I don’t know about surgery options for trans men, but for cis women where periods are a concern, we don’t need our uterus removed. That would be like cutting off our whole foot because of an ingrown toe nail. Hysterectomies, as with the removal of any organ, comes with inherent risks.

Birth control pills, IUDs, shots, are all options that can allow periods to go away. If we need almost absolute certainty that we will never get pregnant, bi-salp and tubal litigation are an option too.

I imagine, for trans men it’s not just a matter of periods, as owning female reproductive organs comes with body dysphoria that goes beyond periods.