Since the existence of these situations was first observed in people who, for social reasons, found it difficult to tell their friends and families, there have been different medical trends to try to help these people. Surgery is the method that has proven to be the most effective.
How can we help transgender people ?
When we detect a situation of this type, the most important step, before taking any action, is to verify that we are facing a true case of transsexuality. There are other gender identity disorders that are not always transsexuality and therefore, before taking any false step, it is important to obtain a clear and precise diagnosis from a competent professional, namely, a transsexuality psychiatrist or psychologist.
Having defined the transsexual status, we can speak of male or female transsexuality. A transsexual woman is a person with male biological genitalia who feels like a woman. On the other hand, a transsexual male is a person with female biological genitalia who feels like a man.
What tests are needed before starting medical or surgical treatment for transsexualism ?
Before starting any hormone treatment and/or surgical action, the professional must perform different tests to rule out any other intersexual situation, and determine lipid profiles and liver function, as they may be altered by the hormone treatment.
What is the first step ?
We always recommend starting treatment with the hormone treatment. In every case, it is recommended that the patient experience the effect of hormones on the body before considering surgery.
When it comes to transgender men, the onset of chest hair helps to give a final shape to the male chest. On the other hand, when it comes to transsexual women, in order to modify the external genitalia, that is, perform a vaginoplasty, laser removal of the pubic hair is recommended, because the hair-bearing skin is used to create the vagina and if it is not removed prior to surgery, the hair could later grow in unwanted areas.
Is hormone therapy prior to surgery essential ?
No, it is not essential. In fact, there are people who cannot tolerate this treatment, or for whom the side effects are very harmful. We do not reject these people for surgery.