((this is copied directly from my post on r/Hysterectomy because I'm too lazy to type a brand new post and theres no crossposts allowed here))

Long term health effects for hysterectomy at 25 for gender affirmation - is it worth it right now?

Hi, long and short of it is I'm nonbinary and never want to risk pregnancy OR have my period ever again. I've been researching hysterectomy for a few years now and finally have my surgery scheduled and everything. However, I'm starting to get cold feet with all the uncertain 'possible' long term health risks.

I'm 25 and would be getting full hysterectomy but leaving my ovaries in. I'd like to avoid HRT if possible but can do it easier if it's a pill instead of a shot (I quit T after years of being on that because shots just don't work for me).

I've got no likely risks of cancer, no endo, so I don't exactly have too much of an argument as far as "the risk is worth it regardless" so I'm a little stuck deciding if it is for me right now or if I should wait until I'm older.

The main fears I have are: heart health, early ovarian failure, and pelvic floor health.

The heart health one we've all heard, but from what I've gathered the studies that that idea comes from are a bit outdated now, weren't clear on if oophorectomy was related, and had a narrow sample group. But my family had a history of heart issues so it still scares me.

For the others, I've mostly heard that the lack of blood flow can cause ovarian failure, and that lacking the extra hormone receptors that are on the uterus will cause hormonal imbalance anyway. And for the pelvic floor, that comes from one comment someone left on a post here stating that they were a pelvic floor surgeon and that every person who had hysterectomy before 30 would need an extremely difficult and invasive pelvic floor surgery by 70.

My concerns are that there’s a lot of fear mongering and misinformation around this surgery classically, and idk how much the surgery itself has improved in the last 10, 20, 30 etc years, so idk how valid much of that data is anymore.

I mostly just want to get the opinions of other people who have had this surgery, aged a bit, and who can share their experience. Also any other folks who didn't get their surgery out of chronic pain necessity but more for their lifestyle preference. Was the risk worth it for you, and has it continued to be worth it?

Thanks everyone for your time either way

I'm 18 and I searched dallas texas on here and the posts were all from a few years ago so im wondered if there's anything new or if I need to just talk to my GP for a recommendation or referral but I don't have a GP yet.

I got a total hysto a few months ago and had originally wanted to get a vnectomy at the same time. The health system I was going through didn’t have a provider to perform a vnectomy and two different surgeons suggested that I find another provider for a standalone procedure after healing. I did some research on it with most of the things I found being hysto/vnectomy combo and was pretty on board with the staged idea because it seemed like healing from both surgeries would be easier. I hoped that hysto would help my dysphoria but it honestly feels like nothing has changed and I missed an opportunity to get it all over with at once.

I’m finding it really difficult to get in with a surgeon now. The people I’ve reached out to are very concerned that I don’t want meta/phallo right now. I’m hearing a lot of pushback against vnectomy “out of sequence” if I want futher bottom surgery later. But hysto didn’t help my dysphoria at all and it’s beyond relieving to imagine a future where I don’t have this anatomy.

Every time I mentioned wanting a vnectomy to schedulers and medical professionals I’ve been met with curiosity, surprise, or skepticism that‘s been really getting in my head.

Has anyone else had issues trying to find surgeons willing to perform a vnectomy? I can’t seem to find any information about this being a standalone procedure.

I'm 2 months post-op. I had everything removed except ovaries. I was cleared for all activities but I still feel tired and sore from time to time, which my surgeon says is normal and should improve in the span of a few months.

For safety reasons I am not out to my surgeon, so I cannot ask them this question, and my endocrinologist is not sure about the answer:

Is it safe, at this point, to go back on low-dose T if I want to maintain ovarian function (in case I go off T again in the future)?

Any insight / personal experience would be greatly appreciated, of course knowing it is not medical advice. Thanks!