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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.

Fun fact: While top surgery is often described as a “mastectomy,” that’s actually usually inaccurate. Many surgeons perform a “subtotal mastectomy,” which involves removing most, but not all, of the breast tissue. This prevents a sunken or fallen appearance after surgery, and makes it look like you have a sweet set of pecs (if you aren’t already sporting them).

After about two years of estrogen, your body will be pretty maxed out in the boob department. What you see is what you get…but if you’re not happy with the look and feel of your breasts, you can explore breast augmentation. There are a huge range of procedures available, broken down by type of incision and implant, and your best option depends on the preferences of your surgeon, your body, and your desired outcome.

While you may not be thinking about surgery for quite a while (or ever!), it helps to be informed.

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.

Not every trans person wants hormone replacement therapy, and for those who do, there are a lot of options!

So you’ve come out. Now what? Today we’re all about logistics, because coming out, and socially transitioning, is an ever-evolving process.

I can spot one big thing that’s making sex unpleasant for you, and it has zero to do with your brain or body being “wrong”. It’s got everything to do with your boyfriend. Before I go into why that is, there’s something else that needs addressing. You mention someone abused you as a child, and I’m so…

Hello there! If you’re reading this, then you’you’ve probably learned that you have a transgender (trans) or otherwise gender nonconforming student at your school. Or maybe you’re reading up in hopes of proactively making your school a safer space. Either way, we’re glad to have you here. Why create…

So you’re ready to start talking openly about your gender, and you want to come out of the shadows and live as yourself.

Finding clothing and other things that make you feel at home in your body can feel overwhelming. We’ve got you!

So you’ve thought about sex and gender and all that good stuff and a little bird is telling you that you might be trans. But how do you know?

We’re going to go in deep on sex, gender, and identity in this installment of Trans Summer School.

I couldn’t be more excited to tell you that the brand, spankin’ new edition of Scarleteen’s long-popular sex, sexuality, sexual health and relationships guide, S.E.X.,(2007 & 2016, DaCapo Press/Perseus Books) is coming to bookstores everywhere this week!

Experiencing a little gender confusion? We know the feeling. In Trans Summer School, we’ll give you the big scoop about trans and otherwise gender nonconforming people, and answer your questions about the wide world of gender.

I’m sorry to hear you’re feeling insecure in your sexual relationship. It’s understandable that you’d feel a bit uncertain about your girlfriend’s enjoyment of sex since it sounds like you aren’t getting much, if any, honest feedback from her and are worried her responses during sex aren’t genuine…

So, you’ve got an STI. How do you tell current or potential partners?

We cannot begin to express our sorrow about the shootings at the Pulse in Orlando last night. Our hearts go out and are open to all of the friends, lovers, partners, community and family who have lost loved ones, and to those, and their loved ones, who have been injured. All of our wishes and hopes…

While it can sure feel like there is sometimes, there is no default setting when it comes to feeling sexual desire. There’s no one default, nor a universal normal, for who has those feelings, how often they have them, when in life they have them or they first develop, in what specific circumstances…

Another day, another famous person accused of abuse or assault. And with it, yet another wave begins of victim-blaming and denials from fans and people who know the person being accused of abuse personally or professionally. We’ve been here before, so many times. We’re all familiar with the kinds of…

Advice for sorting good information from the bad.

Yes, the adolescent brain makes impulsive behavior more likely. That doesn’t mean young adults don’t know what they want or what they’re talking about.