Yes, you can have an FtM hysterectomy surgery if you’re currently on HRT. In fact, many transgender men choose to have both procedures done at the same time. This is because having a hysterectomy can cause early menopause, and HRT can help to manage the symptoms of menopause.

If you’re considering having both procedures done at the same time, it’s important to talk to your doctor about the risks and benefits. They can help you to decide what’s the best option for you.

Here are some of the risks and benefits of having both procedures done at the same time:

  • Risks:
    • Increased risk of bleeding and infection
    • Longer recovery time
    • Possible complications with HRT
  • Benefits:
    • Only need to have one surgery
    • Reduced risk of developing ovarian cancer
    • Improved quality of life

Ultimately, the decision of whether or not to have both procedures done at the same time is a personal one. Talk to your doctor about your options and decide what’s best for you.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) Standards of Care:
  • The National Center for Transgender Equality (NCTE):
  • The Trevor Project:

Yes, it is generally possible to undergo FtM (Female to Male) hysterectomy surgery while being on hormone replacement therapy (HRT). In fact, hormone therapy is often an integral part of the overall gender transition process for individuals assigned female at birth.

HRT involves the administration of testosterone to induce masculinizing effects and align secondary sex characteristics with one’s gender identity. FtM hysterectomy removes the uterus and, in some cases, the cervix, while preserving the ovaries to maintain hormone production.

Before undergoing FtM hysterectomy, it’s important to communicate openly with your healthcare provider about your current hormone therapy regimen. They will assess your individual situation, including your hormone levels and overall health, to ensure that you are medically fit for the surgery.

Your healthcare provider may provide specific instructions regarding the management of hormone therapy before and after the surgery. They may recommend adjustments to your hormone regimen to optimize the surgical outcome and support your overall well-being during the recovery process.

In some cases, the surgical team may coordinate with an endocrinologist or hormone specialist to ensure continuity of hormone care throughout the surgical process. This coordination helps maintain hormone balance, support healing, and promote the desired masculinizing effects.

It’s crucial to have open and honest communication with your healthcare team throughout your transition journey, including discussions about hormone therapy, surgical options, and the overall management of your gender-affirming care. They will guide you through the process, address any concerns or questions you may have, and develop a comprehensive treatment plan tailored to your individual needs.