To define surgical pathology findings and discuss the clinical features of transmasculine people who had hysterectomy. Transmasculine patients having hysterectomy and bilateral salpingectomy or bilateral salpingo-oophorectomy were found retrospectively from a single hospital using an institutional review board-approved methodology. Previous medical, surgical, obstetric, and gynecologic histories, including past testosterone usage, cervical cancer screening status, and preoperative pelvic imaging, were all gathered. Endometrium, ovaries, and cervix surgical pathologic results were obtained. The average age was 30 years. At the time of the preoperative appointment, the majority of patients had private insurance and were on testosterone. 42 patients had anxiety, depression, or bipolar illness, and 34 were on an antidepressant or mood stabiliser. Before their surgical consultation appointments, 33 of the 68 patients eligible for cervical cancer screening were up to date. Pelvic discomfort was the most common reason for surgery, with 29 patients having multiple reported reasons for surgery. In three patients, surgical pathology revealed cervical intraepithelial neoplasia 2–3, 13 had endometrial or cervical atrophy, and 16 had ovarian or paratubal cysts.

This study discusses the clinical characteristics and surgical pathology findings that must be considered by healthcare professionals when caring for unique patient population, such as a relatively high rate of mental health conditions, pelvic pain as the leading indication for surgery, and the presence of endometrial or cervical atrophy and ovarian or paratubal cysts on surgical pathology.