What and how many appointments did it take?

For me it was only 1 appointment with my OBGYN (the 2nd one I went to) and he confirmed with me that I needed a hysto based on everything I told him what was happening with me. That's 1 initial appointment and then set up a surgery date from there. Insurance approved it no issue (usually with hystos the process of it getting it approved goes easier and more smoothly then with top surgery or phallo/meta).

For you, you mentioned you're on nexplanon. I was also on nexplanon before my hysto and it also made me bleed for an insane amount of fucking time. I made a whole post about it yesterday you can see on my profile, I ended up having an entire catastrophe down there and needed a hysto more the I originally thought I did. Anyway it could be possible in your case you can get a hysto approved sans a therapy letter if you have a doc that works with you on possibly having heavy painful periods or Menorrhagia. When you make your appointment with an OBGYN make sure you take that journal with you to the appointment and show the doc all the records you kept. Could make them more likely to approve of you having it.

Heya! I'm also nb and not on T. I am in liberal NY so it might differ a bit, but I'll describe what I've done so far to the best of my ability. I first saw an obgyn, and I talked about never wanting children, how I had tried 3 bc methods and they all made me violently suicidal, and how my periods make me dysphoric. She then referred me to the gender surgeon. The receptionist for the surgeon said that getting my letters before the appointment would be more beneficial to me. So I started to get my letters. With my insurance, the requirements were 1) one year or more as your gender identity 2)one year or more on hormones unless medically contradicted 3)two letters, one from a mental health professional that you have an ongoing relationship with and one from a medical professional with a relevant degree. In my letters I stated that I was nb, had tried bc, and as a nb person testosterone would be medically contradicted to the body I want. Then I went to my psychiatrist, primary doctor, and then for safety got a third letter from my original obgyn. Surprisingly I received no pushback from any of them. I then had my appointment with the surgeon. She was great, couple questions, I stated that I have a marathon in October so was looking for a hysterectomy in November. She said great, call me back in august and we will set it up and book for November, since they don't book that far out (this was in March). So I haven't had to submit anything yet. But i'm really crossing my fingers and hoping that it works! I'll have to keep you updated if something changes

• Nov: Initial appt established me as a patient w/hospital (I guess they didn’t have many openings? So it took a while to get my initial appt)
• Feb: initial appt with Gyn, got the referral to surgeon
• March: had pro-op Apt with Surgeon
• Apr: had Surgery

I’m also non-binary not in T. I already came prepared with a gender letter from my therapist but insurance kicked it back because they needed different formatting/verbiage… ended up getting two new/better letters that also included wording for top surgery I can use down the line.

United Healthcare Insurance covered most costs, I paid ~4k between my primary and referrals.

Am also nb, never wanted kids, not on T, and had irregular (and sometimes painful) periods all my life and was on hormonal iud for 6 yrs. It took about 4 months from my first consultation to the surgery itself.

Insurance covered my hysto for medical reasons (painful periods), which my gyne told me they’d approve for quicker than if it were for gender affirmation in my case. But because I also had an abnormal pap, I had to have a colposcopy, where they found cin2 so then I had to undergo LEEP, and then a transvaginal ultrasound to see if there were any abnormalities (cysts, fibroids, etc.). After that was all done (within 2 months), I was good to go for surgery and the date was set. The reasoning for doing all those additional things was to make sure I didn’t have cancer, cuz then it would required more testing and a radical hysto. (Thankfully I was cleared)

Overall I’m happy with my hysto! Got rid of everything but the ovaries. No more bleeding, fainting, or fear of getting preg. Life’s been better ever since 😎

(Context: my hysto was approved for GD and I've been on T for several years)

First i got my WPATH letters from 2 therapists, then I asked my PCP for a referral and got a consult about a month or two out. Went to the consult and the surgeon said I checked all the boxes for insurance to cover me. I don't remember how long it took between the consult and surgery, but it was like 2 months ish I think.

I have no idea how it will vary if they don't consider it a gender affirming surgery.