Yes, you can have a vaginectomy if you have a history of cervical dysplasia. A vaginectomy is a surgical procedure that removes the vagina. It is a common procedure for women who have a history of cervical dysplasia.

Cervical dysplasia is a condition in which abnormal cells grow on the surface of the cervix. If left untreated, cervical dysplasia can lead to cervical cancer. A vaginectomy can help to prevent cervical cancer by removing the area of the vagina where the abnormal cells are located.

If you are considering a vaginectomy, it is important to talk to your doctor about your individual situation. They can help you understand the risks and benefits of surgery and make the best decision for you.

Here are some of the risks and benefits of vaginectomy:


  • Bleeding
  • Infection
  • Pain
  • Scarring
  • Difficulty with urination or bowel movements
  • Inability to have vaginal intercourse


  • Prevention of cervical cancer
  • Improved quality of life for some people
  • Reduced risk of other gynecological problems

Ultimately, the decision of whether or not to have a vaginectomy is a personal one. You should weigh the risks and benefits of surgery carefully and discuss your options with your doctor.

Having a history of cervical dysplasia may impact the decision to undergo a vaginectomy. Cervical dysplasia refers to abnormal changes in the cells of the cervix, which can be caused by certain types of human papillomavirus (HPV) infections. It is important to discuss your medical history with a qualified healthcare provider who specializes in transgender healthcare or gender-affirming surgeries. They can evaluate your individual circumstances, review your medical records, and provide personalized recommendations based on factors such as the severity of your cervical dysplasia, current status, and the potential impact on the surgical procedure and outcomes.

Here are some considerations regarding a vaginectomy and a history of cervical dysplasia:

  1. Surgical Planning: A history of cervical dysplasia may necessitate additional considerations in surgical planning. This can include coordinating with a gynecologist or colposcopist to ensure appropriate evaluation of the cervix and management of any residual or active dysplastic changes. Collaboration between your healthcare providers may be necessary to optimize your surgical care.
  2. Risk of Complications: Cervical dysplasia and associated treatments, such as cervical biopsies or excisions, can sometimes result in scarring or changes to the anatomy of the cervix. These factors may need to be considered during the vaginectomy procedure and could potentially increase the risk of complications or impact surgical approaches.
  3. Ongoing Monitoring: If you have a history of cervical dysplasia, it is important to continue regular monitoring and follow-up with your gynecologist or healthcare provider as recommended. They can assess the status of your cervical dysplasia, manage any ongoing treatments, and provide guidance regarding the vaginectomy procedure.
  4. HPV Vaccination: It is worth discussing HPV vaccination with your healthcare provider, as it may be beneficial in reducing the risk of future dysplastic changes or HPV-related complications.

The impact of a history of cervical dysplasia on the feasibility and approach to a vaginectomy will depend on individual circumstances, the severity of the condition, and other relevant factors. Your healthcare provider will consider various factors, including your medical history, cervical health, and the potential risks and benefits of the surgery. They will provide personalized recommendations and collaborate with other specialists if needed.

It is essential to have open and honest communication with your healthcare provider, provide a comprehensive medical history, and discuss any specific concerns or challenges related to your cervical dysplasia. They can guide you through the decision-making process, provide appropriate medical care, and help manage any potential complications or considerations related to your cervical dysplasia in relation to the vaginectomy procedure.