Dr. Adam Bonnington
Hysterectomy for FTM and Non-binary Individuals in California
Dr. Adam Bonnington, MD is a board-certified Gynecologist in San Francisco, California who provides gender-affirming Hysterectomy for transgender and non-binary patients. He joined MoZaic Care as a Surgical Associate in 2020.
Education & Training:
- Bachelors degree in General Biology with a minor in Women's Studies, University of Michigan
- Medical degree, University of Michigan Medical School, 2015
- 4-year residency at the University of California – San Francisco in the Department of Obstetrics, Gynecology & Reproductive Sciences
- Board-certified by the American Board of Obstetrics and Gynecology
- Trained in gender-affirming genital surgery with Dr. Heidi Wittenberg
Professional Memberships:
- Member of the American College of Obstetricians and Gynecologists
- Member of the San Francisco Gynecological Society
Presentations:
- Bonnington A, Obedin. Maliver J. Contraception for Transgender Men: Extrapolation of Uses in Absence of Data. 2018 ACOG Annual Clinical and Scientific Meeting.
Dr. Bonnington specializes in transmasculine Hysterectomy, a procedure that removes the uterus. Removing the ovaries is optional. During Hysterectomy, the fallopian tubes are removed, even if ovaries are preserved. Fallopian tubes can be a source of cancer and removing them is the current recommendation of the American College of Obstetrics & Gynecology. Dr. Bonnington also offers Vaginectomy.
Should I Remove One Or Both Ovaries?
Removing both ovaries lowers the risk of gynecological cancer, especially if there is a family history of the BRCA gene. Removing both ovaries also eliminates the development of ovarian cysts and drastically reduces production of estrogen.
Removing both ovaries results in a total loss of fertility. If you wish to have your own biological children in the future, you can do egg retrieval before surgery or keep one or both ovaries and do egg retrieval at a later date.
Keeping one or both ovaries maintains natural hormone production, which may be helpful if you choose to not take testosterone, plan to stop taking testosterone in the future or have concerns about access to testosterone. If there's a family history of severe osteoporosis, keeping one or both ovaries is worth considering.
If you keep one or both ovaries and stop taking testosterone, ovulation will return (for those who are pre-menopausal).
After Hysterectomy, removing ovaries and treating ovarian cysts and fibroids is more technically difficult.
Dr. Bonnington has surgical privileges at Saint Francis Memorial Hospital, California Pacific Medical Center, Zuckerberg San Francisco General, Highland General Hospital and Alameda Hospital.
Surgery Requirements
Dr. Bonnington follows WPATH guidelines for surgery. You will need to provide two referrals from qualified mental health professionals recommending surgery. You will also need a letter from your hormone provider stating you have been on 12 months of continuous Testosterone, unless clinically contraindicated. Minimum age of 18.
Booking a Consultation
Dr. Bonnington is available for in-person (preferred) and phone consultations for a fee of $250. If Dr. Bonnington is in-network with your insurance, the consultation fee is the specialist co-pay. His current wait list for a consultation is 6 months.
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