It’s hard to say exactly when the transformation from one gender to another begins. For my partner, things like cutting his hair short and wearing men’s clothing began long before I met him.
The first semi-official step in my partner’s transition was to change his name. I say “semi-official” because he asked his friends, family and co-workers to call him by his new name more than a year before he went ahead and changed it legally. He chose a name that is gender neutral, so the change didn’t arouse too much suspicion at work. This happened a few months after we had started dating, so I met my partner by his birthname.
In terms of official steps, this has been the progression:
February 19: first session with therapist
March 18: official diagnosis with Gender Identity Disorder
May 28: first meeting with specialist; first dose of testosterone
It’s a slower process than we had hoped. My partner was hoping to get top surgery in September or October to be fully healed in time for our wedding in May. The surgery is now scheduled for next week (late November).
The first two months on testosterone were interesting:
- hot flashes
It appears testosterone in women provokes early menopause, so my partner rented an air conditioner for the summer and turned it on full blast as I curled up under a blanket, shivering.
- mood swings
The myth is that testosterone causes rage. While my partner admits to losing his temper more quickly while on T, he also says his fits of temper pass very quickly. He also gets annoyed more easily and has less patience. Not that he had much to begin with.
- changes in reactions towards women
This is an interesting one. My partner has reported having stronger reactions to women in public. This continues even now, after six months on T.
The mood swings evened out into the third month, but when my partner had a blood test at about the five month mark he learned his T levels were very high, but so were his estrogen levels. The gynecologist prescribed progesterone to counteract the estrogen, which caused a new batch of mood swings, but overall I must say he’s kept his head pretty well considering the hormonal chaos his body is going through.
So next week is top surgery. This is a big, BIG step. We met the cosmetic surgeon a few weeks ago and he explained two different procedures. The first is based on breast reduction surgeries, and is called the keyhole method where they remove the nipples and extract the fatty tissue from the opening. They then modify the nipples (men generally have smaller nipples than women) and sew them back on. The benefit of this option is less scarring, but the end result is a smaller bust line, not a masculine looking chest. Most FTMs end up disappointed with the result of this method, the surgeon noted.
So the best option is the full mastectomy. This means making two large C-shaped incisions below each breast and scraping out all the contents, then reforming the chest to have a more masculine contour. I believe they still do the nipple graft as well. The scars are much larger using this method, but the final result is better.
A full recovery takes a few months, but we’re both taking a week and a half off work — my partner in order to recover, and me in order to make sure he rests so that he can recover. He has a tendency to push himself too far, and is practically incapable of sitting still for more than five minutes at a time. He is also a sports junkie and gets irritable when he doesn’t get enough exercise. It should be an interesting few months.



