Abstract
Background: Transgender adolescents and young adults (AYA) assigned female sex at birth often utilize testosterone prior to gender-affirming hysterectomy (GAH), which may induce amenorrhea and lead to poorly estrogenized vaginal mucosa. While there are no differences in significant postoperative complications between GAH and other benign hysterectomies, no studies to date have characterized the patient recovery experience including postoperative bleeding from the cuff. This study aims to characterize the incidence of vaginal bleeding concerns experienced by transgender AYA on testosterone therapy after GAH and identify patient and operative characteristics associated with postoperative vaginal bleeding concerns.
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