When there is no more strength to endure: a sex change operation from a woman to a man as the only chance to live a full life. Plastic surgery and treatment in Thailand

sex change- this procedure, which in all cases takes very for a long time and is carried out in stages. The first two stages are preparatory. They can last over a year. Only then the surgeon proceeds to the final stage - the operation itself.
First stage- this is a confirmation of transsexuality (discrepancy between biological and social sex). After the diagnosis of "transsexualism" is made, the patient undergoes a test: a year of residence in the image of the opposite sex chosen by him. Doctors enable a person to finally confirm and realize decision to prevent possible disappointment. The indication for gender reassignment surgery is transsexuality.

The second stage is a long hormone therapy.

Before starting hormonal therapy, it is necessary to full examination, excluding infectious diseases, anemia and disorders in the liver. The hormonal preparation to which the patient is subjected is a regular intake hormonal drugs. In the future, a person who wants to transform will be obliged to take them for life. During the operation to change the sex from a man to a woman, the patient is prescribed the female sex hormones progesterone and estrogens.

Third stage- gender reassignment surgery. On average, the passage of all three stages takes about two years.

Indications for plastic surgery

The indication for gender reassignment surgery is transsexuality. The presence of transsexuality must be identified and confirmed by qualified professionals.

Contraindications:

lack of a confirmed diagnosis of transsexuality by specialists in the field of gender dysphoria;
severe mental and systemic diseases;
alcoholism;
homosexuality;
old or too young (under 21 years old) age;
being married;
the presence of children.

Operation progress

Sex reassignment surgery is safe and effective. It takes approximately 4-8 hours.

From F to M:

mastectomy(removal of women's breasts). Under general anesthesia within 3-4 hours, excess skin, mammary gland and adipose tissue are removed. Only the required amount remains right places to create a male shape chest. 9-12 months - such a period is necessary in order for the body to completely change and look natural.
Hysterectomy(uterus removal). If a woman (former) starts taking male hormones, then this operation is necessary, otherwise negative consequences may occur: polycystic ovaries, endometrial cancer, ovarian cancer, etc.
phalloplasty(restoration or correction of male genital organs). The operation is rather complicated, since after it not only appearance organs should be natural, but also sensations. The genital organ is created in two ways: from the patient's skin of the lateral part of the dorsal region or from inside forearm. If the patient wants the organ to perform all natural functions, then another prosthetic operation is necessary. The organ will finally take root in 6 months.

From M to F:

Orchiectomy- during which the testicles are removed, there is a decrease in testosterone production.
Vaginoplasty - There are many methods for this operation:

The first option is penal inversion, i.e. the formation of a vagina from one's own penis; however, the neo-vagina will be shallow. Plus penal inversion - simplicity; the postoperative period is easy. The second option is vaginoplasty using the sigmoid method (the vagina will be formed from part of the patient's intestines) or with skin tissue grafting from the patient's body. With the sigmoid method, the neo-vagina will have natural lubrication and sufficient depth, about 15-20 cm. If a skin graft operation is performed, then the depth is 12-15 cm.

mammoplasty– breast augmentation
other cosmetic surgeries.

After sex reassignment surgery, the patient will be closely monitored by the surgeon, who will inform the patient of everything he needs to know. The patient must follow the following rules:

For the first 2-3 days, the patient will be on a liquid diet and should avoid dairy products and proteins, which can cause bowel movements, to avoid infection.
When sleeping or resting, place a blanket between your legs to avoid pressure on the wound.

The patient will be able to walk in 5-7 days, the sutures will be removed on the 7th day.

With a confirmed diagnosis of "transsexualism" and after surgical operation the transsexual has the right to receive documents for a new name and gender. Such a change is made by making changes to the birth certificate and takes place at the registry office at the place of birth or at the place of registration of the person.

Arin Andrews, 17, and Katie Hill, 19, from the US state of Oklahoma, have undergone sex reassignment surgery and now say they are in the bodies they have always desired.

After having her breasts removed, Erin says, "Now I can wear tank tops that I couldn't wear before, I can go swimming without a shirt, I can go outside, I can just be a regular guy now. I hated my boobs, I always felt like it doesn't belong to me. Now I can finally feel comfortable in my body."

"Now when I go to a public pool or fitness club no one is surprised, they just think I'm a guy - just a skinny guy in gym who is trying to put on some muscle."

Emeralda Andrews was a talented ballerina and winner of many beauty pageants before becoming Henri's boyfriend. And the son of a naval lieutenant colonel, Luke Hill, (right), announced at the age of 15 that he had become a girl named Kathy.

Emeralda and Luke.

When Emeralda was 11 years old, she announced that she wanted to be a boy. Her mother began to allocate money to her (him) for hormonal therapy, she also paid for her daughter (son) to have a breast removal operation. Even the younger brother, 11-year-old Wesley, began to call his sister "big brother." "I'm very proud of it," admits Arin.

Young people met during a meeting of members of a group of young transsexuals. After the sex change, they exchanged their shirts, jeans, shoes. Previously, they could not stand the clothes that their parents bought them.

"I found out about transsexuals from the Internet," admits Cathy. Then the parents struggled to help their 15-year-old son Luke. They were sure that the son was confused. “And I was unhappy. Digging on the Internet, I came across the word “transsexual”, started reading and realized that it was about me,” recalls Cathy. “I once tried to end my life. My mother is so afraid of losing me that she agreed to help me. We made a list of things that I would like to do, like wear bras and panties, get hormone therapy and maybe one day to resort to the help of surgeons who will change my sex. Surprisingly, my brothers and grandmother supported me. At first, my father, a lieutenant colonel in the US Marine Corps, was upset because he realized that he was losing his first son. Over time, he learned accept me for who I am, and now calls me his "daughter", making me smile, "Katie admitted. By the way, an unknown donor was so touched by Katie's story that he even donated 40 thousand dollars for her - for sex change procedures.

The gender reassignment procedure takes more than a year in total. First of all, a person who decides on such an operation must undergo a course of examination by a psychiatrist. The psychiatrist must confirm that the patient is transgender and mentally healthy.

On this topic

Next, a course of hormone therapy is started, which lasts about a year. At this time, the transsexual lives as a member of the opposite sex in order to make sure of his decision. During this period, men begin to grow breasts, facial features become more feminine, and women stop menstrual cycle, hair growth intensifies and the voice coarsens. Only after passing the previous stages can a person be assigned a date for the operation, which in some cases takes place in several periods.

From man to woman

On this topic

Turning a man into a woman is much easier. To do this, the man's penis is removed and created in inguinal region vagina from the tissue of the penis, other areas of the skin and partially the intestines. The tissues of the scrotum are transformed into the labia, and implants are inserted into the breast area. In the event of a successful operation, even a gynecologist will not be able to distinguish a transsexual from a woman.

After the operation, the course of hormonal therapy continues, the patient drinks estrogens - female hormones to make the body more feminine.

From woman to man

Sex reassignment surgery for women can be of two types: metoidioplasty and phalloplasty. In the first case, the penis will be made for the most part from the clitoris, which has increased by six centimeters during hormone therapy. Average length the resulting penis will be about five centimeters, as a result of which it will retain sensitivity, but will not acquire the ability to penetrate.

Thanks to phalloplasty, it is possible to create a full-bodied penis, but the operation will be performed three times: first, the creation of the urethra, then the creation of the penis, and then the formation of the head of the penis and the creation of the scrotum. This operation requires tissue grafting from different parts body, for example from the hip or from abdominal cavity. The penis will retain the ability to penetrate and achieve orgasm.

Postoperative stage

On this topic

After the operation, the person will have to receive new documents. In Iran, for example, the patient is issued a new birth certificate. In addition, a person will have to take the rest of his life hormonal agents, since modern medicine has not yet reached the point of creating organs that change secondary sexual characteristics. This is fraught with problems with the liver and kidneys.

Also, a person who has changed sex will have to face a possible backlash surrounding people, so he will most likely have to be observed by a psychologist in order to more carefully adapt to life in a renewed body.

Contraindications

Sex reassignment surgery is not done to those who suffer mental illness, alcoholism, drug addiction, as well as those who lead an antisocial lifestyle.

Transgender transition, or to put it more plain language gender reassignment is a serious step in a person's life. It is necessary to think over it with special care, first of all, because it will not be possible to return the removed genitals back. But when moving from the female category to the male one, there are some nuances.

What is female to male gender reassignment surgery

FtM sex reassignment is the surgical removal of female sexual characteristics and the reconstruction of male and human tissues. Such surgical intervention It is usually carried out in several stages and requires serious preparation.

concept

When compared with a similar procedure for turning a man into a woman, this one is more difficult to perform and requires a number of preparatory operations and other manipulations. Consists of three items in general:

Removal of mammary glands ();
Removal of female genital organs;
Creation of the most natural likeness of the male genital organ.

It is the creation of male genital organs that is referred to as the most complex manipulations, which do not always end with a positive outcome.

In this case, the maximum length of the penis will be no more than 9 cm. For transsexuals, this can later create many problems and psychological complexes.

Kinds

Such a transformation of the genital organs is done in one of two ways:

Metoidioplasty, in which hormonal therapy produces more than 6 cm, after which an operative change is already carried out appearance. With this type of intervention, the final length of the penis will be no more than 5 cm, there will be no penetrating ability, but the sensitivity of the erogenous areas will remain. This type of intervention gives the least amount postoperative complications and is done in one go.
will give a full penis from an aesthetic point of view with adequate dimensions. He will have a sufficient degree of sensitivity and penetrating power, allowing you to perform a full-fledged sexual intercourse. In the process, a special erectile prosthesis is placed in the vagina. But this operation is long, extremely complicated and requires tissue transplantation.

Indications

The indication for a transgender transition is transsexuality, which is confirmed by a qualified specialist.

Contraindications

Contraindications are:

Lack of transsexuality;
Systemic pathologies of a severe type;
Severe mental disorders;
Age up to 18 years;
Elderly age;
Desire to have a child;
Homosexuality;
Antisocial lifestyle;

This type is not carried out surgical intervention in the presence of pressure from relatives, friends and relatives of the patient.

Comparison with similar methods

Since this type of gender change is much more difficult, the number of operations with a positive outcome is much lower than with. This is due to the fact that it is much easier to transform the penis and scrotum into female genital organs than female into male.

It is worth noting that, unlike MtF transformation, this operation has many more side effects and complications. At the same time, a sex change often ends with the fact that the opportunity to have sexual intercourse is lost forever, as well as the opportunity to have children. Accordingly, this noticeably adds psychological complexes.

It is worth noting that if you do not remove the female genital organs, but create male ones, then the function of childbearing is preserved. To do this, it will be enough just to stop drinking hormones. In the case of a transition from a man to a woman, there is no such possibility.

Holding

The operation requires serious preparation, which takes an average of 2 to 3 years. The operation itself is carried out in several stages, and the direct reconstruction of the male genital organ is carried out for 7-12 hours.

Necessary analyzes and activities

Preparation is required for a long time for such a responsible operation. Therefore, the patient will have to:

Long-term and very close interaction with a psychiatrist, sexologist, endocrinologist for a long period of time (up to 2 years).
The psychiatrist must issue a certificate of form F64.0, which indicates that the patient is transgender and needs surgery and further change of documents.
A year before surgery, you need to take hormones, and a month before surgery, the reception stops.
Get your hormone levels checked regularly.
News healthy lifestyle life, take strengthening drugs.
Conduct an interview with the head of the commission, who will issue permission for gender reassignment surgery. He will issue a referral to several paid psychiatric tests, the outcome of which will determine the further outcome of the preparation.
After obtaining permission, clinics are monitored, then a consultation with the surgeon is carried out, the cost of the procedure and the postoperative hospital are determined.
Rented in 2 weeks necessary tests( ; ; ; , hepatitis B and C, ; ), and other required types of examination.
For 8 hours before the operation, it is forbidden to drink and eat.
Before the operation, depilation of the pubic area (breast - depending on the type of intervention) is performed.

It is important to understand that doctors in some cases perceive transsexuality as mental disorder because there is no definitive answer to this question. Therefore, the doctor, at his discretion, may require from you a year's experience of living as a man. It should also be understood that the rehabilitation period after the operation will be difficult and require long-term treatment, hospitalization and recovery.

Algorithm

The operation can be carried out simultaneously with the implementation of all stages in one run, and may require a phased execution. Depends largely on the decision of the surgeon and the condition of the patient. To change sex, carry out:

Removal of mammary glands with correction;
Ovariectomy - removal of the fallopian tubes and ovaries;
Vaginectomy - removal of the vagina;
Colpocleisis - closing the entrance to the vagina;
Hysterectomy with removal of the uterus;
Reconstruction of the female genital organs into male one of the proposed types - either metoidioplasty or phalloplasty. In the process, the urethra, the penis itself and artificial testicles or testicles with a scrotum are created.

Possibility of combining with other types of plastics

In parallel, they can be carried out to remove excess fat from areas that make the body more rounded and feminine, as well. The latter will increase the volume of some areas, for example, the chin, calf muscles and much more to recreate a male silhouette.

This video will tell about the case in relation to male sex reassignment surgery:

Rehabilitation

In the process of rehabilitation, the patient will have to face many difficulties and limitations:

The loads are completely limited in the period after the operation;
The first 8 days at least need to be spent in a hospital;
Sexual life is impossible until the tissues are completely healed;
Frequent visits to the doctor are required;
After the operation, antibiotics, hormonal, pain medications are necessarily used;
Produced pedantic care for the seams;
Smoking and alcohol cessation is respected;
The food is complete and no frills.

It is important to understand that the rehabilitation period to the greatest extent depends on two factors - the professionalism of the doctor, as well as individual features organism. Therefore, a long healing process and the development of some complications often occur precisely because of the body's reaction to such a serious intervention by the surgeon. It is also worth mentioning life after the operation, which few people talk about. After the operation, you will have to face:

Difficulties in paperwork;
Probable hostility from the inner circle, relatives, friends and even spouses;
Purely male diseases are acquired;
Over the years, kidney and liver problems will develop due to hormone therapy;
The functions of the lost female cannot be fully restored after the removal of the genitals;
Postoperative adaptation is carried out with the help of a psychotherapist.

Result after surgery

Possibility of complications

Problems after surgery almost always develop. But which ones - will depend on how the body reacts to the intervention. These can be general surgical complications:

Poor tissue survival and healing;
Rejection of implants;
bleeding;
Lack of sensitivity in some areas;
Complications after anesthesia on the heart and lungs.

Psychological complications most often occur when the patient is uncomfortable being a man. As a result of such a deviation, he will want to return the female sexual characteristics back. It should be noted that in this case, most often this phenomenon develops with an insufficient level of examination. It must be understood that if the patient before the operation behaved hysterically, depressively, and so on, then after surgical manipulations, these manifestations only worsen in most cases.

Gender reassignment is a serious decision that starts from childhood. IN early age manifestations of transsexualism do not look threatening: girls wear trousers and like to play football, boys put on dresses and play with dolls. With age, self-identification problems often disappear, but there remains a small percentage of people who feel uncomfortable in their own body. This is what transsexuals are.

In order to change the physical state to the opposite sex, one should undergo a long course of treatment, perform an operation, and then take hormones to change the sex of transsexuals. Hormone therapy (feminization or masculinization) after surgery continues throughout life.

What is transsexualism?

Transsexualism is a psychiatric disease characterized by a mismatch between gender identity and physical condition. This diagnosis should not be confused with homosexuality. As well as men's love for women's attire and underwear, this is fetishism. That is why it is very important to undergo an examination by a psychiatrist before changing sex, who will make an accurate and correct diagnosis.

Sex reassignment therapy is a treatment for transsexualism, and if the diagnosis is correct, then it is mandatory. modern medicine offers a large number of procedures that allow you to favorably turn a man into a woman, or a woman into a man. But such a decision should be considered, because there is no turning back.

Sex reassignment of a man or woman begins with medical examination and obtaining permission. Without fail, a transsexual is examined by an endocrinologist, gynecologist or urologist, plastic surgeon and a psychiatrist. It is the psychiatrist who gives the final conclusion, which allows or forbids the patient to undergo sex reassignment surgery. If the transgender is approved, hormone replacement therapy is given before the operation.

Hormone replacement therapy before sex reassignment surgery

Hormone replacement therapy is an aggressive method of influencing the body, which helps to bring the patient's appearance in line with the desired sex. Due to the influence of male or female hormones, the gonadal synthesis of hormones decreases. The result of synthetic saturation with hormones is a decrease in the production of luteinizing and follicle-stimulating hormones of the pituitary gland, which are responsible for stimulating the sex glands.

Thus, taking a synthetic sex hormone of the opposite sex, the body stops the natural production of hormones, which inhibits the natural signs of belonging and provokes the development of secondary sexual characteristics. Hormone therapy does not have the ability to influence the development of the genitals of the opposite sex. This will require an operation.

The appointment of hormone therapy begins with a blood test to determine the initial amount of hormones. Such studies are cyclical every 2 months. This frequency is minimal, most often the analysis is taken once a month. The duration of taking hormones is 8 months. Then a monthly break is made and an operative procedure is performed. surgical intervention.

After the sex reassignment surgery, the transsexual is prescribed lifelong hormone therapy. The use of hormones after the removal of hormone-producing organs is mandatory. Otherwise, the body begins to die. All organs suffer skeletal system, muscle tissue, etc.

With favorable hormone therapy, transsexuals come into full external conformity with the chosen sex. Transsexuals are no different from normal men and women.

Hormonal feminization

If a biological man wants to become a woman, estrogen and progesterone are selected. If necessary, the course includes antiandrogenic drugs. There is a large number medicines based on estrogen hormones. They are used in the form of gels and patches. The most popular form are tablets. The dosage of drugs is determined strictly by the attending physician.

When taking estrogen in men, secondary sexual characteristics appear more expressively. Changes in the amount of hair on the body and their localization, breast size, skin quality, musculature and fat distribution, the size of the prostate and genitals (in the preoperative period).

Breast. Hormone replacement therapy promotes the development of full-fledged mammary glands. Breast size under the influence of hormones grows up to 2-3 sizes in a few years. Nipples and halos change in accordance with the growth of the mammary glands. This result contributes to the rejection of surgical breast implantation.
Hair cover. Hair growth on the face and body is significantly reduced due to long-term use of hormones. The hairs are not completely eliminated, their structure weakens, the hairs become thinner. Initial softening occurs on the limbs, then in the chest, shoulders, abdomen, around the areola, in the armpit and on the pubis.
Leather. While taking hormonal drugs, the skin becomes softer and silky. At proper care skin and sun protection, the appearance of a transgender girl will be feminine and attractive.

Muscle mass. A large role in the formation of broad shoulders, arms and chest is played not by the skeleton, but by the muscle mass of a person. Under the influence of estrogens and antiandrogens during feminization, most muscle mass disappears. A transsexual woman's body will appear in 2-3 years.
Distribution of fat. At the beginning of hormonal feminizing therapy, significant changes occur in the body, regarding subcutaneous tissue. Fat deposits will accumulate in the thighs and buttocks, and the male tendency to accumulate fat in the abdomen will weaken. Thanks to this distribution of fat, the figure of a transsexual will become more refined and feminine.
Prostate. Under the influence of female sex hormones, the prostate gland gradually decreases in size. Often, female hormones are used in the treatment of benign prostatic hyperplasia, which is accompanied by painful urination and incontinence. In transsexuals, the risk of development and course of this pathology disappears, since estrogens have a therapeutic effect.
Genitals. Hormone replacement therapy before surgery helps to reduce the size of the testicles. This process occurs due to blocking the production and activity of testosterone, which is responsible for the function of the testicles. The patient has a decrease in sexual desire and erection. There is also a decrease in ejaculate. The discharge becomes scanty and colorless.

After the operation and removal of the testicles, estrogens continue to be taken, and the need for the use of antiandrogens disappears.

It is very important not to self-medicate when treating transsexualism. Some, guided by the thoughts "there is no limit to perfection", begin to use more estrogen. This may lead to negative consequences, among which, increased blood clotting, thrombosis, embolism, etc. Increased doses of estrogens cause an imbalance hormonal background, which leads to violations in the work of all systems and organs.

What effects should not be expected from feminization?

Among all the positive factors and physical changes that occur during hormone replacement therapy, there are those male characteristics that do not change under the influence of female sex hormones.

Facial hair is the most undesirable factor for transgender women. With the help of hormones, the hairs on the face become softer, lose their density, thickness and dark shade, but hormone replacement therapy cannot ensure the complete disappearance of the beard and mustache. In order to get rid of facial hair, transsexual women should resort to the help of cosmetologists. Today there are a large number cosmetic procedures, which provide a long-term slowdown in hair growth on the body and face.

Under the influence of female sex hormones, the timbre and pitch of the voice does not change. For getting desired result many doctors recommend vocal practice, as it helps them hone the femininity of the voice. The second option for eliminating the male voice is surgery, which is a surgical correction of the tone and resonance of the voice.

But also transgender people should deal with manners. Work on oneself is an important component in sexual transformation, which requires long-term work and patience, as well as increased perseverance and determination.

Hormonal masculinization

If a biological woman wants to become a man, male sex hormones androgens, in particular testosterone, are prescribed. Reception male hormones stimulates hair growth on the face and chest, coarsens facial features and voice timbre. Very often, the action of hormones affects the size of the legs and hands, they increase significantly.

Reception of testosterone is carried out only by injection. Doses are determined by the attending physician.

Removal of a hormone-producing organ (ovaries) is not an indication to stop taking hormonal drugs. After the operation, only the dosage changes.

How is gender reassignment surgery performed?

Before the operation, the patient undergoes a long preparation, which can be up to 3 years. The preparatory course includes psychological adaptation to a new gender role and hormone replacement therapy.

Change male to female

The change of male to female is a common phenomenon. The surgeon faces a difficult task - to change the male genital organs to female ones (a vagina is formed from the tissues of the scrotum), to enlarge the chest and make the face more feminine (by changing the cheekbones and chin, rhinoplasty).

The external genitalia are formed by several methods:

The penal inversion method is the simplest. Within 5 hours, the vagina is formed from the skin of the penis. This method is possible if the length of the penis is more than 12 cm.
The method of skin grafting from the penis and scrotum is longer. The operation takes about 7 hours. During the creation of the vagina and labia normal sizes. If there is not enough material, additional skin is taken from the forearm. This operation is indicated for small penis size.
Most heavy method– modeling of the genitals using sigmoid colon. After surgery, you may experience side effects(nausea, vomiting and other complications of the intestines).

After the operation, the patient stays in the hospital for 5-6 days under the supervision of the attending physician. After discharge, the transsexual is advised to limit physical and sexual activity.

Sex reassignment surgery is not the end. The patient is prescribed lifelong hormone therapy, which promotes the development of secondary sexual characteristics.

Change from female to male

Changing a woman's sex to a man's includes removing the breasts, uterus, fallopian tubes, and creating a penis. Operational procedures are carried out in several stages.

The mammary glands are removed first. Rehabilitation after this operation lasts 3 weeks.
Next, the ovaries are removed and fallopian tubes by laparoscopy or by abdominal route. Recovery takes a week.
The last to form are the testicles and the penis. Skin for the penis is taken from the thighs or abdomen. The formed penis is 8 cm long.

Phalloplasty is a difficult operation that requires maximum care and skill. After the operation, the patient is under the supervision of doctors for a long time and undergoes a course of psychological rehabilitation. But even favorable operation does not guarantee the transsexual from the occurrence of undesirable consequences.

Inevitable consequences of gender reassignment

The use of hormonal drugs throughout life will not be able to remain invisible to the physiological state of the body. In any case, transsexuals are at risk of developing severe pathologies of organs and systems. The kidneys and heart receive the main blow from taking hormones.

In addition to the development of cardiovascular pathologies and kidney disease, the use of hormones for sex change negatively affects childbearing function both men and women. In both sexes, sexual desire is reduced, which inhibits the ability to achieve and maintain an erection. It affects spermatogenesis and fertility. In other words, long-term use of hormones suppresses the functions of follicle-stimulating and luteinizing hormones, which are responsible for the formation of the fetus. Therefore, transsexuals are subject to infertility.

Transsexual offspring should be taken care of in advance. There are a large number of reproductive centers that provide the service of sperm freezing for further use. This procedure will help people who have changed sex to have children in the future.

And also transsexuals are subject to psycho-emotional failures. Since the fact of a sex change causes an ambiguous reaction among others. Some look at these people with pity, others with disgust. Often close people and relatives who do not understand the decision of a transgender have a strong blow. Therefore, before taking the final step, you should think carefully about your own decision.

Sexual satisfaction after sex change

With the favorable performance of the sex change operation, the quality of sex does not change. But even a normally performed operation does not give 100% guarantees. There are times when transsexuals are disappointed. Gender identity does not depend on certain sexual organs, but on the brain. Therefore, sexual attraction directly depends on the internal state.

Achieving orgasm is also possible for people who have changed sex. But full recovery takes time. For some, this period lasts a month, for others several years, but the results obtained fully justify the hopes of transsexuals.

In any case, when you change sex, both libido and the direction of sexual desire change. For a normal perception of one's desires, it takes time to get used to this turn of events, not only morally, but also physically.

Transsexualism is a psychiatric pathology characterized by a discrepancy between the patient's inner world and his outward signs. Treatment of pathology is aimed at correcting inconsistencies, namely, changing the sex of the patient. Only after lengthy procedures, analyzes and studies, a transsexual is prescribed hormonal therapy, which develops secondary sexual characteristics and inhibits the action of natural sex hormones.

The external genitalia are modified by surgical correction. After 2–3 years, the transsexual is no different from the chosen sex. But such a result should be maintained throughout life with the help of hormone replacement therapy. Therefore, before taking such a step, you should think about everything very well.