GENDER REASSIGNMENT SURGERY also has known as Sex-change operation is a surgery that is performed to change a person’s physical as well as functional appearance. This surgery is done for people with gender dysphoria.
Gender dysphoria is the medical condition of mismatch between sex and gender identity of a person. For instance, a few people may have the anatomy of a man, but they identify themselves as a woman and vice-versa. Gender dysphoria sometimes can lead to uncomfortable and distressing feelings in a person.
People with gender dysphoria have a strong and persistent desire to lead their life according to their gender identity, not as their biological gender. Such people are sometimes called transsexual or transgender.
ASSESSMENT OR DIAGNOSIS OF GENDER DYSPHORIA
Involves physical assessment as well as psychological assessment, which is the most essential part of treatment.
TREATMENT FOR GENDER DYSPHORIA
Since gender change surgery results in a significant transition in a person, therefore, treatment starts with the Psychiatrist evaluations in multiple sessions also it is advised to take at least two different doctor’s opinions.
Endocrinologist evaluation – The next step after psychiatrist evaluation is hormonal therapy for six months.
MALE TO FEMALE TRANSITION PROCESS (TRANS FEMALE):
HORMONE REPLACEMENT THERAPY :
to reduce libido and erections. Also, help inducing feminization physically.
GENDER CHANGE/REASSIGNMENT SURGERY PROCESS :
The surgical procedures involved in the whole transition from a man to a woman are listed below:
- Penectomy -Surgical removal of the penis.
- Bilateral orchidectomy– surgical removal of both the testicles.
- Vaginoplasty-constructing neo-vagina using penile skin.
- Labiaplasty-constructing labia majora and labia minorausing scrotal skin.
- Clitoroplasty– constructing clitoris by a flap of the glans penis.
- Breast implants placement
FEMALE TO MALE TRANSITION PROCESS (TRANS MALE):
HORMONE REPLACEMENT THERAPY :
done to induce body and facial hair growth and other masculine characteristics like voice pitch, fat distribution, skin thickness, etc. Menstruation is ended with Hormone therapy.
GENDER CHANGE/REASSIGNMENT SURGERY PROCESS :
The surgical procedures involved in the whole transition from a Woman to Man are listed below:
- Bilateral mastectomy – Surgical removal of breasts
- Hysterectomy– Surgical removal of uterus laparoscopically
- Salpingo-oophorectomy– removal of ovaries surgically
- Vaginectomy- surgical removal of the vagina
- Metoidioplasty-increasing the clitoris size surgically
- Scrotoplasty-Constructing the scrotum and the placement of the testicular implant is done.
- Urethroplasty– reconstructing the urethra.
- Phalloplasty– construction of neophallus (penis).
Next stage is the Placement of penile implants after 6-7 months of phalloplasty stage 1. A penile implant is placed for hardness, rigidity, and erection. Lastly, the patient can see the transition by assessing his/her appearance before and after gender reassignment surgery. Sex change surgery cost in India is cheaper in comparison to what is there in USA or UK.
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