Some undergo this as their only gender-identity confirming 'bottom surgery'. Many sexual-reassignment procedures are conducted in private facilities that are not subject to reporting requirements. Mastectomy[ edit ] Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest.
It is unknown whether the risk of ovarian cancer is increased, decreased, or unchanged in transgender men. Certain medical doctors perform the surgery in two steps. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. Daily dilation of the vagina for six months in order to prevent stenosis is recommended among health professionals. One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist. First, the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year. If the cervix is removed, it is called a 'total hysterectomy. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. Converting male anatomy to female anatomy requires removing the penis, reshaping genital tissue to appear more female and constructing a vagina. Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve supplies have recovered from the first surgery. The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. Many sexual-reassignment procedures are conducted in private facilities that are not subject to reporting requirements. Lubrication is needed when having sex and occasional douching is advised so that bacteria do not start to grow and give off odors. She was a strong advocate for the rights of transgender people. People who have male-to-female gender-reassignment surgery retain a prostate. It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively. Between to gender-reassignment procedures are conducted in the United States each year. Abstract In female-to-male transsexuals, the operative procedures are usually performed in different stages: History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. Female-to-male surgery has achieved lesser success due to the difficulty of creating a functioning penis from the much smaller clitoral tissue available in the female genitals. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. Androgens male hormones will stimulate the development of facial and chest hair, and cause the voice to deepen. Within the population of transgender men on hormone therapy, many patients are at significantly decreased risk due to prior oophorectomy removal of the ovaries. Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. This is equivalent to postmenopausal bleeding in a woman and may herald the development of a gynecologic cancer.
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