Printable View
Quote:
Originally Posted by Felicia Katt
Absolutely, taking labels too seriously won’t do anyone any favours. I personally favour transfan, doesn’t really suggest anything too negative and captures the essence nicely.
But you've got to admit, if a guy's at a dinner party and the discussion turns to sexuality, if he whips out that beast (gynandrowhatever), people are going to think he terribly sophisticated and avant-garde and not in the least bit a drooling pervert. Could be a winner guys!
Quote:
Originally Posted by Hol
What kind of dinner parties do YOU go to!!!??? LOL
.
this stuff is very ridiculous... GOD didn't make me like this ..i chose my path ...the best way to describe my lifestyle is that its my preference..i can't blame it on science...
Quote:
Originally Posted by TrueBeauty TS
lol not ones where it'd be considered "avant-garde" or "sophisticated" to come out with stuff like that!! :)
Quote:
Originally Posted by hollywoodbuckstrap
I agree, I don't think you can blame it on science or god (but maybe a bit on biology), but I think "science" would like to understand why you made that choice, not accept responsibility for it.
This thread makes my head hurt. oye
The genome mapping project of the pinot noir grape has published their findings. Human beings are less genetically complex than grapes.
I'm not sure what impact this finding will have, or even how it relates specifically to this thread, but it is interesting for some reason.
http://www.msnbc.msn.com/id/21017541/
Quote:
Originally Posted by peggygee
The following is in response to the post above.Quote:
Originally Posted by Shining Star
While I have always found your posts insightful and informative, I must
respectfully beg to differ with you on post operative surgical and quality
of life issues, though I am inclined to agree wholeheartedly about
transwomen adopting a victim mentality.
Also I believe it was Johns Hopkins Hospital that you were referring to,
and not the Harry S. Benjamin Foundation that discontinued GRS after
contraversy as to its efficacy.
Oh, and I apologize in advance for length of my response, for ease of
reading I have highlighted the most relevant parts:
In response to quality of life concerns:
1: Arch Sex Behav. 2005 Dec;34(6):679-90.
Sexual and physical health after sex reassignment surgery.
De Cuypere G, T'Sjoen G, Beerten R, Selvaggi G, De Sutter P, Hoebeke P, Monstrey S, Vansteenwegen A, Rubens R.
Department of Sexology and Gender Problems, University Hospital Ghent, Ghent, Belgium. griet.decuypere@uzgent.be
A long-term follow-up study of 55 transsexual patients (32 male-to-female and 23 female-to-male) post-sex reassignment surgery (SRS) was carried out to evaluate sexual and general health outcome. Relatively few and minor morbidities were observed in our group of patients, and they were mostly reversible with appropriate treatment. A trend toward more general health problems in male-to-females was seen, possibly explained by older age and smoking habits. Although all male-to-females, treated with estrogens continuously, had total testosterone levels within the normal female range because of estrogen effects on sex hormone binding globulin, only 32.1% reached normal free testosterone levels. After SRS, the transsexual person's expectations were met at an emotional and social level, but less so at the physical and sexual level even though a large number of transsexuals (80%) reported improvement of their sexuality. The female-to-males masturbated significantly more frequently than the male-to-females, and a trend to more sexual satisfaction, more sexual excitement, and more easily reaching orgasm was seen in the female-to-male group. The majority of participants reported a change in orgasmic feeling, toward more powerful and shorter for female-to-males and more intense, smoother, and longer in male-to-females. Over two-thirds of male-to-females reported the secretion of a vaginal fluid during sexual excitation, originating from the Cowper's glands, left in place during surgery. In female-to-males with erection prosthesis, sexual expectations were more realized (compared to those without), but pain during intercourse was more often reported.
PMID: 16362252 [PubMed - indexed for MEDLINE]
Factors associated with satisfaction or regret following male-to-female sex reassignment surgery.
1: Arch Sex Behav. 2003 Aug;32(4):299-315.
Lawrence AA.
alawrence@mindspring.com
This study examined factors associated with satisfaction or regret following sex reassignment surgery (SRS) in 232 male-to-female transsexuals operated on between 1994 and 2000 by one surgeon using a consistent technique. Participants, all of whom were at least 1-year postoperative, completed a written questionnaire concerning their experiences and attitudes. Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives. None reported outright regret and only a few expressed even occasional regret. Dissatisfaction was most strongly associated with unsatisfactory physical and functional results of surgery. Most indicators of transsexual typology, such as age at surgery, previous marriage or parenthood, and sexual orientation, were not significantly associated with subjective outcomes. Compliance with minimum eligibility requirements for SRS specified by the Harry Benjamin International Gender Dysphoria Association was not associated with more favorable subjective outcomes. The physical results of SRS may be more important than preoperative factors such as transsexual typology or compliance with established treatment regimens in predicting postoperative satisfaction or regret.
PMID: 12856892 [PubMed - indexed for MEDLINE]
The reported sex and surgery satisfactions of 28 postoperative male-to-female transsexual patients.
Rehman J, Lazer S, Benet AE, Schaefer LC, Melman A.
1: Arch Sex Behav. 1999 Feb;28(1):71-89.
Department of Urology, Montifiore Medical Center/Albert Einstein College of Medicine, Bronx, New York 10467, USA.
From 1980 to July 1997 sixty-one male-to-female gender transformation surgeries were performed at our university center by one author (A.M.). Data were collected from patients who had surgery up to 1994 (n = 47) to obtain a minimum follow-up of 3 years; 28 patients were contacted. A mail questionnaire was supplemented by personal interviews with 11 patients and telephone interviews with remaining patients to obtain and clarify additional information. Physical and functional results of surgery were judged to be good, with few patients requiring additional corrective surgery. General satisfaction was expressed over the quality of cosmetic (normal appearing genitalia) and functional (ability to perceive orgasm) results. Follow-up showed satisfied who believed they had normal appearing genitalia and the ability to experience orgasm. Most patients were able to return to their jobs and live a more satisfactory social and personal life. One significant outcome was the importance of proper preparation of patients for surgery and especially the need for additional postoperative psychotherapy. None of the patients regretted having had surgery. However, some were, to a degree, disappointed because of difficulties experienced postoperatively in adjusting satisfactorily as women both in their relationships with men and in living their lives generally as women. Findings of this study make a strong case for making a change in the Harry Benjamin Standards of Care to include a period of postoperative psychotherapy.
PMID: 10097806 [PubMed - indexed for MEDLINE]
Follow-up study of transsexuals after sex-reassignment surgery.
Tsoi WF.
Department of Psychological Medicine, National University Hospital, Singapore.
INTRODUCTION: This is a follow-up study of 45 male and 36 female sex reassigned transsexuals. METHOD: The subjects were interviewed before and 1 to 8 years following sex reassignment surgery. RESULTS: When first seen the males (mean age 23.8 years) were slightly younger than females (mean age 24.9 years). The males had less education and held lower level jobs. They started their sexual life about 1-2 years earlier, but they cross-dressed 4-7 years later than the females. The follow-up results showed that 35% were married and all of them had no problems adjusting to their new life. The overall results were 56% very good and 44% good. There is no pre-operative variables that can predict good adjustments for female transsexuals. For male transsexuals, earlier age of transsexual manifestation was related to good post-operative adjustments. DISCUSSION: The females were less satisfied with the surgery, but they adjusted well as the males. The results were comparable with those from previous studies.
PMID: 8153713 [PubMed - indexed for MEDLINE]
Orgasm in the postoperative transsexual.
1: Arch Sex Behav. 1993 Apr;22(2):145-55.
Lief HI, Hubschman L.
University of Pennsylvania School of Medicine, (Emeritus) Pennsylvania Hospital, Philadelphia.
The dearth of information regarding organism in postoperative transsexuals prompted the authors to study its prevalence. The sample consisted of 14 male-to-female (M-F) and 9 female-to-male (F-M) postoperative transsexuals. The relationship of orgasm to sexual and general satisfaction was explored via a specially designed questionnaire. Orgastic capacity declined in the M-F group and increased in the (F-M) group. Despite the decrease in orgasm in the M-F group, satisfaction with sex and general satisfaction with the results of surgery were high in both groups. General satisfaction of 86% replicates other studies. Frequency of sex increased by 75% in the M-F group and by 100% in the F-M group. A phalloplasty does not appear to be a critical factor in orgasm or in sexual satisfaction. The general conclusion is reached that it is possible to change one's body image and sexual identity and be sexually satisfied despite inadequate sexual functioning.
PMID: 8476334 [PubMed - indexed for MEDLINE]
In response to quality of life concerns:
1: Arch Sex Behav. 1999 Feb;28(1):71-89. Links
The reported sex and surgery satisfactions of 28 postoperative male-to-female transsexual patients.
Rehman J, Lazer S, Benet AE, Schaefer LC, Melman A.
Department of Urology, Montifiore Medical Center/Albert Einstein College of Medicine, Bronx, New York 10467, USA.
From 1980 to July 1997 sixty-one male-to-female gender transformation surgeries were performed at our university center by one author (A.M.). Data were collected from patients who had surgery up to 1994 (n = 47) to obtain a minimum follow-up of 3 years; 28 patients were contacted. A mail questionnaire was supplemented by personal interviews with 11 patients and telephone interviews with remaining patients to obtain and clarify additional information. Physical and functional results of surgery were judged to be good, with few patients requiring additional corrective surgery. General satisfaction was expressed over the quality of cosmetic (normal appearing genitalia) and functional (ability to perceive orgasm) results. Follow-up showed satisfied who believed they had normal appearing genitalia and the ability to experience orgasm. Most patients were able to return to their jobs and live a more satisfactory social and personal life. One significant outcome was the importance of proper preparation of patients for surgery and especially the need for additional postoperative psychotherapy. None of the patients regretted having had surgery. However, some were, to a degree, disappointed because of difficulties experienced postoperatively in adjusting satisfactorily as women both in their relationships with men and in living their lives generally as women. Findings of this study make a strong case for making a change in the Harry Benjamin Standards of Care to include a period of postoperative psychotherapy.
PMID: 10097806 [PubMed - indexed for MEDLINE]
1: Eur Psychiatry. 2002 Oct;17(6):353-62. Links
The transsexual: what about the future?
Michel A, Ansseau M, Legros JJ, Pitchot W, Mormont C.
Department of Clinical Psychology, University of Liege, Boulevard du Rectorat - B33, 4000 Liege, Belgium. aude.michel@tiscali.fr
Since the 1950s, sexual surgical reassignments have been frequently carried out. As this surgical therapeutic procedure is controversial, it seems important to explore the actual consequences of such an intervention and objectively evaluate its relevance. In this context, we have carried out a review of the literature. After looking at the methodological limitations of follow-up studies, the psychological, sexual, social, and professional futures of the individuals subject to a transsexual operation are presented. Finally, prognostic aspects are considered. In the literature, follow-up studies tend to show that surgical transformations have positive consequences for the subjects. In the majority of cases, transsexuals are very satisfied with their intervention and any difficulties experienced are often temporary and disappear within a year after the surgical transformation. Studies show that there is less than 1% of regrets, and a little more than 1% of suicides among operated subjects. The empirical research does not confirm the opinion that suicide is strongly associated with surgical transformation.
PMID: 12457746 [PubMed - indexed for MEDLINE]
In response to surgical complication issues:
1: Arch Sex Behav. 2006 Dec;35(6):717-27. Epub 2006 Nov 16. Links
Patient-reported complications and functional outcomes of male-to-female sex reassignment surgery.
Lawrence AA.
alawrence@mindspring.com
This study examined preoperative preparations, complications, and physical and functional outcomes of male-to-female sex reassignment surgery (SRS), based on reports by 232 patients, all of whom underwent penile-inversion vaginoplasty and sensate clitoroplasty, performed by one surgeon using a consistent technique. Nearly all patients discontinued hormone therapy before SRS and most reported that doing so created no difficulties. Preoperative electrolysis to remove genital hair, undergone by most patients, was not associated with less serious vaginal hair problems. No patients reported rectal-vaginal fistula or deep-vein thrombosis and reports of other significant surgical complications were uncommon. One third of patients, however, reported urinary stream problems. No single complication was significantly associated with regretting SRS. Satisfaction with most physical and functional outcomes of SRS was high; participants were least satisfied with vaginal lubrication, vaginal touch sensation, and vaginal erotic sensation. Frequency of achieving orgasm after SRS was not significantly associated with most general measures of satisfaction. Later years of surgery, reflecting greater surgeon experience, were not associated with lower prevalence rates for most complications or with better ratings for most physical and functional outcomes of SRS.
PMID: 17109225 [PubMed - indexed for MEDLINE]