Your response shows your lack of knowledge and understanding of biology. Even if I hadn’t gone on testosterone, I would have developed fibroids. Why? Because testosterone levels in women rise after menopause, which leads some women to develop them later in life. Younger women with higher levels of testosterone may also develop them. So, this issue isn’t just because I’m “pumping my body full of hormones.”

Male, female, and intersex bodies produce both testosterone and estrogen. The levels of which are produced vary, but you cannot say that testosterone is unnatural to my body because it was already producing it. All my injections are doing is increasing it enough to develop more masculine characteristics.

That being said, not all transgender men develop fibroids — just as not all cisgender women develop them, even with higher levels of testosterone that occur naturally due to various reasons, such as PCOS or menopause. I wrote this piece just to give other trans guys a heads up that this may happen, and to go talk to their doctor if it does. It’s up to each individual to decide whether or not surgery or stopping hormones is the right option for them.

Surgery was my choice and was the right choice for me. I’ve suffered from a lot of issues with my reproductive system for several decades and I finally was able to get both my doctor and insurance to agree to give me the hysterectomy I’ve wanted for so long. In fact, I wasn’t able to get one until after I began my transition. It was the first bit of male privilege I’ve experienced.

Transgender writer and author. I primarily write on LGBTQ issues, with a focus on the transgender community.

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