing liners again every so often but Thursday evening I completely bleed through it and had to switch to a medium pad. Anytime i went to the bathroom after 3pm ish, the toliet bowl would be pink-red from blood. At one point I watched blood drip into the toliet bowl and had a bloodclot the size of my thumbnail.

I put the liner on Thursday morning due to being able to feel that I was spotting and was the only one I had so i was stuck with it all day until I was able to get a medium flow one from a friend around 8pm.

Yesterday I had no issues but today I'm bleeding again and the toliet is slightly pink after I pee but I've not had another clot.

My aftercare instructions said to go to urgent care if I bleed through a pad within an hour or was experiencing heavy bleeding. I did not bleed through the medium flow pad and wore the liner so long I can't tell the time frame it took for me to bleed through it.

Does this count as heavy bleeding?

If it does would I be able to drive myself to urgent care or would I need someone to take me?

How do I explain it at urgent care since I am trans?

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u/Next_Gur_6561 — 1 day ago

Effects of HRT pre- and post-hysto?

I'm considering getting the process started for a hysterectomy and I'd like to hear more about peoples' personal experiences. I know ymmv with any surgery, but it'd still be helpful to know!

My primary reason for seeking out surgery is to avoid pregnancy & alleviate dysphoria, but I'm also curious if the effects of HRT would change. I've been on T since 2015, and despite having normal hormone levels, I *still* deal with some annoying adverse side effects (primarily acne/oily skin & mild menstrual symptoms). I wonder if removing my ovaries would improve this, but I don't know for certain.

For people who have had already gone through the process: Did you notice any effects or changes in how your body processes HRT?

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u/8d20 — 3 days ago

How to get prior authorization

I have had my consult with my surgeon and she is going to try to get my on her schedule as soon as possible but I now need to get prior authorization from my insurance. My last surgery my parents handled that and they're not exactly supportive of my getting a hysterectomy so they're no help. I don't know where to even start😭.

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u/RevolutionaryTie3566 — 4 days ago

Question 🙋🏾‍♂️ Hot Flashes

What are you doing to combat them in these extreme temperatures?! Hot flash comes… feels like I’m on fire!

Any remedies? I’m 4/20 friendly so I started smoking an herb “joint” (has various different herbs I can’t remember right now) before bed for sleep, hot flashes, phlegm, etc.

One hot flash on a 104° day, and I’m already exhausted.

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u/LessOpportunity3953 — 4 days ago

Oopherectomy or not? (Possible endo)

I'm going to have surgery soon, on July 7th. My doctor and I have talked about what to do with my ovaries and the general consensus is that we'd keep them, but if she finds anything detrimentally wrong with them, she'd remove them. Additionally, the reason why I'm getting a hysto is because they believe I have endometriosis.

So, I've been mulling over it for weeks until now, and I'm wondering that if they DO find endometriosis in me, should I just tell them to remove both ovaries? I've heard keeping them just kind of helps endometriosis keep growing. But I'm also worried about not having any natural horomones in my body, because to be honest, people make it sound like it's a death sentence if you have no natural horomones and something awful were to happen where you don't have access to T.

What do you guys think? I'm starting to become more comfortable with the idea of getting rid of my ovaries, but I'm scared what that might entail if something were to happen and I don't have access anymore to my horomones. But if I have endo, I feel like maybe I'd be better off getting rid of them? I'm not really sure, and it'd be nice to hear pros and cons or stories from other people who were in a similar situation and what you did.​

(Srry I misspelled the title)

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u/Wh1tesuit — 5 days ago

hormones?

hi all!
i'm 2 days out from my hysto and having a lot of trouble emotionally. i had my estrogen blocker removed and stopped T a week ago as requested by my surgeon. i haven't been off of them in 7 years and it seems my body isn't loving the change. my bf just left to fly home while i'm staying with my parents this summer to recover. i'm having a ton of trouble keeping myself from crying, more so than i ever have when we've separated, even when we were going to be long distance for over 6 months.
have any of you experienced emotional difficulties around your procedures? i'm assuming it's mostly hormonal and am worried that it'll just get worse postop when my body is even more out of wack. if you did have similar troubles, how'd you deal? any advice for coping would be super appreciated!

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u/thinkin-thoughts — 6 days ago

2 days post op and feel amazing

I had surgery Monday morning, decided to keep my ovaries for health reasons - I also had a double hernia repaired at the same time.

I just want to say how amazing I feel!!! I told the surgeon that I would like to keep both ovaries due to recent thyroid testing and holistic doctor advising not to remove them due to long-term consequences, which is controversial but would rather remove them later if need be. I told surgeon if he saw issues with either of them then to use his best discretion to remove if necessary. They both looked normal.

Definitely felt some intense “cramping” the rest of the day Monday but honestly wasn’t more intense than what I would already feel randomly throughout a regular month. Yesterday didn’t feel much pain and today, same thing. I’m definitely taking it easy and being cautious. I will be off work for several weeks, I’m just very impressed with how well I’ve been doing and feeling. Made steak and broccoli for lunch and have been able to do an easy load of laundry. No issues with stairs I actually have to remind myself to take it slower instead of my usual stair walking, taking ibuprofen and Tylenol as needed.

Biggest celebration was having my bowel movement this morning and another this afternoon lol

Originally planned for this procedure back in 2018 or 2019 and whenever I’ve revisited it has fallen through for one reason or another. I couldn’t be happier with my timing because any sooner and I would’ve taken both my ovaries out which I think I would’ve regretted. No matter what continue to have faith in knowing the universe knows when your time is right for you!! I appreciate the support I’ve received from this page with the many questions I’ve posted about leading up to my surgery.

Peace and love ✨💜💙💚💛

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u/CuriousSurfer19 — 5 days ago

Ovary Poll Results

Two polls about the removal and retention of ovaries were posted and voting was open for one week.

Ovary Removal Poll

This poll received 220 votes, 100 of which were the "I have not had surgery/show answer" selection. The 120 remaining votes resulted in the following:

- I had both ovaries removed and don't regret it (79 votes, 65.8%)

- I had both ovaries removed and regret it (1 vote, .8%)

- I kept one or both ovaries and don't regret it (35 votes, 29.2%)

- I kept one of both ovaries and regret it (5 votes, 4.2%)

Ovary Retention Poll

This poll received 308 votes, 219 of which were the "I had both removed/haven't had surgery/show answer selection." The 89 remaining votes resulted in the following:

- I kept both ovaries and don't regret it (68 votes, 76.4%)

- I kept both ovaries and regret it (4 votes, 4.5%)

- I kept one ovary and don't regret it (14 votes, 15.7%)

- I kept one ovary and regret it (3 votes, 3.4%)

u/megabats — 5 days ago

Was your procedure inpatient or outpatient?

I have surgery Monday morning - I know they’re doing very small incisions in the abdomen and will pull everything out vaginally.

I’m having it done at an outpatient building where I had no idea they even did procedures because I go there for labs and other doc appts.

I will only be there a few hours total before I’m sent home, curious about others and if they were in and out as well or if they stayed in hospital

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u/CuriousSurfer19 — 9 days ago

Bleeding gums

For several years, I struggled with bleeding and constantly irritated gums. On top of that, I developed tartar very quickly because of the ongoing gum inflammation and bacterial buildup.

My dentists regularly removed the tartar and recommended different toothbrushes, toothpastes, and mouthwashes. I followed all of their advice, but nothing helped. Eventually, they told me that I simply had a natural tendency to have these problems.

About a week after my panhysterectomy, my gums started to improve. Over time, they regenerated completely—no more sensitivity, no more bleeding, nothing.

Only then did I start reading about it and discovered that gums are hormone-sensitive, and that hormonal imbalance could have been the reason for my chronic gum inflammation.

For context, I was on testosterone gel at the time, and it’s likely that my female hormone levels weren’t fully suppressed.

I’m sharing this because not a single dentist suggested over all those years that hormones could be the underlying cause. I ended up spending a lot of money treating the symptoms when the real cause was somewhere else.

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u/Lucky-Plum-1375 — 7 days ago

Had my hysto Friday

I did it! Showed up at 6 am and got all the stuff out of the way. Got the anesthesia at 7:30 and didn't wake up until 12 only to immediately go back to sleep. I was there until almost 3 pm because the surgeon wanted me to pee to make sure things were okay and my bladder was NOT cooperating.

Spent the last couple days mostly sleeping and trying to balance my fiber intake. But it's done! I'm sore but extremely happy!

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u/Das_Ellimentalist — 7 days ago

External Stitches

I’m 2.5 weeks post op for a laparoscopic hysterectomy so ofc they made the 4 incisions in my stomach area and then sewed them up. They’re healing well (no infection or anything) but I have a lot of stray stitches that are sticking out and get caught on things that irritate them/hurt. Maybe a stupid question but where do these stitches go? One of my incisions has completely healed and never had this issue, two only have stitches on half of the wound, the last one has half healed half stitches poking out. Are they dissolvable or do I eventually pull them out/do they fall out? Thanks!

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u/Fall-Dreamers — 8 days ago

Surgery Monday morning and just realized my Voltaren gel is a NSAID, anybody know chances of surgery getting rescheduled?

Just like the title says, I’ve been using this gel almost every day for the last week maybe twice a day at most but mainly once a day. I just used it and then washed it off. Been using it for tennis elbow, it’s a topical gel. I’m so nervous to tell them I don’t want surgery rescheduled I’ve been waiting months. Any feedback or insight is appreciated, if anything I will tell them I used it three or four days prior hoping that will minimize but still get the point across that I have been taking it so they can help mitigate any risks.

Here’s what the instructions say

OVER THE COUNTER PAIN MEDICATIONS:
Do NOT take Excedrin, Ibuprofen, Advil, Voltaren (Diclofenac), Motrin, Naproxen, or Aleve, Mobic (Meloxicam) for 5 days before surgery, unless your surgeon tells you otherwise.

Acetaminophen (Tylenol) is ok to take up until the day of surgery, unless your surgeon instructed differently

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u/CuriousSurfer19 — 9 days ago

Before appointment, what should I do?

I have an appointment scheduled, and this is the first time seeing this obgyn for a gender affirming hysterectomy, should I get letters prepared beforehand?

And also, do I specifically choose doctors who specialize in gender affirming care or should I choose doctors based on their openness to sterilizing younger patients. (I am 18, and am unsure if I would be taken seriously for this sort of thing.)

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u/sterilquise — 9 days ago

Did anyone go to University of Kansas Health System in KC? How are they?

I have a medical condition that could possibly lead to endometrial cancer. I'm trying to pursue a hysterectomy and vnectomy but I haven't really medically transitioned yet. I haven't exactly socially transitioned. I'm not out at my current job but I'm out to close friends and some family members. I wear men's clothes and am somewhat androgynous due to my condition. I don't really know if they will consider me not to be transitioned enough to get a hysterectomy and vnectomy. Does anyone know if that will be a problem I run into? Do they allow hysto / vnectomy at the same time? It's the worst of my dysphoria and would be a massive relief to have it gone. I have a feeling they might require a biopsy pre op. Does anyone know if they would let me be under anesthesia for that? Does anyone know what their BMI requirements for hysto/ vnectomy is? Would it be the same as phallo or meta? I can find info about that on their website but not really specifically about this. Generally how do they handle trans patients? Has anyone had any bad experiences with them or anything I should be aware of?

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u/Mysterious-Clock-663 — 9 days ago

Body horror that is recovering from this surgery sometimes. Be prepared with these tools and tasks!!

I feel my organs(mainly my intestines) moving about internally on the top of my cuff and it’s weird as fuck. I don’t like it and become very aware that the cuff is the only thing preventing them from falling out onto the floor.

Nearly 2 weeks post op.
Loose fitting cotton boxers are a god send. They are basically the only type of underwear I own. I used those mesh underwear and some pads for the first few days but I didn’t have much bleeding so I stopped 4 days in.
You can ask the hospital for some when they send you home which is what I did. I kept some more of the mesh undies and pads because I hear a few weeks post op some people get random spotting.

You may experience bleaching of your underwear for a bit. Ruined a pair of mine 6dpo but haven’t had continued bleaching since. Learned this is from them killing off your vaginal flora to get a sterile field. This is why you are more likely to get uti, yeast infection or bv after surgery. The PH balance will be a little off.

Just wash with warm water thoroughly. Along with this ph and flora off balance it can cause a bit of a different or unpleasant smell. If it’s strong and foul smelling, go to your doctor. Small changes are normal otherwise.

Abdominal binder is great for healing and feeling secure. Got mine from the hospital too. Not all facilities have them and some of them they have are uncomfortable with the boning sticking out so if you have the option to, I’d buy a decent one from the store first instead of getting them in hospital.

DO NOT OVERDO IT. I thought id be okay this long into recovery without taking my pain meds for breakthrough pain. Omg no I’m not. Especially with having to go to doctors multiple times so soon after due to post op complications.

Continue with the spirometer they give you to keep your lungs healthy. If you have to cough or sneeze, sit on the edge of the bed with a pillow bracing your stomach. The more you use the spirometer the easier it’ll get.

Keep up with the Tylenol and stool softener plus laxative at least. Drink a lot of water too! The laxative and stool softeners work on drawing water to your colon. You don’t want to have to push too hard when trying to shit or you’ll pop a stitch or give yourself a hernia!
A grabbing tool, moving furniture like night stands and chairs closer to your bed, lots of pillows, a wedge pillow or adjustable bed.

Doing all this will help so much before your surgery.

Making extra servings of your favorite meals and freezing those portions individually before surgery is also a W tip.

I can’t take ibuprofen unfortunately due to some other health issues I have.

Be careful and listen to your doctor on limitations to masturbation, orgasms and insertion. Remember this is a huge major surgery which takes your body a year to fully recover itself. The only thing holding your organs inside is that cuff they make.

You don’t want to put yourself at more risk and reset your healing to square one. The recovery and pain is already hard and harsh. Please be careful.

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u/Notmyfaultitsyours — 10 days ago