Male to female hormone replacement therapy (M2F HRT) is a medical way of dealing with one’s gender dysphoria. Its main goal is to successively alter the patient’s physical appearance, so it matches her gender identity. The most visible effects of HRT concern changing the features that appear during puberty (these are called secondary sex characteristics), such as breast development and widening and rounding of the pelvis (if HRT is started early). These changes are irreversible, even if hormone therapy is terminated. Others, such as feminine fat and muscle distribution, thinning of body hair, cessation of testosterone-triggered hair loss (and in some cases even regrowth of lost hair) as well as softening of skin are reversible and need constant hormone therapy to take effects.
This post will cover overcoming difficulties. It may be my most personal entry here for a long time to come.
A lot of transgender people struggle with being misgendered, harassed, misunderstood and laughed at. They often suffer from neurosis, depression, various anxieties and fears, lack of self-confidence and low self-esteem. They come up against ostracism, violence and various kinds of daily abuse.
All of this in the name of being born in a way most people are not.
Because the latter like to emphasize their femininity, whereas many ciswomen no longer do so? Because men feel threatened by social changes or, on the contrary, they embrace the challenge of the traditional sex dichotomy? Or maybe because they simply “like women with dicks. I like tits and I like dicks… Something erotic about getting fucked by someone who is a woman.” (Men Who Have Sex with Transgender Women: Challenges to Category-based HIV Prevention)
New Year is a good moment to start anew and at the very beginning, so I thought it’d be good to clear up some basics about such complex issues as sex, gender identity, and sexual orientation. First of all, they are separate, unrelated and completely different things. Of course, one’s feelings is far more complex than it can be described in a short article, and the following sentences should only serve as an approximation of the topic.
One’s biological SEX depends on the combination of their chromosomes, genitals, gonads and sex hormones. The binary nature of fertilization caused many cultures to believe that there are two sexes (males and females), but in reality, there are many ones in between (including intersex), depending on the particular combination of the abovementioned factors.