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Welcome to Just Naked. In this show, adults get naked so we can learn from them. Today, we have transgender guests who will answer questions about their bodies. Being transgender means feeling different from the gender you were assigned at birth. Some transgender people choose to have surgery, while others don't. They may still feel uncomfortable with certain body parts. After surgery, some transgender individuals feel euphoric and finally at peace with their bodies. It's important to remember that gender is not just male or female, there is a wide spectrum in between.

- "Puberty blockers are a group of medications or hormones that we use in the transgender population to stop puberty from progressing." - "We call them in endocrinology gonadotropin releasing hormone analogs or agonists." - "Their job is to really interfere with the signaling from the brain to either the ovaries or the testicles that produce the hormones." - "When somebody starts puberty, we can use them to stop the puberty from progressing, thereby allowing somebody to really explore their gender without the pressure of having secondary sex characteristics that are often permanent." - "And the really nice thing about puberty blockers is that they are reversible, so it's a really nice way for an adolescent to be able to explore their gender." - "We like to use them in birth assigned males who have already even gone through a full male puberty because they are able to then use a lower dose of estrogen."

Talking is definitely a topic that comes up for transgender and gender diverse folks, particularly people who have a feminine or female gender identity and were perhaps assigned male sex at birth. Gender dysphoria is that negative or that uncomfortable distressed feeling that possibly comes with having a gender identity that's different than your sex assigned at birth. So when I think about talking, wanna make sure that people are talking in safe ways. talk to a gender affirming medical provider that's involved in their, child's care or that's involved in your care. I would really recommend that people take breaks from tucking. Pain might feel like an uncomfortable sensation or a tingly sensation, and that's definitely something you'd wanna take a break from and then talk with your medical provider about.

I offer support to find gender affirming care for youth, even if they need to go out of state. If parents are unsupportive, some kids choose to get emancipated at 16 to make their own medical decisions. Dealing with transphobic parents can be tough, especially if they are very right-leaning. It's important to find a chosen family of friends who accept you. I can send you a binder discreetly if needed.

Chest reconstruction is a procedure that we perform to patients who identify as non binary or transmasculine or interested in, having their breast removed and to reconstruct a more masculine appearance of their chest. Most of the times it includes a mastectomy, which is the medical term to describe a removal of the breast tissue, but also, building a more masculine appearance to the chest, eliminating the inframammary fold and reconstructing the nipples in a more masculine position and appearance.

A lot of parents have questions about social transition at a young age. There are no exact guidelines. Again, everybody has their own gender journey and everything feels right or wrong depending on the family. However, many kids do decide to pursue a social transition. Usually that will start with changing their name or their pronouns. They might want to just try dressing a different way or using a different name at home to get used to it and for the family to get used to it. Some people might want to do it on a vacation where they don't really know anyone as a way to try it out. And then slowly over time they might move into using that more with loved ones at school or with friends. However, kids do benefit from social transition over time.

Ladies, your bra may be sabotaging lymphatic flow. According to Dr. Aubrey Hindershot, wearing an underwire bra is not recommended because the underwire traps lymphatic flow, preventing it from reaching the axillary lymph nodes. Similarly, wearing a sports bra all day is also not ideal. While compression can be beneficial, sports bras can create too much compression in certain areas, resulting in a bottleneck effect that hinders lymphatic flow to the axillary lymph nodes in the armpits.

Instead of saying someone is a transgender, it is more appropriate to say they are transgender. Instead of saying someone transgendered, it is better to say they transitioned. Instead of saying someone changed genders, it is more accurate to say they transitioned or affirmed their gender. Instead of saying someone was born a girl, it is more correct to say they were assigned female at birth. Instead of saying someone became a boy, it is more suitable to say they fully transitioned. Instead of saying someone was a girl, it is more accurate to say they presented as a woman. Instead of saying being trans means you're gay, it is important to understand that gender identity and sexual orientation are not the same. Lastly, it is important to mind your own business.

A trans man is someone who was assigned female at birth, while cisgender or cis refers to those who identify with the gender they were assigned at birth. Transitioning can be challenging due to concerns about societal acceptance and potential loss of relationships or employment. It's important to use correct pronouns, such as she/her, he/him, or they/them, to respect individuals' gender identities. Including pronouns in email signatures can create a more inclusive environment. Misunderstandings and misjudgments about trans people can have serious consequences, as their rights and lives are at stake. Trans people exist as a reality, not an opinion.

Max, who identifies as a boy, is visiting the doctor to discuss hormone blockers to prevent puberty. He has started experiencing some breast growth and feels uncomfortable. His parent expresses concern about medical interventions and their effects on bone health and psychosocial development. The doctor explains that hormone blockers can halt puberty progression and reassures that if Max changes his mind, he can still go through female puberty later. The procedure involves inserting a small implant in Max's arm, which will last about 14 to 18 months. The entire process is quick, taking only about 10 to 15 minutes.

"For someone who is assigned male at birth and if they've already been through puberty, they could produce a semen specimen and have it frozen." "If someone is assigned female at birth and they are also all the way through puberty, you can do egg banking, which entails a little bit more." "Typically, you have to take some additional hormone injections and it's a procedure to go in and retrieve the eggs." "We think someone has to be probably in mid male puberty to produce semen." "There have been some case reports of transgender men who were assigned female at birth who weren't completely through puberty and have been able to do fertility preservation, but we don't know if that applies to everybody." "We definitely counsel all of our patients about fertility preservation." "Usually from their first visit, we're starting to talk about it."

I decided to have gynecomastia surgery because I was tired of worrying about my appearance. After the surgery, my chest is healing well, although one nipple is healing better than the other. I noticed some firmness on one side compared to the other, but overall, I look natural and feel great. I struggled with excess tissue since I was 13, and despite my efforts to work out and diet, it never went away. After researching surgeons, I took the plunge, and the results have been life-changing. I no longer obsess over what to wear, which has given me a sense of freedom. Later, we chatted with an officer while heading to a gay bar, and he gave us a warning but declined our invitation to join us.

There is not one surgery that every transgender person wants. Many transgender people have no interest in having surgery. For other people, they undergo medical transition involving use of gender affirming hormone treatments. And for others, they may have one or more surgeries. They may have top surgery, which is surgery on the chest or breasts. They may have bottom surgery, surgery on the genitals. They may have facial feminization. Trans women may have a tracheal shave to reduce their Adam's apple. No two trans people have the same needs to resolve their gender dysphoria. So you can never make an assumption that any trans person wants any particular surgery or any surgery at all.

In this video, the speaker shares their top surgery results, which they had three years ago with Dr. Katharine Gast. They show their faded scars and mention that they don't do much scar care because they like how they look. The speaker emphasizes the importance of their decision to have top surgery at 16, which involved removing excess chest tissue and masculinizing the shape.

I'm Livo, and I underwent top surgery 9 months ago. Getting ready used to be a struggle for me due to dysphoria, often leading to meltdowns. However, things have changed now, and it has become my favorite part of the day. Top surgery has been my most significant act of self-care.

I prefer male pronouns and presenting as male. I want to either have no genitalia through nullification surgery or have female genitalia. Even if I don't have testicles, I would still take testosterone. My husband and I haven't decided on surgery, but I have started tucking and binding my genitals, which has been life-changing for me.

"The eligibility for getting gender affirming surgeries at Boston Children's Hospital is basically the same as it would be for most other hospitals or surgeons in The United States." "And that's the case because we all follow the World Professional Association for Transgender Health or WPATH standards of care." "For top surgery, you are requested, but not required to have been on gender affirming hormones for at least a year." "If you're a trans woman, it's really encouraged that you be on estrogen for at least a year because you want to maximize your natural breast growth." "Many surgical centers require you to be 18." "At Boston Children's Hospital for top surgeries, we'll see people as young as age 15 if they've been affirmed in their gender for a long period of time and don't really have any other life complications that make surgery inappropriate."

"No matter what, bathrooms can definitely be tricky for not just transgender kids and teenagers, but non binary folks, or even cisgender folks who are gender non conforming." "Some of the, I think, helpful tips and tricks are find a close family member or friend who you feel comfortable with, who they're like your bathroom buddy." "It might seem silly at first, but it's really helpful and brings about a sense of security to have someone who you know has your back." "Sometimes using the bathrooms, if we can find a single user bathroom or a gender all inclusive one, often those are even just labeled family bathrooms, but they're there for people to use and they're there for transgender and gender diverse folks to use." "If those are there, think those are great options as well."

Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

I administer my weekly estrogen shot using two needles and half a milliliter of estradiol. I carefully clean the area with an alcohol wipe and then inject the medication into my thigh. I always make sure there is no blood and then apply a band-aid for cleanliness and to ease my anxiety. I keep all my supplies organized, including different needles, medication, and a prescription, especially when I travel. This self-care routine is crucial for my mental health and gender affirmation.

"Sometimes it may be just a phase of development where they're exploring their gender identity and they're kind of getting a sense of who they are, but a lot of children do end up identifying as that gender into young adulthood and adulthood." "The only real way we know for sure that they're going to continue in that gender identity is just to allow them to develop over time." "And so that's what we recommend to parents is to give them the space." "Even if parents are concerned that it's a phase, we never want to tell the child that they shouldn't be expressing their gender identity or that they should be, ashamed for the way that they're expressing their identity because that can be quite harmful." "We just want to give the child a chance to develop and explore on their own."

Here's a shorter transcript: "Now, here's a bigger magnet. Look at how it sticks to the skin. Instead of using double-sided tape, this magnet goes under the armpit. It's just a magnet, and I removed it today."

If you're transgender or nonbinary and feel uncomfortable with your puberty experiences, you're not alone. Puberty blockers can temporarily halt the changes caused by hormones like testosterone and estrogen, giving you more time to figure out your gender identity. It's okay to not have all the answers right now, as understanding yourself takes time. Talking to a trusted adult, nurse, or doctor can be helpful. To learn more, visit plannedparenthood.org/teens.

Breast augmentation for transfeminine patients is augmenting or increasing the volume of the breast tissue. And when we do that, we're trying to reconstruct a more feminine appearance to the chest. We typically do that with silicone implants that can either sit under the muscle or under the breast tissue itself. To the majority of the patients, they have this surgery several years after being on estrogen because estrogen itself can cause a building of breast tissue. It's very typical that we will need to increase the distance between the nipple to the fold underneath the breast and we are able to do that in the same procedure as well.

Transgender is an umbrella term to describe a person that feels a mismatch between their body characteristics and their gender identity. Until recent years we used to think of a gender as a binary thing, either a female or a male, but now we understand it's a little bit more complicated than that. It's actually composed of four different things. The first one is gender identity, which is how you define your gender in your own hand and how you feel about it. The second one is gender expression and how you express yourself, meaning how you dress up, what kind of a hairstyle you have, and how you talk. The third one is sexual orientation. And the fourth one is actually your body characteristics, including your chromosomes, your genitalia, and other secondary body characteristics like breasts and shoulders and width of your body.