ABSTRACT
Many transgender and gender diverse adolescents and young adults will pursue hysterectomy
for the purpose of gender affirmation. This procedure often includes bilateral salpingo-oophorectomy
(BSO), which has potential implications for long-term health should individuals choose
to stop, or lose access to, exogenous testosterone. Although most of these individuals
intend to remain on testosterone indefinitely, not all do, and little information
exists on such cases following bilateral oophorectomy to guide counseling and practice.
This case series documents 3 individuals who had interruptions in their testosterone
use after hysterectomy with BSO for reasons including external barriers, internal
barriers, and concerns about side effects. Patients should be appropriately counseled
on hysterectomy options as bilateral oophorectomy is not required in the absence of
specific indications.
Keywords
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References
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Article info
Publication history
Published online: July 14, 2022
Accepted:
July 11,
2022
Received in revised form:
July 9,
2022
Received:
May 10,
2022
Footnotes
Conflict of Interest Statement: The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2022 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
