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Sex correction surgery (transition) is different in men (F / M transition) and different in women (M / F transition). Before it happens, a transgender person must undergo legal procedures and hormone therapy. The entire process of gender reassignment usually takes about one and a half years. How does hormone therapy and gender reassignment surgery work?

Sex reassignment surgery (transition) , which is necessary fora transgender personto live with dignity, is an irreversible procedure.

Before the time for surgery (in trans women - vaginoplasty, and in trans men - hysterectomy, phalloplasty, metoidioplasty), the patient undergoes appropriate hormone therapy.

During hormone therapy, people who are assigned to the female sex at birth receive male hormones (androgens), which make the body look different, grow facial hair, and increase muscle volume.

In turn, people who are assigned a male sex at birth are given estrogen and progesterone, thanks to which the body becomes female - breasts begin to grow, fat is deposited on the hips, the voice slightly changes its color, etc.

Patients must undergo a detailed examination just before the operation:

  • EEG,
  • X-ray of the skull,
  • fundus examination and visual field examination,
  • blood test,
  • urine test,
  • EKG.

Transgender: F / M gender correction surgery

F / M gender correction is more difficult than M / F gender correction and usually produces worse results as well. The main problem is the formation of a functional penis from a relatively small clitoris. Therefore, in some cases the patient decides only to have a bilateral mastectomy (removal of the breast) and the possible removal of the uterus and ovaries.

The next operations are performed after about a year's break. They aim to create an oblong structure by cutting and folding the skin of the lower abdomen, which is then attached to the clitoris to maintain the ability to experience sexual stimulation. However, such a penis substitute often makes it difficult to urinate and is associated with numerous complications.

Transgender: gender correction surgery M / F

During the M / F gender correction surgery, the penis is removed andtesticles. The overturned skin of the penis is used to make a vagina - the tip of the penis, along with the natural innervation, forms the clitoris so that the person after the transition can feel sexual satisfaction. It happens that the doctor is forced to add some skin from other parts of the patient's body.

A more difficult and dangerous technique, much less frequently used, is making the vagina from the large intestine.

In both cases, the patient has to wear a special balloon for some time to prevent the new vagina from overgrowing. In addition, other procedures are also performed during the M / F transition:

  • breast implant placement,
  • laser hair removal,
  • vocal cord surgery,
  • Adam's apple removal,
  • cheekbone surgery,
  • forehead surgery,
  • rib cutting.

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