I’ve been processing the prospect of a hysterectomy for the past year. I’m at the point where I definitely want the surgery and will probably schedule it as soon as I don’t have a bunch more urgent stuff demanding my attention (i.e. when the semester is over). I have to say it’s been an excruciatingly painful aspect of my transition. A few thoughts on where I’m at and how I got here.
1. Sterility is a really big deal. When I went in to get a prescription for testosterone, my doctor asked me if I wanted to preserve the possibility of having a biological child. I was like, um, yeah, hell no. I was also 21 years old and way more concerned with paying for beer that night than with being a parent someday.
Letting go of the possibility of having a biological child has been the hardest and most heart-wrenching aspect of this experience. I don’t want to use any of the options available to me for having genetic offspring. There are so many reasons for this, I don’t even want to get into it. Suffice to say that even though I don’t want to use what I’ve got–just the prospect makes me queasy–it’s still hard to let it go. It means letting go of the fantasy that I could ever be a biological father. In confronting this reality, I have felt disappointed, cheated, and humiliated. I have felt left out of the great dance of life, a lonely alien. It feels strange to be so sad, yet so repulsed by the options that are open to me.
2. I am in profound denial about my body. I have never accepted the fact that I was born with a female body. I have to admit that I just straight up do not believe it, to this very day. There’s some pretty solid evidence for my view in that I am, you know, a man. Again I ask, WTF God? WTF?
This is a very deep-seated belief that is beyond all logic and is extremely resistant to change. As far as I can tell, I have always carried the worldview that I am male and it seems I always will. This is the reason approaching hysterectomy has been so painful–it has forced me to experience the cognitive dissonance of being transsexual in a whole new horrible way.
My take on this is, to paraphrase Eckhart Tolle, when you can’t accept, accept your non-acceptance. I accept that I am a trans man, that I have a view of my body as male that is not going to change, and that the thing I can change is my body. I accept that I cannot be a good custodian to female reproductive organs. It’s just not realistic for me at all. So a hysterectomy is something I can do for myself and for my health, out of love.
3. Grieving is necessary. I spent a good while feeling heartbroken about my status as soon-to-be-sterile and never having the option to be a biological father. This was an absolutely essential process for me. It’s normal to grieve over this kind of thing, and we need to allow ourselves the space and time to fully go there.
I can now see that a lot of my grief is about lingering shame and pain around being trans, rather than about parenthood (though of some of it really does have to do with parenthood). I have an ingrained belief that being able to father a child has something to do with being a “real man.” I’m still dealing with this; cultural ideas like that are just hard to shake off.
4. Planning a family is about a lot more than gametes. As I began to see the light at the end of the tunnel of my grief, I got a reality check about my hopes to be a parent. Having a child is something I want to do with my wife, obviously, but it’s only recently that I’ve been able to really consider her feelings. In retrospect, I’ve been pretty myopic and selfish about the whole thing; but at the same time, I really could not have gotten to this point without moving through my grief.
Alma has always wanted to adopt and has absolutely zero interest, or really less than zero interest, in ever being pregnant. I can now enjoy the wonderful match we have in this area and feel good about supporting her in her bodily autonomy.
I’m enjoying my new-found clarity about my own feelings, hopes and fears. I’ve come to realize that I actually do not care about having a biological descendant or sharing that connection with a child. I do care very much about being a father someday and I hope to adopt children with my partner. There is a scary vulnerability in this, as I have no idea if it will work out. But it’s real and it’s honest, a genuine dream.
How has your transition impacted your feelings and choices about fertility and parenthood?
Thanks to Lesboi for teaching me the term “middle surgery” for hysterectomy.
My grandmother died about five months ago. I’m still reeling. She was a big part of my life–she lived with us when I was growing up and was one of my main caretakers. She gave me many gifts and burdens: our Sephardic heritage, her experience of the Holocaust, her lifelong struggle with mental illness.
Today, though, I want to talk about another gift she gave me: her acceptance.
I was scared to tell her about my transition. I’m not sure why. She was a hardcore leftist, and I never heard her say a bad word about trans people. But she an old woman, a towering authority. I guess I was scared to tell pretty much everyone.
I think my mother was the one who finally told her. I have no idea what happened in that conversation, but she never said anything negative to me about being trans. This makes my trans status one of very few topics she did not complain about.
She told me my name was old fashioned. “It is not a modern name,” she said, a little perplexed. “It sounds like an old Sephardi man who keeps the keys to the synagogue.” I took this as a compliment.
She did mess up my name and pronouns from time to time. Then again, she did that to everyone. She had two strokes and forgot more languages than I will ever learn. And she didn’t make more mistakes than anyone else did.
Later, whenever she wanted to bring up my being trans, she would say, “What is this group, how do you say, the one that has no civil rights?” This would lead into a short lecture about the discrimination transgender people face–a set-up to try to convince me to go to law school.
She saw being trans like she saw everything: a reason I should become a doctor or a lawyer. She was not just any Jewish grandmother. She was a true master of the form.
Rest in peace, grandmother.