Changing gender from female to male has always been consideredsome freakiness. 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 believe that this is complete recklessness or mental illness. But the problem is that persons who feel themselves not in their own body are of an order of magnitude more than it might seem.
What is it?
Transsexuality is medicala name meaning a discrepancy between gender unity (abnormal sex) and anatomical gender of an individual. According to the International Specification of Diseases, transsexuality is one of the types of behavioral and mental disorders. According to most experts, the hormonal and surgical adjustment of the biological sex in relation to the psychological is considered to be an exceptional method of treating this ailment.
Who can change sex
Change of gender from female to male begins primarily with the desires of theperson However, intention alone will not be enough. The patient must be adults and have full civil performance. In addition, medical data is necessary - a diagnosed transsexual disease. Those who want to change their sex should first visit psychiatrists and take an opinion from at least two of them.
The remaining directions of analysis go byexaminations of the general health of the patient and his chromosome set. If the medical board unanimously approves the decision on the admissibility of changing sex, then the event itself begins, which lasts several years.
Gender reordering procedure
The change of gender from female to male occurs in several stages. It is a very complex and complex process, which may not always end well.
- The individual will be recommended for a year to work and live 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 grow hair on their faces.
- As a result of a number of operations, the body is restructured.
It follows that a person should prepare for long-term communication with various specialists: psychologists, surgeons, psychiatrists and endocrinologists.
Stages of operation
Changing gender from female to male takes a verylong period and is conducted in steps. 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 preparation are there:
- proof of transsexuality (the difference of social and biological sex);
- long hormonal treatment (you need to undergo a full diagnosis, excluding infectious diseases, disorders of the liver and anemia);
- surgery to change the genitals.
The flow of all three steps lasts about 2 years.
What are the methods of surgery?
The sex change operation takes place inseveral stages. At first, excess skin and mammary glands are cut out (the patient stays in the clinic for 3 days), for 2-3 months he cannot be lifted. In the next surgery, the vagina, uterus and ovaries are removed. A testicle case (made of silicone) and a penis are made from the small labia. The member stem itself is created as a result of several operations.
Other methods of aesthetic correction, such as liposuction of excess fat, chin correction and forms of calf muscles, can be applied.
Then, a person is issued a document on the basis of which he changes the civil gender, first and last name, about which a note is created in acts of civil order.
How to make a sex change: removal of the mammary glands
This is, above all, surgical intervention, which is carried out under general anesthesia. The postoperative period itself is on average 2 weeks. The event takes place through:
- periareolar incision (in cases where the patient’s bust is small);
- a peripheral incision is applied when a woman has an average breast size;
- vertical when it is necessary to remove a bust of large dimensions.
After such an operation is required to go through a long rehabilitation period.
Ovariectomy
Future female transsexuals firstface surgery for cutting the fallopian tubes and ovaries. However, before the appointment of such an operation should be carried out 2 of the investigated manipulations:
- salpingoscopy (examination of the fallopian tubes);
- hysteroscopy (examination of the uterus).
They are performed under general anesthesia. Only after the specialist has made sure that the patient has no tumors, especially cancer, is oophorectomy performed.
Surgical removal operationFallopian tubes and ovaries can be performed by laparoscopy (this method is less traumatic) or by a simple abdominal 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 resultA laparoscopic event usually takes up to 6 days. After abdominal surgery on the 7th day, the sutures are removed, 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.
Metodioplasty
Occurs in women who, with the help ofhormone therapy gained an increase in clitoris of more than 6 cm. The new canal is made from the mucous membrane of vaginal matter, and the approximate length of the member after the production procedure is 5 cm. In the postoperative stay, a urinary catheter must be used for 14-16 days.
Вследствие проведения метоидиопластики only a small number of postoperative impairments are detected, and the erogenous patches retain their sensitivity. Moreover, this is a one-step operation. However, the genitals after the change of sex do not have penetrating power.
Phalloplasty
Дает возможность создать настоящий с эстетичной point of view, the penis has the appropriate size. However, it will have a high sensitivity and susceptibility to sexual intercourse, which is acquired by placing the erectile prosthesis in the vagina.
It should be noted that phalloplasty isa complex and lengthy operation that requires the transplantation of matter (usually skin tissue is taken from the abdominal region, forearms or thighs). After surgery, a catheter should be used for 2 weeks. Photos before and after the procedure can be found in various medical literature.
Phalloplasty
This procedure goes in three stages:
- creation of the urethra;
- penis production;
- the design of the head of the penis and the formation of the scrotum with artificial testicles.
The patient passes these 3 stages, as a rule, not less than 1 year.
What are the contraindications to changing sex
There are certain limitations that do not allow for gender reassignment surgery:
- too young (up to 18 years old) or old age;
- severe system-wide and mental illness;
- homosexuality;
- the lack of an approved transsexual conclusion by doctors in the field of sexual syndrome;
- alcoholism.
What not to do after surgery
In the postoperative period as a result of the shiftfemale to male need to minimize exercise. Also, experts do not advise to have sex before the final scarring of the operated area. The patient must go to the attending physician to observe the progress of healing.
How much does sex change cost?
As such, the exact cost of doing suchEvent does not exist. In different countries, the price will vary. But there are some examples that are evidenced by people who have done such operations. In England, changing the floor will cost $ 20,000, in America - $ 15,000, and in Israel - $ 8,000.
