Change to a shemale

Before undergoing a gender reassignment procedure, certain requirements must be met, since the changes that the patient will experience are irreversible. These requirements are:. When will I be able to have my first sexual experience with penetration? It is not advisable to do so until after a minimum of two months following the operation. Furthermore, we advise that the first time you have sex, you should do so with a partner who is aware of your personal situation. This will help to assure you have a painless and satisfactory first experience.

In female-to-male transsexuals, the operative procedures are usually performed in different stages: first the subcutaneous mastectomy which is often combined with a hysterectomy-ovarectomy endoscopically assisted. The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual. Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on. Although the exact etiology of transsexualism is still not fully understood, it is most probably a result of a combination of various biological and psychological factors. Gender reassignment usually consists of a diagnostic phase mostly supported by a mental health professional , followed by hormonal therapy through an endocrinologist , a real-life experience, and at the end the gender reassignment surgery itself.

Transsexual people experience a gender identity that is inconsistent with their assigned sex and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance including sex reassignment therapies , such as hormone replacement therapy and sex reassignment surgery to help them align their body with their identified sex or gender. Transsexual is a subset of transgender , [2] [3] [4] but some transsexual people reject the label of transgender. Norman Haire reported that in [11] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld , which ended in with a successful genital reassignment surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark. In , Hirschfeld introduced the German term "Transsexualismus", [12] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and

Sexual orientation is usually considered to be determined in early life and stable in the course of adulthood. In contrast, some transgender individuals report a change in sexual orientation. A common reason for this phenomenon is not known.