Hormones and surgery - trust me
2006-06-30 07:25:49
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answer #1
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answered by captlex 4
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Wow, there's lots of misinformation.
The first step is psychological. You'd talk to a psychologist, whose role basically is to make sure you're for real.
Why such concern? Because the second step, hormone therapy, is potentially irreversible. Hormones are the most powerful agents in our bodies, and the changes they wreck are strong.
The hormones used are testosterone and, if possible, anti-estrogens. Testosterone starts to affect the mind, increasing aggression and reducing emotion. The body follows suit, expressing some male secondary sexual characteristics. Body hair grows thicker, muscle mass and definition increase, the voice drops, the Adam's Apple becomes pronounced, and eventually facial hair grows. There is some redistribution of body fat, flattening the curves, but breasts do not shrink or vanish. After a few months, menses cease, and after a year they will not return. Fun side effect: the clitoris increases in size as well.
Concurrent with hormone treatments is living full-time as a male. This means new wardrobe, new name, new identity documents, a new you.
Eventually, the process may culminate in:
-Radical double mastectomy- removal of both breasts and chest reconstruction.
-Hysterectomy and bilateral salpingo-oophorectomy - removal of the uterus, ovaries, and fallopian tubes
-Phalloplasty or Metoidioplasty- creation of a new penis and scrotal sac
The material for the phalloplasty comes from either a graft from an arm, a leg, or the abdomen.
Meoidioplasty is a procedure which, essentially, frees the enlarged clitoris from its hood, and labia minora is used to extend the urethra to the tip of the neopenis.
Note that you will not be able to reproduce, unless you banked eggs prior HRT. Also note that not all transmen go through with surgical procedures, though many do.
2006-07-04 06:43:47
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answer #2
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answered by kx_wx 3
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The surgery is called an addadicktome. Just kidding.
Hormone treatments supplement testosterone where needed and the reassignment surgery inverts the uterus into a penis and a scrotal sac. The clitoris is worked into the head of the penis, to provide sensitivity. I'm pretty sure that testicles are artificial and a pump is required if an erection is desired, but science may have compenstaed for that.
Hormone treatments and surgery only happen after much counselling and assurance that sexual dysphoria -- the feeling that the outward body does not truly reflect your inner sex -- can only be eliminated by changing the outward body.
gendertalk.com has some good resources.
2006-06-30 14:31:05
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answer #3
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answered by arrghyle 1
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"Penile surgery"? It's called phalloplasty. Not a lot of trans men even end up getting one. Much easier (and MUCH less expensive!) just to wear a prosthesis, or a "strap-on".
Besides that, there's surgery to remove the breasts (unless you want to be binding your chest down for the rest of your life) and as people have already mentioned, hormones. Testosterone is usually injected, although there are patches and gels available they are generally more expensive and more of a hassle. Taking testosterone will alter the way the body distributes fat and muscle tissues, as well as deepening the voice and growing facial hair and other bodily hair. There are plenty of websites out there that can go into greater detail than I can here, of course. Just google "FTM" or similar terms to get more info.
2006-07-01 13:51:28
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answer #4
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answered by GeneImperfect 2
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He was never really a girl to start off with...and with lots of psychological testing, hormone treatment and surgical correction the body can be made to match the person inside
2006-06-30 14:42:03
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answer #5
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answered by unclefrunk 7
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Sexual reassignment surgery from female to male includes surgical procedures which will reshape a female body into a body with a male appearance.
Many transmen considering the surgical option do not opt for genital reassignment surgery, though some do undergo a double mastectomy, the removal of breast and shaping of a masculine chest and hysterectomy, the removal of internal female sex organs, along with hormone treatment with testosterone.
Mastectomy:
Most transmen require bilateral mastectomy, also called "top surgery", the removal of female breasts and the shaping of a male contoured chest. Transmen with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position.
By some doctors, the surgery is done in two steps, first the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year, where in a second surgery the excess skin is removed. This technique results in far less scarring, and the nipple-areola needs not to be removed and grafted. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer.
For transmen with smaller breasts a peri-areolar may be done where the mastectomy is performed through an incision made around the areola. This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. In addition, there is less denervation (damage to the nerves supplying the skin) of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. See Male Chest Reconstruction
Hysterectomy and bilateral salpingo-oophorectomy:
Hysterectomy is the removal of the uterus. Bilateral Salpingo-oophorectomy (BSO) is the removal of both ovaries and fallopian tubes. Hysterectomy without BSO in cisgendered women is sometimes referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs.
Some transmen desire to have a hysterectomy/BSO because of a discomfort with having internal female reproductive organs despite the fact that menses usually cease with hormonal therapy. Some undergo this as their only gender-identity confirming 'bottom surgery'.
For many transmen however, hysterectomy/BSO is done to decrease the risk of developing cervical, endometrial, and ovarian cancer. (Though like breast cancer, the risk does not become zero, but is drastically decreased.) It is unknown whether the risk of ovarian cancer is increased, decreased, or unchanged in transgender men compared to the general female population. It will probably never be known since ovarian cancer is a relatively rare disease with an overall lifetime risk in women of only 1/70, with a median age of onset of 60 years. Because ovarian cancer is uncommon, the overall population of transgender men is very small, and even within the population of transgender men on hormone therapy, many patients are at significantly decreased risk due to prior oophorectomy (removal of the ovaries), it is essentially impossible to do the appropriate epidemiological study to answer that question. While the rates of endometrial and cervical cancer are overall higher than ovarian cancer, and these malignancies occur in younger people, it is still highly unlikely that this question will ever be definitively answered.
Decreasing cancer risk is however, particularly important as transmen often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. Though ideally, even after hysterectomy/BSO, transmen should see a gynecologist for a check-up at least every three years. This is particularly the case for transmen who:
* retain their vagina (whether before or after further genital reconstruction,)
* have a strong family history or cancers of the breast, ovary, or uterus (endometrium,)
* have a personal history of gynecological cancer or significant dysplasia on a Pap smear.
One important consideration is that any transman who develops vaginal bleeding after successfully ceasing menses on testosterone, MUST be evaluated by a gynecologist. This is equivalent to post-menopausal bleeding in a cisgendered woman and may herald the development of a gynecologic cancer.
Genital reassignment:
Genital reconstructive procedures (GRT) use either the clitoris, which is enlarged by androgenic hormones (Metoidioplasty), or rely on free tissue grafts from the arm, the thigh or belly and an erectile prostheses (Phalloplasty). The latter usually include multiple procedures, more expense and with a less satisfactory outcome, in terms of replicating nature.
In either case, the urethra can be rerouted through the phallus to allow urination through the reconstructed penis. The labia majora (see vulva) are united to form a scrotum, where prosthetic testicles can be inserted.
2006-07-01 14:35:42
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answer #6
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answered by inatuk 4
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Go to Asia, they do alot of it over there, They actually take your vagina and make it in to a penis, Believe this, there is a movie called Shocking Asia, gohttp://www.imdb.com/title/tt0073706/plotsummary rent it, it shows the whole operation
2006-06-30 15:07:09
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answer #7
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answered by Anonymous
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it is an operation called a penile surgery. i have absolutely no idea what they do or how they do it. i am completely lost.
2006-06-30 16:24:07
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answer #8
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answered by boricua82991 3
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penis envy
2006-06-30 16:33:46
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answer #9
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answered by barearl@sbcglobal.net 2
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GET AN OPERATION DUH
2006-06-30 16:06:58
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answer #10
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answered by Anonymous
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