On Toys and Stereotypes

"When I grow up,
I'll be stable.
When I grow up,
I'll turn the tables."
 -- Garbage, When I Grow Up

The video in the previous post got me thinking about my own childhood.

Listening to other trans women's stories, there are a lot of themes that come up time and time again. One of those is that many knew from a very young age that they were female. That they always wanted to play with dolls. That they hated their genitalia. That they just... knew.

To some extent, I envy those people, because I had no idea.

Some of my earliest memories are of toys, but not dolls. Oh sure, we had a Teddy Ruxpin. I had a stuffed rabbit pillow that I took everywhere for a while. My sisters had gobs of stuffed animals, My Little Ponies, and Cabbage Patch dolls, which were certainly interesting, but I was drawn to something else completely.

I liked Domino Rally, Legos, K'Nex, and Lincoln Logs. I liked to make things, I liked to invent. I liked Intellivisions and computers and Game Boys. I taught myself to program text adventures in qbasic when I was 9, a dot matrix printer is one of my favorite sounds, and I still ask for Lego sets for Christmas and Birthdays.

It took me a long time to realize and accept it, but these things do not mean that I must be male. Sure, for many women-- trans or not-- playing with dolls was an expression of their girlhood, but many other women played with Legos. And they are still women.

I've always had gender issues swirling around in my brain, but as a little kid, I don't think I fully grasped the meanings and consequences of gender, let alone how it would affect me in the years ahead. As I started to realize the implications of the box I'd been placed in, my gut reaction was to prove to myself, and to others, that the boxes didn't exist.

I've spent so much time and energy throughout my life trying to break down stereotypes, trying to show people that gender is not what they think it is, that I couldn't see the forest for the trees. The truth is that nobody fits into the boxes of "male," "female," or "in-between," but that doesn't stop the average person from staking a claim wherever they damn well please. It wasn't until I finally admitted to myself that the boxes do exist, and that I had a right to stake my own claim wherever I wanted, that I saw where I fit in, and where I would be happiest.

Maybe if I had wanted to play with dolls, or wear dresses when I was little, I would've figured it out earlier. In the end though, I think I'm glad that I didn't. I certainly wish I had the opportunity to undo my first puberty, but I know that I would not have been ready to handle this any time before now, and I don't think I would love and appreciate being a woman nearly as much as I do today.

So now I'm curious; what were your favorite toys when you were little?

Transgender Children on the Dr Oz Show

The Dr. Oz Show recently aired this segment about trans kids. Thanks for the link, Mel!


(If you're interested, Part 2 is here.)

I'd never heard of Dr. Oz before this, but the show was surprisingly respectful and well done. I usually watch these programs and wince, for fear that the host will make the trans folks look like a sideshow.

What do you think? Is it okay to delay puberty until the child can make a more educated decision? At what age is a child old enough to start irreversible surgeries?

Engaged!

"But there never seems to be enough time,
To do the things you want to do,
Once you find them.
I've looked around enough to know,
That you're the one I want to go
Through time with."
-- Jim Croce, Time in a Bottle

Today, Erin and I are officially engaged.

I haven't talked much about Erin here in the past, mostly because I didn't feel comfortable putting her on the spot. That sort of thinking is honestly silly, since she agreed without hesitation to stay with me through transition, and has never been ashamed of me. I just tend to feel like she doesn't know what she's gotten herself into, like I have to protect her from the prejudices of the real world, and sometimes I forget that all too often she's the one protecting me.

Four years ago, I saw Erin's profile on MySpace, and was attracted by three things: her gorgeous picture, her nerdiness, and the word "androgyny." I told our mutual friend that I thought Erin was cute, we began talking, and the rest is history.

I won't lie and say that we haven't fought from time to time, or that our relationship has never been rocky, but I believe one major thing has held it together: trust. I have never in my life felt as though I could trust another human as much as I trust her. She has integrity, of a type that I never thought I would find.

Erin was the first person I came out to, about 14 months ago, and though it was hard for her to accept at first, she has always supported me. We've talked about marriage many times over the last few years, but I have a major fear of permanence, and knew that we didn't communicate as well as we should. Over the last year, we've been forced to work together and support eachother in entirely new ways; out of necessity, our communication skills have grown, and we have become closer than ever.

With our relationship becoming stronger every day, I realized that the only excuse I had left was my fear. If there is one thing that my transition has taught me, it's that the things I'm most afraid of can also be the most worthwhile, as long as I'm willing to give them all the effort and energy they deserve.

This realization, along with the fact that we won't be able to legally marry after I change my legal gender, placed an urgency on the subject. A few weeks ago, we again started talking about marriage, about who would propose to who, about how we should go about it. Last week, we made plans to go to the jewelry store together. Later, I found out that Erin had been preparing a romantic proposal with a Ring Pop, to be replaced at a later date, and I almost wish she would have gone through with it; I would've bawled. ;)

Last Saturday, we picked out matching solitaire diamond rings, then held our breath for the next five days, as we waited for them to be assembled. Today, the rings were finally finished, and we "made it official."

As an aside, the person that helped us at Shane Co. was great. Being a transgender woman, in a "lesbian" relationship, with a low budget, and living in Salt Lake City can be a scary combination sometimes, but he was completely professional. He listened to what we wanted, he gave us options without trying to upsell us, and he never once acted like anything was abnormal or out of place.

The rings are beautiful, simple, and effective. The glint catches my eye from time to time, and makes me smile uncontrollably. We haven't set a date for the wedding yet, but we're discussing it, and it probably won't be that far off. Thanks to everyone who has congratulated us so far, it means a lot to have the support of so many friends and family!

Most of all, thanks Erin, for loving me unconditionally, and wanting to grow old with me as badly as I want to grow old with you.

The Standard Process and Substandard Care

"One pill makes you larger,
And one pill makes you small,
And the ones that Mother gives you,
Don't do anything at all."
-- Jefferson Airplane, White Rabbit

I've been on hormones for a bit over six months now (wooh-hooh!), and you aren't taking them away from me. Ever. Unless I run out, and my dumb doctor and pharmacy can't coordinate to save their lives. Ugh.

For those that don't know the process, maybe I should start with the basics. Transsexualism is interesting in that it has both psychological and physical sides to it, maybe we'll get in to that more at another time. Decades ago, many tried "curing" it psychologically, which usually turned out badly. Nowadays, it's generally accepted that it's much more healthy to treat the body to match the mind, rather than the other way 'round. Sure, you run a few minor health risks, but a lot less people are killing themselves.

Eventually, the medical community adopted a semi-standard set of treatment guidelines, which are called the WPATH-SOC (World Professional Association for Transgender Heath - Standards of Care), formerly the HBIGDA-SOC (Harry Benjamin International Gender Dysphoria Association - Standards of Care, after a German doctor who did a lot of work to help transsexuals in San Francisco in the 50s and 60s).

The SOC has a lot of good information in it, but the main effect it has is to limit most physical treatment to those who have gone through psychological counseling and received a letter of recommendation for treatment. For hormones, usually a therapist will require three months of counseling before giving you "the letter," and for major surgeries, a year of being "full time" (living as your preferred gender socially, usually including work and/or school).

This makes sense on some levels, because it limits treatment to those who are serious and ready, but it also causes a lot of problems. Some people don't have money for therapy, especially since most insurance companies have specific exclusions for Gender Identity Disorder in their policies. Some people are perfectly well adjusted, and feel they shouldn't be forced to undergo mental therapy for something they've already figured out. Finally, some therapists are just bad, and either ignore the SOC completely, or get a gatekeeper complex and go on power trips, withholding letters and making trans people jump through unnecessary hoops.

Without the SOC, support from the medical community would probably be a lot harder to find, so I think of the Standards as a necessary evil, though it would be great for us to work out a more ideal solution some day.

Personally, I didn't mind starting with some therapy. The cost thing sucks, but my therapist is awesome. Since I am relatively well adjusted, I only went in every couple of weeks until the three month marker, when she gave me the hormones letter, and now once a month.

I took the letter to the endocrinologist she recommended, who first requested blood tests to make sure giving me hormones was safe. She then gave me a prescription for six months, with a plan to do follow up work before renewing at six months.

A couple of weeks before the six month marker, I had an appointment with my doctor, who gave me instructions to:
1. - Get new blood work done.
B. - Leave a message on her answering machine, telling her when to call me so that we could discuss the results.
Three. - Have my pharmacy fax a prescription refill request to her.

By the way, she also mistook me for a FtM at first, asked if I'd had a pap smear done, and received confused looks in response. I'm still not sure what to take away from this one besides a good laugh.

I went to IHC to get my labs done, so that I could at least have that covered by insurance. The next week, I left a message giving the doc a few days of wide open time in which to call back. No call.

I asked my pharmacy to send the refill request, and I left another message with another wide open time frame. No call.

I ran out of pills, so I called my pharmacy to check on the status of the request, to which they replied, "She declined it, because she wants to discuss your labs." SO DO I!

I left a third message, and a few days later she finally called me back, but I missed the call because I'd gotten sick. She leaves a message that says "Have the pharmacy fax over another request, and here's my pager number."

I have the pharmacy send it again, and leave a message on the pager. Two days later, on Saturday of all days, she calls me again. "Your labs look fine, I'll approve the fax request, but I haven't received it." Ok, ok, ok, I know you probably couldn't tell me about the labs in a message because of patient confidentiality and all that, but couldn't you approve the request, and then mail the results to me? That is, if you can't be bothered to do your job and call me.

And what's this about not receiving the fax? I confirm with the pharmacy that they have the right number, they send it a third time, and finally get a response. My spiro is renewed for five months, and my estradiol for one month. Wait, what!? The pharmacy says they'll call the doc to work it out. "Good luck with that!" I say, but by some miracle, they fixed it that evening, and both are now for five months.

I'm still confused as to why five, instead of six, but I don't care anymore. Once this is up, I'm likely finding a new doctor anyway.

Telling Dad

"'I am not alone, I am not afraid, I am not unhappy,'
These are the words I say to myself, every day,
I am not alone, I am not afraid, I am not unhappy.
Tell me what ritual I should have today.
But I'm not alone,
I've resolved so many things, and set myself free."
-- VNV Nation, Fearless

As most know, I recently came out to my dad, and my two little sisters. I told Dad in person, instead of rewriting the letter. I could pretend this was some brave gesture, facing my fear head on, but my motives were mostly selfish; I told him directly because the reaction I was most afraid of was silence. In the end, I froze, and wasn't the one to actually say the word anyway.

I hardly see my dad, in fact this was probably the first time I'd seen him in two years, despite living just a five mile drive apart. Similar to most of my family, it's not that we don't like eachother, it's just that we aren't that close.

I'd expected to see him on Christmas day, and planned to tell him then, in the face of a few warnings not to. I wasn't about to wait any longer. Dad sometimes makes it difficult to arrange a get-together. When he didn't return my calls, I began paranoid imaginings that he was intentionally avoiding me this time, because he'd already found out; I even conceived a plan of telling him over the phone, to get it over with. When he called apologizing and explaining that his phone wasn't working, we arranged to have dinner together a couple of days later instead, when both Erin and my little sisters would be able to join us.

I knew Caitlyn and Carli (my sisters) would take it well. They're both laid back young teenagers, who make me excited to see who they'll grow up to be. When Dad left the table, I told my sisters, and the three of us began texting back-and-forth about it when he came back. After dinner, I said I had something I needed to tell him, which I followed up with stuttering noises, and quick glances between the wall and table. If I ever go skydiving, I'll definitely need someone to push me out of the plane. Eventually Caitlyn blurted it out for me, and I followed it up with some more specific explaining.

Dad seemed to take it well. He made sure to tell me that he still loves me, and even cracked a few jokes about how he was sorry that the Christmas presents he'd gotten me weren't more feminine. There was probably more going on under the surface, but for now I'm just grateful for the support. We'll worry about the rest later.

The Magic of Hormones

"And if rain brings winds of change,
Let it rain on us forever.
I have no doubts from what I've seen,
That I have never wanted more."
-- VNV Nation, Solitary

I've been on hormone reassignment therapy (HRT) for about five months now, and I finally decided that I should share what I've experienced as a result. While there are a lot of things hormones can't change, I'm constantly amazed at all the things they can and do change. I currently take two medications, once a day: estrogen, and an anti-androgen, which dramatically slows the effects of testosterone.

Quick and generalized biology lesson:

During the first few weeks of fetal development, humans essentially have the potential to develop as either male or female. Usually, the chromosomes will determine gonad differentiation, which causes hormone differentiation, and the presence or lack of *androgens determines the other primary sex characteristics. (*Andro is a Greek prefix meaning "male" or "masculine"; androgens are "masculine" hormones, including testosterone.) Secondary sex characteristics are mostly caused by estrogens and androgens, respectively, during puberty. HRT mainly only affects the secondary sex characteristics, especially those involving skin, fat deposits, and hair, since these are always changing anyway.

Keep in mind that this is from the perspective of a MTF (Male-to-Female). First, let's start with the things HRT won't do:

• HRT won't dramatically change bone structure. Most of the skeletal differences are developed during puberty, though some bones will continue to very slowly change shape or definition over the course of years.
• HRT won't change the voice for MTFs (Male-to-Females). Once a voice is "broken", it can't be "unbroken". For FTMs, taking testosterone causes the voice to break, but MTFs simply have to practice their voices, or learn to live with them.
• HRT won't significantly affect already developed facial hair; laser hair removal or electrolysis are required for that.

And here are the changes I've noticed since being on hormones:

• Within the first few weeks, I got mild hot flashes (mild meaning they weren't painful, but still very strange and obvious). Apparently hot flashes can happen any time there's a quick change of hormones in the body, and some women get them throughout their lives as their natural hormone levels rise and fall. Mine only lasted for a few days, and I haven't noticed any since.
• Also within the first few weeks, I noticed that my skin was much softer and more sensitive to the touch. My skin was already pretty sensitive before, but now, Erin loves to run her hands down my back and watch me writhe.
• My skin is somewhat thinner and lighter in color, especially on my face. Combined with subtle differences in the fat deposits in my face and cheeks, my face looks a lot more feminine now.
• The fat stores on my body have been rearranging themselves. My butt is nearly twice as big as it used to be, I swear.
• Within the first month, I was already noticing some chest growth. This has continued slowly, though sometimes in small growth spurts.
• Within the first two months, I noticed tiny hairs around the corners of my forehead. Since then, even more dormant follicles have been sprouting all over my head, causing annoying fuzzies that are only about an inch or two long. They stick up all over through the rest of my hair, and I can't do anything with them (though my hair stylist was pretty fascinated).
• Body hair growth has slowed down considerably. Some body hair has become lighter and more sparse.
• After a couple of weeks, I started getting noticeable headaches off and on. For the most part these have gone away, but I still get mild headaches slightly more than I used to (which was almost never).
• My finger nails have become a bit more dry and brittle, though they're still stronger than the nails of a lot of girls I know.
• Temperature changes around me are much more noticeable now, both hot and cold. When it's cold, my hands and feet turn into ice sculptures.
• Erin says I now "smell sweeter and more feminine", even without any added scents.
• Recently I've noticed that when I drink alcohol, I feel the effects more and faster. I've always been a "light weight" drinker, which I've been happy with, because drinks are expensive. =P Unfortunately I also seem to sober up more quickly.
• What little upper body strength I had is being slowly but noticeably sapped. I could probably get it back to where it was with a little working out, if I were worried about it.

The psychological effects are harder to define, or pin down as being specifically caused by the HRT, mostly because my mind is already reeling from all the other things going on in my life right now. I'm a skeptic, so I think that most of these can be chalked up to placebo effects, but the below are the mental effects which could be related to HRT. I'll let you make up your own mind:

• I seem to move from one emotion to another more quickly, though the range and intensity of my emotions is about the same.
• I cry a lot more recently. I think this is mostly because I've been under a lot of stress, and because I've been allowing myself to. I used to cry a lot when I was younger.
• If I forget to take my hormones, shortly after the 24 hour mark I get moody, and usually depressed if I'm alone. This happened a few times before I made the connection, but now if I get moody in the evening, it serves as a reminder. This part especially annoys me, because of my control issues.
• Extremely cute things sometimes get to me more. A couple of weeks ago, I giggled uncontrollably at a kitten video on YouTube for about 10 minutes. I've always liked cute things, but what really startled me was the intensity of this experience.
• Sometimes I feel more "cuddly", with a similar intensity. This one's also tough to describe, but when it really hits me, all I want to do is be as near to Erin as possible.

Trans people report a huge variety of other psychological effects, but the above are really all I've noticed. Whether or not these are mostly caused by the hormones, it's likely that genetics and a predisposed mindset play a pretty big role in shaping those effects.

All of the physical effects I've listed are pretty standard, but I feel lucky to experience them all to some degree so quickly. Judging from what I know of other trans peoples' experiences, I'm responding to the hormones really well. It's especially exciting, because the full effects are supposed to take years, meaning I still have plenty to look forward to. =)

Word Vomit - Halloween, Vacation, Work, and Family

"You can try the best you can,
If you try the best you can,
The best you can is good enough."
  -- Radiohead, Optimistic

I'm long overdue for an update. Most of my friends already know the below, and it's pretty rambly, but I still feel like it's good to get down, if nothing else, for completeness sake. I'll try to rush through most of it, and I'll try to post more often in the future, instead of saving up for massive posts. =)

A couple of entries ago, I mentioned coming out to more people. Since then, I realized that there were still a lot of people that I have to tell personally before I'd feel ok just posting it on Facebook though, like the rest of Erin's family, the rest of my family, and work.

So, a while back we told Erin's mom and stepdad. They took it pretty well, though I still don't think they quite understand what it means to me and Erin. Erin's mom told her parents, and Erin's oldest brother, so now everybody knows except her dad's side of the family. We aren't sure how Erin's dad will react, so we don't plan on telling him soon, which is depressing, but he lives up in Ogden, so I guess it's not too big of a deal for now.