Oophorectomy, or the removal of the ovaries, is a common surgical procedure that is used to treat a variety of medical conditions, including gender dysphoria in transgender men. While oophorectomy is generally a safe procedure, there are some potential risks and complications that can occur.

Some of the most common risks of oophorectomy include:

  • Bleeding: This is a relatively common risk, but it is usually minor and can be easily controlled.
  • Infection: This is another relatively common risk, but it can be serious if it is not treated promptly.
  • Damage to nearby organs: This is a rare risk, but it can occur if the surgery is not performed carefully.
  • Nerve damage: This is also a rare risk, but it can cause numbness or tingling in the legs or abdomen.
  • Blood clots: This is a risk for any surgery, but it is more likely to occur in people who are overweight or have other medical conditions.

In addition to these general risks, there are some specific risks that are associated with oophorectomy in transgender men. These include:

  • Early onset menopause: If both ovaries are removed, the person will experience menopause, which can cause a variety of symptoms, such as hot flashes, vaginal dryness, and mood changes.
  • Osteoporosis: This is a condition that causes bones to become weak and brittle. It is more common in people who have early onset menopause.
  • Heart disease: This is a risk factor for all transgender men, but it is especially important to be aware of it after oophorectomy.

It is important to talk to your doctor about the risks and benefits of oophorectomy before making a decision about whether or not to have the surgery. Your doctor can help you understand the risks that are most relevant to you and can develop a plan to manage any potential complications.

Here are some additional resources that you may find helpful:

  • The Mayo Clinic: https://www.mayoclinic.org/tests-procedures/oophorectomy/about/pac-20385030
  • The Cleveland Clinic: https://my.clevelandclinic.org/health/treatments/17800-oophorectomy
  • The World Professional Association for Transgender Health: https://www.wpath.org/

Like any surgical procedure, FTM (Female to Male) oophorectomy carries certain risks and potential complications. It is important to discuss these with your surgeon before proceeding with the surgery. Here are some potential risks and complications associated with FTM oophorectomy:

  1. Surgical Risks: All surgeries carry a general risk of bleeding, infection, adverse reaction to anesthesia, and blood clots. Steps are taken to minimize these risks, such as the administration of antibiotics and blood thinners during and after the surgery.
  2. Pain and Discomfort: Following the surgery, you may experience pain, discomfort, swelling, bruising, and tenderness in the surgical area. Your surgeon will provide guidance on pain management techniques and prescribe appropriate pain medications if necessary.
  3. Wound Complications: There is a risk of wound-related complications such as poor wound healing, wound infection, or wound dehiscence (opening of the incision). Proper wound care, including keeping the incision sites clean and dry, can help reduce the risk of these complications.
  4. Scar Formation: Scarring is a natural part of the healing process. Although efforts are made to minimize scarring, it is important to understand that scars will likely be present after the surgery. The appearance of scars can vary from person to person.
  5. Damage to Surrounding Structures: During the surgery, there is a small risk of unintentional damage to nearby structures, such as blood vessels, nerves, or the urinary system. Surgeons take precautions to minimize these risks, but they cannot be entirely eliminated.
  6. Hormonal Changes: Removal of the ovaries will result in a sudden decrease in estrogen production, which may lead to changes in hormonal balance. This can potentially cause menopausal symptoms such as hot flashes, mood changes, vaginal dryness, and decreased libido. Your healthcare provider may recommend hormone replacement therapy (HRT) to help manage these symptoms.
  7. Psychological and Emotional Effects: Undergoing any surgery, including FTM oophorectomy, can have psychological and emotional effects. It is common to experience a range of emotions during the recovery period, including anxiety, depression, or adjustment difficulties. It is important to have a strong support system in place and to seek appropriate emotional support if needed.
  8. Long-Term Health Considerations: The removal of the ovaries may have long-term effects on your health, such as an increased risk of osteoporosis or cardiovascular disease. It is important to discuss these potential risks with your healthcare provider and take steps to mitigate them, such as adopting a healthy lifestyle and considering hormone replacement therapy if appropriate.

It is crucial to discuss these risks and potential complications with your surgeon before the procedure. They will provide you with personalized information based on your specific situation, answer any questions you may have, and help you make an informed decision about proceeding with FTM oophorectomy.