Many transgender and gender diverse adolescents and young adults will pursue hysterectomy for the purpose of gender affirmation. This procedure often includes bilateral salpingo-oophorectomy (BSO), which has potential implications for long-term health should individuals choose to stop, or lose access to, exogenous testosterone. Although most of these individuals intend to remain on testosterone indefinitely, not all do, and little information exists on such cases following bilateral oophorectomy to guide counseling and practice. This case series documents 3 individuals who had interruptions in their testosterone use after hysterectomy with BSO for reasons including external barriers, internal barriers, and concerns about side effects. Patients should be appropriately counseled on hysterectomy options as bilateral oophorectomy is not required in the absence of specific indications.

许多跨性别和性别多样化的青少年和年轻人会为了性别肯定而进行子宫切除术。该手术通常包括双侧输卵管卵巢切除术 (BSO)，如果个人选择停止或无法获得外源性睾酮，这会对长期健康产生潜在影响。尽管这些人中的大多数人打算无限期地继续使用睾酮，但并非所有人都这样做，并且关于此类病例的双侧卵巢切除术后指导咨询和实践的信息很少。本病例系列记录了 3 名患者在使用 BSO 进行子宫切除术后因外部障碍、内部障碍和担心副作用等原因中断了睾酮的使用。