Can phalloplasty be performed for individuals with a history of hormonal therapy?

Yes, phalloplasty can be performed for individuals with a history of hormonal therapy. In fact, it is generally recommended that transgender men be on testosterone therapy for at least 12 months before undergoing phalloplasty. This is because testosterone helps to thicken the skin and build muscle, which can improve the cosmetic and functional results of surgery.

Hormonal therapy can also help to prepare the body for surgery in other ways. For example, it can help to reduce the risk of blood clots and infections. It can also help to improve the quality of the tissue that will be used to construct the new penis.

However, it is important to note that hormonal therapy can also have some negative effects on the body. For example, it can increase the risk of developing certain types of cancer. It can also cause hair loss and other changes in appearance.

It is important to discuss the risks and benefits of hormonal therapy with your doctor before starting treatment. You should also discuss your plans for phalloplasty with your doctor, so that they can develop a treatment plan that is right for you.

Yes, phalloplasty can be performed for individuals with a history of hormonal therapy. In fact, many transgender and gender-diverse individuals who undergo phalloplasty have already undergone hormonal therapy as part of their gender transition process. Hormonal therapy, also known as hormone replacement therapy (HRT), is a common step in gender-affirming care for individuals seeking masculinization.

Here are some important points to consider regarding phalloplasty for individuals with a history of hormonal therapy:

1. Gender Affirmation: Phalloplasty is a gender-affirming surgical procedure that aligns an individual’s physical characteristics with their gender identity. Hormonal therapy is often a crucial step in the gender affirmation process, and phalloplasty can further enhance alignment.
2. Preoperative Evaluation: Individuals who have undergone hormonal therapy may have experienced changes in their body’s anatomy and appearance as a result. These changes, such as increased facial hair growth or voice deepening, can be considered during the surgical planning process.
3. Surgical Considerations: The surgical team will take into account the individual’s unique medical history, including their hormonal therapy regimen, when planning the phalloplasty procedure. This information helps ensure that the surgical approach is tailored to the individual’s specific needs and goals.
4. Postoperative Care: Individuals who have been on hormonal therapy prior to phalloplasty may need to continue or adjust their hormone regimen as part of their postoperative care. This aspect of care is typically discussed with the surgical team and medical providers.
5. Hormonal Therapy and Sexual Function: Hormonal therapy can impact sexual function, including libido and erectile function. The surgical team and medical providers will discuss how these factors may be affected by phalloplasty and hormonal therapy.