What effects does it have?

What is it?

Permanent surgical removal of the ovaries.

It's also known as Oophorectomy.

How long does it last?

The effects are permanent and cannot be reversed.

More information

Warning

Salpingo-oophorectomy results in permanent destruction of the ovaries and is irreversible. After oophorectomy you will be infertile and unable to have children unless you have previously carried out gamete storage (i.e. egg storage).

Warning

After salpingo-oophorectomy, you will need to take at least one sex hormone (oestrogen and/or testosterone) in order to prevent medical problems like osteoporosis.

Salpingo-oophorectomy is often carried out as part of hysterectomy surgery, which removes the uterus (womb).

Costs and funding

The NHS will normally fund total salpingo-oophorectomy and total hysterectomy for patients who are undergoing testosterone therapy.

You will normally need to meet the following conditions:

  • persistent and well-documented gender dysphoria
  • capacity to make fully informed decisions and to consent to treatment
  • if significant medical or mental health concerns are present, they must be reasonably well controlled
  • two medical opinions, usually at least one from a gender clinic, that surgery is appropriate
  • 12 months’ continuous endocrine treatment as appropriate to the patient’s goals (unless the patient has medical contraindications or is otherwise unable to take hormones) 1.

Hysterectomy for other medical reasons is not subject to these requirements.

References

  1. 1 Royal College of Psychiatrists (2013) “Good practice guidelines for the assessment and treatment of adults with gender dysphoria.” [online] Available from: www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr181.aspx

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Page last updated: July 2017