In consequence, transsexuals individuals who have undergone SRS are more satisfied with their bodies and experienced less stress when participating in sexual activity. For some trans women, facial feminization surgery , hair implants, and breast augmentation are also aesthetic components of their surgical treatment. For trans men, genital reconstruction may involve construction of a penis through either phalloplasty or metoidioplasty. Standards of Care usually give certain very specific "minimum" requirements as guidelines for progressing with treatment for transsexualism, including accessing cross-gender hormone replacement or many surgical interventions. It is a relatively safe procedure. All patients considering treatment need counseling and medical monitoring. For trans women, genital reconstruction usually involves the surgical construction of a vagina , by means of penile inversion or the sigmoid colon neovagina technique; or, more recently, non-penile inversion techniques that make use of scrotal tissue to construct the vaginal canal. Transgender rights Sex reassignment surgery can be difficult to obtain, due to a combination of financial barriers and lack of providers.
The authors concluded that transgender persons seeking hormonal therapy are being seen with increasing frequency. Surgeons may require overweight patients to reduce their weight before surgery, any patients to refrain from hormone replacement before surgery, and smoking patients to refrain from smoking before and after surgery. Further in the future, stem cell biotechnology may also make this possible, with no need for anti-rejection drugs. Psychological and social consequences[ edit ] After sex reassignment surgery, transsexuals people who underwent cross-sex hormone therapy and sex reassignment surgery tend to be less gender dysphoric. Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment. It is a relatively safe procedure. Moreover, trans men also had a lower sexual satisfaction with their sexual life than trans women. Some have cited breast reconstruction surgery for breast cancer, i. A common period of time is three months, but there is significant variation in both directions. For patients seeking MTF affirmation, hormone treatment includes estrogens, finasteride, spironolactone, and GnRH analogs. Surgical options include feminizing genital and facial surgery, breast augmentation, and various fat transplantations. There is no minimum duration of relationship required with mental health professional. At least one of these letters must be from a mental health professional experienced in diagnosing gender identity disorder, who has known the patient for over a year. Some surgeons charge higher fees for HIV and hepatitis C-positive patients; other medical professionals assert that it is unethical to deny surgical or hormonal treatments to transgender people solely on the basis of their HIV or hepatitis status. Unsourced material may be challenged and removed. Many surgeons operate in small private clinics that cannot treat potential complications in these populations. Under local anesthesia, a Skate flap is elevated at the site selected for the nipple reconstruction and constructed. Data on demographics, clinical response to treatment, and psychosocial status were collected on all transgender persons receiving cross-sex hormone therapy since at the endocrinology clinic at Albany Medical Center, a tertiary care referral center serving upstate New York. Persistent regret can occur after sex reassignment surgery. In these studies, most of the patients have reported being very happy with the results and very few of the patients have expressed regret for undergoing sex reassignment surgery. Hence, transgender people should be well informed of these risks before choosing to undergo SRS. Potential future advances[ edit ] See also: Anxiety, depression and hostility levels were lower after sex reassignment surgery. They also normally function well both socially and psychologically. When two letters are required, the second referral is intended to be an evaluative consultation, not a representation of an ongoing long-term therapeutic relationship, and can be written by a medical practitioner of sufficient experience with gender dysphoria. The criterion noted above for some types of genital surgeries — i.
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