Hormones Post-Bottom Surgery

[EchelonHunt]

I've always wondered this so now I figure what's the harm in asking.

I am curious, because I want to be a feminine boy, I can't rely on my body's natural state of hormones as those the reproductive parts gotta go for my peace of mind.

Would it be possible if post-bottom surgery (hysterectomy & phallo), I had low dose of estrogen?

I mean, the only reason estrogen and all those other hormones caused me so much grief is because I had a female body which made me hyper-sensitive and dysphoric towards the shifts in hormones leading up to menstruation.

Once I have a male body and no more body dysphoria, I should be fine, right?

Part of me wants to try estrogen as I miss the feminine qualities, the smooth skin, the soft, near non-existent body hair, the female fat redistribution, etc.

My main issue with T is that I fear balding and I don't want to deal with new facial or body hair sprouting but I don't want to lose my sex drive (if it's lessened, that's ok because T has made it high enough as it is!) or my emotional stability (I feel having a male body would eliminate my need for T...?)

I don't know. My non-binary-specialised therapist suggested talking to my endo with lowing my T dose to lessen the effects of facial/body hair when I told her I wanted to do laser hair removal & electrolysis this year, mainly to tackle the facial hair first and foremost.

Thoughts? Advice? Suggestions?

[Leena]

It's probably possible to do, but with a lot of lying. I've read of MtF post-ops later saying they regret it and being allowed T HRT. I wouldn't want to have to do that amount of lying.

Just throwing this out there, I don't know if it's possible, but could you have a hysterectomy without having your ovaries removed? I'm sure it's possible and has been done for other medical reasons, but I don't know if that is generally ever done for FAAB transitions.

[EchelonHunt]

I wouldn't want to do that amount of lying either.

Micah from Neutrois.Me is FAAB. They had a hysterectomy but kept the ovaries. As far as I'm aware, Micah is the only FAAB individual I know who has undergone hysterectomy without removal of ovaries. Most folks I know either opt against hysterectomy or go the whole nine yards, hysterectomy (remove everything) only or that and their bottom surgery of choice.

I don't know how I'd feel leaving the ovaries in. Sure, it would be a source of estrogen but it feels icky to have something like that inside me (yet having external supply of estrogen from a pill or injections doesn't bother me? Yup, I'm weird.) and T wrecking havoc on them for 5 years, there is no 100% guarantee that they will return to full-function and how long that function will go for, who knows.

Then again, there has been cases of transguys going off T after been on it for years, being able to fall pregnant and so on, so maybe the ovaries can repair themselves with time if one hasn't had a hysterectomy.

But after hysterectomy, the life of the ovaries is lessened as one of the blood vessels leading it from the ovary to the uterus is removed. Some argue that it can survive on the 2nd blood vessel going elsewhere, that it can maintain the function of hormones.

That, and keeping the ovaries but removing everything else will kick-start early menopause, often known as surgical menopause. Menopause can in 40% of cases ovarian function is severely affected so HRT may be required.

It seems to be unlikely for doctors and surgeons to allow FAAB folks to get bottom surgery if they still retain ovaries, because sewing the scrotum (or vaginal lips) together will deny doctors the ability to internally check and monitor the state of the ovaries.

On the plus side, I have done a bit of research and turns out there are some FAAB folks who after hysterectomy (with removal of ovaries), began a dose of estrogen to combat the surgical menopause and help balance out their mood and metabolism while still continuing their dose of T. This seems very feasible for me.

Hmmm... hmmm... I got lots to think about.

Thanks!

ETA: Wow, my mind is thrown by how much I'm learning. I found a non-binary FAAB who had a hysterectomy on tumblr, they kept their ovaries and they reported that they feel the fluctuations, hormonal shifts and physical/mental changes that comes with periods, just no periods since uterus and cervix were removed.

This is a huge deciding factor for me, my mind is too sensitive to the fluctuations estrogen does when ovulating and menstruating. That wrecked havoc on my mind more-so than the bleeding itself.

[Trinity]

I know a cis woman that had a hyster and kept them. She had complications but also some desired results.

They got wrapped around her intestines years later and had to come out. But it helped her.

That girl was drop dead gorgeous. I was beyond jealous. Beauty to the core...and another hard story there from cruel people.

Mad world.

But they dropped down later...and helped her hormonally too.

When she wore a dress a coworker girl said she could make a straight woman gay....

Nice lady.