GENDER Reassignment:
As
you were growing up, how did you know you were a girl or a boy? Was it because
you had a vagi*a or a p*nis? Or was it something other than than what your body
looked like? Some people feel that their minds and bodies don't match up. This
feeling is commonly known as gender identity disorder or gender dysphoria. The
medical community used to use the word "transsexuals" to describe
this community. But today, "transgender"
is used as a general, non-medical term to describe anyone whose gender identity
is different from their physical sex at birth.
Transgender
people often wish to live as a different gender than the one they were assigned
when they were born. They may may transform their bodies through gender reassignment surgery, also known as gender
confirmation surgery --
a collection of procedures also commonly known as a "sex change." The word
"transition" describes a person's shift to living as the gender they
perceive themselves to be, rather than the sex they were assigned at birth.
Surgery is sometimes, but not always, part of a person's transition.
Gender
identity struggles usually begin in early childhood but have been identified in
people of all ages. A biologically born man who identifies as a woman is known as transwoman,
or transgender woman. A biologically born woman who identifies as a man is
known as transman, or transgender man. There
are also people whose identity lies somewhere along a spectrum of gender who
may refer to themselves as neither male nor female.
It's
estimated that one in 11,900 males and one in 30,400 females are transgender
adults [source: WPATH
Standards of Care]. Lynn Conway, a professor emerita at the
University of Michigan, estimates that one in 2,500 United States citizens has undergone male-to-female
gender reassignment surgery [source:Advocate].
One
of the most publicized Americans to undergo such surgery was Christine
Jorgensen, who traveled toDenmark in
1952 to undergo an early gender reassignment surgery. Genital reassignment
surgery wasn't performed in the U.S. until 1966. Jorgensen later worked with
Dr. Harry Benjamin, the physician who coined the term "transsexual."
Benjamin was one of the pioneering doctors to research and work with gender
identity disorders, using the research of Magnus Hirschfeld, of the Institute
for Sexual Science, and Alfred Kinsey, of the Kinsey Institute, as his
springboard.
In
1966, Benjamin published "The Transsexual Phenomenon" and went on to
establish the Harry Benjamin International Gender Dysphoria Association, Inc.
(HBIGDA). Today HBIGDA is known as the World Professional Association for
Transgender Health (WPATH), and is an international organization devoted to
furthering the understanding and treatment of gender identity disorders. WPATH
established and still publishes the Standards of Care (SOC) for the treatment of gender identity
disorders. It also publishes ethical guidelines for professionals caring for
transsexual patients.
So
what are the requirements for gender reassignment surgery? Are patients fertile
and able to have sex? Go to the next page to find out what happens before a
person physically changes genders.
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