There are a few reasons why someone assigned female at birth (AFAB) might undergo an FTM oophorectomy.

  • To reduce the risk of ovarian cancer. Ovarian cancer is more common in AFAB people than in AMAB people. Removing the ovaries can help to reduce the risk of developing ovarian cancer.
  • To stop the production of estrogen. Estrogen is a hormone that is produced in the ovaries. For AFAB people who identify as male, having high levels of estrogen can cause unwanted side effects, such as breast growth and weight gain. Removing the ovaries can help to stop the production of estrogen and reduce these side effects.
  • To align their body with their gender identity. For some AFAB people, having ovaries can feel like a reminder of their assigned sex at birth. Removing the ovaries can help them to feel more comfortable in their body and more aligned with their gender identity.

The decision to undergo an FTM oophorectomy is a personal one. There are risks and benefits to consider, and the best decision will vary from person to person. It is important to talk to your doctor about your individual needs and goals so that they can help you make the best decision for you.

Here are some additional resources that you may find helpful:

  • The National Center for Transgender Equality (NCTE):
  • The Trevor Project:
  • GLAAD:
  • PFLAG:
  • Trans Lifeline:

There are several reasons why someone assigned female at birth (AFAB) may choose to undergo an FTM oophorectomy (removal of the ovaries) as part of their transition. Here are some common reasons:

1. Hormone Management: Oophorectomy can help individuals better manage their hormone levels as part of their gender-affirming hormone therapy. Testosterone is typically used in FTM transition to induce masculinizing effects. By removing the ovaries, which are responsible for producing estrogen and other ovarian hormones, the reliance on ovarian hormone production is minimized, allowing for better control over hormone levels through testosterone therapy.

2. Masculinizing Effects: Oophorectomy can help enhance the masculinizing effects of hormone therapy. Removing the ovaries reduces the production of estrogen, which can contribute to maintaining a more masculine hormone profile.

3. Personal Preference: Some individuals may simply prefer to have their ovaries removed as part of their transition. They may feel more comfortable and aligned with their gender identity without the presence of ovaries, which are typically associated with femininity and reproductive functions.

4. Health Considerations: Oophorectomy may be recommended or chosen to address specific health concerns. For example, some individuals may have a family history of ovarian cancer or other conditions that increase their risk, and oophorectomy may be a preventative measure to mitigate that risk.

It’s important to note that the decision to undergo an oophorectomy is highly personal and should be made in consultation with a knowledgeable healthcare provider who specializes in transgender healthcare. They can provide guidance based on the individual’s specific medical history, hormone therapy plans, and personal goals, and help weigh the potential benefits and risks associated with the procedure.