Frequently Asked Questions1. General questions
2. Legal issues
3. Hormones and surgery
4. Appearance and passing
5. Helpful links
1. General questionsWhat do all these words mean?Androgynous = someone who feels as both genders, or in between.
FTM = Female to Male
MTF = Male to Female
Gender identity = the gender you feel like
LGBT = Lesbian, Gay, Bisexual, Transgender.
Passing = others see you as the gender you want!
Post-op = someone who's finished with gender reassignment surgery (GRS / SRS)
Pre-op = someone who hasn't gotten surgery (yet)
SRS = sex reassignment surgery
STP = stand-to-pee, a prosthetic you can use to pee through while standing.
T = short for Testosterone.
I would like to be a boy, but I like girls too, am I a lesbian?You can be a lesbian but still be transgender at the same time. Sexuality is not the same as gender identity.
How can I find FTM or LGBT support here?Look for LGBT community centers in your area. A google on "LGBT group <where you live>" can help you find some.
Colleges and universities may have special LGBT clubs/groups too. You can try looking for "<your college/university> lgbt".
2. Legal issuesHow do I get my name and gender changed?This is different in every country, and even different states in the US!
TS Roadmap provides you with a step-by-step guide (USA).
In some countries, you simply have to pay to get a name change (usually after it's been verified by a judge/lawyer).
If your country has a medical programme for transitioning, a name+gender change may be included.
3. Hormones and surgeryHow do I start T?This is different in every country. USA: You need to get (at least) one letter from a therapist who specializes in gender issues.
You can then either get a referral from a doctor to see an endocrinologist (hormone people), or the doctor can decide to give you testosterone.
Netherlands: Participate in the programme (traject), meetings with the gender teams help them decide if you're ready to take testosterone.
These are just examples. You may not need a letter, or a therapist! The best way to find out is to contact the doctor.
Buying Testosterone online is dangerous and illegal.
What kinds of testosterone are there?You can get injections, gel or pills, depending on your preference and where you live.
Injections: Sustanon, Nebido. Gel: Androgel, Testim. Pills: Andriol.
What does Testosterone do?Positive: lowers your voice, more hair, fat on your body is redivided and make you look more masculine, stronger muscles, larger clitoris, higher libido, more stable emotions
Possible positive effects (a chance of happening, not always): your shoe size may increase with 1 to 1.5 sizes
Negative: exhaustion (in the beginning), hunger (in the beginning), acne, headaches, cholesterol changes, higher blood pressure, higher risk of heart diseases (same as in bio males), liver problems
Possible negative effects: itching clitoris and area around it, changes in weight
Contact your doctor or endocrinologist if you're experiencing problems too long.
The changes are different for everyone. Look at males in your family to see what you could expect. It takes at least a year, to four years (like puberty), to get all the changes.
What surgeries are there?Top surgery (mastectomy) - reforming your chest into a male chest.
There is bilateral mastectomy (double incision), which results in two horizontal scars after removing breast tissue. A peri-areolar (aka Keyhole), breast tissue is removed through an incision in the areola.
Hysterectomy - removal of the uterus. Hysterectomy BSO is removing the uterus, ovaries and fallopian tubes.
Metoidioplasty - the clitoris enlarges when you use testosterone. With a metoidioplasty, the surgeon releases the clitoris and moves it to make it resemble a penis. You usually retain sensation.
Phalloplasty - there are different ways to perform this surgery. Surgeon takes skin from somewhere else on your body. The urethra (pee tube) is extended and a penis is made from your skin. Other surgeries can be done simultaneously (ex. hysterectomy).
4. Appearance and passingWhat is binding and how do I do it?You purchase a binder, which is basically a compression vest that flattens your chest. It'll resemble a man's chest. A list of online stores that sell binders can be found
here.
What is packing and how do I do it?Packing is stuffing your underwear. Some do it with socks, others do it with packers. Packers are usually made of silicone, and are intended to look like a real penis and stuff your underwear. Packers move around so you can try underwear specially made for FTMs which have a sort of 'pouch'.
Is it illegal to own a packer under 18?No, but companies are not allowed to sell anything sex-related to minors.
5. Helpful linksSusans Wiki - wiki full of information
ftmtransition.com/transition/faq/faqtranst.html - FAQ completely about Testosterone
ftmguide.org/ - Hudson's FTM Guide - handy guide for everything
tranarchism.com/trans-basics/ - Transgender basics