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Female to Male (FTM)
a period of assessment, and by mutual agreement, some routine blood
tests will be done to determine health and suitability.
Hormone treatment may be offered in the form of the male hormone
testosterone. This is usually administered by intra muscular
injections once every two or three weeks, for the whole of your life.
effects you can expect from taking testosterone include deepening of
the voice, increased sex-drive, cessation of menstruation,
re-distribution of body-fat to a more male pattern, increased muscle
tone and male pattern body hair and facial hair growth. The possible
side effects of taking testosterone
can be a slightly increased risk of liver complications, acne and
male pattern baldness, depending on your hereditary factors. Regular
exercise will increase muscle bulk and give maximum impact to the
masculinising effects of testosterone.
Sandyford Gender Identity Clinic requires you to have changed your
name and to be living as a man before starting to take testosterone,
because permanent changes such as your voice breaking can occur
quickly after starting testosterone. Depending on your genetics,
significant masculine body hair and facial hair development may
become obvious within the first few months of your hormone treatment,
or it may take up to a few years.
masculising effects of testosterone are irreversible and hormones
have to be taken for the duration of one’s life.
Hormones should never
be taken without your doctor’s involvement.
is advisable to reduce
or stop smoking before commencing
hormone treatment. Taking testosterone can slightly increase the risk
of heart disease. Smoking while taking hormones will greatly increase
causes the clitoris to grow slightly, and this with surgery can make
it look like a very small penis, while still retaining its
sensitivity. Problems with urinating can be a risk of surgery, and
the penis is usually too small to use for penetrative sex.
transsexual men decide to have surgery. This usually involves
bi-lateral mastectomy (removal of the breasts and reduction in the
size of the nipples). This can be arranged depending on funding from
your local health authority. Some also decide to have a hysterectomy
(removal of the womb, cervix and ovaries). A smaller number of
transsexual men choose to get surgery to change the appearance of
is a technique that involves creating a penis
using skin from the forearm or abdomen. This surgery can also
involve the extension of the Urethra, giving the ability to stand up
and urinate. The penis can also be inserted with an erectile
implant. Problems with urinating and loss of sensation are risks of
surgery. Some transsexual men feel this surgery is necessary for
many decide not to go through this process, as techniques are still
being developed and it can involve several operations, long stays in
hospital, extensive scarring and, in some cases, unsatisfactory
is a technique which involves releasing the clitoral hood and
extending the urethra.
transsexual men decide not to have any genital surgery at all and
some prefer to wear a prosthetic to give the appearance
of male genitalia.
involves the creation of a scrotum from the labia by using
is performed in England, and Surgeons Mr. David Ralph and Mr. Nim
Christopher hold clinics 3-4 monthly at Sandyford.
|Male to Female (MTF)
Female to Male (FTM)