Whether or not you can have scrotoplasty if you have a history of hormone-sensitive cancers depends on the specific cancer and your overall health. It is important to talk to your surgeon about your individual circumstances. They will be able to assess your risk of complications and help you decide if the surgery is right for you.

Hormone-sensitive cancers are cancers that are stimulated by hormones. Some examples of hormone-sensitive cancers include breast cancer, prostate cancer, and ovarian cancer.

Scrotoplasty is a surgery that is performed to create or reconstruct the scrotum. It can be a part of gender-affirming surgery for transgender men, or it can be performed for other medical reasons.

The risks of scrotoplasty in people with a history of hormone-sensitive cancers include:

  • Increased risk of recurrence: The surgery can increase your risk of the cancer coming back. This is because the surgery can release hormones that can stimulate the growth of cancer cells.
  • Nerve damage: Nerve damage can occur during surgery, which can lead to numbness or tingling in the scrotum. In rare cases, nerve damage can be permanent.
  • Scarring: Scarring can occur at the incision site, which can affect the appearance of the scrotum. In rare cases, scarring can be severe and can affect sexual function.

If you have a history of hormone-sensitive cancers, it is important to talk to your surgeon about the risks and benefits of scrotoplasty. They will be able to help you decide if the surgery is right for you and help you understand what to expect from the results.

Here are some resources that may be helpful:

  • The World Professional Association for Transgender Health: https://wpath.org/
  • The Trevor Project: https://www.thetrevorproject.org/
  • Trans Lifeline: https://www.translifeline.org/
  • The American Cancer Society: https://www.cancer.org/

If you have a history of hormone-sensitive cancers, it is important to approach scrotoplasty, or any other surgical procedure, with caution and careful consideration. The decision to proceed with scrotoplasty will depend on several factors, including the specific type of cancer, your current health status, and the recommendations of your healthcare providers.

Scrotoplasty, which involves creating or reconstructing a scrotum, is typically performed as part of a gender-affirming surgical process. While scrotoplasty itself does not directly involve hormonal interventions, hormone therapy may be part of the broader gender-affirming care for individuals assigned female at birth (AFAB) seeking masculinization.

If you have a history of hormone-sensitive cancers, such as certain types of breast or uterine cancers, the use of hormone therapy or hormonal interventions in your overall gender-affirming care may need to be approached with caution. Hormone therapy can involve the use of androgens (such as testosterone), which may have potential interactions or implications for individuals with a history of hormone-sensitive cancers.

It is essential to consult with a qualified healthcare team that includes specialists in transgender healthcare, oncology, and hormone therapy. They can evaluate your individual circumstances, review your medical history, and provide personalized recommendations based on your specific situation.

Your healthcare team will consider factors such as the type and stage of the previous cancer, the time since treatment, and the specific hormone therapy options available. They will balance the potential benefits of gender-affirming care with the potential risks and will help you make informed decisions regarding your healthcare.

Open and honest communication with your healthcare providers is crucial to ensure that your unique needs and medical history are taken into account when considering scrotoplasty or any other gender-affirming procedures. They can provide guidance and collaborate with other specialists to create a care plan that prioritizes your overall well-being and minimizes potential risks related to hormone-sensitive cancers.