No, FtM hysterectomy surgery will not affect the ability to undergo future gender-affirming procedures. In fact, many transgender men choose to have a hysterectomy as part of their gender affirmation process, and other gender-affirming procedures can be performed after a hysterectomy.

Some of the most common gender-affirming procedures for transgender men include:

  • Masculinizing chest surgery: This surgery can involve a mastectomy, which is the removal of the breasts, and/or chest masculinization, which is the creation of a more masculine chest shape.
  • Phalloplasty: This surgery can involve the creation of a penis using tissue from the arm, leg, or abdomen.
  • Metoidioplasty: This surgery can involve the enlargement of the clitoris to create a penis-like structure.
  • Vaginectomy: This surgery can involve the removal of the vagina.

The timing of these procedures will vary depending on the individual’s needs and goals. Some transgender men may choose to have all of these procedures at once, while others may choose to have them over time.

It is important to talk to your doctor about your individual needs and goals so that they can help you create a treatment plan that is right 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:

Undergoing a hysterectomy as part of female-to-male (FtM) transition typically does not impact the ability to undergo future gender-affirming procedures. However, it’s important to consider the specifics of the individual’s situation and the specific procedures they may be interested in.

A hysterectomy involves the removal of the uterus and sometimes the cervix. In some cases, the ovaries may also be removed (oophorectomy). The decision to remove the ovaries depends on factors such as the individual’s medical history, hormone therapy plans, and other health considerations.

If the ovaries are removed, it will result in the cessation of natural hormone production, and hormone replacement therapy (HRT) will likely be necessary to maintain adequate hormone levels. Hormone replacement therapy for FtM individuals typically involves the administration of testosterone. This hormone therapy can continue after a hysterectomy.

When it comes to future gender-affirming procedures such as chest masculinization (top surgery) or genital reconstruction (phalloplasty or metoidioplasty), the presence or absence of a hysterectomy should not significantly affect the feasibility or outcomes of these procedures. Each procedure has its own considerations and requirements, and your healthcare provider or surgeon will evaluate your individual circumstances to determine the best course of action.

It’s essential to discuss your goals and aspirations for future gender-affirming procedures with a knowledgeable healthcare provider who specializes in transgender healthcare. They can provide personalized guidance based on your specific medical history, hormone therapy plans, and surgical goals.

Remember that every person’s situation is unique, so it’s important to have thorough discussions with your healthcare provider to fully understand the potential impact of a hysterectomy on your individual goals for gender-affirming procedures.