- Joined
- Oct 27, 2021
We pick on pooners a lot for thinking they can "plug and play" with their bodies but the doctors are clearly the ones encouraging them to believe this is the case. WTF is this bizarre list of procedures? It's like a tiktok Starbucks order, or a Taco Bell combo box.
-Keep ovaries (but disable them with megadoses of T)
-Keep vagina (but cause atrophy with T)
-Keep uterus (ditto)
-Remove tubes
-Remove cervix
So it's possible for her to accidentally get pregnant, but the cervical removal means she will lose the pregnancy early on. Also the cervix isn't just a door, it has glands that produce mucus that plays a role both in fertility and sexual function.
The surgery to remove the cervix is usually only done in serious cancer cases, they remove part of the vagina too and stitch the uterus to what's left. There's no way that this doesn't impact sexual functioning and cause chronic pain in a very uncomfortable place. Why any doctor would offer it to a healthy young woman even a troon is- well, you know the drill.
So I did a bit of looking at this. Removal of fallopian tubes even without removal of ovaries may be useful for preventing/ reducing ovarian cancer.
If she has her tubes removed, pregnancy requires ivf. And you still get periods.
I don't understand the cervix removal. Cervixes perform a protective (anti-bacterial) function for the uterus. Since she's keeping her vagina and is concerned about pregnancy, presumably she's allowing for the possibility of vaginal sex. As you said, that is typically done for cancer, and after removal they stitch you up, leaving a small gap for menstrual blood/endometrial shedding. Without fallopian tubes she can't get pregnant naturally, even if she still can get a period (I guess the theory is that the T will retard that).
There are a couple types of cervical removal:
Trachelectomy (Cervix Removal) procedure
During a Trachelectomy (Cervix Removal) the surgeon removes the cervix, the upper part of the vagina and some of the tissue around the cervix. The rest of the uterus is left in place. The surgeon may use different approaches to do a Trachelectomy:
At the end of the surgery, the surgeon uses a special stitch (called cerclage) to partially close the opening of the uterus where the cervix used to be. This opening allows the flow of menstrual blood during the woman’s period. A temporary catheter may be placed in the opening to help keep it from closing.
- Vaginal Radical Trachelectomy (VRT) removes the cervix and the nearby tissue through the vagina. VRT is the most commonly used approach.
- Abdominal Radical Trachelectomy removes the cervix and nearby tissue through the abdomen.
- Laparoscopic Radical Trachelectomy uses a thin, tube-like instrument with a light and lens (called a laparoscope). The surgeon makes small incisions, or surgical cuts, in the abdomen. The laparoscope and other instruments are passed through the small incisions into the abdomen to remove the cervix and nearby tissues.
As with any surgery/body modification, there are potential cons of cervical removal (radical trachelectomy, or RT):
RT does require hospitalization and general anesthesia, which carries risks of its own. In addition, other risks include:
RT risk also includes the buildup of lymphatic fluid. This is the fluid that flows through lymph vessels and helps fight disease and infection. The buildup can result in swelling in the arms, legs, and abdomen. In some cases, the swelling can be severe.
- infection
- leaking urine
- painful sex
- painful periods
- blood clots
- thigh numbness
When it comes to pregnancy, women with RT who conceive are considered to have high-risk pregnancies. They’re typically advised to have cesarean deliveries.
Most doctors will place a stitch (called a cerclage) between the vagina and uterus to keep the area partially closed in an attempt to support a growing fetus. However, many women who receive RT and become pregnant deliver prematurely (before 37 weeks). There’s also a greater risk of miscarriage.
Research shows that women who receive RT:
- Have a 25–30 percent chance of delivering a preterm baby (versus the 10 percent chance for other women). Preterm birth puts a baby at risk for heart and lung problems as well as learning and developmental delays.
- Are more likely to encounter second-trimester pregnancy loss than women who don’t have the procedure.
Sounds like an excellent elective procedure.
I stg, if this shit is covered by insurance in the absence of medical need, I'm going to scream.
They usually put in a band [and/or?] stitch up the opening to the uterus in a way that allows the endo lining to be shed. I am guessing a band, if it completely closes the opening is done with hysterectomies that remove ovaries and/or uterus as well (so no periods), but my 5-cent Google Med School degree didn't show a breakdown of plug n play surgeries so idk for sure.I just don’t get this. If she has a period in the future what will happen? Why remove the cervix? Is there now any outlet from the uterus? Won’t stuff build up and cause problems? I’m confused
Evidently, 70% of ovarian cancers start in the fallopian tubes, so removal of the tubes reduces that risk significantly (I linked a couple of recent articles that refer to recent research above).Correct me if I'm wrong but doesn't Testosterone significantly increase the risk of Ovarian cancer,which is why many pooners choose to have them removed even if they're effectively non-functioning due to the supressive effect Testosterone has on them.