Incorrect.

Incorrect.

“If, however, you’re a trans woman who has had bottom surgery to create a vagina (vaginoplasty) and possibly a cervix, there’s a very small risk that you can develop cancer in the tissues of your neo-vagina or neo-cervix.”

Which is from the first result when you google, “trans woman vaginoplasty cervix”.

I am relaying what the surgeon who will preform my hysterectomy told me because my cervix will be removed and I will be given a neo cervix. He actually called it a “plug”. But I find that idea a little gross and so just described its purpose.

Also, the cervix dilates to allow menstrual fluid to pass out of the uterus. Crap enters the vagina that doesn’t belong in the uterus. That same crap also does not belong in the abdominal cavity. So surgeons don’t just leave the vaginal canal uncapped or “plugged”. Whether or not they just sew it shut or create a neo cervix depends.

Trans women who have had surgery still need to visit the urologist, not the gynecologist, because the former is familiar with our surgeries and the latter is not. You need to stop lying and spreading misinformation which could get someone killed.

Wow, everything you said is completely wrong. So it's very funny that you think my 'misinformation' is going to 'get someone killed'. That hyperbole is fear mongering and also that's just a really aggressive way to speak to a complete stranger. Especially to accuse me of 'lying'.

So let me clear up your misunderstandings.

Firstly, urologist specialize in the urinary system, which include the bladder and kidneys and also the uterus. They aren't like the male version of gynecologists. For example, urologist treat organ prolapse, where the bladder, uterus, or colon "fall" into the vagina, or will treat fistulas, especially bladder fistulas. (Which is a hole connecting the bladder and vagina.)

Secondly, Vaginoplasties are preformed by reconstructive surgeons not urologist or gynecologist in the vast, vast majority of cases. Also, vaginoplasties are not a trans specific surgery. Severe vaginal injuries, such as those caused by childbirth or disease, are also treated with a vaginoplasty.

It's laughable any ol' off the shelf urologist is "familiar" with the surgery. Plenty of doctors still refuse to preform even the simplest trans-specific healthcare 'because it's not a usual part of their practice they are comfortable preforming' let alone complex reconstructive surgery.

But my original comment wasn't about vaginoplasties, it was about checking the cervix for cancer.

So, thirdly, trans women aren't the only women with neo-cervixies. In addition to the above, people who have undergone hysterectomies of one kind or another often have a neo-cervix as well. Or, for example, if someone has cervical cancer, and needs their cervix removed, they give that person another cervix.

Because the cervix is a very important part of that set of anatomy. It keeps the uterus and other organs from prolapsing (just falling out) and is also something of a barrier that keeps junk out of the uterus. And if you don't have a uterus, it keeps junk out of the abdominal cavity.

The procedure to check a cervix for cancer is the same regardless of if its a neo-cervix or a cervix-cervix.

Meaning, gynecologist are also familiar with the cervix aspect of a vaginoplasty. As well as the rest of the vaginoplasty. Because they treat people who've had vaginoplasties. So, you know, it's perfectly normal to go see a gynecologist to have your vagina looked at.

A basic pap smear is actually simple enough it can be done with an at home kit (though if anything needs to be biopsied they'll need you in the stirrups for that).

So uh, recommending you see a gynecologist for a vaginal specific issue isn't horribly dangerous misinformation, it isn't even misinformation. It's a perfectly normal thing to do.

If a surgeon made you a vagina, that surgeon should tell you what vagina problems to look out for, what health screening you need, and what specialists you should have preform those tests for you. They'll also likely be able to refer you to someone trans friendly if needed.

Getting an at home pap smear test from a general practitioner is not a big deal. There's no need to see a urologist for that. If you need your neo-cervix biopsied there's no reason not to go see a gynocologist since trans women aren't the only ones with neo cervix.

And also most urologist offices aren't going to have speculums and stirrups.

Trans health care is not some big secret only select medical disciplines are let in on.

A general practitioner can prescribe hormones and keep you up to date on the tests you need for that. A plastic surgeon with experience is going to preform the surgeries, MtF or FtM. A general practitioner can send you home with a pap smear kit, or preform one in the office, even. A gynecologist can look at your vagina, because it's not a special or trans exclusive vagina. A urologist can look at a urinary tract or bladder infection or what have you.

Acting like trans health care is some super secret complicated thing is transphobic. That's something transphobic doctors say as an excuse not to treat trans people.

A friend of mine had a complication develop after surgery and needed a local urologist to fix it. The long term fix was surgical, but the urologist could have drained the painful mass that developed while she traveled to see her surgeon. But he refused. So did the doctors at the Emergency Room.

So she got to enjoy a very painful very long very bumpy bus ride from her rural college to the city where her surgeon was so he could take care of it for her.

YOU'RE the one who needs to 'stop lying and spreading misinformation' because your misinformation perpetuates the excuse transphobic doctors use to avoid treating trans people at all.

It is not a trans need to have a painful surgical complication corrected and it is not complicated to drain an abscess. But that doctor refused her, not because the abscess was caused by an unfamiliar surgery, but because she required that surgery because she was trans.

You are telling trans people that our medical needs are complex and overwhelming and scary. That's discouraging. And it's just not true.

Urologist don't preform vaginoplasties. Urologist aren't extra familiar with trans women's health needs. The cervix isn't part of the Urologist's specialty.

Calm down. Going to see a gynecologist for a pap smear isn’t going to kill anyone. And the gynecology field as a whole is making an effort to be more welcoming to trans women because it’s perfectly normal for trans women to see a gynecologist.