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Symptoms

The Physical Symptoms of transsexualism in Males

  1. reproductive organs that are incongruent with the male identity
  2. menstruation-bleeding and hormone imbalance
  3. impaired phallus functionality
  4. gynecomastia
  5. hypogonadism

Genital appearance at birth, gonads and chromosomes are not completely reliable determinants of an individual's sex. In the majority of the population, these markers are congruent with innate sexual identification, however in transsexualism, as with a number of other conditions such as CAH and AIS, these commonly used predictors of a individual's sex are ineffective.

If untreated, males with this condition often experience depression, along with extreme personal discomfort (dysphoria). Most resort to typical male pattern strategies to manage their trauma. Many have a history of suicide attempts, or substance abuse.

Medical Intervention & Treatment

Self (or Sex) Affirmation Procedures are the only effective and recommended treatment for this condition.

Early diagnosis is imperative to reduce the trauma which is experienced when there is a lack of treatment and to enable the best health outcome for the individual. Effective treatment during adolescence includes treatment with LHRH agonists or with sufficient progestins (which stop the production of estrogens and progesterone) to stop menstruation.

Hormone therapy in the form of intra-muscular injection of testosterone suppresses menstruation and brings male secondary sexual characteristics. Be aware of drug interactions: testosterone increases anticoagulant effect of warfarin, increases clearance of propranol, increases the hypoglycemic effects of sulfonylureas.

Available forms in Australia -
  • Testosterone Cypionate also called Depo-Testosterone (base is cottonseed oil) and
  • Testosterone Enanthate also called Sustanon (base is sesame seed oil). Enanthate or Cypionate

Check for allergy to sesame or cottonseed oil)

Males who experience transsexualism may benefit from the assistance of a competent counsellor in dealing with the trauma associated with the condition (PTSD).

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Erskine Falls Victoria, The Path Ahead

Last modified: 4 February 2003

General information / mail / questions / comments: mensaustnet@hotmail.com


Copyright © 2003 Marcus Patterson
a GuyFaulk Publication for Men's Australian Network All Rights reserved