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.

Phalloplasty itself does not typically affect eligibility for future hormone replacement therapy (HRT). Phalloplasty is a surgical procedure that focuses on creating a neophallus, while hormone replacement therapy involves the administration of hormones to achieve desired secondary sex characteristics.

If you are considering phalloplasty and are currently undergoing or plan to undergo hormone replacement therapy, it is important to communicate this with your surgical team. They will work closely with you to understand your goals and ensure that your surgical plan aligns with your overall gender-affirming journey.

Hormone replacement therapy can play a crucial role in achieving desired physical changes, such as facial hair growth, body fat redistribution, and voice deepening. These effects are typically achieved through the use of testosterone. Phalloplasty itself does not interfere with the administration of testosterone or other hormone therapies.

During the consultation process for phalloplasty, it is important to discuss your hormone replacement therapy with your surgical team. They will consider your individual circumstances and work with you to develop a personalized care plan that accounts for your hormone regimen and any necessary adjustments before, during, and after surgery.

It is worth noting that the decision to continue or adjust hormone replacement therapy may depend on various factors, including your specific surgical techniques, healing process, and post-operative care. Your healthcare team will closely monitor your progress and provide guidance on hormone therapy adjustments based on your individual needs and goals.

Remember, communication with your healthcare team is key. By openly discussing your goals and concerns regarding hormone replacement therapy, you can ensure that the phalloplasty procedure is planned and executed in a way that aligns with your overall gender-affirming journey and supports your long-term well-being.