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Sex change from female to male: contraindications, preparation and cost of surgery

The change of sex from female to male was always considered a kind of quirkiness. People are ready to go to complicated operations not to save their lives, but to become a man instead of a woman, or vice versa. Many believe that this is a complete recklessness or mental illness. But the problem is that individuals who feel themselves not in their own body are in the order more than they may seem.

What is it?

Transsexuality is the medical name, meaning the discrepancy between gender unity (abnormal sex) and the anatomical sex of the individual. According to the International Specification of Diseases, transsexuality is one of the varieties of behavioral and mental disorders of a person. According to the assumption of the majority of experts, hormonal and surgical correction of the biological sex in relation to the psychological one is considered to be an exceptional way of treating this ailment.

Who can change the floor

Sex change from female to male Begins, first of all, with the desires of the person himself. However, one intention will be small. The patient must be of legal age and have full civil capacity for work. In addition, medical data are needed - a diagnosed disease by transsexualism. Anyone who wants to change sex should first visit psychiatrists and take a conclusion at least two of them.

The remaining directions of the analysis go by examining the general health of the patient and his chromosomal recruitment. If the medical board unanimously approves the decision on the admissibility of sex change, then the event itself begins, which lasts for several years.

Procedure for changing sex

The change of sex from female to male takes place in several stages. It is a very complex and complex process, which may not always end safely.

  1. The individual will be recommended for a year to work and live as a person of the opposite sex.
  2. In addition, hormonal treatment is included. Its duration is usually also about one year. Due to the use of hormones, voice changes, body shapes, women begin to sprout hair on their face.
  3. As a result of a number of operations, the body is restructured.

Hence it follows that a person should prepare for a long conversation with different specialists: psychologists, surgeons, psychiatrists and endocrinologists.

Stages of the operation

The change of sex from female to male takes a very long period and is carried out stepwise. The first two stages are preparatory, and they can go for more than a year. And only then the surgeon begins the last stage - the operation. What stages of preparation exist:

  • Evidence of transsexuality (difference of social and biological sex);
  • Long hormonal treatment (you need to go through a full diagnosis, excluding infectious diseases, disorders in the work of the liver and anemia);
  • Surgery to change the sex organs.

The flow of all three stages lasts about 2 years.

What are the surgical procedures?

The operation for changing the sex is carried out in several stages. Initially, cut out excess skin and mammary glands (the patient stays in the clinic for 3 days), for 2-3 months he can not lift weights. The next surgery removes the vagina, uterus and ovaries. From the labia minora, a testicle case (made of silicone) and a penis is made. The member stem itself is created as a result of several operations.

Still other methods of aesthetic correction, such as liposuction of excess fats, chin correctors and calf muscles can be applied.

Then a person is issued a document, on the basis of which he changes the civilian sex, name and surname, which is created in a note in the acts of civil order.

How do sex change: removal of mammary glands?

This is, above all, an operation intervention that is performed under general anesthesia. The postoperative period of time on average is 2 weeks. The event is performed through:

  • Periareolar incision (in cases where the patient's bust is small in size);
  • A peripheral incision is used when a woman has a medium-sized breast;
  • Vertical, when you need to remove a large bust.

After such an operation, it is required to go through a long rehabilitation period.

Ovariectomy

Future transsexual women first of all face surgical intervention to cut the fallopian tubes and ovaries. However, before the appointment of such an operation, two manipulations should be performed:

  • Salpingoscopy (examination of the fallopian tubes);
  • Hysteroscopy (examination of the uterus).

They are committed under general anesthesia. Only after the expert has ascertained that the patient has no tumors, especially oncological direction, ovariectomy is performed.

Surgical intervention to remove the fallopian tubes and ovaries can be performed by laparoscopy (this method is less traumatic) or by a simple procedure of the cavity. In both cases, the operation is performed under general anesthesia. You can see the photo before and after it in various medical sources.

The postoperative period as a result of a laparoscopic exercise usually takes up to 6 days. After cavitary surgery on the 7th day, seams are removed, and the duration of the recovery phase is conditioned by the patient's well-being. In any case, all this takes at least a month.

Metioidioplasty

It is performed in those women who, with hormonal therapy, have acquired an increase in the clitoris more than 6 cm. The new canal is made of mucous vaginal tissue, and the approximate length of the penis after the procedure is 5 cm. In a postoperative stay, a urinary catheter should be used for 14-16 days.

Due to metiodioplasty, only a small number of postoperative deteriorations are detected, and erogenous areas retain their sensitivity. Moreover, this is a one-stage operation. However, the genitals after sex change do not have a penetrating ability.

Phalloplasty

It makes it possible to create a real, from an aesthetic point of view, penis that has the appropriate size. At the same time, he will have high sensitivity and sensitivity to the implementation of sexual intercourse, which is acquired by placing the erectile prosthesis in the vagina.

It should be noted that phalloplasty is a complex and long operation that requires the transplantation of tissues (usually skin tissue from the abdominal region, forearms or thighs). After surgery, the catheter should be used for 2 weeks. Photos before and after the procedure can be found in various medical literature.

Phalloplasty stages

This procedure goes in three stages:

  • The creation of the urethra;
  • Production of the penis;
  • The design of the penis head and the formation of a scrotum with artificial testicles.

Passes these 3 stages of the patient, as a rule, no less than 1 year.

What are the contraindications to sex change?

There are certain restrictions that prevent the conduct of surgical interventions to change sex:

  • Too young (under 18 years) or old age;
  • Severe system-wide and mental illness;
  • homosexuality;
  • Lack of an approved conclusion of transsexuality by doctors in the field of sexual syndrome;
  • alcoholism.

What can not be done after the operation?

In the postoperative period, as a result of the female gender change, it is necessary to minimize physical activity to a minimum. Also experts do not advise to lead a sexual life before the final scarring of the operated zone. The patient must go to the attending physician to monitor the progress of healing.

How much does sex change?

As such, the exact cost of such an event does not exist. In different countries the price will vary. But there are some examples, which are evidenced by people who have made themselves such operations. In England, changing the floor will cost $ 20,000, in America - $ 15,000, and in Israel - $ 8,000.

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