Sex-change operations

Definition

Sex-change operation - is surgical intervention, implying a change in the genitals of one sex to the opposite.

Objectives

To change the sexual organs may be two reasons:

* When a child had been born with congenital anomalies should immediately choose him the floor and operated on. Such anomalies are somewhere between male and female sexual organs, and their appearance is connected with violations of hormonal background.
* Some women and men realize that they are persons of the opposite sex. This introduces a discrepancy in their existence and may cause a desire to change sex.

Purely technically easier to turn a man into a woman, and not vice versa. Newborn babies with deformed genitals almost always turn into women. Exceptions are cases where the penis of the child longer than 2,5 cm Regardless of the chromosome, so people in the future easier to get used to the role of women, albeit fruitless.

Precautions

Sexual identity - the most important feature that defines individuality. The floor must be a child from birth, so it will be easier and himself, and his parents. The change of sex, perhaps the most significant change that can happen to a man. Change the floor should be with great caution. Adults reshivshiesya such a step, before many years did not live in "their skin". According to statistics, the average age of people voluntarily going to the sex-change operation - 29 years. And even at this age, people often do not fully represented, with what they will encounter.

Description

During a sex-change operations in men removed the penis to form in the genital vagina. It is created from the tissue of the penis and scrotum, or skin grafts from separate parts of the body and a fragment of the intestine. Before the operation to remove the testicles need long-term hormone replacement therapy to reduce the level of testosterone and its derivatives. Duration of hormone replacement therapy pre-determined individually on the results of hormonal tests (minimum - six months). After removing the testicles, stops the production of male sex hormone (except for small doses produced by the adrenal cortex), which makes it possible to significantly reduce the amount taken hormonal medications, and even completely abandon some of them. After surgery, the patient is taking female sex hormones (estrogen) to change the contours of the body and breast enlargement.

Operations to transform a woman into a man often less efficacious. Generate able to erection of a small section of tissue in the clitoris - a difficult task. Penis trying to create, not earlier than one year after the removal of female genitals. According to research, 1 / 3 of patients can not be solved at the new operation, although all are satisfied with the change of sex. In addition to the genitals, is removed and part of the mammary glands. This operation is almost always successful.

After surgery, patients retain the ability to experience orgasm, or at least "moderate erogenous sensitivity."

Preparation

Before and after surgery to monitor psychologist.

Rehabilitation

To adapt to the new state needed the support of the environment (especially family). Quality of life is deteriorating in the case when patients are older than 30 years of distinguished social or emotional instability before the operation or dissatisfied acquired as a result of the operation body proportions. Cases of the impact of operations on the ability to work is not marked.

Risks

Any surgical intervention associated with the risk of infection, bleeding or need for reoperation. Results reassignment surgery is irreversible, so the patient should have no doubts about its viability.

The most frequent complication of surgery to change sex from male to female - a narrowing of the new vagina.
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