bodies

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.

Whether you’re transgender or otherwise gender nonconforming, you may be thinking about the options when it comes to surgical transition, either now or in the future — and if you’re under 18, “future” may be the operative (so to speak) word. While you may not be thinking about surgery for quite a while, it helps to be informed so that you can start thinking about your options and the decisions ahead.

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 (or, more formally, GnRH agonists). These drugs do pretty much exactly what it sounds like they do: they block the release of hormones from the pituitary gland, thus putting a pause on puberty.

If you’re a little older, or you feel confident and ready to transition after being on blockers and your doctor thinks it’s reasonable to do so, you may start taking estrogen and an androgen blocker if your body would otherwise naturally produce testosterone. You may hear estrogen referred to as a “feminizing hormone” or “female hormone,” which is a term I dislike because you may not necessarily be taking it to achieve a “feminine” body if you’re nonbinary or otherwise gender nonconforming, and lots of people who aren’t women produce estrogen naturally. You can just call it estrogen!

If your body is longing to pump out some estrogen and you’d rather it didn’t, your doctor will start you on testosterone therapy. Estrogen blockers are also available, but they aren’t widely used — usually your testosterone will be enough to do the trick. You may also hear testosterone discussed as a “masculinizing” or “male” hormone, but it doesn’t have to be either of those things for you unless you want it to be.

After social transition, many people face the question of whether they also want to pursue medical (hormones) and/or surgical transition. In this post, we’ll be discussing hormones — our following post will delve into the nitty gritty details of “the surgery” (starting with the fact that there’s not just one).

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

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?

Whether someone peeped at your reproductive organs in utero or they waited until after you popped out into the world, one of the first things people probably defined about you was your sex, on the basis of what they found between your legs. Ever since, you’ve been stuck with the assigned gender label of “male” or “female,” and all the baggage that goes along with it. Well, here’s your chance to set that baggage down for a bit, because we’re going to go in deep on sex, gender, and identity.