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a few questions..

Started by bzns, March 24, 2010, 09:27:59 PM

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bzns

Hi everyone,
I've done research but I'm sort of unclear about something and I'm hoping somebody could help me out?
I know I am supposed to go to therapy to get on T and to go on with my transition.
Unfortunately I can't start T now as I am still going to school and am living at home. My family is unsupportive and they don't want my transition to be a part of their lives which I want to respect, so I haven't sought any sort of counseling/therapy yet. I graduate this upcoming winter, and I want to start my transition as soon as possible.
From your experiences, how hard was it to get started and get T? How long did it take? Any input would be really appreciated
I am very serious about my transition and am 100% sure this is the route I want to take, and I'm hoping it wont take too long.
also, how long does it generally take to finish transitioning? (T, upper and lower body surgery)
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alex408

Most doctors and therapists follow the harry-benjamin standards of care.  I believe it states that you must be in therapy for a minimum of 3 months in order to be prescribed T.  As for how long it took me, I can't comment since I was already in therapy for depression.

How long? It totally depends on how much money you have lol.  Most people don't have $7,000 for top surgery, $20,000-$100,000 for bottom surgery, or the amount for a hysto. 
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Sevan

As Alex said 3 months is the "normal" min. time for therapy before an HRT letter will be written for you.

Depending on your insurance (if you have any at all..) some top surgeons will code a top surgery as "breast reduction" and insurances MAY cover it...if that's the case. Top surgery can happen 3 months into therapy as well. (or is it...in place of hormones? Do you have to choose one or the other? I'm unclear on that as well...lol)

As for bottom surgery...that depends on what you want done and how quickly you can get the funds together. For MtF's they have to wait a year from...time they change their name, or from the time you start going full time. (depends on what your therapist looks at as the year start date) However if your planning on medi, it's a matter of having enough matieral to work with. I've only been on T for a month so I don't know how long it takes to grow enough to be ready for surgery.

If your wanting phalo, that's more expensive but could probably happen at that year marker. HTH
I'm also the spouse to the fabulous Mrs. Cynthialee.


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bzns

thanks alex and phx for your replies, they were very helpful (:
I have another question. As far as the "normal" time, what exactly does that imply? Besides it being the standard that most people follow, are there specific things that would either allow you to start on hormones earlier or cause you to wait longer?
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Teknoir

3 months is the recommended time in therapy, but it depends on when your therapist thinks (or knows you well enough to say) that you are ready. Some of them will adhere strictly to the SOC, some will take them as guidelines.

As for factors that may come into it - it will depend on you, your history, your age, if there are any other issues that need to be seen to (other than GID) and how far along you are in other (non-medical) parts of transition. A good therapist will look at you and your situation as a whole, and take it from there.

Trend wise, I've noticed the people who got T in a short-ish timeframe were (when starting therapy) :
- Older (mid 20's or older)
- Already living as male full time (with legal name change) for some time (6+ months)
- Had no other issues (social phobia, depression, etc) or found living as male fixed those issues
- Were out to their families, and male at work / place of study
- Were financially independant with their own income (or near enough to it - ie, uni or college students)
- Holding down full time work (or full time study)
- Identified as male since childhood
- Were pretty damn binary conforming
- Went in with absolutely no confusion about what they were doing, and had already done their homework regarding the medical effects (and side effects) of T
- Are completely honest about their past, even if they tried living as female, and even if it's something they think might "work against them".

It may not be "fair" or scientific, but I also think the impression or "vibe" the therapist gets off you counts for more than they let on, too.

Again, that's just a general trend I've noticed. Everybody is different, and some people really benefit from being in therapy longer than others. It's better for you in the long run to find a good, experianced therapist that you click with than it is to find someone that will just write a letter quickly.
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