Changing the gender from female to male has always been considered some kind of freakishness. People are ready to go for the most complicated operations not for the sake of saving their lives, but to become a man instead of a woman or vice versa. Many are sure that this is complete recklessness or mental illness. But the problem is that the person who feels himself not in his own body is more orderly than it might seem.
What is it?
Transsexuality is a medical name meaning the discrepancy between gender unity (abnormal sex) and the anatomical gender of an individual. According to the International Specification of Diseases, transsexuality is one of the varieties of behavioral and mental disorders in humans. According to the assumption of the majority of experts, hormonal and surgical adjustment of the biological sex in relation to the psychological one is considered to be an exceptional way to treat this ailment.
Who can change sex
Sex change from female to male begins, first of all, with the desires of the person himself. However, one intention will not be enough. The patient must be an adult and have full civil work capacity. In addition, medical data is needed - a diagnosed disease with transsexualism. Those who want to change their gender should first visit psychiatrists and take a conclusion from at least two of them.
The remaining directions of the analysis go by examining the general state of health of the patient and his chromosome set. If the medical board unanimously approves the decision on the permissibility of a sex change, then the event itself has already begun, which lasts several years.
Sex Change Procedure
Sex change from female to male occurs in several stages. It is a very complex and complex process, which may not always end happily.
- The individual will be encouraged to work and live throughout the year as a person of the opposite sex.
- In addition, hormonal treatment is included. Its duration is usually also about one year. Due to the use of hormones, the voice, body shape changes, women begin to sprout facial hair.
- As a result of a number of operations, the body is being rebuilt.
It follows that a person must prepare for a long conversation with different specialists: psychologists, surgeons, psychiatrists and endocrinologists.
Operation stages
Sex change from female to male takes a very long period and is carried out stepwise. The first two stages are preparatory, and they can go more than a year. And only then the surgeon begins the last stage - the operation. What levels of training exist:
- evidence of transsexuality (difference between social and biological sex);
- long hormonal treatment (you need to undergo a complete diagnosis, excluding infectious diseases, disorders in the liver and anemia);
- genital mutilation surgery.
The course of all three steps lasts about 2 years.
How are surgical procedures performed?
The sex change operation takes place in several stages. First, excess skin and mammary glands are cut out (the patient stays in the clinic for 3 days), for 2-3 months he should not be lifted. At the next surgery, the vagina, uterus and ovaries are removed. From the small labia, a cover is made for the testicles (made of silicone) and the penis. The member’s standard itself is created as a result of several operations.
Such aesthetic correction techniques as liposuction of excess fats, chin and calf muscle adjustments can also be applied.
Then, a person is issued a document on the basis of which he changes the civil sex, first name and surname, which is created as a note in acts of civil order.
How to make a sex change: removal of the mammary glands
This is, first of all, surgical intervention, which is carried out under general anesthesia. The postoperative period of time on average is 2 weeks. The event takes place through:
- periareolar incision (in cases where the patient’s bust is small);
- a peripheral incision is used when the woman has a medium volume breast;
- vertical when it is necessary to remove a large bust.
After such an operation, you need to go through a long rehabilitation period.
Ovariectomy
Future transgender women are primarily confronted with surgery to cut the fallopian tubes and ovaries. However, before the appointment of such an operation, 2 investigated manipulations should be performed:
- salpingoscopy (examination of the fallopian tubes);
- hysteroscopy (examination of the uterus).
They are performed under general anesthesia. Only after the specialist has ascertained that the patient has no tumors, especially oncological ones, is ovariectomy performed.
Surgical intervention to remove the fallopian tubes and ovaries can be performed by laparoscopy (this method is less traumatic) or by a simple cavity procedure. In both cases, the operation is performed under general anesthesia. You can see the photo before and after it in various medical sources.
The postoperative period itself as a result of a laparoscopic event usually takes up to 6 days. After cavity surgery, the sutures are removed on the 7th day, and the duration of the recovery stage is determined by the patient’s well-being. In any case, all this takes at least a month.
Metoidioplasty
It is performed for those women who, with the help of hormone therapy, have acquired a clitoris increase of more than 6 cm. The new channel is made from the mucous membrane of the vaginal matter, and the approximate length of the penis after the procedure is 5 cm. In postoperative stay, you need to use a urinary catheter for 14-16 days.
Due to the conduct of metoidioplasty, only a small number of postoperative deteriorations are found, and erogenous sites retain their sensitivity. Moreover, this is a one-step operation. However, the genitals after sex change do not have penetration.
Phalloplasty
It makes it possible to create a real penis with an aesthetic point of view, having the appropriate size. However, he will have high sensitivity and susceptibility to sexual intercourse, which is acquired by placing an erectile prosthesis in the vagina.
It should be noted that phalloplasty is a complex and lengthy operation requiring transplantation of matter (usually skin tissue is taken from the abdominal region, forearms or hips). After surgery, a catheter should be used for 2 weeks. Photos before and after the procedure can be found in various medical literature.
Phalloplasty stages
Such a procedure goes in three stages:
- creation of the urethra;
- penile production;
- the design of the head of the penis and the formation of the scrotum with artificial testicles.
The patient goes through these 3 stages, as a rule, not less than 1 year.
What are the contraindications to gender change?
There are certain restrictions that do not allow surgical interventions to change sex:
- too young (up to 18 years) or old age;
- severe systemic and mental illnesses;
- homosexuality;
- lack of an approved conclusion of transsexuality by doctors in the field of sexual syndrome;
- alcoholism.
What can not be done after surgery
In the postoperative period, as a result of the change of female to male, it is necessary to minimize physical activity. Also, experts do not advise to have sex until the final scarring of the operated area. The patient must go to the attending physician to monitor the healing process.
How much does a sex change?
As such, the exact cost of such an event does not exist. In different countries the price will vary. But there are some examples that people who have done such operations for themselves testify to. In England, sex change will cost $ 20,000, in America $ 15,000, and in Israel $ 8,000.