Yes, FtM hysterectomy surgery can increase the risk of osteoporosis. This is because the uterus produces small amounts of estrogen, which helps to protect bones from becoming weak and brittle. When the uterus is removed, the body’s level of estrogen decreases, which can lead to bone loss.

The risk of osteoporosis is even higher if the person also has their ovaries removed, as this further reduces the body’s level of estrogen. Additionally, testosterone therapy, which is often used by transgender men, can also increase the risk of osteoporosis.

However, it is important to note that not everyone who undergoes FtM hysterectomy surgery will develop osteoporosis. The risk is higher for people who have other risk factors for the condition, such as a family history of osteoporosis, low body weight, or a sedentary lifestyle.

If you are considering FtM hysterectomy surgery, it is important to talk to your doctor about the risks of osteoporosis. They can help you assess your individual risk and develop a plan to protect your bone health.

Here are some things you can do to reduce your risk of osteoporosis after FtM hysterectomy surgery:

  • Talk to your doctor about taking hormone therapy to replace the estrogen that is lost after the surgery.
  • Get regular exercise.
  • Eat a healthy diet that includes plenty of calcium and vitamin D.
  • Stop smoking and limit alcohol intake.
  • Take steps to prevent falls.

FtM (Female to Male) hysterectomy surgery itself does not directly increase the risk of osteoporosis. Osteoporosis is a condition characterized by decreased bone density and increased susceptibility to fractures, typically associated with hormonal changes, aging, and other factors.

Hysterectomy surgery involves the removal of the uterus and, in some cases, the cervix. While the surgery may result in changes in hormone levels, the impact on bone health and the risk of osteoporosis will depend on several factors, including the individual’s age, overall health, hormone replacement therapy (HRT) regimen, and lifestyle factors.

Testosterone, which is often used in masculinizing HRT for individuals undergoing FtM transition, has a positive effect on bone health. It helps to promote bone density and strength, similar to the effects seen in cisgender males. Therefore, testosterone therapy can potentially reduce the risk of osteoporosis and support overall bone health.

It’s important to note that hormone levels and bone health should be monitored regularly, especially if you are undergoing HRT. Your healthcare provider or endocrinologist can assess your bone health through periodic evaluations, such as bone density scans (DEXA scans), and may recommend calcium and vitamin D supplementation or other measures to support bone health.

However, it’s worth mentioning that other factors, such as lifestyle choices (e.g., nutrition, exercise, smoking, alcohol consumption), genetic predisposition, and underlying medical conditions, can also influence the risk of osteoporosis. Maintaining a healthy lifestyle, including regular weight-bearing exercise, adequate calcium and vitamin D intake, and avoiding behaviors that can negatively impact bone health, is important regardless of whether you have undergone FtM hysterectomy surgery or not.

Discussing your individual risk factors and bone health management with your healthcare provider will help ensure appropriate monitoring and interventions to support optimal bone health throughout your transition journey.