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Posts Tagged ‘trans men’

Question MarkA reader writes: “I’m 17, a junior in high school, and FTM. I live at home currently with my mother and sister. I came out about a year ago.

“My mum’s response had been ‘I saw this coming. I’ll love you for whoever you are.’ The next day she clarified that whoever I am isn’t a man. Biggest bubble burst of a lifetime. If she had said she wasn’t okay with it from the beginning, I would have felt better than I did about the whole thing in the long run. The kicker is that she saw it coming and still doesn’t believe it.

“According to her I was a feminine child. I was actually very androgynous, but she doesn’t want to remember the Legos and remote control cars. She has this picture of me in her head as a women, and when saying I was feminine isn’t enough, she claims I’m just on a quest for perfection and the media has corrupted my mind with male supremacy. I don’t even know where she gets half of the ideas she spews at me.

“After a lot of struggle I confided in my doctor that I was trans and needed help because my mum was refusing to find me a therapist or let me go to the one I had found. The doctor helped me to get a therapist and I’ve been going for a few months. Secretly I purchased a binder and packer. Many fights arose from that. Now I’m able to wear them and everything is kind of okay.

“My problem is that I want to start hormones. I’ve been ready for a long time for this. My mother has shown no interest in any if the materials provided and has banned me from physically altering transition-related things while living under her roof.

“I realise that I won’t be able to do anything until I’m 18, but I’ll still be in high school then and living with her, so I still wouldn’t be able to start T even then. My only option is to move out. I haven’t been able to find a job as of yet but I’m still looking, although any job I can get at 17 won’t be enough to support me to get a home and hormones.

“I do have one alternative. My father is okay with my transition and willing to take me in, but he’s mentally unstable and sometimes abusive. On the other hand, I have my grandparents. They are very religious and don’t understand trans people. My grandma at least seems to want to understand. She helped me get my binder. But I don’t feel I could ask to live with them, and I don’t know if I could physically transition under their roof. (more…)

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Question MarkA reader writes: “I’m in high school (Junior), but am very open about my gender identity (cross dress, bind, etc). At this point there isn’t a whole lot I can do about hormonal treatment or surgery. So instead I try to do what I can, at my age. I bind, as mentioned, and use a commercially available binder.

“It has been fine, but lately I’ve gotten a lot of pain, difficulty breathing, and nasty bruising on my rib-cage. I wear it too often as it is (about 12 to 14 hours a day, nearly every day), so I know the best thing to do would be to just stop wearing it so much.

“Unfortunately, this is a problem for me as my gender dysphoria has also gotten much more severe as of late (and includes thoughts of self-harm and things we don’t need to get into). It’s a difficult trade-off for me to consider – wear it less and hopefully not end up with a serious injury in the hospital and cause my dysphoria to be that much worse (which, when paired with my depression, anxiety, and raging teenage hormones can be a serious and kind of terrifying problem), or continue doing what I can to suppress (no pun intended) my dysphoria and likely end up in the hospital.

“My mother doesn’t take my depression or dysphoria seriously (it took her witnessing one of my most violent panic attacks to convince her to let me see the school therapist), so advice from her doesn’t help (especially when she doesn’t offer any).

“So that’s problem one. My other problem, which is much less serious, is standing to pee. I really would love to be able to stand to take a pee, but the price of commercially available STP devices that also function as packers is insane! Not to mention the harnesses! The cheapest set I found would still set me back by $50 that I do not have (a lot of money for a jobless teen who’s worried about affording college, a car, gas for that eventual car, animals, etc). Do you have any ideas in this regard?”

Last question first – have you tried a coffee can lid? I never got the hang of it, but a lot of guys use a plastic coffee can lid with the edge or lip part cut off so that it’s just a flat circle. Then they roll it into a kind of tube and pee through it. You can also buy a sheet of thin plastic at the hardware store and cut a coffee-lid-sized circle out of it. It’s explained here on TransGuys.com, along with other suggestions, tips, and links for the Stand to Pee situation. (more…)

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Question MarkBelow we have two letters having to do with transition issues. The first is about the effects of hormones on mood, and the second deals with changing names and gender markers on transcripts. Here we go:

A reader writes: “I started ‘T’ (testosterone cypionate) one week ago at 100 mg. every two weeks, then will go up to 200 in three months. I started feeling a bit more agitated and quick to anger two days ago. I also feel sort of flat emotionally and a tad depressed.

“The first two days after injecting I felt calm, more peaceful, and good (probably because I was starting the process). I’m older at 53. Do these feelings settle down after a while? It’s becoming sort of a drag.”

They should settle down. Hormones can cause rapid mood changes and other feelings that you are not used to. Testosterone and estrogen can both affect mood, emotion, and feelings of general well-being. Your body is not used to this hormone. It has to adjust.

Testosterone can make some people feel agitated and angry. Strong agitation and anger is what body builders who are on steroids mean when they refer to “roid rage.” Not every trans guy experiences this, but it is not uncommon, and it should either lessen over time or you will adjust over time. It also should fluctuate as your body cycles through each dose (if you are injecting).

I personally think that testosterone suppresses some emotions, which could be why you feel emotionally flat. I am not able to cry as easily on T, and it’s not because I think that guys shouldn’t cry. I know a few guys who have gone off of T just to have a good cry once in a while. I also know a trans women who became very confused about why she was bursting into tears at the smallest provocation, because she had never done that before in her life. She had recently started estrogen. Aha! (more…)

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Question MarkWe have two letters below regarding testosterone – first, from someone who can’t take it, and next, from someone who doesn’t want to. I hope readers will chime in with their suggestions and personal experiences.

A reader writes: “Though I have had top surgery, no doctor will prescribe me T because of my health problems, and I cannot find it through other channels. Add that to crippling bottom dysphoria, being five feet tall, and being universally misgendered, I am not a happy guy.

“I have a fantastic long-term boyfriend, a queer cis guy who sees me as I really am, but my own angst is magnified by the way the rest of the world treats us. Either I am treated as his ‘little lady,’ with waiters handing him the check when I give my credit card, gay men saying I’m a fag hag, being called a butch dyke, or being offered ‘makeovers’ to ‘look like the pretty girl stuck under the boy costume’ (oh, the irony).

“My boyfriend and I try to explain endlessly about me being a trans guy, and we get met with reactions ranging from puzzlement (‘I know a trans guy who really looks like a guy, but you don’t, and I can only think of you as a butch girl’) to laughter (‘You’re joking’) to hostility (‘You’re a crazy bitch and he’s a closeted fag’). I wish I could let all this misgendering go, because obviously our explanations aren’t making it better, but I just can’t.

“So, my question is twofold. Firstly, when I came out in 1999, we needed therapist letters (which I had for my surgery) to get treatment. Now, there are informed consent clinics to give you hormones even without letters, but they do require blood tests. Do you think in the future they will waive this requirement, too, or at least let people like me get hormones if we sign an affidavit indemnifying them from liability? There is no guarantee that hormones will worsen my physical issues, but my gender angst has gotten worse over the last 15 years to the point where I don’t know how much longer I can stand it.

“Secondly, do you have any tips to make going out in the public eye easier for the constantly misgendered trans man and his boyfriend, who himself is tired and hurt by the way his love for me, and also his own identity and motivations, are misconstrued? Am I being delusional in the first place to expect anyone to respect my gender identity when, despite my teenage goatee, big muscles, low voice, flat chest, and boyish style/haircut, I am still very short and not on T?”

In response to your first question, I think it is unlikely that even informed consent clinics will change their policy on blood tests, because there is just too much liability involved. Even if you sign a paper releasing them from all responsibility, that might not hold up in court. We have become a lawsuit-happy country.

We sue tobacco companies (and win), even though we choose to smoke. We sue McDonald’s (and win), even though we choose to eat junk food. So even though it is obvious that we are making our own choices, we can still assign blame and win in court. Doctors and clinics are aware of this. Even when a person’s blood tests come out fine, that person still has to sign something saying that he/she/ze understands the risks of hormones. If medical risks are obvious, as determined by blood tests, regardless of what you’ve signed, medical malpractice might be an issue. (more…)

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Question MarkIn these two letters, we look at the confusion around, and intersections of, sexual orientation and gender identity. Here we go:

A reader writes: “I’m dating a trans man now and it’s been amazing. I’m still slightly confused as I have always considered myself as a straight female and have always seen him as male, but at the same time I’ve accepted that for the moment he is still female and am willing to do stuff with him (obviously, haha).

“I know labels are not the best way to go about things, but I’m not sure of how else I can understand what I am feeling? I hope this doesn’t come across as naive or stupid. I’m just a little bit confused.”

It’s not uncommon for those who are dating trans people to become confused about their own sexual orientation. For you, it seems pretty straight-forward – you’re a straight woman dating a trans guy, so you’re a straight woman … because he’s a guy.

I would argue that he is not “still female.” I think what you mean is that he has not had any type of genital surgery. Maybe you even mean that he is not taking hormones. But if he’s living as a man, then he’s not female. And if you see him as male, then he’s not female to you, either.

Just because he has a different body type from what you might be used to doesn’t negate any of that. If you’ve been with several men in your life, you know that their body types vary widely, even though they all might have come closer to the particular prototype or representation that we have of a “standard” male body than your current lover’s body does. No matter. He’s a man, you’re a woman, and the label for that type of relationship in Western culture is “straight.” (more…)

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Question MarkHere, we have two coming-out posts reflecting very different situations. As always, I encourage readers to chime in. Here goes:

A reader writes: “I identify as a genderfluid/ genderqueer FTM transsexual who presents and lives publicly as male. I’ve been in a relationship with a cissexual, genderqueer person who presents and lives publicly as female for about a year and a half.

“She recently came out to her parents as queer. I’ve been out to my family as queer and trans for years, but I’m not out to her family (and most people in general). It simply doesn’t come up/isn’t any of their business, combined with an intense fear I have of people knowing I’m trans, in part due to an experience of coming out to someone I thought I could trust and his reaction being to rape me to try to prove to me that I’m female. I don’t trust many people with this information.

“My partner and I just got engaged, and everyone is happy for us and all is well and dandy. My concern is that folks in my family (who all know my gender history) will tell other people at the wedding, perhaps even tell everyone at once during a toast. I can’t really imagine a worse way for me to come out to her family.

“The options I see are (1) tell her family ahead of time, (2) keep our families apart/elope, and (3) ask folks in my family not to out me and just hope they are able to do it. Do you see any options I’m missing? I’m just so uncomfortable with all of these options. I imagine this information will eventually make the rounds, but I’d feel much more comfortable if it came up naturally and not as a big announcement.”

That’s a tough one. But there’s one thing missing from all these options, and that is – what does your fiancée think? It’s not her decision when and how you come out, but I think under these circumstances, it’s definitely something that the two of you should discuss together (with you getting the final say if the two of you disagree).

My personal opinion is that you should tell her family ahead of time, and here’s why: The two families will probably have many interactions over the years, even if you elope. Expecting every member of your family to honor an agreement not to out you over the next fifty years might be more than you can reasonably count on.

Just expecting no one to slip up at the wedding might be too much. Even with the best of intentions, someone can easily make a mistake, and there could be one family member who thinks this bit of information might be too juicy to withhold – especially after a few champagne toasts. (more…)

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Question MarkA reader writes: “I recently started college, and I quickly came to the realization that I am transgender. I have been transitioning every way but physically (mentally, socially, etc.), and the process has been enlightening for me. The problem has mainly been with my friends and classmates.

“All of my friends have been as supportive and understanding as they know how. Some friends that I have known for years simply accepted my trans identity as if I came out as gay, telling me they love me, but showing no signs of changing pronouns or their mental perception of my gender. And other friends struggled to remember pronouns and try to shift their thinking from the binary, but it left me feeling discouraged around them and strangers. Additionally, most of my classmates only have my voice and clothing to go on, which convinces them I am a lesbian.

“And I worry that girls who would like me as a guy don’t because they think I am a girl, and others won’t be able to forget that I’m not the girl they thought I was (which happened last semester). I feel as if I am constantly trying to convince people of my maleness. I can count on one hand the number of people I feel 100% comfortable that they view me as male no matter what.

“I have thought of ways to lightheartedly correct pronouns in a way that convinces people I am just a cis guy with a high voice and soft skin, but constantly being misgendered has crushed my outgoing spirit. I don’t want to be “out” in a way that everyone would know I am trans before knowing me, and I don’t want to discuss it with every person I meet. I identify proudly as trans, but I don’t want to be trans first, I want to be male.

“Some people accept the trans label and he/him pronouns, but I can tell they still relate to me as a lesbian. I don’t want my manhood reduced to others trying to remember the right pronouns or something open for discussion and questioning by those who don’t know me. How can I find my confidence and voice in a way that is empowering for me? What advice do you have for pre-/non-physically transitioning guys who want to be seen, and respected, as men?”

This is a tough problem that I think many, or most, trans people experience when/if they are changing name, pronouns, and gender presentation. Transition is an ongoing process, both for you and for those around you. I realize how annoying it is to hear someone tell you to be patient with others when you’re the one who is experiencing the pain of being misgendered, but that’s what I’m going to tell you – be patient.

I don’t know how long it has been since you came out to your friends, but since you say you recently started college and came to this realization, I’m going to assume that it might be a matter of only a few months, and maybe not even that. And honestly, a few months, while it seems like an eternity to you, is really a very short time for your friends to permanently alter their perception of you. (more…)

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Question MarkA reader writes: I’ve never felt like I fit in until I started to dress as a male at University a few year ago. Before I left University, I threw away my small collection of male clothes because I was scared of what my parents would say/think.

“When I was 16, I was forced by my sister, in particular, to wear a dress. I did tell my sister at the time (who is three years older than me) that I didn’t feel right in a dress, but she said, ‘You’re a woman, so act like one.’ Now I’m settled in a job I really enjoy, I feel it’s time to start to transition, but I’m scared of my parents’ reaction.

“A few years ago, they found out I self-harm, and my Mum didn’t know what to say, but one morning my Dad suddenly wrestled me to the ground and shouted and spat at me, saying, ‘Do you want someone to talk all simple to you? Do you want a straight jacket? Just stop it.’

“I never sought professional help, because I felt like I needed my parents’ support. I stopped self-harming a couple of years later. I want to start to wear male clothes again, to begin the transition, but I’m scared that my parents won’t support me, especially after their reaction to the self-harm.

“I try to dress as androgynous as I can, and I’m being read as a male a fair bit already. Dad keeps on lifting my top up to see how many layers I’ve got on. I feel humiliated, but if I tell him to stop, he still does it.

“My other worry is work. If I suddenly wear male clothing, people may ask questions. Would it be better to make an announcement before I dress as male, so everyone knows what’s happening?”

I don’t know how old you are or whether or not you still live with your parents, but it sounds as if you might be out on your own. You have graduated and you have a good job. If you’re not out on your own, you might consider saving the money to do that fairly soon, if that’s possible.

You do not need your parents’ support to start therapy if you are able to pay for it yourself or have some kind of health coverage that will pay for it. I suggest you start therapy, regardless of what you decide to do. Even though you say you stopped self-harming two years ago, there is a possibility that this could start again as you become more stressed, and some professional support might be able to prevent a setback.

A therapist can also help you make decisions about how to come out at work and what to do about your parents, as well as helping you deal with any negative repercussions that might come from coming out or transitioning in any way, if that’s what you decide to do. (more…)

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Question MarkA reader writes: “I am a 59-year-old African American lesbian giving serious consideration to transitioning to a male. Are you aware of any females beginning their transition who are my age?

“I do realize there will be generational, cultural, and racial considerations. My questions largely have to do with being post menopausal and beginning T. Are there challenges that younger trans men don’t have to deal with? Will T be more effective since I am post menopausal? Are there any health considerations or concerns?

“As I begin my transition, I will bind my chest. I’ll see how it goes prior to deciding to (or not) having a double mastectomy. Is there an ‘older’ community of trans men support group? Any other suggestions would greatly be appreciated.”

There are definitely cultural and racial considerations that I am not qualified to address. I’ll have some suggestions with regard to those in a minute, and readers will have others, I’m sure.

As far as female-designated people who being transition later in life – yes, there are many, and some are older than you. Your age should not stop you from doing what you need to do. The oldest female-to-male transitioner that I am aware of was in his mid to late 60s. The oldest male-to-female transitioner that I am aware of was in her 80s. It can be – and has been – done.

An older trans guy named Jay, who has posted a video on YouTube, started T at age 65. And here is one from Dr. Jay, who started transition at 56, and here is a video from a guy who is transitioning at age 60. If you check out these videos, you will also find others from older trans guys who are transitioning (related videos appear down the right-hand side of the page). Dr. Jay has several videos, and he does talk about health issues related to starting T at an older age.

I’m not a doctor, and you should definitely talk to one, but testosterone in low doses is prescribed to some post-menopausal women to increase libido and to help maintain bone density and muscle mass. You would be taking a much higher dose, because you desire physical changes, but this just suggests that testosterone is not contraindicated for female-designated persons after menopause. (more…)

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Question MarkA reader writes: “I am a parent of a teenager who just last year, at the age of 17, shocked me with the announcement that she was transgender and would be starting the transition from FTM as soon as she turned 18.

“Up to that point, my husband and I had no idea her gender identity was in question. She was definitely a ‘tomboy’ (as was I most of my life), and never played with dolls, etc., but we never put two and two together. We did think she was a lesbian, however, but even that we were unsure about, because she had gone from one phase to another over the years (emo chick, athlete, etc.).

“So I am trying to find a place where I can be educated that will help me not only believe this, but accept it, embrace it, and eventually advocate for my child. I am having a very difficult time ‘transitioning’ my own mind to believe that my daughter of 17 years is not a female. I cannot get the word ‘him’ out of my mouth, and I cannot get myself to call her (him) by this new name.

“Does this make me a mean, closed-minded, unaccepting parent? I just tried to call my husband ‘babe’ or ‘honey’ the other day (something I’ve never done), and that felt so incredibly awkward coming out of my mouth. How in the world will I call my child ‘he’?

“I cannot seem to find good information on how to change myself, and my husband and my 12-year-old son’s mindset on the fact that ‘Jane’ is now ‘John.’ Not to mention, my husband is not at all willing to change the name. He does not even believe that this is happening. Knowing nothing at all about transgenderism and totally unwilling to educate himself at this, I am at a loss!”

Let’s get the most important thing out of the way right up front – you are not mean, closed-minded, or unaccepting. You wouldn’t be writing to me if you were. So stop beating yourself up about that, and let that one go.

Next, let’s put your husband on the back burner for a moment, because it’s not your job to make him accept his child. Don’t worry – we’ll come back to him later. Right now, we are going to focus on you, because how you deal with this will likely eventually influence how he does, and how your 12-year-old son does. (more…)

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