Whether or not you can have phalloplasty if you have a history of hormone-sensitive cancers depends on the specific type of cancer you have and how it was treated. In general, people with a history of hormone-sensitive cancers are at an increased risk of recurrence if they are exposed to hormones again. This is because hormones can stimulate the growth of cancer cells.

For example, if you have a history of breast cancer, you may not be able to have phalloplasty if you are taking estrogen. This is because estrogen can stimulate the growth of breast cancer cells. However, if you are not taking estrogen, you may be able to have phalloplasty.

It is important to talk to your doctor about your specific cancer history and how it was treated. They will be able to advise you on whether or not phalloplasty is right for you.

Here are some additional things to consider:

  • The type of phalloplasty: Some types of phalloplasty, such as metoidioplasty, involve the use of tissue that is already present in the body. This type of phalloplasty may be a better option for people with a history of hormone-sensitive cancers, as it does not involve the use of hormones.
  • The risk of recurrence: The risk of recurrence of hormone-sensitive cancers varies depending on the type of cancer and how it was treated. If you have a high risk of recurrence, you may want to consider other options, such as non-surgical gender affirmation procedures.
  • Your own comfort level: Ultimately, the decision of whether or not to have phalloplasty is a personal one. You need to weigh the risks and benefits of surgery and decide what is best for you.

Individuals with a history of hormone-sensitive cancers, such as breast or ovarian cancer, may face additional considerations when considering phalloplasty. It is important to discuss your specific medical history and treatment with your healthcare team to determine if phalloplasty is appropriate for you.

Phalloplasty typically involves the use of hormone therapy as part of the surgical process to support tissue expansion and promote healing. The use of hormones, such as testosterone, can have implications for individuals with a history of hormone-sensitive cancers.

Your healthcare team, including your surgeon and oncologist, will need to carefully evaluate your individual case and consider factors such as the type and stage of the cancer, the treatments you have undergone, and the current status of your cancer management. They will also assess the potential risks and benefits of hormone therapy in the context of your specific situation.

In some cases, modifications or alternative approaches to phalloplasty may be recommended to minimize potential risks. This could involve adjusting the hormone therapy regimen or exploring alternative surgical techniques that do not rely on hormones for tissue expansion.

Ultimately, the decision to proceed with phalloplasty will depend on a thorough assessment of your individual medical history and a careful evaluation of the potential risks and benefits. It is crucial to have open and honest discussions with your healthcare team, including both your surgical team and your oncologist, to ensure that all aspects of your health and well-being are considered in the decision-making process.

Remember, your healthcare team will provide the best guidance and personalized recommendations based on your unique circumstances. It is important to work closely with them to develop a comprehensive care plan that prioritizes your health and addresses any specific considerations related to your history of hormone-sensitive cancers.