gender nonconforming

I just wanted to remind you that even when we share these hard times, we still show up at Scarleteen every single day with the aim of being here to help inform and support you as best we can.

We hope every time you open up to someone about your truth they respond with love and kindness. But we also want to make sure you’re prepared in case they don’t, and give you some practical strategies and tools to look after yourself if that’s what happens. With that in mind, here’s a new, totally non-exhaustive, step by step guide to coming out.

They call it “feminization surgery,” but that’s a bit of a misnomer. More accurately described, it tends to make the features of the face finer and more delicate, and people of any gender can have delicate features.

In vaginoplasty, which may require multiple surgeries, depending on the surgeon’s preference and your case, your existing genital tissue is creatively recycled into a vagina, set of labia, and a clitoris.

If you’re equipped with a clit and some labia and you’d like a penis (with or without testicles), you’re looking at either a phalloplasty or metoidioplasty. The procedures have different advantages and disadvantages that you’ll want to consider before making a decision.

In this procedure, the surgeon removes the testicles with or without the scrotum. This procedure stops the production of testosterone, which allows patients to adjust their doses of anti-androgens and estrogen.

If you’ve got a uterus and you don’t want one, you’ll be spending some personal time with a gynecological surgeon.

Depending on how old you are, where you live, and the specifics of your situation, you may start with “blockers,” also called puberty blockers or puberty inhibitors.

Get the scoop on taking exogenous estrogen—AKA HRT!

For people interested in testosterone hormone replacement therapy as part of gender-affirming care, here’s what you need to know.