Misconceptions[ edit ] Trans women are simply men who are so enamored with femininity that they go so far as surgery to emulate it " autogynephilia " This is a recent point of view floated most notably by weirdos and trolls such as Ray Blanchard, Ann Lawrence and J. One is trans from birth. Psychotherapy and gatekeeping[ edit ] In some instances the therapy is designed in a way almost like reparative therapy. There are relatively few surgeons across the world, current demand has pushed waiting lists out to years, and people have a very hard time coming up with that kind of money, so that most transitioning trans women have not had access to GRS. There are ways we signal gender without even knowing it, everything from the obvious stuff like walk and leg-crossing to details like head tilt, eyebrow expression, smile frequency, wrist angle, hip position when standing, finger position, foot placement — the unbelievable thousands of micro-signals all of us put out constantly without ever realising it. Whilst originally introduced to hinder trans people, this now serves to prevent harm due to misdiagnosis and to help transsexual people through the process of transition. Available FFS procedures include brow bossing reduction , rhinoplasty nose job , mandible jaw contouring, cheek implants, hairline advancement, larynx reduction tracheal shave , as well as more common cosmetic procedures such as various kinds of face-lifts, blepharoplasty eyelids , fillers, fat transplants, chemical peels and dermabrasion, and on and on and on. Hormone therapy is a recommended criterion for some, but not all, surgical treatments for gender dysphoria. Third, it can be seen as a form of hazing ritual.
Or it can be something that happens over a short period of time. It can be a long and ongoing process. Never ask a trans person "Is your transition complete? Some transsexual people do not wish to be identified under the "transgender" umbrella and find it highly offensive to be referred to as "transgenders" or "trans," though others accept umbrella terms for the purposes of political alliance and do not find them offensive. Oestrogen works wonders with the subcutaneous fat layer, but it takes time. This story was adapted from my answer on Quora. A huge bureaucratic hell involving huge amounts of time, stacks of forms, court dates, endless certified copies, embarrassment at every turn, and a lot of money. Some may transition socially and not medically. It can involve changing your appearance and dress. Social Transition Now comes that effort we talked about. Some may transition medically by doing one or only a few of the procedures listed above. Trans people are really homosexuals who wish to avoid social stigma by actually becoming the "opposite" sex  This is often presented together with the above AGP concept, and is no more well founded. There should not be any intent to dissuade genuine individuals from transition, but rather to ensure that transition happens only when medically necessary, and not on whim or pretense. You come out at work; now you live in a fish bowl, with every client and co-worker inspecting your every garment and gesture, commenting behind your back or criticising to your face. Crossdressers may originally approach a therapist seeking sex reassignment surgery, but such a surgery would actually cause negative psychological impact. But what about the people who had regrets? Some of us are facially lucky, and some of us feel a need for some help. Often the underlying gender starts to leak out. Transsexual people undergo procedures to alter their sexual characteristics to bring them in line with their gender identity. In short, they try to muddy the waters the way climate-change deniers or creationists do by throwing up a cloud of chaff and hoping no one will look any closer. Proponents for this step often point out that it could show whether or not a person is serious about transition. Felons fleeing from justice, and view transition as a way to evade prosecution. Risk factors for negative outcomes often mentioned in studies are lack of support from the patient's family, poor social support, late-life transitions, severe psychopathology, unfavorable physical appearance, and poor surgical result Cohen-Kettenis , Lawrence , Landen , Smith Available FFS procedures include brow bossing reduction , rhinoplasty nose job , mandible jaw contouring, cheek implants, hairline advancement, larynx reduction tracheal shave , as well as more common cosmetic procedures such as various kinds of face-lifts, blepharoplasty eyelids , fillers, fat transplants, chemical peels and dermabrasion, and on and on and on. Similar to the myth about immigrants coming here to live off benefits wherever "here" is , it paints people as parasites and erases their contribution to society. Testosterone can make a lot of changes to the face, most of them subtle but they add up , often including a more prominent brow ridge, larger nose, squarer jaw, more protruding larynx, and receding hairline. The mental health quality of life of trans women without surgical intervention was significantly lower compared to the general population, while those transwomen who received FFS, GRS, or both had mental health quality of life scores not significantly different from the general female population.
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