Buck Angel's his-terectomy

Are you all familiar with Buck Angel, The Man With A Pussy?

Briefly, from his wikipedia entry:

Buck Angel is an FTM Transsexual and adult film maker. He received the 2007 AVN Award as Transsexual Performer of the Year, and works as an advocate, educator and lecturer.

I'll admit I don't know a ton more about him, but I understand that's he's a pretty vocal advocate/educator in the trans community. One of my facebook friends pointed me to this entry on Buck's tumblr (careful, pictures NSFW) about getting a hysterectomy.

So many people have been asking me why I am finally getting this operation, and why I haven’t already had it.

Well I never felt like I needed to do this. The chest surgery was way more important for me. I never felt like my uterus and ovaries made me feel less of a man. I never saw them, and the testosterone shut them down. Also my doctors in the USA said that unless something was wrong, I did not need to remove it. I had regular check ups and they never saw any reason for me to get this surgery.  

Until I got an infection in my uterus! What happened was that the use of the testosterone over 15 years started to make my cervix and uterus atrophy. The cervix basically closed and so anything inside my uterus could not get out. 

...So here I am now going into surgery because of the fact that the doctors basically had no idea what long term use of testosterone does to the reproductive system! 

...I always said that there was no reason to get a hysterectomy. Well now I am saying something different. I don’t think you need to do it right away, but if you plan on staying on testosterone longer than 5 years, I would recommend looking into getting this done just to eliminate the chance of this happening to you.

There's so much [unnecessary] focus in our society about the body parts of trans people, but it seems that there hasn't been a lot of consideration for those parts that are on the inside. It's scary to think of all the unknowns that come with hormone replacement therapy.  I wonder if this is an issue that affects a lot of trans men who are taking testosterone long term.

The surgery was a few weeks ago, and Buck has posted an update since then, saying that everything went well.