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Female to Transgenders

Published in: Health & Medicine
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  1. 1. Female to Male Transgenders Psychosocial and Family issues
  2. 2. Case report1 • Ms.D has always dressed in male attire. Now she is 25.Her family from south side town want her to get married. • She has told them that she wants to become male. They were shocked. They have to take her to her psychiatrist. The psychiatrist asked the family to accept the decision of Ms.D. • They changed the psychiatrist. They found another psychiatrist who can counsel the patient to give up her fantasies and stay male.
  3. 3. • Ms D s family are stubborn that they cant allow sex change. • The patients wants to commit suicide.she is educated and was working in a software company before this issue.
  4. 4. Case report2 • Ms.A was born as female but always dresssed like a boy from the city. • From 17 years she started telling her parents and wants their consent for sex change. • Their parents are reluctant but not fully opposing. • Slowly Ms.A convinces her parents about her wish and they finally agreed after several months of counseling.
  5. 5. Case report3 • Ms F is from a small town in north tamilnadu.she was born as female but believed she was male.When she expressed this to her family when he was 18.She was taken to psychiatrist In Kerala and was given antipsychotics and even ECT was given.8 years after this the family has left her to decide her life. But now she developed feeling like female and gets attracted to males. She is ashamed about this change and seeks help regain her masculine feelings
  6. 6. Societal aversion
  7. 7. Families’Reactions • Most families do not accept gender- nonconforming behavior in their children, which may manifest as early as three to five years of age. For many parents, the news that their child is transgender or gender non-conforming can bring an array of emotions along with it: some feel sad, fearful and disappointed while others feel shocked, angry and upset. Very few are willing to support their loved ones without trying to make them change.
  8. 8. • Parents may threaten, scold or even assault their female child for behaving like a boy. They may have several reasons for doing so: • fear that a gender-nonconforming child will bring disgrace and shame to the family, apprehension that their child will not marry, perpetuate the family line and/or discharge family responsibilities
  9. 9. Differences from mtf
  10. 10. Transsexualism • An obession to belong to opposite sex which is practically not reversible by psychological or other medical treatment
  11. 11. Hermaphroditism • Congenital condition of ambiguity of reproductive structures so that sex of the individual is not clearly defined such as exclusively male or female .
  12. 12. Transgender • Those who identify with a gender different from the one they were born with
  13. 13. Transvestism • The act of dressing in clothing of opposite sex usually attributed to psychological compulsion
  14. 14. Gender Dysphoria • Gender Dysphoria – This is a fundamental unease and dissatisfaction with the biological sex one is born with which results in anxiety, depression, restlessness, and other symptoms. The dysphoria often acts as a catalyst to change one’s body and gender expression (how one presents to the world) to be more in keeping with what is felt to be one’s gender identity (the gender that one feels oneself to be).
  15. 15. Is it really possible to turn a woman into a man?
  16. 16. Testo sterone Therapy • Height • Facial hair • Adams apple • Body hair • Androgenic baldness
  17. 17. Testosterone and Quality of Life • Analysis of quality of life health concepts demonstrated statistically significant (p<0.01) diminished quality of life among the FTM transgender participants as compared to the US male and female population, particularly in regard to mental health. FTM transgender participants who received testosterone (67%) reported statistically significant higher quality of life scores (p<0.01) than those who had not received hormone therapy.
  18. 18. Sex Reassignment surgery • Mastectomy • Hysterectomy
  19. 19. Is it possible for F.T.M. transsexuals to have children?
  20. 20. Is FTM a form of mental illness? • F.T.M." is an abbreviation for "female-to-male" transsexual, in other words, women who undergo the medical and legal procedures necessary to become men. "F.T.M." refers to people who are female by birth but who have male or masculine identities or appearances, which can include tomboys, butches, drag kings, gender benders, transsexuals, transgenderists, intersexuals, and other forms of gender expression.
  21. 21. Facebook 56 genders
  22. 22. Websites •
  23. 23. Ngos • Sahodhari foundation
  24. 24. Marriage
  25. 25. Name Change
  26. 26. Passport • Gender-sensitivity within the Indian bureaucracy has taken a small step, with eunuchs being given the option to enter their sex as 'E' instead of either 'M' or 'F' in passport application forms on the Net
  27. 27. Decisions • Making decisions about transitioning, what level to transition to, or whether to attempt any transition at all are complicated decisions and require time and support. • There are fears of how one will be accepted by family (parents, partners, children, grandparents and others), friends, colleges, fellow students, church groups, etc.. • There can be anxiety about ‘passing’ or how convincing one will be to others as a man or woman (i.e. whether or not one will be “read” as transgender).
  28. 28. Puberty • This is a particularly hard age, since the body begins to change and adapt gender specific features (breasts, changes in genitals, menses, etc..). Transgender individuals have reported “I was disgusted by (hair, breasts…etc)”.
  29. 29. Early Adulthood – • With emotional and financial independence some people feel free to begin to address transgender issues at this age and look into transitioning. However, some are not as free to do so, due to family and other obligations, or due to lack of information and access to services.
  30. 30. Later Adulthood – • Some transgender individuals put off transitioning until later in life when they feel able to do so. This can be satisfying, but can also have the disadvantage of producing a less convincing outcome. In addition there can be regret about having lived so long in an unwanted gender. Friends and family may have a harder time understanding what is happening since they knew the person for so long in their natal gender.
  31. 31. Transitioning – • For those transgender individuals who decide to transition (to present and live in the other sex outwardly), these emotional/psychological issues may come up: • Fears about finding a partner • Impact on family relationships with parents, children, partners and other relatives • Impact of relationships at work and with friends. • Fears about violence and prejudice when one is read as transgender. • Feelings about having to experience surgeries, hormones, (and for MTF transsexuals) facial hair removal and voice changes. • Frustration of having to change or explain legal documents (drivers license, passport, titles to property, diplomas, etc)
  32. 32. Post transition issues • – Some issues that may arise include: • Disappointment that transitioning didn’t solve all problems. • Level of satisfaction with appearance • Level of satisfaction with any surgeries • Emotional issues that were not addressed before. •
  33. 33. Contact me • Thank You • Dr.V.Jaikumar • 9841707437 • • Jaikumar Velayudham in FB • 9941241507-whatsapp