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 http://srsmiami.com/metoidioplasty/

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 http://srsmiami.com/sex-reassignment-surgery/.

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
305-865-2000; http://srsmiami.com/ 


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




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    I often feel the T in LGBT is left out by online publications. Thank you for answering these questions, and for giving more clarity on the surgery procedures.


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