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What is a pre op transsexual


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My orientation: Hetero
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This is not a common term anymore; most people say just "transgender" or "trans" to encompass all people whose gender identities are different from their genders as ased at birth. A pre-op trans woman MTF still has the penis she was born with, and a pre-op trans man FTM still has the vagina he was born with, and no surgical alterations have been made to these or any other parts of the reproductive system. Pre-op is usually used in reference to genital surgery, not chest surgery, and it is sometimes only used for people who do intend to have surgery at some point in the future the term non-op is used for people who have not had surgery and will not have surgery. Pre-op is usually used in reference to genital surgery, not chest surgery. I'd disagree with this when it comes to AFAB people--I'd assume someone who said they were "pre-op" had not had top surgery and probably assume they were talking about top surgery unless context suggested otherwise. But, to be honest, it's not something I hear very often.

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Try out PMC Labs and tell us what you think. Learn More. Transsexual issues and sexual reasment surgery SRS are receiving a great deal of attention and support in the media, schools, and government. Given the early age at which youth seek treatment for transsexual attractions TSA and gender dysphoria and given the serious risks associated with such treatment, it is essential that family and youth be advised about these risks and alternative treatment options. Physicians and mental-health professionals have a professional responsibility to know and communicate the serious risks, in particular risk of suicide, that are associated with SRS; the spontaneous resolution of TSA in youth; the psychological conflicts that have been identified in such patients and in their parents; the successful treatment of conflicts associated TSA and the regrets of those who have been through SRS.

Lay summary : Transsexuals and sex-change operations are receiving a great deal of attention.


Young people may seek treatment for transsexual attractions at an early age even though these attractions may go away on their own. Psychological conflicts have been identified in these patients and their parents and may be successfully treated. There are serious risks associated with sex change.

They include the risk of depressive illness and suicide. Physicians and mental-health professionals should know these risks and the regrets of those who have been through sex-change operations.


These patients and their families also should be informed of other treatment options. Transsexual issues and sexual reasment surgery are receiving a great deal of attention and support in the media, schools, government and in health professionals today.

The idea that one's sex is fluid and a matter open to choice runs unquestioned through our culture and is reflected everywhere in the media, the theater, the classroom, and in many medical clinics. It has taken on cult-like features: its own special lingo, Internet chat rooms providing slick answers to new recruits, and clubs for easy access to dresses and styles supporting the sex change. It is doing much damage to families, adolescents, and children and should be confronted as an opinion without biological foundation wherever it emerges.

McHugh Transsexual issues are creating a new controversy in our elementary and high schools today as a result of youth and their parents asserting a right to identify the sex of their child without regard to the biological and genetic realities.

The parents and child may insist that the child's name be changed to one of the opposite sex and that the child be allowed to wear clothing of the opposite sex and use opposite-sex bathrooms. These families are often preparing their children for sexual reasment surgery SRS without being given the knowledge of the serious, documented risks associated with such surgery or other treatment options for gender dysphoria, referred to in the past as gender identity disorder GID.

Endocrinologists who are giving hormones to these youth, mental-health professionals who are affirming SRS surgery, and surgeons have a professional responsibility to understand these grave risks; and these patients also should be apprised of these risks.

An early study of these risks included one hundred patients seeking SRS, sixty-six of whom had surgery and 34 of whom did not Meyer and Reter The operated-upon groups were followed from the time of surgery, the unoperated-upon group from the time of initial interview at the Gender Identity Clinic at Johns Hopkins. Of those operated on, twenty-one had a trial period taking hormones and working in the opposite-gender role while the other thirteen had been well-established in the cross-gender role at the time of surgery but did not have a formal trial period.

Follow-up was successful in fifty-two patients, of whom fifty consented to have their data published. Follow-up interviews covered three main areas: adaptation; family relationships and adaptational patterns at major life intervals; and fantasy, dreams, and sexual activity.

Average follow-up for operated-upon patients was sixty-two months and twenty-five months for the unoperated-upon group. Residential instability was similar in the groups average of twenty months between moves in the operated-upon group pre-surgery, eighteen months post-surgery, and twelve months pre-contact and ten months post-contact in the unoperated-upon group. Job levels indicated a slight upward trend in both groups. Changes in psychiatric contacts were also similar in the two groups.

A third group was found that went elsewhere for surgery when this was not performed at Hopkins. Adjustment scores were improved in the surgery and unoperated-upon group to a similar extent, with no ificant difference between the groups, but the group that sought surgery elsewhere did less well although there was no statistical ificance to the difference. In spite of these early findings, and lack of contravening evidence that SRS conveyed any benefits compared with any unoperated-upon control groups, the practice of SRS has continued and has been extended into younger age groups.

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In aBoston study of transsexual youth who had undergone SRS female-to-male; 74 male-to-femalethese youth had a twofold to threefold increased risk of psychiatric disorders, including depression, anxiety disorder, suicidal ideation, suicide attempt, self-harm without lethal intent, and both inpatient and outpatient mental health treatment compared to a control group of youth Reisner et al. An important research study would be that of determining how many of these youth, and their parents or guardians, were informed about the psychiatric risks associated with the surgery which is described in the mental health literature and which should be known by the treating health professionals.

Since the mean age at which youth presented for consideration for SRS surgery in the Boston study was age 9, providing this information in a way that the children would understand would be challenging but nonetheless could be done in regard to discussing suicide risks and successful alternative treatments for gender dysphoria. The primary childhood psychological conflicts that interfere with the appreciation of the goodness of 's masculinity or femininity should be given.

The largest study to date of the long-term psychological state of post-SRS persons was an analysis of over three hundred people who had undergone SRS in Sweden over the past thirty years. This study demonstrated that persons after sex reasment, have considerably higher risks for mortality, suicidal behavior, and psychiatric morbidity than the general population Dhejne et al.

InDr. This disturbing result has as yet no explanation but probably reflects the growing sense of isolation reported by the aging transgendered after surgery.

Salacious personal details about my sexy trans body, or why i don’t discuss my surgical status

In the same article, Dr. McHugh has also described his study of people with gender confusion over the past forty years, twenty-six of which he spent as the psychiatrist in chief of Johns Hopkins Hospital. Its treatment should not be directed at the body as with surgery and hormones any more than one treats obesity-fearing anorexic patients with liposuction.

Important medical and psychological issues need to be considered before the educational, medical, political, and judicial systems rush headlong into a process of affirming in youth and in their parents a fixed, false belief that a person can be a sex that is not consistent with their biological and genetic identity and that such individuals have the right to transsexual surgery.

Fixed, false beliefs are identified in the mental-health field as manifestations of a serious thinking disorder, specifically a delusion.

Gender reasment surgery

Health professionals should not be supporting this delusional belief in these youth and their parents. An understanding of what motivates youth to identify with the opposite sex is essential as well as the reasons why parents would encourage or support transsexual attraction. Parents, youth and adults with TSA and health professionals would benefit from reviewing this important research paper. GID is hood psychiatric disorder DSM IV TR in which there is a strong and persistent cross-gender identification with at least four of the following preferences:.

It also describes the symptoms that arise from the failure to identify with one's biological sex. Children who seek SRS should be evaluated for psychological conflicts but regularly are not. A Dutch researcher and clinician, who specializes in treating such youth, Dr. Peggy T.

Cohen-Kettenis has written in this regard:. The percentage of children coming to our clinic with GID as adolescents wanting sex reasment is much higher than the reported percentages in the literature … We believe psychological treatment should be available for all children with GID, regardless of their eventual sexual orientation. Cohen-Kettenis A study from a gender identity service in Toronto, that consisted of a sample of children ages 3—12 and adolescents ages 13—20reported a of findings and comments.

These included:. For the children, Another parameter that struck them as clinically important was that a of youth commented that, in some ways, it was easier to be transsexual than to be gay or lesbian. Along similar lines, they have also wondered whether, in some ways, identifying as transsexual has come to occupy a more valued social status than identifying as gay or lesbian in some youth subcultures.

Perhaps this social force explains, at least partially, the particularly dramatic increase in female adolescent cases in the — cohort. Another factor that impressed them in ing for the increase in adolescent referrals pertained to youth with gender identify disorder who also had an autism spectrum disorder which has been reported by others de Varies et al. A center in the Netherlands reported the co-occurrence of GID and autism spectrum disorders ASD in a study of children and adolescents boys and 89 girls, mean age The incidence of ASD was 7.

They have identified a of conflicts in the families of children with GID that included:.

Sex reasment surgery in the female-to-male transsexual

A composite measure of maternal psychopathology correlated quite strongly with Child Behavior Checklist indices of behavior problems in boys with GID. The rate of maternal psychopathology is high by any standard and includes depression and bipolar disorder. The boy, who is highly sensitive to maternal als, perceives the mother's feelings of depression and anger.

Because of his own insecurity, he is all the more threatened by his mother's anger or hostility, which he perceives as directed at him. His worry about the loss of his mother intensifies his conflict over his own anger, resulting in high levels of arousal or anxiety. The father's own difficulty with affect regulation and inner sense of inadequacy usually produces withdrawal rather than approach.

The parents have difficulty resolving the conflicts they experience in their own marital relations, and fail to provide support to each other. This produces an intensified sense of conflict and hostility. In this situation, the boy becomes increasingly unsure about his own self-value because of the mother's withdrawal or anger and the father's failure to intercede.

This anxiety and insecurity intensify, as does his anger.

Hi everyone, what does it mean when someone is pre-op ts?

These men fathers are often easily threatened and feel inadequate themselves. These qualities appear to make it very difficult for them to connect with sons who display non-masculine behavior. Parental psychopathology among the parents of children with GID deserves thoughtful consideration.

Zucker et al. Bradley— It should be noted that these observations are not derived from controlled studies. As such, there is no comparison to the prevalence of such conflicts among control groups. Thus the specificity of these conflicts or their prevalence in children with gender dysphoria is not clear.

There is no conclusive evidence of the role of such conflicts in the development of gender dysphoria or whether treatment aimed at correcting these le to improvement. However, the comments of Zucker and Bradley do seem relevant to understanding the development of GID. Additional conflicts that we have seen in engaging in the family therapy recommended by Dr.

Paul McHugh include:. The exposure of youth to gender theory in college can result in their embrace of postmodern philosophies focused on freedom as an end in and of itself.

Such ideas come from various sources, including the writings of Friedrich Nietzsche and Jean-Paul Sartre.