Hysterectomy experiences among transmasculine individuals represent a powerful case to examine gendered dynamics in healthcare, especially given the continued cultural association between the uterus and womanhood. In this paper, I draw on theories from feminist science and technology studies and medical sociology to examine in-depth interviews with 46 trans or nonbinary individuals who have had, want, or are considering an elective premenopausal hysterectomy. I find that trans men and nonbinary patients must negotiate what I call the structural feminization of gynecology which often leads to poor healthcare experiences. This paper also extends theories of a “patriarchal dividend” in medicine by examining reported differences in medical experiences when patients are perceived as cisgender women versus as trans men or nonbinary. I find a double bind inherent in the patriarchal divided in healthcare: masculinity often leads to better care, but the patriarchal dividend is constrained by the stigma introduced by being a trans patient. In the process, I extend social scientific knowledge of a highly common yet understudied procedure while expanding scholarship on medicine, gender, and embodiment.

中文翻译：

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“为什么我们要带男人？这是妇产科”：性别、子宫切除术和父权红利

跨男性个体的子宫切除术经历是检验医疗保健中性别动态的有力案例，特别是考虑到子宫和女性之间持续存在的文化联系。在本文中，我借鉴女权主义科学技术研究和医学社会学的理论，对 46 名曾经、想要或正在考虑选择性绝经前子宫切除术的跨性别者或非二元性别个体进行了深入访谈。我发现跨性别男性和非二元性别患者必须协商我所说的妇科结构性女性化，这往往会导致糟糕的医疗体验。本文还扩展了医学中的“父权红利”理论，研究了当患者被视为顺性别女性与跨性别男性或非二元性别时所报告的医疗经历差异。我发现医疗保健领域父权制分裂固有的双重束缚：男性气质通常会带来更好的护理，但父权制红利却受到跨性别患者带来的耻辱的限制。在此过程中，我扩展了一个非常常见但尚未得到充分研究的程序的社会科学知识，同时扩大了医学、性别和体现方面的学术成果。