Evidence map›Paper›PMID 41586256›Full record

ArticleO&G open2026

Trends in Transgender Care: A Decade of Gender-Affirming Hysterectomies and Ovarian Conservation.

Jeannie G Radoc, Yanting Zhao, Lue-Yen Tucker, Ashley Huynh, Miranda L Ritterman Weintraub, Eve Zaritsky

Abstract read
In one paragraph

Article in O&G open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeannie G RadocKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.
Yanting ZhaoKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.
Lue-Yen TuckerKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.
Ashley HuynhKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.
Miranda L Ritterman WeintraubKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.
Eve ZaritskyKaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Santa Clara, California; Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Kaiser Permanente Oakland Medical Center, Graduate Medical Education, Oakland, California; and Kaiser Permanente Department of Obstetrics and Gynecology, Kaiser Foundation Hospitals, Oakland, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the trends in ovarian conservation during concurrent transgender or gender-diverse (TGD) hysterectomies across various time periods: before and after the expansion of gender-affirming health care in California (2010-2012 vs 2013-2019), before and after the 2016 U.S. presidential election (2010-2016 vs 2017-2019), and annually from 2010 to 2019.

methodsThe study was conducted within a large, integrated health care system from January 2010 to December 2019. Cisgender-related and TGD hysterectomies performed on patients who were 18 years of age and older and underwent a benign hysterectomy not associated with pregnancy were included. Hysterectomies performed with prior bilateral salpingo-oophorectomy (BSO) were excluded.

resultsThere were 41,341 hysterectomies performed within our large, integrated health network between 2010 and 2019, with 461 (1.1%) for TGD patients. Although the proportion of cisgender hysterectomies was similar in 2010 and 2019 (99.7% [n=3,750] vs 98.4% [n=4,361]), the proportion of TGD-related hysterectomies increased from 0.3% (n=10) in 2010 to 1.6% (n=70) in 2019 (

conclusionGender-affirming hysterectomies and ovarian conservation increased from 2010 to 2019. Further research can help to explore the policies, sociopolitical climate, and patient care preferences driving these trends and their implications on patient outcomes and clinical practice.

Identifiers

PMID41586256
PMCPMC12826187

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.