The short answer is yes, FtM hysterectomy surgery can affect mental health. However, the overall impact is generally positive.

In a 2022 study published in the journal JAMA Surgery, researchers found that transgender men who underwent hysterectomy had lower levels of psychological distress and suicidal ideation than those who did not have the surgery. The study also found that hysterectomy was associated with improved quality of life.

There are a few reasons why hysterectomy can have a positive impact on mental health for transgender men. First, it can reduce gender dysphoria, which is the feeling of distress that can occur when a person’s gender identity does not match their sex assigned at birth. Second, hysterectomy can help to improve physical health by reducing the risk of certain conditions, such as uterine cancer and endometriosis. Third, hysterectomy can be a symbolic step in affirming a transgender man’s gender identity.

Of course, not everyone who undergoes hysterectomy will experience positive mental health outcomes. Some people may experience anxiety or depression in the weeks or months following surgery. It is important to talk to a mental health professional if you are experiencing any negative emotional reactions to hysterectomy.

Overall, the research suggests that FtM hysterectomy surgery can have a positive impact on mental health. However, it is important to weigh the potential benefits and risks of surgery before making a decision.

Here are some additional resources that you may find helpful:

• The Trevor Project: https://www.thetrevorproject.org/: A national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
• Trans Lifeline: https://www.translifeline.org/: A national hotline that provides support to transgender people in crisis.
• WPATH: https://www.wpath.org/: The World Professional Association for Transgender Health, a professional organization that provides resources and guidelines on transgender health care.

FtM (Female to Male) hysterectomy surgery itself does not directly impact the voice or vocal cords. The primary focus of a hysterectomy is the removal of the uterus and, in some cases, the cervix, which are not directly involved in vocal production or the mechanics of the voice.

The voice is primarily influenced by factors such as vocal cord length, tension, and the size and shape of the vocal tract. These factors are mainly determined by anatomical structures and the effects of hormones on vocal cord development during puberty. Hormone replacement therapy (HRT), specifically testosterone, plays a significant role in inducing vocal changes in individuals transitioning from female to male.

While testosterone therapy can lead to masculinization of the voice over time, it typically occurs gradually and may require several months or more to see noticeable changes. The extent of vocal changes varies among individuals and depends on factors such as genetics, age, and duration of HRT. Some individuals may experience a deepening of the voice, increased vocal resonance, and other masculine vocal characteristics.

It’s important to note that individual responses to testosterone therapy and the effects on the voice can vary. Not all individuals may achieve their desired vocal changes through HRT alone. Voice training with a speech-language pathologist who specializes in transgender voice can be a valuable adjunct to HRT in helping individuals achieve their desired voice quality and pitch.

If you have specific concerns or questions about the effects of FtM hysterectomy surgery or testosterone therapy on your voice, it’s recommended to discuss them with your healthcare provider or a voice specialist who can provide personalized guidance based on your individual situation and goals.

Overall, while FtM hysterectomy surgery itself does not directly impact the voice or vocal cords, the hormonal changes associated with testosterone therapy can potentially induce voice changes over time, contributing to a more masculine vocal quality.