The process of changing one’s gender is a serious, important, and potentially dangerous project. The normal process of going through puberty is a gradual one, and to transform a male body to a female one also takes time. There are several things you can do to achieve optimum results both physically and psychologically in a safe manner.
Though your individual experience may differ, many individuals experience the following feelings when transitioning gender:
1.I’ve now decided to make this change, I want it
In our program, we have some general principles that we will address with you numerous times. They may be difficult to hear at times, and they may be different from things you may hear from other programs, other doctors or other patients. However, in reviewing the medical literature, communicating with other gender centers, and following patients for years, we have found them to be sound principles that result in safer transitions with excellent results.
We will ask that you agree to and follow these guidelines as you go through your treatment.
1. Since living in the role is the most important
expect you to have a defined plan to make this change. You should
have a definite plan to complete this process within two years.
you do not complete this step we may discuss discontinuing or
hormones until you make this change. We will continue to check-in
about your plan, and may request permission to talk to your therapist
progress in this direction.
3. It is important you take the hormones and
medications as prescribed
by your physician. Violation of this may mean termination
The use of female hormones (estrogen) in males has profound and often irreversible effects. These effects include, but are not limited to, enlargement and increased sensitivity of the breasts, weight change, decreased muscle mass, shrinkage of the genitals, infertility, decreased libido (sex drive), and changes in mood and personality.
The use of female hormones can cause the following conditions: fluid retention, nausea, jaundice (yellowing of the skin), headache, dizziness, depression, changes in vision, and decreased glucose tolerance.
Estrogen use in biologic males has been associated with increased risk of liver abnormalities (including noncancerous and cancerous tumors), elevated blood pressure, gallbladder disease, milk production from the breasts, noncancerous growths of the pituitary gland (a part of the brain), blood clots in the veins which may be crippling, blood clots in the lungs, stroke, heart attack, and breast tumors have all been documented in persons receiving female hormones.
Complications occurring from the use of female hormones can, very rarely, cause death.
Additional effects, risks and adverse reactions not at this time known to arise or on which research data is at present inconclusive may also exist.
The effects associated with the use of female hormones may, or may not, be reversible by discontinuing their use.
I have read this document and have been given the opportunity
the effects, risks and possible adverse reactions of the use of female
. Having discussed these matters I voluntarily give my informed
to use female hormones (estrogen and possibly progesterone), along with
the anti-testosterone drug spironolactone for the purpose of transition
to the female gender. I agree to undergo regular physical
and laboratory testing as required by my treating physician. I
not to change hormone dosages without consultation with my
I realize that doing so may result in my discontinuation in the gender
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