Surgery, Hormones, and Our Heavily Gendered Society

This past week I was having a conversation with my friend Spaced about bottom surgery. She couldn’t understand why I wanted to have bottom surgery so we had a little discussion about it. I said things about not wanting to have this thing between my legs bothering me, and how I always felt uncomfortable penetrating people during sex (I’ve only really felt comfortable in a submissive position). Basically I just felt bothered and outed by my penis. I always worried about it being seen, noticed or felt by people. Having a penis made me feel uncomfortable and not like a woman.

Her response was first acknowledging how that must feel uncomfortable, but then saying that society has shaped my image of what it is to be a woman. Society has made me feel uncomfortable about my genitals. Society has made me want to surgically alter my body to have different parts that match the gender I am so I can prove that I am a woman. I continued trying to explain my reasoning but was caught by hers. All I could say was I was uncomfortable, I didn’t like tucking, it got in the way. She said society made me feel that way, it made me feel like I shouldn’t and don’t exist. The next day I told her I changed my mind.

She felt tickled that I had listened to her. I felt tickled that she had succeeded and that she seriously thought about this as a cis-woman. She asked me to explain why I changed my mind and this led me to think about my history of struggling with society regarding thoughts on hormones and bottom surgery. I’ll quickly sum that up. When I first announced myself as a transwoman I said I wasn’t going to do hormones, instead I had been taking supplements and using various devices to extenuate my breasts (It wasn’t until several months later that I decided to take hormones). I was also adamant about not getting bottom surgery and frankly terrified of even considering it. It wasn’t until Andreja Pejic came out and announced that she had received bottom surgery that I changed my view. Her and Laura Jane Grace were my heroes and having one of my heroes announce that changed my view.

Spaced and I’s conversation that followed began to ask the larger question that I had forgotten about, what if our society weren’t so heavily gendered? Would I want long hair? Would I be wearing a skirt right now? Would anyone want to use chemical hormones to transition? I agreed with Spaced on the first two decisions and said definitely no. The third one caught me and my gut response was yes, trans people are real and chemical hormones aren’t something bad they are taking. Then I realized I was wrong. If gender were free of sex then penises would be free of men and boobs free of women. It wouldn’t just erase gender it would erase sex (since the two are so reliant on one another or basically synonymous), finally trans and intersex people would once again have a society they could live in. This world is impossible for me to grasp. A world where feminine and masculine have no bearing on gender, sex or sexuality. Everyone could be who they actually are. I could not grasp this world, so it was hard to respond to the theoretical questions about it.

I kept thinking about it and realized my gut response felt ignorant and was coming from a place of fear. I have felt pressure to take and not to take hormones. And I felt a lot of guilt at first after deciding I’d start taking them. So I validated my decision saying I needed chemical hormones, that I would even need them if I weren’t in this fucked up society. This isn’t true. Our society and the way it interacts with gender is the problem. You have to fight with our society to find a place you are comfortable and you feel like you have your identity. Some people are comfortable without medical intervention some need full medical intervention. There is nothing wrong with this, this is coping. I am coping with living in this society by taking chemical hormones others cope by getting bottom surgery or top surgery. None of these people deserve any shame. What deserves shame is society for making this people have to do this just to be themselves. People should feel the right to be comfortable with who they are, but they shouldn’t be coerced into receiving medical intervention, surgical or chemical.

Calling chemical hormones and surgery for trans people coping is an accurate description of it’s effect. It’s what it’s intended to do. Doctors, therapists and allies cannot change the world we are in, but they can help people cope with it. They help them cope but helping people “pass” more (I’m using the loaded term “pass” because that is exactly what’s being attempted, people are helping trans people “pass” for what is “male” or “female” as though there is a checklist to be a “normal” male/female) We as a society aren’t doing what is necessary to address this problem we are putting all of the problem on the individual. This is wrong, but what else can someone do in a individualist society like ours? It is only the responsibility of the transperson because society has rejected it’s on responsibility and impact on this. What needs to happen is for the gender binary to be destroyed all together. The binary system we have doesn’t make any sense and helping trans people navigate from one end to the other is avoiding the problem which is the gender binary.

Take whatever hormones you need, have whatever surgeries you please, be happy in your own skin and don’t let anyone shame you for needing surgery to cope with this fucked up society we live in. But do make sure to love yourself. We can’t change society but we can change ourselves and that will affect the people around us. Slowly but surely the future may hold a society where gender is once again a spectrum and trans people can be who they are from the start, not after they’ve had surgery and years of chemical hormones. A society where you needn’t transition because you are always allowed to be who you really are.

In the mean time before society changes I’m going to try and take Albert Camus’s advice
Albert Camus

Poem: Today You Humbled Yourself

25 months ago you were pushed by Cha to dress up for Halloween as how you wanted, how you saw yourself – as a fairy
21 months ago you mostly acknowledged you were trans
20 months ago you started taking supplements to grow breasts, you were terrified they’d work
20 months ago you wore a gaff for the first time
18 months ago you made plans to quit your job and actually start living
17 months ago you came out to some coworkers as trans
Today you harassed yourself because you don’t see yourself completely as a woman

16 months ago you started tucking everyday and haven’t stopped since
15 months ago you quit your job
15 months ago you realized suicide was not a good idea
15 months ago you came out to your parents as trans
15 months ago you stopped wearing mens clothes
14 months ago you started going by your real name and pronouns, but only because your friends started using them without your permission.
Today you harassed yourself because you couldn’t stop feeling so anxious

14 months ago you started getting your beard hairs removed one by one
13 months ago you finally got your first bangs
13 months ago you broke out of crippling depression
12 months ago you were finally able to look for and start seeing a counselor
Today you harassed yourself because you “wasted today” by not getting done as much as you had hoped

12 months ago you started wearing bras full time.
12 months ago you started meditating
11 months ago you had a conversation with your family about starting hormones, it went alright…
11 months ago you had the courage to make an appointment to find out about starting chemical hormones
10 months ago you started taking hormones
10 months ago you started the legal name change process
9 months ago you struggled to find a job or even get out of bed in the morning
Today you harassed yourself because it took you an hour to get out of bed this morning

9 months ago you wore a dress in public for the first time
8 months ago you started working again
7 months ago you had the courage to knock doors alone
6 months ago you realized you had been molested as a child
6 months ago you successfully changed your name
4 months ago you started changing your IDs to match your new identity
Today you harassed yourself because you couldn’t focus or get anything done

3 months ago you accepted yourself for being a nihilist
3 months ago you told your parents you were molested as a kid
2 months ago you stopped having dissociative episodes where you couldn’t control your body
2 months ago you seriously wanted to cut your wrists because you felt too ungrounded
2 months ago you told your friends you were depressed
1 month ago you finally felt almost completely okay wearing a dress
1 week ago you admitted that you still suffer from depression and that you always will
2 days ago you had a serious struggle with depression

Today you stopped being so hard on yourself
Today you realized how far and how quickly you have come
Today you humbled yourself

Informed Consent Hormones Pennsylvania: Second Puberty

Hey all! I’m writing this post for two reasons to list the resources I know about for Informed Consent Hormones in Pennsylvania and to tell y’all about my experiences thus far. If you don’t need those resources skip below, if you do enjoy.

So far I know of a few places that have informed consent hormones and a list more that may or may not be specifically informed consent in Pittsburgh in Garden of Peace’s website.
The ones that are informed consent in Pittsburgh are:
Metro Family Practice (which in my experience take most if not all insurances despite facts otherwise. I go here and have felt utmost respect as has my non-binary roommate Jamie who is going there too [they are super cool about the non-binary stuff])
Stacy Lane at West End Health Center(I heard from one person that a questioner they filled out had questions that felt like Dr. Lane may be gender policing a bit, asking whether my friend wore dresses or not.)
East End Community Health Center, which I have heard nothing bad about from the person that I know who goes there.

In Philadelphia I only know of the Mazzoni Center. They are an excellent resource which includes great resources online about name change etc here and I have heard great things about them.

In Harrisburg and Lancaster there are the Alder Health Services which provide informed consent hormones.

I feel that it is very important to better share information in the trans community, especially when this information is essential to new comers. I will be attempting to share information I am finding and cataloguing all the details of my name change for people who are excited about that lengthy exciting process in the coming months. This is also meant to motivate people to not give up hope because I almost drove to Philly before realizing there are 3 informed consent clinics in the city I lived in.

Now to the exciting stuff, changes I’ve felt on my two weeks on estrogen!!! Well first off I’d like to say how validating and exciting this has been for me. I felt torn about taking hormones for a while and was scared of possible side effects. I weighted positives v. negatives and found that there were hardly any negatives and a lot of positives and was compelled to take them and right my body.

The first thing I felt was headaches the first few days. I also got really somber and felt very lonely one day. I ended up going on a long walk and going to a friends house. This feeling passed quickly, though it ended up feeling validating, especially when my roommates just told me I was having my period for the first time (ha).

I have been taking NatureDay supplements for 10 months now and will continue to. They have caused a small amount of breast growth – significantly more after I started using the soap and moisturizer. The introduction of estrogen on top of that has caused noticeable breast growth, even by friends who can feel it in hugs and visibly see a small change in only two weeks!

But the most noticeable thing for me is an increased energy level. Before I struggled to feel a desire to do much of anything now I feel happier and more productive. I don’t know if this is estrogen specifically or simply my body/mind response to it. Either way it feels nice to be even further from the weight of depression.

I also recently talked to a translady who had been on hormones for just shy of a year and she showed me her results at a dance party we were at. Woah. Her breasts, and hips were much much larger. And her face feminized more than I expected not to mention her super soft skin. A week ago I got nervous not being able to pass but after seeing her changes I’m sure I’ll look a lot more effeminate and voice training will certainly help the disconnect I feel with my body. I’m really excited for the year for so many reasons. Haven’t felt that a while so I’m pumped for 2015!

Winter Solstice 2014

Happy winter solstice friends, family and readers,

I hope everyone had as heartwarming of a year as I did. My friends and my family has gone above and beyond and helped me more than I ever expected. I feel truly humbled and extremely happy to write this. The last two years can best be summed up by two tarot cards I drew last new years. One was for 2013 one was for 2014. My card for 2013 was the 8 of arrows, struggle. My card for 2014 was the 9 of arrows, dedication.

Tarot Reading 2013

Over the last year I went from slowly dying and saving money to buy a house in Pittsburgh to quitting my job and working on being happy now. I vowed to spend my savings on things that made me happy and in becoming who I truly am – a woman. In August I went on a bike trip to remind myself of who I was and to start telling other about who I am.

Along my trip I had great responses and lots of support. I don’t know where I’d be without all my friends and family. The people near and dear to me stood by me and offered more support than ever. They picked me up when I fell and urged me to keep moving forward. Thinking of them and their unwavering love and support makes me feel free to do and be who I am no matter how scary that seems.

This past year was hard, but rewarding. I struggled but I found myself. I kicked depression and started meditating and being more mindful and present. I haven’t given up on anything but fake me. I left the bike shop world for good and am about to try to get a job working with mentally challenged adults. After that I plan on going to grad school to become a counsellor. My life is coming together and next year is setting itself up to be an even better year than this one.

Planned for next year is a solo backpacking trip to kick it off. After that I have an appointment to get hormones on the 9th of January. Second puberty here I come! I can’t wait to have my body fit my view of it. The next two years will be an exciting long awaited feminizing of myself. All the while I’ll be continuing to find my trueself and find love and happiness within myself instead of in others. As Arcade Fire says, “it’s never over” but that doesn’t mean that everyday it isn’t getting better and better.

How to get there

As I mentioned on my bike trip post I had the joy of telling everyone I was going to be transitioning. I told everyone I was going to get electrolysis to get rid of my beard hair and I was going to go on hormones. I since have become less sure of how I’m going to get to where I want to go, but am no less sure of where I am going.

My quest has me figuring out how far to go to become who I feel like I am. My roommate Jamie identifies more with masculinity and struggles to be themself through dress, dreams of breast removal surgery and fights the gender binary. While on the opposite side hero Andreja Pejic recently got bottom surgery and is very happy with herself. She took androgen blockers starting at a young age and passes fairly well as a woman, and a gorgeous one. Now the question for myself is how far do I want to go. With surgery available to change everything from my breasts and butt to my vocal chords, what is a lady to do?

As you know I have been taking steps, slowly working on getting breasts, dressing and acting more femme. And quite recently I’ve begun going by different pronouns: they/theirs/them and among some people she/hers/her. This slow forward movement has helped me realize that the largest part of transitioning is transitioning your mind, accepting yourself for the gender you are.

But when you get out in the world, people are always staring, confused and sometimes downright rude. I’m been told by strangers numerous times that I’m a boy and some have even told me I’m a gay boy. I’ve even been harassed by a gaggle of 5 year olds. While the battle is internal it is also very external. Being comfortable with yourself makes the external battle easier to handle, but it doesn’t make it go away.

This stress of being in public and harrassed got me caught up in trying to convince society I was a woman and forgetting about convincing myself. That is why I wanted hormones, I just wanted to be accepted for who I am, but doesn’t everyone? I will never say that I’m never going to take hormones but I will say I’m not going to take them now. I don’t want to, I want to be me I don’t want to be what people think I’m supposed to be. I want to live somewhere in the middle right now and I desperately want to live and be accepted as a woman.

This struggle and tension between these two sides stresses me out but there are many people in my life to remind me to not get caught up in it. A very sweet person who reminds me is Big S. She doesn’t care that I have stubble, no breasts, wide shoulders and no butt. She sees me as beautiful lady I am, which confuses this previously straight cis-woman quite a bit. Reactions of supportive and accepting people catch me and remind me to be me and to feel like me and not fight to have others see me as me. Others will never see me how I do, but I can see myself how I am and my close friends can and then and only then will others begin to see me for who I am.

My current plan is to get electrolysis on my face, chest and stomach. I plan on going to therapy to talk to someone about all this. I don’t plan on taking hormones, or getting any sort of surgery in the close future. Instead I plan on being happy with myself. My shoulders are to broad, but so are other women’s shoulders. I have no butt, and so do other women. I am hitting second puberty and my breasts are begining to bud. And like every lady out there I am not perfectly beautiful and never will be, but I can be happy who I am – that’s all you can ask for.