Help! I think I'm an FtM Transsexual!
by Laura Amato
You know the feeling. Since you were a child you've always known that you were a man in a woman's body. In fact it one of your first memories. Looking in the mirror finds you not pleased with the results. You are depressed and irritated. So now you want to do something about it. What can you do?
First you will need to find a Psychologist who deals with "Gender Dysphoria". Any Psychologist or Psychiatrist can help you find one. The reason you need one is that for Hormone treatments and any surgery you might have require letters from a Gender Specialist who Follows the Harry Benjamin Standards of Care, or HBIGDA.
After three months your Gender Counsellor could recommend you take male hormones. He would then refer you to an endocrinologist. The following are the some effects you would experience:
"Biologic females treated with testosterone can expect the following permanent changes: a deepening of the voice, clitoral enlargement, mild breast atrophy, increased facial and body hair and male pattern baldness. Reversible changes include increased upper body strength, weight gain, increased social and sexual interest and arousability, and decreased hip fat".
A period of Cross-living or transition would be suggested. A name change may also be required. During this time you would be required to live and work as a man.
Surgery that a female to male Transsexual might undergo would be top surgery or a mastectomy. "Genital surgical procedures may include hysterectomy, salpingo-oophorectomy, vaginectomy, metoidioplasty, scrotoplasty, urethroplasty, placement of testicular prostheses, and phalloplasty. Current operative techniques for phalloplasty are varied. The choice of techniques may be restricted by anatomical or surgical considerations. If the objectives of phalloplasty are a neophallus of good appearance, standing micturition, sexual sensation, and/or coital ability, the patient should be clearly informed that there are several separate stages of surgery and frequent technical difficulties which may require additional operations. Even metoidioplasty, which in theory is a one-stage procedure for construction of a microphallus, often requires more than one surgery. The plethora of techniques for penis construction indicates that further technical development is necessary". Other surgery might include Liposuction to reduce fat in the hips and buttocks.
Not all FTM's have bottom surgery. Many are content to use a "packy" or male prosthetic. While this may sound easy it certainly is not. Gaining acceptance can be the hardest part and the surgeries can be very painful.
While surgery seems to be the closest thing to a cure there are alternatives. We will be discussing this in other upcoming articles. Remember that this condition is not your fault and is not a lifestyle choice. You were most likely born with this condition.