#and since I’m trans and on HRT there’s like. absolutely zero info out there.

[defilerwyrm]

Thank you for posting so authentically and tbh poetically about your transition. I was wondering if you have any gems of wisdom to share about your total hysto.. I was born with a malformed uterus (it is bicornuate) I've always had problems from it and I just want it gone. How was the process? And healing? How has the removal affected you in the years after? I appreciate you bro.

Heya, first off, sorry for taking so long to reply, and thank you! It’s been really rewarding to get to share my experience with others, answer questions, and hopefully dispel some myths. Bottom surgeries for trans men & trans mascs are too often maligned or erased and I’m grateful for the opportunity to fight against that with facts and experience.

The process was kind of funny. The admission and all such were your typical surgery stuff. They kept me overnight in the hospital pumping me full of saline with two jolly nurses watching over me. More or less every hour I woke up needing to piss like a racehorse, and the nurses would gently make fun of my woozy attempts to get up in these marvelous Georgia accents while helping me do so and disconnecting me from the drip, and I’d shuffle off to pee like half a liter (like…literally). This pattern continued until I was able to pass a certain threshold of how much I peed at one time. The purpose of this was to make sure my bladder was working correctly. After that, they let me sleep a bit and then I was released.

Before the surgery I had asked my surgeon if I could see the parts she was taking out, so she took photos for me of my insides during surgery and the whole kit & caboodle after it was removed, and printed them out on nice glossy paper for me. I was frankly astounded by how tiny the uterus actually is. Diagrams make it look like it’s the size of both hands put together or something but it would have easily fit in the palm of one! Also my liver is kinda cute. I still want to frame those photos.

I went home and mostly slept in a recliner a lot for the first couple of weeks. I wore sweatpants and kept an ice buddy (a penguin full of rice my friends got me) on my belly much of the time. I am pretty good at staying ahead of the pain with my meds without taking it more frequently than is safe, so I was only really a little sore and very, very sleepy. Bathing was a matter of wet wipes and dry shampoo for a while. I think I was off work for somewhere between four and eight weeks, and once I was past the first two or so, I spent a lot of time still in the recliner with the ice buddy, but this time binge-watching Critical Role and playing Stardew Valley. My cats stayed as close to me as they could the whole time. I think 4 weeks after the fact I was more or less fine.

Shortly after my spay, I started having hot flashes: since mine was a total hysterectomy (they removed the uterus, both ovaries—which, sure enough, turned out to be absolutely riddled with cysts—and the cervix), my estrogen level went from low to fuck-all, so I basically went through Menopause Lite. The hot flashes weren’t miserable. They were just stretches of time when I looked around and went “Is it just me or is it hot in here all of a sudden? Is the A/C on?” and it was, in fact, just me. Those came and went for maybe 3 months.

(A note for cis women and for trans/nb guys who aren’t on T: I attribute the mildness of my menopause symptoms to the fact that PCOS and HRT were already suppressing my estrogen production. If you have “normal” estrogen levels, there is a non-zero chance that yours will be worse. Ask your doctor for more info about this. If you don’t have your ovaries removed, you won’t go through this in the first place.)

Obviously I am now forever free of the misery of menstruation and the unacceptable risk of becoming pregnant. Both of those things are extremely awesome and I love them forever. Being sterile fucking rules! I’ve wanted this since I was 6 years old and no one can ever take it away from me! \:D/

This last section is about peeing so it goes under a cut!

The one and only downside is that I need to pee, like, all the time. Granted, the fact that I drink about a gallon of water every day does have a lot to do with that. But I’ve found that the sensation of needing to piss urgently comes a lot sooner than it used to. On a normal day, with me sitting here guzzling sweet, unchlorinated, high-quality well water all the time, I have to hit the head every 1-2 hours. If I stop drinking liquids about an hour or two before a road trip I can make a 3-hour drive without needing a pit stop. I asked my mom and a friend, both of whom have also had hysterectomies, if they go through this too, and they confirmed that yeah they do need to pee a lot more frequently than before the surgery. Just, y’know, not as often as I do because they’re not drinking 3-5 L of water daily.

The upside to THAT, actually, is if I need to wake up early, I can just drink a glass of water before going to sleep and I am guaranteed an early wake-up. I am an extremely deep sleeper, much to my own detriment—except where my bladder is concerned.

An odd little thing I’ve found, since my uterus is no longer helping to control where my bladder sits in my torso, is that how I urinate is a little different. Before, it was just the normal muscle movements I’d been doing all my life. Now, I find that urine comes in “waves”: it starts out normal, but then—it’s hard to explain, but I use a slightly different sort of muscle movement, a Kegel type thing, to…it feels like repositioning my bladder a little(???), and then I can feel the rest of the urine pouring down to my ureter, and then it’s normal pissing again. I mean…I’m just guessing at what’s actually going on in there based on what I can feel happening, so I could be off, who knows. It’s a little strange, but it’s not at all painful or anything, it’s just a neutral thing.

I very strongly recommend starting Kegel exercises as soon as you can if you plan on getting a hysterectomy, if you’re not doing them already. These can go a long way to making sure you don’t have problems with incontinence afterward. They were a standard part of my daily life for quite a few years leading up to my spay and so far so good.

#ftm #hysterectomy #bottom surgery #transgender #though tbh most of this is perfectly valid for cis women too! #queerdom #trans matters #replies to things