Search Strategy And Selection Criteria
This systematic review was conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.32 Two electronic searches of four online databases were completed 15 months apart. The first was performed by BSK in January 2019 and the second by JH in April 2020. The two sets of search results were compared by GLW. The second search identified novel data from three additional studies using the same cohorts as three studies identified in the first search. The more recent search also identified three additional recent papers. Reference lists were also searched for additional citations pertinent to the review. The searches combined terms related to transwomen, GAHT, muscle and blood parameters .
Supplementary data
Incredible Female To Male Transition Photos
- by Devjot Bath
Gender reassignment surgery is a beautiful moment in a persons life. Like any major life decision, its an inspiring journey in life with its fair share of obstacles. More and more people are sharing their stories about transitioning from female to male. Female to male transition photos show the beauty of being true to ourselves.
According to a study from the American Psychiatric Association, gender confirmation surgery has many long-term benefits for mental health. Its common for trans individuals with gender dysphoria to struggle with depression, intense anxiety, and suicidal thoughts. Indeed, those with sex reassignment surgery start to feel secure, true to themselves, and happy in their bodies.
A Note About Sex And Gender
Sex and gender exist on spectrums. This article will use the terms, male, female, or both to refer to sex assigned at birth. .
Estrogen hormone therapy involves an individual assigned male at birth taking the hormone estrogen to develop certain feminine characteristics.
Estrogen stops the pituitary gland from forming gonadotropin, which reduces androgen production. Androgens are a group of hormones that help with reproductive development, among other things. Reducing the number of androgens in the body helps a person transition by encouraging changes in fat distribution, breast development, and male pattern hair growth.
Doctors may also prescribe other anti-androgen drugs to help the transitioning process.
A person may not notice significant changes when starting estrogen hormone therapy. The timeline varies, and some people may see more significant changes than others.
People may notice more changes if they use anti-androgen therapy alongside estrogen therapy.
Estrogen hormone therapy can cause physical changes.
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Genital Surgery In Mtf Transition
The genital surgeries include three distinct procedures: removing male sex organsthe testes and the penisand the creation of female sex organs both internal and externalvagina, labia and clitoris.
All three stages can be performed as one operation, and usually are. However, they may be done at different stages or not done at all according to the patients wishes and the surgeons preferences.
Removing the testicles, or orchiectomy
Penectomy involves creating a shallow vaginal dimple and a new urethral opening to allow for urinating in a sitting position.
Creating the female genitals
The urethrathe tube that carries urine from the bladder to outside the bodyis found in a different position in females than in males. It is also much longer in biological males than in females. During vaginoplasty, the urethra is shortened and repositioned.
The prostate gland, which is found at the neck of the bladder and around the urethra, is not removed during vaginoplasty.
If done alone, an orchiectomy is considered a simple surgery, usually performed under local anaesthesia. It can be completed within an hour. Aftercare is straightforward, and full recovery is possible within two to four weeks.
Predicted Hrt Timeline For The Physical Effects Of Hormones For Trans Mentestosterone Timeline: The Changes For Ftm Trans Men
Masculinising hormones induce physical changes that are more in line with a patients gender identity. Transmasculine patients can expect the following physical changes in their HRT timeline:
- growth in facial and body hair
- cessation of menses
| 1-2 years |
The degree and rate of the HRT timeline on physical effects depends in part on the dose, route of administration, and medications used. These are selected in accordance with a patients specific medical goals. and medical risk profile.)
There is no current evidence that response to hormone therapy with the possible exception of voice deepening in transmasculine individuals can be reliably predicted based on age, body habitus, ethnicity, or family appearance. All other factors being equal, there is no evidence to suggest that any medically approved type or method of administering hormones is more effective than any other in producing the desired physical changes.
The degree and rate of physical effects depend in part on the dose, route of administration, and medications used, which are selected in accordance with a patients specific medical goals and medical risk profile.
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Amazing Before And After Transgender Transformations
Not everyone is comfortable with his or her own skin. In fact, millions of individuals around the world feel strongly that they were born into a different sex. Thankfully nowadays, science and modern technology provide these individuals with the opportunity to correct that mistake and be in the gender they want to be. In the medical world, it is known as Gender Identity Disorder or Gender Dysphoria. GID is not a mental illness, rather what needs to be addressed are the anxiety, stress and depression that go with it.
So many brave men and women have taken the step to be open about their true selves. The road to embracing their true sexuality is often not easy. Here are 10 amazing before and after transgender transformations from both sexes male to female and female to male. It is astounding to see what hormone therapy and modern technology can do to help these individuals. Enjoy the slideshow.
See Powerful Photos Of Female
Melody Melameds portraits of trans-masculine people share both a bracing and quiet awareness of the struggles and triumphs of the transition process. Taken at the homes of her subjects, Melameds photos are domestic and warm, subtle and empathetic, while focusing a lens on surgery scars, facial hair, and trans men with their partners. They pay attention to the aliveness of the word transition the photos subjects are captured in all stages of the process, and the images vibrate with a painful energy.
On the phone in October, Melamed explained that the inspiration for her portraits of trans men, titled Works in Progress, came from another project shed done, Two is One. I did a series of portraits of androgynous males and females, she said. I had a subject named Joe who came to me about a year later for pictures and he started talking to me about his transitioning from female to male, so I started documenting him.
My work has always been about gender, she continued. There is something about female-to-male transition that I can relate to in a way. Im female, not a trans person, but there is something I can relate to. I find a closeness to my subjects. And in explaining the process of her shoots, she affirmed that this was true: Its the first time Im meeting these people, she said, but typically I hang out with them for a day. I think well photograph for about 20 or 30 minutes. Most of the time is spent getting to know each other and hearing their stories.
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Preparation Before Taking Hormones
Before starting estrogen hormone therapy, it is important to gain as much information as possible. So always discuss the risks and side effects that hormone therapy may cause with a healthcare professional.
It is also essential that a person manages their expectations of when they will begin to see changes. Some people can take hormones for over a year before seeing any noticeable changes.
A persons healthcare provider may ask people to
The cost of estrogen hormone therapy can vary according to a range of factors. These include the type of hormones a person takes and how they use them.
A person wanting to transition must check that their health insurance covers the costs.
People must also check that the healthcare professional or medical center that their doctor has referred them to are in their insurance network.
There are several other gender-affirming procedures that people can opt for.
What Are The New Findings
- Longitudinal and cross-sectional studies identify that hormone therapy in transwomen decreases muscle cross-sectional area, lean body mass, strength and haemogloblin levels, with noted differences in the time course of change.
- Haemoglobin levels decrease to those seen in cisgender women after 4 months of hormone therapy. In contrast, despite significant decreases in muscle cross-sectional area, lean body mass and strength after 1236 months of hormone therapy, values remain higher than that in cisgender women.
- It is possible that transwomen competing in sports may retain strength advantages over cisgender women, even after 3 years of hormone therapy.
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Finding This Article Helpful
I hated myself so much, whenever I would look in the mirror I would see an ugly disgusting slob. People would say I was a handsome young man, but I hated when they said that because, I was not a man, and I didnt see myself as handsome. Whenever I would take a photo of myself or look in the mirror, I would become so depressed and cry. I just didnt want to live because there was no life worth living if I couldnt love myself. I would hope and wish each day that I could wake up in the morning as a female, with the right body. I hated how I looked, my body, and of course the male parts I had. I just wanted to get rid of it.
When I turned 18, the feeling of wanting to be a female seemed to almost diminish. I think this was due to the fact that I was focusing on other matters that were extremely important to me. The thought of it was no longer something I wanted to do. I still wasnt confident in myself, hated who I was, but was somewhat ok with being a male.
It was when I turned 20 that the feelings started to return, even stronger than before. And, I knew then I had to do something.
Muscle Mass And Body Fat Changes
Table 2 summarises the studies reporting muscle mass and body fat. Eight studies15 36 3941 44 46 51 used a follow-up design to assess changes in LBM seven studies assessed after 12 months,15 36 39 41 44 46 51 and one40 study reviewed patients who had been under treatment for 531 months. Seven of these studies,15 36 3941 44 51 including the large ENIGI study,15 and two studies40 51 with high post-GAHT testosterone , showed that total LBM was decreased by 3.0%5.4% following hormone transition . The one study that failed to demonstrate significant changes in LBM46 was not an outlier in any obvious way. The large ENIGI study15 was the only study in which the limits of agreement would indicate a change in LBM at the 95% CI. All studies reported an increase in total body fat mass in transwomen after hormone transition. Three cross-sectional studies41 51 54 compared transwomen with cisgender men. Two studies included hormone-naive transwomen.41 51 These studies reported 6.4% and 8.0% lower LBM than in cisgender men and reductions of 4% in LBM in the transwomen with 12 months of GAHT. The third cross-sectional study compared transwomen who had undergone at least 48 months of GAHT with cisgender men54 and reported 17% lower LBM in transwomen than in cisgender men.
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Before And After Surgery
Unlike other cosmetic or reconstructive surgery, one cannot just request it and have the operations to change sex. Most countries around the world require a series of psychological evaluations and eligibility assessments before a person is considered fit for sex change surgery.
In treating transsexual, transgender, and gender nonconforming people, medical professionals use the Standards of Care established by the World Professional Association for Transgender Health . These standards of care, based on the best available science and expert professional consensus, are updated from time to time. They provide clinical guidance for health professionals to assist transsexual, transgender and gender nonconforming people with safe and effective pathways to achieve lasting personal comfort with their gendered selves, in order to maximise their overall health, psychological well-being, and self-fulfillment.
According to wpath.org, This assistance may include primary care, gynecologic and urologic care, reproductive options, voice and communication therapy, mental health services , and hormonal and surgical treatments.
You Already Have A Lot Of Feminine In You Anyway
Our physical bodies are composed both of testosterone and estrogen. So what makes a man appear male or a woman appear female is due primarily to the levels of testosterone or estrogen in their bodies. What male breast enhancement pills can do is bring out more of that estrogen through a process called aromatization.
These pills help you take advantage of the fact that your natural body can transform itself into the more feminine version of you whether you want softer features or youre looking to transform into a woman fully. How amazing is that?
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Chin Reduction / Enhancement
Chin reduction is used to give the transgender patient a more feminine look. This chin reduction transforms a wider, longer, flatter, and more chiseled, male-looking chin into a narrower, shorter, and more pointed chin typically associated with a womans face. Chin implants are also sometimes used to achieve a more forward projection of the chin, also more common in females. This overall effect can dramatically feminize a face.
Natural Is Always More Attractive
Here at Transfemme, one of our main motivations for creating our products is that is we did not want to undergo breast implant surgery. We understand and believe that getting breast implants is usually a bad idea. But, first, for the apparent reason that breast implants can look too fake we wanted breasts that seem as though they have been a part of our bodies forever, not something that was put on. Second, we knew male breast enlargement was possible, and we wanted to pursue that.
That is why we are here to share with you our knowledge and offer our support. From offering you the best package of male breast enlargement pills and cream to making ourselves available for consultation, weve got you.
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This Is Me As I Am: A Photographer Documents Her Own Gender Transition
In 2015, Allison Lippy realized who she had always beenand turned her camera on herself to understand her journey as a transgender woman.
It took 27 years for me to realize I was transgender. It took a month or two to decide to physically transition. It took even less time than that to understand that I should document my transformationfor myself and for anyone else who needs to see it.
I should start at the beginning.
Growing up in Baltimore in the 1990s and early 2000s, I wasnt aware that people could be anything other than the gender they were assigned at birth. There weren’t resources or role models available to me at that point to even begin to understand who I was.
However, there were little hints of my queerness, a feeling of being different, something intangible. I never shared nor had the opportunity to explore those feelings until my early 20s. When I was 21, I came across videos of trans women on YouTube talking about their transitions. I would return to the videos periodically to see their updates, which intrigued me. I was telling myself that this was just research for a story that I wanted to do on trans identity. I wasnt yet ready to confront the truth about myself.
Finally, I realized I needed to accept who I was.
LeftRight
All the confusion Id felt made sense all the puzzle pieces fit for the first time. Everything just fell right into place. Confident and excited, I started moving quickly to make up for lost time.
LeftRightAllison Lippy
Postoperative Care And Follow
The patients were usually discharged within 2 days after surgery with the Foley catheter and vaginal gauze packing in place, which were removed after 7 days in an ambulatorial attendance.
Our vaginal dilation protocol starts seven days after surgery: a kit of 6 silicone dilators with progressive diameter and length is used dilation is done progressively from the smallest dilator each size should be kept in place for 5 min until the largest possible size, which is kept for 3 h during the day and during the night , if possible. The process is performed daily for the first 3 months and continued until the patient has regular sexual intercourse.
The follow-up visits were performed 7 days, 1, 2, 3, 6, and 12 months after surgery , and included physical examination and a quality-of-life questionnaire.
Figure 8. Appearance after 1 month of the procedure.
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Rejection From Family And Relatives Is Common For Many Trans People But That Was Not The Case For Harrison Who Always Had The Support Of His Loved Ones
In a 2016 study published in the journal LGBT Health, 31 percent of transgender individuals surveyed said they experienced a moderate amount of rejection from their families and 14 percent said they experienced a high amount of rejection.
A recent U.S. study found that roughly half of female-to-male transgender teens have attempted suicide at least once.
Harrisons been my soulmate, my companion, said his father Robbin, a retired teacher in his sixties. He said he was transitioning and wanted to become a boy and I was fine with that.