With the progress of medicine and society, [trans-gender] people have gradually been accepted by society and families, and the pain of their psychological gender and physiological gender separation has gradually been paid attention to by people.
[Transgender] has gradually become neutral from the original derogatory term. But when it comes to sex change surgery, Everyone is still curious and terrified. For example, when I just learned that the author became a master’s degree student in plastic surgery, my friends rushed to ask me if I would have sex change surgery. Then we will know about gender identity disorder and sex change surgery together.
What is an obstacle to gender identity?
[Gender Identity Disorder] or [Gender Disorder] are all about the same thing. In short, it is [a man’s body and a daughter’s heart] or [a woman’s body and a man’s heart].
Children generally begin to have an ignorant understanding of gender at the age of three, In the process of growing up, they tend to play with children of the same sex and show the behavior of the same sex. This difference is further consolidated with the development of sexual organs and secondary sexual characteristics during puberty, and they acquire heterosexual sexual orientation. This is the vast majority of us-the physical and psychological sex is consistent.
However, the crowd is diverse, and there are always some people who suffer from physical and psychological gender inconsistencies. He/she is eager to wear opposite sex clothes, use opposite sex speech and behavior styles, and can obtain satisfaction from them.
Do all gender identity disorders require surgery?
This is not the case.
Gender identity disorders can generally be found in childhood. Some parents will try to correct their behaviors. In fact, there are many cases where gender fragmentation is avoided through behavior adjustment, but in most cases this fragmentation is difficult to change.
If you want to undergo surgical degeneration, the general doctor will suggest to wear heterosexual clothing first and live in heterosexual social roles for a period of time. Some false gender identity disorders will obviously feel uncomfortable. Such people are not suitable for surgical treatment and psychological counseling will be more suitable. On the contrary, some people will be very adapted and satisfied with this role change, so surgery can help them.
There is no academic conclusion on how long the transition period for changing clothing and behavior patterns should be, and the actual operation varies from place to place. With the further development of this operation, I believe more systematic diagnosis and treatment standards will emerge as the times require according to the principles of evidence-based medicine.
In addition, some patients with true and false hermaphroditism can also obtain physiological sex that is consistent with their psychology through sex change surgery.
How is sex change surgery done?
This problem may be the most curious to everyone, but the operation is complicated, with large quantities of work and strong professionalism, so only a general introduction can be made here.
Male to Female:
Most of the penis and testicles are removed, the penis head and the dorsal nerve of the penis are preserved to form the clitoris, the scrotum is reduced to form the labia majora, and part of the anterior urethra is changed to form the labia minora and vaginal vestibule. The residual foreskin is folded back to form an artificial vagina, the end of which is fixed to the pelvis.
Through axillary incision, breast prosthesis is implanted to form breast. Adam’s apple can obviously also partially remove thyroid cartilage. In order to become perfect, sometimes some facial reshaping is required to obtain a more feminine appearance.
Female to Male:
In general, The technology of changing women into men is not as mature as that of changing men into women. To test the wisdom of doctors [out of thin air]. Costal cartilage taken from the chest is carved into the shape of penis. The flap is wrapped by a free flap removed from the forearm and then transplanted into adjacent blood vessels. Part of the flap is folded back to form a new urethra, which connects with the original urethra. Vagina, uterus and ovary are all removed, testis prosthesis is implanted into labia majora, clitoris and nerve are transplanted into the head of artificial penis.
Of course, at the same time, mastectomy should be carried out and even prostheses should be transplanted into larynx to form Adam’s apple.
After the operation, sex hormones should be taken for a long time to obtain more realistic effects.
The process is roughly the same. There are too many sensitive words and I don’t know if they will be reported…
Frequently Asked Questions about Sex Change Surgery
1. Does the degenerated look like the opposite sex?
The current technology can only guarantee [several truths], but it cannot be [flawless].
2. Will there be reproductive function after degeneration?
As the internal genitals were surgically removed, So fertility is completely destroyed. But there are exceptions. In 2006, a [male] who had undergone sex change surgery became pregnant and gave birth to a child-the sex change surgery was not complete. She retained the full set of internal genitals, resumed menstruation after stopping taking androgen, and succeeded in pregnancy through in vitro fertilization.
3. Can you get sexual pleasure after degeneration?
In the surgical method, I mentioned that part of the penis head and clitoris are preserved together with nerves in order to preserve the physiological basis of sexual pleasure. Most people can retain sexual pleasure after sex change surgery and continue to live a happy life.
Understand this different group of people
Sex change surgery is not mysterious, and gender identity disorder is not a horrible disease in what. Transgender people also enjoy natural human rights and should be accepted by society and families.
Most of them would rather undergo traumatic surgery and endure the pain after surgery than complete the dream [butterfly change]. This shows that the psychological and physical sex separation causes more mental suffering than physical suffering. More understanding and acceptance, less sarcasm and rejection.