How does sex change happen?

1. Mental health assessment Before deciding to be transgender you must speak with a psychologist or another mental health professional. First, your therapist will confirm that you are suffering from gender dysphoria, which was once known as "gender dysphoria". People with this condition feel they have to be of the opposite sex, which makes them miserable. The therapist will then assess your understanding of what is involved in transgenderism, such as the decision to change sex with hormones or potentially surgery, and also analyze the specifics. Risks and limitations of gender reassignment surgery. Dr Jamison Green, President of the World Association of Transgender Health Professionals (WPATH) says most people have two to three visits to the doctor before a transgender decision is made. If all goes well, your therapist will refer you to an endocrinologist or hormone specialist.

2. Sex change with hormone therapy The sex hormones used in sex change are hormones that control secondary sexual characteristics, such as body hair, muscle mass, and breast size.
Transgender women to men use male hormones , or androgens . These hormones make them appear more masculine, specifically:
Make their voices warmer. Increase muscle and strength. Promotes the growth of facial and body hair. Clitoral enlargement Transgender men to women use female hormones. These hormones can make men look more feminine:
Loss of muscle mass and strength Restructuring body fat locations Increase breast tissue Thinning and slowing body hair growth and on the face Reduced testosterone levels Some physical changes start in as little as a month, although it can take up to 5 years for maximum effect to be seen. For example, transgender men can expect their breasts to develop feminization within 2 to 3 years.
In addition to changing appearance, hormone therapy can reduce feelings of gender anxiety in transgender people. However, hormone therapy also comes with risks, such as an increased risk of high blood pressure, weight gain, sleep apnea, elevated liver enzymes, heart disease, pituitary tumors in the brain, blood clots, and blood clots. blood clots and other serious conditions.
Hormonal transsexuals should have regular and regular medical check-ups, especially during the first months of treatment, to make sure you're adapting well to their hormone regimen.
Also, some people feel nervous and uncertain when starting a hormone regimen. Therefore, it is important that you continue to consult with a mental health professional and see your endocrinologist or hormone specialist.

3. Transgender surgery Experts find that up to 75% of transgender people never pursue surgery. For some, it's a matter of the high cost of the entire gender reassignment surgery. But for many people, hormone therapy is enough to ease feelings of gender dysphoria, and in cases where hormones alone aren't enough, gender reassignment surgery will be an option.
Guidelines recommend that people spend 12 months on hormone therapy before they have a genital removal surgery. Another reason given besides this 12-month goal of adjusting for secondary sexual characteristics is that experts want transgender subjects to live full-time and express their identified gender. Once the person who wants to change sex has made a final decision, gender reassignment surgeries are performed to recreate a person's genitals with the genitals of the opposite sex. During the procedure, removal of the gonads may also be performed. Like other surgeries, gender reassignment surgery has certain risks.
For transgender men, complications can include:
Necrotic skin tissue - usually from the penis and scrotum used to create the vagina and vulva. Narrowing of the urethra can obstruct the flow of urine and lead to kidney damage. Fistulas, or abnormal passages between the bladder or bowel and the vagina. For transgender women to men, complications may include:
Narrowing, blockage, or fistula in the urinary tract following gender reassignment surgery. The newly formed penile tissue is necrotic. Transgender men becoming women can shape their vaginas for sex. Because of the high risk of complications with female-to-male sex reassignment surgery, known as phalloplasty, many women choose not to have a penis. Instead, they often choose to remove only the ovaries and uterus.
Gender transition is a rather complicated process and requires a certain amount of time. This process can range from psychological interventions, to hormone therapy and possibly surgery. It also means that transgender people need ongoing support, and along with follow-up medical care, they may need counseling to address common issues such as depression and anxiety. settle.

Reference source: webmd