Hi everyone, I’m considering having this procedure done in a few years. My reasons include dealing with gender dysphoria for six years and a strong dislike for menstruation. I’ve never wanted children and don’t want to pass on my mental health conditions. Since I’m autistic, the sensory issues and hygiene products associated with periods are extremely overstimulating and make me feel constantly unclean. It’s become unbearable to the point where I’ve engaged in self-harming behaviors to cope, and I feel I won’t stop until I have the surgery. I’m curious if these are valid enough reasons for a physician to approve the surgery, particularly given the risk of continued self-harm. Also, does it cause major physical changes like weight gain? Finally, does it impact sexual experiences? Thank you!
First off, it is a permanent procedure. Depending on the type of surgery, it can trigger early menopause. Typically, unless there’s a reason like cancer, surgeons try to leave the ovaries to avoid immediate menopause, though this can still lead to early ovarian failure. I’m not an OB-GYN, so I don’t have the exact data on hand. The hormonal shifts from menopause can increase the risk of heart disease; starting menopause early means facing these risks sooner than usual. You also have to consider things like osteoporosis. Furthermore, a hysterectomy is a major operation. It carries risks like surgical complications, the formation of scar tissue (adhesions), and general recovery issues.
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