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I still have my male anatomy, but I embrace femininity on my own terms. I don't desire to have a vagina or be like other women. I simply want to express myself in a feminine way.

I have two daughters and can’t imagine telling them they were born wrong. That idea is harmful and misguided. Medical interventions like halting puberty, administering opposite-sex hormones, and performing surgeries on children are alarming. In the U.S., insurance data shows that up to 179 girls under 12 and a half have undergone double mastectomies. This means young girls are having their breasts removed because they’ve been led to believe they are boys inside.

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.

If someone desires female anatomy but does not have it, there is a surgical option available. This procedure involves inverting the penis to create a vagina.

"Speaker 0: A phalloplasty is a procedure to basically create a penis or a phallus for an individual who was born biological female and who seeks transition to, a male, gender." "Speaker 0: The procedure is done with plastic surgeons and urologists." "Speaker 0: The urologists manipulate the tissues in the surrounding area to lengthen the urethra." "Speaker 0: A new scrotum is created and, some of the anatomical parts of, the female anatomy are removed." "Speaker 0: We typically utilize tissue from elsewhere." "Speaker 0: For example, the forearm or the thigh is used." "Speaker 0: The plastic surgeons are also responsible for, providing sensation by doing the nerve coaptation so that the new phallus will have sensation, and also responsible for reestablishing the blood supply, and also to shape it in a way that appears more physiologically and anatomically like a natural one."

- "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.

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.

The number of gender surgeries for natal females in the US increased fourfold between 2016 and 2017, with women accounting for 70% of all surgeries. The UK reported a 4,400% rise in teenage girls seeking gender treatments over the past decade. Clinicians in Canada, Sweden, Finland, and the UK noticed a shift in the demographics of those with gender dysphoria, from mostly preschool boys to mostly adolescent girls. The transgender movement has given power to young individuals, but it may create chaos and confusion for them, as they still need guidance and parental support. This could be seen as a disservice to them.

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.

For bottom surgery, hair removal is extremely important. For hair removal for a vaginoplasty, you can use laser. And because we're usually using penile inversion vaginoplasty, we need that hair to be removed because that's going to be the inside of the new lining of the cavity. Not only do we not want hair in there, it also can cause a lot of complications. So we go through that with you before, and then we do many hair checks as well to make sure that you're on the right path.

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.

A gender affirming hysterectomy is very similar to most hysterectomies that occur. Hysterectomy itself is the removal of the uterus, the cervix, which is the opening of the uterus, and the fallopian tubes, which are attached to the sides of the uterus. Some gender affirming hysterectomies will also include the removal of the ovaries, but that's technically a separate procedure called a bilateral oophorectomy. And not every gender affirming hysterectomy includes that, and people who are getting gender affirming hysterectomies do not have to have their ovaries removed.

In order for therapies for gender dysphoria to become mainstream, the definition of the condition needs to change. In the past, transgenderism was considered a mental illness and treated as such. However, in 2013, the American Psychiatric Association changed the nomenclature from transsexualism or gender identity disorder to gender dysphoria. This change removed the term "transsexual" and shifted the focus away from pharmaceuticals and surgeries. Without these interventions, the condition is essentially reduced to being a transvestite or cross dresser. This was the understanding of the condition for many years.

A child will often know that they are transgender from the moment that they have any ability to express themselves, and parents will often tell us this. We have parents who tell us that their kids, they knew from the minute they were born practically, and actions like refusing to get a haircut or standing to urinate, trying on siblings' clothing, playing with the quote opposite gender toys, things like that. There is more and more a group of adolescents that we are seeing that really are coming to the realization that they might be trans or gender diverse a little bit later on in their life. So what we're seeing from them is that they always sort of knew something was maybe off and didn't have the understanding to know that they might be trans or have a different gender identity than the one they had been assigned. So that is a growing population that we are seeing and that's being recognized as being trans and able to be treated.

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."

In a study of 101 young people seeking cross-sex hormones, all participants were able to access hormones. The study also found that 30% of the participants experienced moderate to severe depression symptoms, while 49% had thoughts of suicide and over 30% had attempted suicide. Many of the young people engaged in drug use and some had resorted to sex work for basic needs. Homelessness and foster care were also prevalent among the participants. The speaker then discusses the topic of gender confirmation surgeries for minors, stating that it is understandable for teenagers to desire such procedures. Chest surgery for transgender boys is seen as critical and relatively easy compared to general reconstruction surgeries. The speaker believes that the barrier of surgical sterilization can be overcome and emphasizes the life-saving nature of chest surgery.

Gender affirming hysterectomy is similar to a regular hysterectomy, involving the removal of the uterus, cervix, and fallopian tubes. Sometimes, the ovaries are also removed in a separate procedure called bilateral oophorectomy, but this is not always necessary for gender affirming hysterectomies. People undergoing this surgery do not have to have their ovaries removed.

Binding is essentially when someone who's assigned female wears something on their chest to make it appear flatter. And a lot of my patients who identify as transgender male or non binary or male leaning like to do that. The top three tips I have for safe binding are to first make sure you're measuring correctly. And sometimes it might take the assistance of like a parent or a trusted friend to do it right. Second, making sure that you're buying not only the correct size for your chest measurements, but for your shoulder measurements too. Cause a lot of people make mistakes there. And then the third tip is definitely not wearing it for more than ten hours a day.

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.

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.