Monday, March 14, 2016 / Labels: , , , , , , ,

Rainbow jello recipe

March 14, 2016 /LGBT News/ Here is a fun and gay easy recipe for you to try at home.


  • One small box of jello for each color (red, orange, yellow, green, blue, and purple)
  • One large tub of cool whip
  • Sprinkles


  • Pour jello purple into glasses, reserving about 1/3 of the liquid jello. Put glasses in the refrigerator and chill for 15-30 minutes, or until slightly set. Mix about 1/3 cup of cool whip into the remaining purple jello. Pour the jello/cool whip mix on top of the purple jello in the glasses.
  • Repeat process for each color.
  • Top with some additional cool whip and sprinkles.


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Tuesday, February 9, 2016 / Labels: , , , ,

European Commission: Supporting National and Transnational Projects on Non- Discrimination (LGBT included)

February 9, 2016 /LGBT News

Deadline: 12 April 2016

European Commission is inviting applicants for Action Grants aims to co-fund national or transnational projects on non-discrimination and Roma integration in line with the specific objective to promote the effective implementation of the principle of non-discrimination on the grounds of sex, racial or ethnic origin, religion or belief, disability, age or sexual orientation, and to respect the principle of non-discrimination on the grounds.

The Commission wishes to support activities which tackle at least one of the following groups at risk of discrimination: racial or ethnic minorities, persons with disabilities, older/younger people, religious minorities and LGBTI people.

Priority Areas
  • Discrimination on the ground of sexual orientation in order to improve social acceptance of LGBTI people. The activities may aim to raise awareness about and combat harmful stereotypes towards LGBTI people, organise training, mutual learning and exchange of god practices. The activities may cover specifically non-discrimination in the field of education, employment, health and/or mainstreaming social acceptance of LGBTI in other areas.
  • Diversity management in the public and private sector: identification of existing practices, research work, measurement of diversity management benefits, and awareness-raising. The proposed activities may be linked to the launch and implementation of Diversity Charters.
  • Roma: activities aiming to raise awareness about and combat harmful stereotypes of Roma and supporting thereby their integration into mainstream society. Identification and exchange of good practices across fields of access to education, employment, healthcare or to housing as well as anti-discrimination, protection of Roma children and women and empowerment related to Roma integration.
  • Multiple discrimination: research work on the phenomenon, awareness-raising of its existence and consequences, identification and exchange of good practices in combating multiple discrimination.

Size of Grants
Any grant requested under this call for proposal must fall between EUR 150.000 to EUR 500.000.

The initial duration of the projects should not exceed 24 months

Eligible Countries: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom, Iceland and Liechtenstein

Eligibility Criteria
1. In order to be eligible for a grant, the lead applicant must:
  • be a legal person, and;
  • be non-profit-making,
  • be legally established in European Union memeber States, Iceland or Liechtenstein and
  • be directly responsible for the preparation and management of the action with the co-applicant(s) and affiliated entity(ies), not acting as an intermediary

2. The lead applicant must act with co-applicant(s) as specified hereafter. Co-applicants participate in designing and implementing the action, and the costs they incur are eligible in the same way as those incurred by the lead applicant.

How to Apply
Applicants first need to register and obtain a login and password to access the system.
Applications must be submitted, in their entirety, through PRIAMOS.
For more information, please visit European Commission.

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Friday, January 22, 2016 / Labels: , , , , , ,

Transgender Surgery – More Questions Answered

By Dr. Harold Reed 

1. How to Get the Longest Metoidioplasty

It takes one to 2 years to max out testosterone effects and also testosterone precursor effects when used as a topical cream.  

There is a cream favored by European doctors that can be applied daily, and if possible you may wished to place over than a strip of Saran-wrap or Glad-wrap.

This is called an occlusive dressing and keeps the cream more on the clitoris than allowing it be rubbed off in your night wear.

There are also vacuum erection devices designed just for your purpose.  You may wish to visit our web-site

2. Sex Change for Individuals Serving in the Military

The military has now one VAH center which proclaims it will follow transgender patients, but as to the logistics of changing while you are on duty, this could be best answered by (perhaps) the commanding officer of your post or the Department of Defense.  

If you do have surgery while in the service, would think that reassignment to a new post where you are not known would make more sense. 

The Department of Veterans Affairs opened its first health care clinic dedicated to transgender service members.  

Housed within the Louis Stokes Cleveland VA Medical Center in Ohio, the clinic will offer primary care services alongside hormonal therapy and mental health care. The VA center, which provides care to more than 112,000 people, is currently treating around two dozen transgender patients.

For more information, please visit our website at

3. Scrotectomy Only

When it comes to scrotectomy, the removal of the scrotum, there are many questions that patients have ahead of time.  The following are some of the most common inquiries about this process and the answers we provide our patients.

Q. How long will I need to stay off work?
A. You could return to an office environment in 10 days after scrotal removal.  You will need a ring pillow for 3 weeks when you sit down.
Q. What should I expect in terms of costs and fees?
A. Our fees as posted on our web-site which includes surgery, local anesthesia with or without IV conscious sedation, use of the operating and recovery room and any follow-up care we provide $2,500.
⦁ Q. Where should I stay on the day of and the days following the procedure, while I’m still being monitored by Dr. Reed?
 A. I recommend you consider the Daddy O Hotel which is one block from our office and ask for a ground floor room, easier to get to the breakfast bar (included with your room).

4. MTF Hormones – Best Practices?

The National Institute of Health has come out with an advisory: estrogens are not recommended for women over 55 without due caution.

That said, we do hormones in a careful and monitored fashion.  This will provide considerable assistance in the development of breasts.  The majority of people are around one cup size smaller than other immediate family members such as a mother or sister, following two years of hormone therapy. Of course, estrogens also provide feminizing effects to your skin and tend to shift body fat from your belly to your buttocks. 

A letter of therapy clearance is required by a licensed therapist with a doctoral degree.  Our fee is $250 for consultation and $600 per year to follow you with needed lab tests, office visits, prescriptions, counselling, numerous telephone calls, and medical records documentation. The $600 fee is payable whenever you wish to start on hormones.

Lab tests are an out-of-pocket expense, as is the medication.  We may recommend a laboratory, but you can have them done at a nationally recognized laboratory of your choice.

5. Electrolysis Requirement for Male to Female Sex Reassignment

Before undergoing male to female surgery, it is important to visit the official website for the Reed Center and to review the electrolysis diagram which is posted on our site. 

The reason for this is that the scraping at the time of surgery is not always successful and the outcome can be that, over time, pubic hair can grow out of the newly created vagina. This is neither aesthetically pleasing nor is it fun during sex.   

Therefore, electrolysis is nearly always recommended over the months that precede a male to female surgery. 

Find in-depth answers to these questions and more at The Reed Centre.

Harold M. Reed, M.D. FICS 
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine

This is a sponsored post. 
If you’re looking to sponsor a post please contact us at info [at]

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Thursday, January 14, 2016 / Labels: , , , ,

Apply for a Scholarship to Attend AIDS Conference 2016

AIDS 2014 scholarship recipients © IAS/James Braund
January 14, 2016 /LGBT News/ The AIDS Conference 2016 organizers are seeking applications in order to provide scholarships to applicants to attend the AIDS Conference 2016.

The conference organizers are committed to doubling the number of scholarships for AIDS 2016 to make the conference even more accessible to people from resource-limited settings, researchers, young people, community activists and civil society representatives.

Priority will be given to those whose participation will help enhance their work in their own communities, to those who are able to assist in the transfer of skills and knowledge acquired at the conference, and to those who’s abstract, workshop or programme activity submission has been selected.

Deadline: 12 February 2016

Where and when:

Durban, South Africa | July 18-22, 2016
Durban International Convention Centre (ICC)


A full scholarship may include:

  • Registration fee for the conference (include access to all sessions and exhibitions);
  • Travel (pre-paid airfare at the lowest fare available, from the nearest international airport);
  • Accommodation (shared in a budget hotel or dorm for the days of the conference);
  • Modest daily living allowance for the duration of the conference (18-22 July 2016).

Eligibility Criteria:

The Scholarship Programme is open to everyone around the world working or volunteering in the field of HIV and AIDS.

For more information, please visit Scholarship for AIDS 2016

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Tuesday, January 12, 2016 / Labels: , , , ,

Same-sex wedding photo wins 2016 Hasselblad Masters Awards

January 12, 2016 /LGBT News/ Hasselblad just announced the winners of their prestigious Masters Awards.

Selected by a combination of a public vote and a professional Masters Jury - comprising internationally renowned photographers and imaging experts, photographer John Paul Evans won the ‘Wedding’ category with his  same-sex wedding photograph from the series "Till death us do part" that challenges the paradigm of the wedding portrait. 

Wedding: John Paul Evans, UK
For the winning photo Evans posed with his partner, Peter. 

"Till death us do part" is a series of absurd permutations of the wedding portrait. These performative responses to ideas of marriage and domesticity evoke a sense of the uncanny — Freud's idea of the 'homely and un-homely.'

To view all Hasselblad Masters Awards winning images, go to Photos: Hasselblad Masters 2016 Winners gallery. 

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Sunday, January 10, 2016 / Labels: , , , , , ,

Jeweler's commercial features same-sex couple

Jeweler's commercial features same-sex couple

January 10, 2016 /LGBT News/ Reno local jeweler BVW Jewelers' new commercial depicting two women getting engaged has been playing on local TV stations and in movie theaters and drawing great attention.

The commercial shows a same-sex couple riding through Reno in a Mercedes-Benz. Then one woman proposes to another on the Crystal Peak Toll Bridge overlooking the Truckee River.

The ad mostly airs during commercial breaks during broadcasts of Ellen DeGeneres' talk show.

BVW Jewelers owner Britten Van Wolf said that he’s proud to support LGBT causes and said that his company believes in equal rights for all. 

"If anything, it was a risk on me being a small business in Nevada," BVW owner Britten Wolf said. "I love our state but you don't know how that's going to hit people here. Being a small business, it takes a few people here and there and you could have some adverse effects."

The jeweler was ranked fourth nationally as one of America’s coolest jewelry stores. It also sells the work of local artists with a percentage of proceeds going to the Food Bank.

A National Gay & Lesbian Chamber of Commerce report released in June 2015 estimates the combined buying power of the LGBT population to be worth more than $880 billion. According to the Pew Research Center, 35 percent of Americans opposed same-sex marriage in 2001. Today, 55 percent support it.

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Thursday, December 31, 2015 / Labels: , , , , , ,

Sarah Pettit Doctoral Fellowship Workshop for LGBT Studies

December 31, 2015 /LGBT News/ Yale LGBT Studies is currently inviting applications for its Sarah Pettit Doctoral Fellowship 2016 in Lesbian Studies at Yale University. The Fellowship welcome applicants from the humanities, social sciences, performing and fine arts, and beyond, within the field of lesbian studies (read broadly), to engage with the concept of freaks, conceived expansively as problem, provocation, subjectivity, ethic, and/or aesthetic. The 2016 Yale Pettit Doctoral Fellowship Workshop will take place May 16-20th, 2016 in New Haven, CT and will be organized around the theme “Freaks.”

Deadline: 15 February 2016
Open to: international enrolled doctoral candidates
Venue: May 16-20th, 2016 in New Haven, Connecticut, USA

Research Topics:
  • Female masculinities, trans-femininities, and other queer subjects in freak shows, carnivals, and international exhibits;
  • Lesbianized subjectivities and histories;
  • “Savages” and “Freaks of Nature”;
  • Disability and the cripped female body;
  • Policed bodies and sexualities;
  • Freaks in pop culture and media;
  • Performances of the freaky and/or freak lifestyles;
  • Transgender and transfeminist lesbian culture, politics and desire;
  • Spectacles and the spectacular.


  • Students studying or located in all geographical regions are welcome;
  • Applicants must be enrolled doctoral candidates who have completed coursework, qualifying exams, and submitted their dissertation prospectus;
  • Students who are working on projects within the thematic and within the scope of lesbian studies are encouraged apply;
  • The committee interprets “Lesbian Studies” in this context as being able to encompass the study of a broad range of genders, gender identities, and sexualities within multiple disciplines.


Following the workshop, fellows will stay in New Haven for an additional three days to take advantage of Yale University libraries and resources.  Selected fellows will receive small stipends and travel funding in addition to room and board for the week of the workshop.  It is also envisioned a follow-up meeting in 2017 of the fellows and mentors as part of a longer-term mentoring relationship.

How to apply?

Applicants must fill the online application form which should include:
  • Cover letter
  • Dissertation abstract
  • One-page chapter or topic proposal for presentation and discussion at the workshop
  • Curriculum vitae
  • Letter of support from the dissertation advisor and the name of two additional references

For more information, please visit official website.

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Wednesday, December 23, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 4

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the last of a four-part series on the procedure.

23. Any special post-operative instructions?
(These instructions may be individualized, as patient needs vary.)

1.  DIET. Regular Diet, avoid spices and alcohol for 1 week.  Increase fluid intake to 3 quarts per day for the next 3 days.  Anything in the fluid family counts.

2.  ACTIVITIES. Convalesce for one week. Out of bed by the 2nd post-op day in graduated amounts and ambulate.  Wiggle toes and move feet up and down and bend knees 20 to 100 times a day.  Avoid strenuous  activity, possibility for pelvic injury, and contact sports for 4 weeks.  No running, or extensive walking for 4 weeks.  No sexual activity until you have been medically cleared.
3.  MEDICATIONS. Cipro 500 mg, #14 1 twice a day for 7 Days.   (as a rule diabetic patients will be prescribed Keflex unless allergic) Try Tylenol, 2 tablets as needed for moderate pain.  Ultram, 1 tablet every 6 hours as needed for severe pain (#10).
Resume hormones on your 12th post-op day usually reducing estrogens by 1/3rd and discontinue spironolactone (if taken previously).  After being in estrogens for one month have a serum estradiol level drawn and you may wish to confer with Dr. Reed.

4.  FOLLOW-UP.   Surgery is the zero day. You may shower on the 7th day post-op
and also consider tub baths with cup of either table salt or Epsom salt for 15 to 20 minutes, 1 to 2 times a day to promote wound healing and reduce swelling.
Sutures to be removed on the 14th day. Your healthcare professional may choose to leave them in longer if there is not sufficient closure.  Catheter to be removed on the 12th  day by cutting the side arm and wait 30 seconds for 2 teaspoons of water to drip out;  gently tug and out it comes. Wear a sanitary pad to protect the incisional site and apply a dab of betadine ointment if any open areas or raw tissue. Do not pack the vagina.

5. DRIVING.  You may resume driving when you feel capable, not during the 1st week after surgery.  Have a friend or loved one stay with you for the first few days after surgery.

6.  STENT USAGE:  15 to 20 minutes, lying down on your back, 3 to 5 times daily beginning on the 7th post-operative day (always start with the narrowest stent).  Once inside the vagina, do not push down or up or you may perforate the rectum or urethra (very serious complications).  Push towards your head parallel to the floor with sustained gentle pressure, not enough to produce pain.

7.  DOUCHE afterwards with equal parts of peroxide and Betadine solution  not Betadine scrub or shampoo (povodine iodine is the generic name)  to which you add 4 parts warm water. Use the red catheter and piston syringe as instructed daily from post-op day 7 to 14 and for the next week  every other day and thereafter every 3rd day to remove jelly and cleanse but remember this does not have to be done frequently as you dilate.

8.   DILATE:  Always use a water soluble lubricant.  Dilation with a stent should be done when you are lying flat in bed over a protective underpad.  Using the narrowest of stents that goes in easily, drop (place) that stent (hand held) into the pocket preceding your vagina.  The outer web will be removed during your second stage labiaplasty.  Do not push downwards as you will soon be inside your rectum (a very serious complication).  Do not push upwards as you will be inside your urethra (urinary tube).

Using you hand,  guide the hand held end of the stent in an arc downwards while pushing the inside end towards your head, but parallel to the floor.  The stent must be advanced parallel to the floor.  Never force.  Use gentle sustained pressure for 15 to 20 minutes, 5 times a day.  Doing this patients report gains of 1 to 2 inches in a few months.

This exercise will be demonstrated to you by Dr. Reed or his staff before you leave.
If you have any questions about techniques, please ask while you are on the table in the exam room.

9.   CIRCULAR PILLOW.  Yes, please bring a circular or donut pillow (not self inflatable, pre-inflatable ok) with you so you do not sit directly on your suture line for at least 3 weeks.  Very important especially if traveling by car or plane.  Then remember to bring this back with you for your labiaplasty.  Labiaplasty sutures especially are very delicate and are not designed to withstand the pressure of your torso.

MTF SURGICAL CHECK OUT LIST (abbreviated for simplicity)

1. 2 Therapy Letters
2. Medical clearance
3. Blood work, Stress EKG, Chest X-ray
4. STOP all Estrogens and Spironolactone as mentioned above, for all MTF surgical procedures including primary vaginoplasty, revisions, orchiectomy, etc. as mentioned in # 20. "special pre-operative instructions"
5. No aspirin/products
6. Bromelain and Arnica Montana and vitamin C
7. Ted Hose (thigh high anti embolism stockings) and  underpads (CVS)
8. Must stay at one of these 2 hotels.... We recommend Daddy O Hotel, 3 stars. 305-868-4141 one block from our office, or Beach Place Miami. (305-866-3313) Ask for a room on the ground floor.
9. A female friend or loved one to stay with patient and be there on the 7th post op day when we show you have to properly use dilators (vaginal stents).
10. A physician to follow you when you return home
11. Bowel prep
12. Fax or mail Rx's
13. Stents (dilators)
14. Electrolysis
15. Ring (circular) pillow
16. Cotton gown that buttons or snaps in the front

We would consider it a great honor to be looking after you and be assured we will show you every courtesy.

If our office may be of further service, please feel free to call.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the last of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 3
This is a sponsored post. 

If you’re looking to sponsor a post please contact us at info [at]

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Tuesday, December 22, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 3

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the third of a four-part series on the procedure.

17. Even though I am overweight, may I still schedule surgery?

While individual consideration is given in every case, we are disinclined to operate on obese people in an outpatient - 24 hour hold setting, as they pose a greater risk for complications. For your information, smoking and obesity are the two most preventable causes of early death in the United States. If you would call the office and give us your height and weight, we'll tell you where you stand on the charts. You may wish to review the "ideal weight charts" for women and men

Clearly the first recourse for obese patients is weight reduction. For those patients who have not responded well to dieting, please consider a hospital environment for the benefits of supportive nursing care and respiratory therapy.

Occasionally we had experienced some misrepresentation when arriving patients are weighed here in our office. Please do not tell me you gained weight unexpectedly because you were told to stop smoking, or that you are 5' 2" and weigh 180 pounds but "you can't see it," or have big bones, or had silicone injections or breast implants, or don't have a scale at home, or do not weigh yourself regularly, or "my scale must be broken," or "your scale is broken," etc. There is no shortage of scales in our medical community.

There's not a line we haven't heard. After spending your hard earned money to travel here perhaps with a friend or loved one, arrange to take a leave of absence from your job, making a reservation at the nearby motel, you will find your case has been cancelled only to be rescheduled when you are at the suggested weight.

There is an acceptable range and yes we can cut you some slack if you are a few pounds over, that's not 10 or 20 pounds over.

Overweight people are more difficult to manage pulmonary wise, have heavier legs with the threat of neural or circulatory compression, and are technically more difficult to operate on. Beyond that you are giving their poor heart an extra work assignment to pump blood into tissues which are not needed for appearance or function.

Most importantly, do not take Ephedra (or like drugs). It's a killer. You will have a tachycardia (fast heart rate) on the operating room table and your case will be cancelled. 

18. Even though I am thin may I still schedule surgery?   

How thin is thin would be the next question.   Your BMI, a relation of weight to height will give us some idea.  Please see to obtain your BMI.  Here is a BMI table for reference.
Underweight = 18.5 or less
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = 30 or greater
Vaginoplasty is a more stressful procedure than a breast implant or facial surgery and the incision lines are a lot longer.  Your torso weight, which could be 80 pounds or more, on your perineal incisions contributes to wound separation.   For this reason I propose for optimal wound healing, your BMI be 22 or higher.  If your BMI is below 22, please consider a medical evaluation, and consume more calories preoperatively.   Many patients will lose 10 pounds after surgery for a while, and which places them in a underweight category.

19. Alternate centers?

During Thanksgiving week 2003, I visited with Dr. Sanguan Kunaporn of Phuket, Thailand who operates at the Phuket International Hospital. Dr. Kunaporn is a very versatile plastic surgeon who has trained in the United States. His fees are comparable to ours and his technique and facility are first class. The nurses are exceedingly attentive, the rooms are spotless, the food is more hotel quality than hospital fare, the operating room environment is very quiet and well organized, and every staff member knows exactly what to do, blood loss is minimal. More than that I can assure you he is completely focused on what he is doing and fusses over every stitch. The eye contact with patients is very good. In all, a very high class ethical operation.

20. Will I need a medical grade vaginal dilator or dildo post operatively?

Yes, you certainly will.  We will provide the standard set of medical grade stents for 350, but recommend that you purchase an additional smaller set for 150 as well in that many patients are too tender to use the standard size set one week after surgery..  You may be able to purchase stents less expensively, but the vendor will not be there for you if your misapply and traumatize yourself.  Please avoid stent with grooves as on withdrawal they tend to pull the vagina outwards (vaginal prolapse).  Avoid nesting hollow stent sets with one interchangeable handle, as the narrowest sizes are way too short.

21. Are any of your patients amenable to speaking with me? 

As you may know the new HIPAA laws are very strict about patient confidentiality. However a recent patient of ours has chronicled her personal experiences on the web at
I am given to understand that upon completion of her second stage labiaplasty, she'll release some photos.  Best to let her do the talking.

22. Any special pre-operative instructions? 

A CBC should be performed 2 months before your scheduled procedure. If your blood count is low normal or below normal values, a hematology consult may be needed.
Better to learn of this well in advance.

Within 10 days before surgery, all patients are required to have these blood tests: a CBC (again), PT, PTT, and platelet count. Our lab fee is $100, but you could have this done in your home town perhaps more reasonably.

All patients require a letter of medical clearance with reference to an EKG and chest  X-ray to be obtained within 7 to 10 days  before your scheduled procedure.  If you have cardiovascular risk factors or are over 40, you may also require a thallium stress EKG.

REGARDLESS if you are having a first stage vaginoplasty, a touch up or revision (2nd stage vaginoplasty), or even an orchiectomy, STOP  estrogens a good month before surgery, as this may predispose to thromboses or emboli (unwanted clotting including the potential for fatal pulmonary emboli, coronary events, and/or stroke) .  If you do not do this, your case may very well be cancelled.  You may resume 10 days after surgery.

Also stop spironolactone within 2 weeks of your procedure as this medicine may interfere with the response of certain drugs administered during anesthesia called vasopressors.

No aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery. No Vitamin E, fish oil, or excessive alcohol or spices for a week before surgery as this may promote bruising.

Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let's discuss it beforehand.

If for any reason, despite tight scheduling arrangements and eager anticipation of being converted, you have contracted an illness such as a flu like syndrome with coughing, sore throat, fever, or diarrhea, please reschedule allowing a good two weeks for recovery. These things happen and we are very sympathetic. Surely we do not want any patient with a very recent cold to have general anesthesia. If you have gained weight, please advise as we may have to postpone surgery.

If you are a smoker, you must stop completely for 2 months before surgery and please never smoke again. Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and enhances anesthetic risk.

This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke. Again not for 8 weeks before and not for 8 weeks afterwards. Hopefully never again.

If you have a history of inflammatory bowel disease, such as Crohn's or regional enteritis, please get clearance from your GI doctor, as rectal inflammation can be an inciting factor for the post-operative complication: rectal-vaginal fistula.

A medical study relating to wound healing and diet classified patients into 3 groups, pure vegetarians, those that also ate chicken and fish, and those that ate all common foods including red meats

Those who eat red meats heal the best and quite honestly probably have the best iron reserves to assist with making more red blood cells to replace a loss.

Personally, I do not believe irregular bowel movements and constipation should ever be accepted as a way of life. Such patients are prone to ano-rectal disease including diverticulosis (-itis), hemorrhoids, fissures and fistulas.

We use the technique of pull up sutures to prevent prolapse. These sutures are removed on the 7th post-operative day. Usually what you see at the end of the operation is pretty much what you get, but not always.

Obtain one pair of anti-embolism thigh high stockings. T.E.D. (by Futuro) or Jobst are common brand names.  Yes, do try these on before you come here to be sure they fit comfortably. If you wash or dry them in a hot cycle, they may never fit properly again. So best not to wash them at all until after surgery.

As a courtesy to the hotel, please obtain and bring with you a bundle of "chucks" or disposable superabsorbent pads with plastic liner on underside (typically 24 by 36 inches) to conserve hotel laundry and bedding.

Please be sure both left and right index finger nails are not covered with nail polish or artificial fingernails. We need to see a pink nail bed for an accurate pulse oxymetry (oxygen level monitoring during anesthesia).

A bowel prep should be started 24 hours before surgery which will include clear liquids only, a half a bottle of citrate of magnesia at 8 AM and the other half at 4 PM, a Fleet's enema at 10 AM, 3 PM and on the morning of surgery. Also on the day before surgery, neomycin sulfate 1 gram and Flagyl 1 gram, to be taken by mouth at 1 PM, 2 PM and 11 PM.

Please keep up with a good fluid intake the day before surgery.

Nothing by mouth after midnight unless otherwise instructed.  Do not shave yourself as we will do that for you.

Please remove all piercings and body jewelry (especially tongue, belly, lip, etc.) before anesthesia along with jewelry and store them ideally at your hotel.

Ring pillows should not be of the inflatable variety as they may deflate unexpectedly.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the third of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4

This is a sponsored post. 

If you’re looking to sponsor a post please contact us at info [at]

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Thursday, December 17, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 2

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the second of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4

6. How long does it take to heal?

You can leave Bay Harbor Islands as a rule on your 7th post-operative day, and return to an office environment in about 1 to 2 weeks after that.

Please no penetrating sex for a good eight weeks following surgery or until delayed wound healing is complete.

Premature sex can be very traumatic and may open up incision lines and can incite inflammation and infection, so exercise all due caution and gentility.

7. Establishing a physician contact to follow you… 

In your home town is very important, although usually small problems can be sorted out with E-mail photos.  You should do this before you come to Miami and provide us their name and contact number before you have surgery.   Phone service to me is available virtually 24/7.

8. Do you require prior hair removal? 

Definitely yes. Please confer with us about the areas that need to be done. Essentially you will require complete removal of any hairs on the shaft, and a ring or path around the base of the penis 1 inch wide. If you wish to be pretty, then also have removed any hairs on the scrotum under the "shadow" of the penis down to and around the anal verge. This is optional. Removal of any other pubic hair is also purely optional.

Ideally electrolysis to include all above mentioned areas should be "first pass" completed 3 months before surgery. This allows enough time for a secondary pass 1 month later as some hair follicles may regenerate.

Laser hair removal is OK also. The skill of your licensed technician is more important than the method is used.

For those with blond or light hairs, please mention Meladyne, an FDA approved cream which is reputed to darken hairs. Regretfully the experience has been mixed, so confer with your technician.

Try to get your electrolysis completed a good month before surgery so your tissues have a chance to recover.

9. Also would like to know what your scheduling backlog is like?

Presuming you have fulfilled the WPATH criteria, we are available every month for the balance of this year.

10. How soon may I have penetrating sex?

Although you could have penetrating sex within 6 to 8 weeks following vaginoplasty, as you understand, a refinement labiaplasty will be offered about 3 months later.

Your rites of passage include the obligation to insert a vaginal stent or tutor 3 times a day for 20 minutes for 6 months. You'll be amazed how in most cases you can pick up an extra inch and a half of depth.  (See FAQ # 13). Safe sex is course an alternative way.

Douching is encouraged starting a week after your vaginoplasty.

11. Will I need a PAPS test and pelvic exams annually following my surgery?

Perhaps this question has been answered best by Dr. Anne Lawrence (see her full paper)

Essentially she concludes "cytology examinations (Pap smears) probably have limited value following vaginoplasty. MTF transsexuals should receive annual pelvic examinations following vaginoplasty, but there no evidence to suggest that they would benefit from vaginal cytological screening in most cases. However, if the glans penis has been retained as a neo-cervix, cytological examination of the neo-cervix is a reasonable practice."

12. Will I be able to feel the pleasure of intercourse as a woman does when I have had the operation?

Yes, if there has been a careful preservation of the neurovascular bundle and creation of a clitoris from glanular tissue, orgasm will most likely continue. We are very fussy about this aspect of surgery. Appearance, function, and pleasure are all interrelated.

13. Is there some way that my vagina can always be moist like 100% ...all day long?

Yes, this may be accomplished by inversion of a urethral strip as a part of the vaginal vault or extension of an opened urethra to the base of the clitoris. This provides a natural way to achieve moisture as well as lubrication during sex. Please see "photographic examples" on our web-site.   Patients who simply have penile skin inversion fare quite well also, and we are starting to re-think whether the extra time and somewhat enhanced potential for complications makes urethral strip inclusion really worthwhile.

14. Do you also provide a surgery in which I will obtain breasts? 

Yes, our all inclusive fee is $5,000 for saline implants.
Silicones are $6000. Please see our photographic examples on our web-site.

While some doctors do both procedures at the same time, I think that may be a little too adventuresome and would caution you to stage that either as an independent procedure or reserve breast augmentation for the time of your labiaplasty.  As you know, estrogen therapy will feminize your breasts.

For some MTF patients, that end point is a good resting place.
It has been recommended that you be on hormone therapy for at least 24 months before insertion of breast implants.

We use the Tebbetts' formula to determine the appropriate size. That is large breast prostheses can only be put in if there is enough home grown breast tissue to cover.  Also please keep in mind, very large breasts, natural or prosthetic, are prone to droop in 6 years or so, and you'll be back on the table for a lift.  These incision lines as contrasted with a small initial incision are not all that pretty.

15. Do you perform tracheal shaves?

Tracheal shave surgery is performed by others.

16. Can you make a man have sex organs that can reproduce offspring and go through a period every month?

Perhaps in the future.

Uterine transplants have been done in New York Downtown Hospital on natal women and in Gothenburg, Sweden
Tap in to research this subject or view

When or how soon this exciting, new technology will be applied to transsexual patients is uncertain.

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the second of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 1
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 3
See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 4


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Wednesday, December 16, 2015 / Labels: , , , , , ,

Male to Female (MTF) Surgical FAQ and Checklist – Part 1

This is a male-to-female (MTF) surgical FAQ by Dr. Harold Reed. The piece is the first of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2
1. Where to start?

In every major city in the USA there are therapists and physicians who will assist you. The best places to start are the web-sites of 
d. Andrea's  

2. How do I obtain hormones? 

Hormones are helpful to assist in the real life test. If being passable is an important consideration in your decision to undergo transition, then your first stop is to see a therapist.

Ethical and responsible medical practice would suggest that hormones should only be prescribed by a knowledgeable doctor such as an endocrinologist, who will request a letter of therapy clearance. 

Hormone changes may be irreversible and some very adverse effects may occur with improper use. Do-it-yourselfers, beware!

You will need to have a few baseline blood tests performed and be followed every so often to be sure you are achieving safe and effective levels. 

For those in the South Florida area, this service is provided by our office.

3. What are the therapy requirements for transsexual surgery? 

Once you made your selections and accept continuous cross-dressing for at least 1 year and have fulfilled the standards of care of the World Professional Association for Transgender Health (WPATH) or, or,%20V7.pdf - you are psychologically all set for below the waist surgery. Two therapy letters are required, one from a therapist with a doctoral degree, could be a psychiatrist, psychologist, sexologist, nurse, or sociologist. The other letter can be written by another therapist who may not necessarily have a doctoral degree, but at least a master's degree or its equivalent in a clinical behavioral science field. The therapist must be a graduate of an institution accredited by a recognized national or regional accrediting board and have an active license. One of these 2 therapists has to know you for an extended period of time. 

4. What are your fees for MTF Surgery?

Our affordable surgical fees are posted on our web-site. These are comprehensive fees which include surgery at our facility, anesthesia, and 24 hours of observation (phase one) at our facility and of course any followup care that I provide. Again, consultation, lab fees, out of pocket expenses for oral medications and the like are not included. 

With the new technique, we are endeavoring to do everything in one stage and our fee is now $14,500, to keep pace with our expenses.  In the event your need a scrotal extension for added depth, there is no additional charge.  In the event you require a revision or touch up, after 3 months of complete wound healing, there is no additional charge as long as this is done under local with IV sedation (about 85% of our patients).  In the event you require the services of an anesthetist the fee is an additional $600.

In the unlikely event you require transfer to a local hospital, I will continue to follow you there at no charge and orchestrate any needed consultative care. However you are responsible for all hospital bills and consultant fees. If you are approaching surgery without any reserve to cover this contingency, please wait until you are financially more secure or have a line of credit.

We invite you to compare and contrast our fees with other centers.  

MTF fees are related to a myriad of procedures which may include breast implants, tracheal shave, and other feminizing facial cosmetic procedures.  We also do breast augmentation.

Submission of medical records or letters must be accompanied by a check for $250 annotated "for initiation of consultation and review of medical records." 

In the event you wish to bring medical records and letters with you or simply request a consultation, anticipate a consultation fee of $250 during your initial visit.

This fee is not applied to surgery, but remains an independent charge.

While our initial intention has been to spare any profit and welcome aboard new patients, certainly these fees will be adjusted upwardly within a few months. Still they will be well below what others may charge in the USA or Canada.

Candidates who wish to secure their reservations with our facilities are required to have minimally letters of clearance and a phone consultation with a favorable response to questions of concern. Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable

But of course you can watch and wait as there should not be any dramatic increases for the next few months.

Please do not undergo surgery without contingency funds to cover unexpected complications, hospitalization, the costs of other consultants, and return visits to your doctor. People who are just marginally getting by should postpone surgery until their resources are more plentiful.

While deposits can be made with a personal check, the balance of payment has to be made either in cash or with a certified bank check such as a cashiers check brought into the office a day or two before surgery by the patient or your surgery will be postponed.  
We are not set up to handle credit cards.

We need to meet with you at least the day before surgery about 9 AM (by appointment), ideally 2 days before surgery, to review all your pre-op letters, lab work, exam you, and answer questions.   The day before surgery you will be starting your bowel prep, so traveling on that date is ill-advised.

5. Where is surgery performed and age qualification?

If you are below 60 and in tip-top medical shape (not overweight, exercise regularly, (not on insulin) you can be done as an outpatient at our facility with a 24 hour hold for observation. Both an RN and I will be in attendance during this time. Most likely you would then be transferred to a nearby motel.  There are a few on our preferred list.

We recommend that patients over 65 be done in a hospital setting by others.  We have done a few patients in their early sixties with a sterling letter of medical clearance, a perfect thallium stress EKG, and good height-weight conformation.  If you have any reservations that you may not qualify, please ask before initiating a consultation.

Well controlled diabetics on oral medications can be done at our facility, however, diabetics on insulin need to be done in a hospital environment in other locales, unless as in rare instances there is no evidence of systemic disease and a glycosylated hemoglobin A1C shows excellent control.

For the only 2 motels on our preferred list (where rounds are made daily) we recommend Daddy O Hotel, 3 star.  Daddy O is located at 9660 E. Bay Harbor Dr, Bay Harbor Islands, FL 33154, one block from our office (305-868-4141).   Ask for Courtney.  Please make reservations as soon as you obtain a surgical date and specify a room on the ground floor.    Some discount is usually given to our patients.

Less expensive is the Beach Place Miami at 8601 Harding Avenue,  Miami Beach, FL 33141  (305 866-3313). These hotels are the exception to the concept that doctors don’t make house calls anymore.  

For example, if you have surgery on April 4, you will minimally need to have the room available on April 5th at 7 AM, and stay there until April 11th (6 days).  Room rates typically provide for 2 guests.  So please bring a female friend or relative to stay with you.  Please do clarify "two for the price of one" when making the reservation.

While you are there, I will see you every day and do dressing changes and whatever is needed to keep you comfortable and happy. A catheter will drain your urine. At least you won't have to get out of bed to void. On the 7th post-operative day (1 week later) you will have vaginal packing removed, your first douche, suspension sutures removed, and introduced to dilating with stents.. Your may shower. Your catheter will remain indwelling for 5 more days. 

This is a male-to-female (MTF) surgical FAQ provided by Dr. Harold Reed. The piece is the first of a four-part series on the procedure.

See also: Male to Female (MTF) Surgical FAQ and Checklist – Part 2

This is a sponsored post. 
If you’re looking to sponsor a post please contact us at info [at]

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Tuesday, December 15, 2015 / Labels: , , , , , ,

Making It Big - New Irish web-series that tackles growing up gay and lesbian in Ireland

Press Release

Making It Big is a new Irish reality web series, following the lives of 7, 20-something, friends living in Barcelona. We’ll see the friends’ struggles with emigrating abroad in search of a better career, as well as highlighting what its like growing up gay and lesbian in Ireland. The cast will feature Sean Dempsey, Amy Coleman, Stuart Weafer, Emma Arnold, Roisin Gaffney, Niamh Dempsey and English native Abbie Jolliffe.

This season, pop singer Sean is on top of the world as he finishes and releases his debut album, but issues with his roommates turn everything around and Sean can’t seem to avoid the conflict. His best friend of 20 years, Stuart, struggles to find a focus on the sidelines while he watches his friends’ careers soar. New couple, Abbie and Emma, are still getting to know each other, while Abbie takes her music to the next level and Emma discovers what life is like newly out. Niamh searches for employment after losing her job, but when her ex returns, conflict erupts throughout the group and her relationship becomes everyone’s concern. 20 year old Roisin, came to Barcelona to find herself, and while working on music she makes a startling realisation, that changes her life forever. Amy finds it hard to come to terms with life abroad as she struggles with career prospects, and receives news from home that could cut her time in Barcelona short. 


What makes the show unique is that the entire experience is filmed and edited by the shows cast. The series will premiere weekly through the Making It Big YouTube channel Thursday 14th, starting with an extended introduction episode of the 9 part series.

Making It Big - Season 1 - Supertease Trailer:

Other Teasers:

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