12 continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones); 12 continuous months of living in a gender role that is congruent with their gender identity.
Eligibility guidelines for genital surgeries generally include documentation of gender dysphoria, a minimum of 12 months on hormone therapy, and at least a year of living as the gender you wish to surgically affirm.
How long does it take to fully transition from male to female?
Some of the physical changes begin in as little as a month, though it may take as long as 5 years to see the maximum effect. For example, men transitioning to women can expect A-cup and occasionally larger breasts to fully grow within 2 to 3 years.
The majority of insurance companies covered “bottom” surgeries. More than 90% of companies covered penectomies (Fig. 6). This is most likely because most health-care professionals believe that genitalia is what defines an individual’s sex.
Before having phalloplasty surgery, you’ll need to have surgeries for hysterectomy and oophorectomy (removal of your ovaries). You’ll need to have these surgeries at least 8 weeks before your phalloplasty surgery. We won’t perform a hysterectomy or oophorectomy during your phalloplasty surgery.
Does testosterone change your face?
Your eyes and face will begin to develop a more angular, male appearance as facial fat decreases and shifts. Please note that it’s not likely your bone structure will change, though some people in their late teens or early twenties may see some subtle bone changes.
What are the side effects of a female taking testosterone?
Side effects of testosterone therapy for women can include acne, extra hair growth, weight gain, and fluid retention. Some women have mood swings and become angry or hostile. In rarer circumstances, women develop deeper voices and baldness. Clitoral enlargement is another rare side effect.
How much does it cost to transition from male to female?
Is it covered by insurance? Bowers and Ettner said a woman who chooses the full range of surgical procedures available would spend $75,000 or more to transition to a male. Switching from male to female might cost in the $40,000 to $50,000 range.
What happens when you start taking estrogen?
Overall, you may gain or lose weight once you begin hormone therapy, depending on your diet, lifestyle, genetics and muscle mass. Your eyes and face will begin to develop a more feminine appearance as the fat under the skin increases and shifts.
What does HRT do to a man?
Hormone therapy lowers the amount of testosterone in the body and this affects your ability to have and maintain an erection. This may get better within 3 to 12 months after the treatment ends. For some men, erection problems are permanent. It depends on the drug you are having and how long you have been taking it.