It is often something that I can easily oversee yet in spite of this ability to dismiss things I will still have moments throughout my days where I will come across small reminders of how different life is for someone who identifies as transgender [TG] versus someone who is cis-gendered. For those of you who are not familiar with the term “cisgender” it is a label for “individuals who have a match between the gender they were assigned at birth, their bodies, and their personal identity”, complementing “transgender.” Being transgender means that your gender and sex are not congruent. For example, I was born in a female body yet I identify as male.
Although being who I am is quite easy for me, we do live in a world where it is not always accepted and regrettably there are things that those of us who are TG do have to face each day. There are many who are able to easily “pass” as the gender they identify as – in fact there are numerous options to facilitate this. Given how I am female-to-male, I will be referencing things that apply to those of us who are FTM, however there are also options for those who are male-to-female. In my case I would have surgery and hormone therapy to assist me in my transition – yet I am a pre-op transgendered man. Meaning, I have not had top surgery nor have I been placed on hormone replacement therapy [HRT]. Surgery is costly, as is HRT, therefore not many can fully transition therefore “passing” in society as males is often difficult. Regrettably, in my case, those options are not easily available. Given a certain blood disorder I am forced to take anticoagulants (blood thinners) daily and follow up with a hematologist. There is no surgeon in their right mind that would touch me without authorization from my hematologist, which can get incredibly frustrating. Imagine having a dental emergency of breaking a tooth and needing to have it pulled yet having to wait three to four days, in agony, in order to have your hematologist run tests, take you off medication, give the approval and THEN allow the oral surgeon to remove the tooth. This is for simple tooth extractions; now try to imagine the difficulty which must be faced when it comes time to have chest construction surgery – a double mastectomy.
Last year I planned to have my top surgery in March. It has been something I have been wanting to have done for nearly four years now but health insurances do not cover this procedure therefore I needed to get the money together myself. At last, in December of 2010 I happily reached my goal and proceeded to get the necessary proceedings in order. My therapist provided me with the letter of approval required by surgeons for this kind of procedure and I made the appointment with the leading surgeon here in South Florida. Since I was going to be having my top surgery once and for all, I also made an appointment with the endocrinologist in order to discuss the hormone therapy that I would undergo. This consists of injections of testosterone taken weekly, which are given in order for my body to develop the necessary second sexual characteristics needed for me to fully transition. This includes, but not limited to, body hair, lower voice and overall change of body structure. I cannot fully express how incredibly exciting this was for me. Finally I was ready to begin my transition in order to feel comfortable and at one with my body and mind. Then the floor was slipped out from under me.
Given my medical condition, neither the surgeon nor the endocrinologist would treat me without the authorization given from my hematologist. Therefore I made my appointment with her and was met with news that would ultimately shake my very foundation. She would not approve the top surgery to be completely as an out-patient procedure which is how the surgeon completes all surgeries. Due to the fact that I need to be monitored closely I would have to be admitted to the hospital. No big deal, correct? Well, recall the fact that insurance companies do not cover these procedures? The cost of the surgery nearly quadrupled. A very hard blow to take – but I tried to keep my head up and think positive. Money will come – but I wasn’t prepared for the final blow. My condition makes hormone therapy too high of a risk therefore she would not, and could not, consent to it.
It was a hard blow, which did have a very debilitating effect on my mood and outlook. Slowly I came to terms of it, however. Not much else I could do so here I am today and refusing to allow it to get the better of me. I am in the process of contacting other specialists via my therapist to try to see if there is a way around this. Pushing that aside I now have to face a decision which at one point was a no brainer, yet now, I find myself hesitating. Will I go through with chest construction? Although some may consider it an easy decision, my inability to go on hormones does make me stop and consider what that will mean. Right now I pass as male at times – a very young male. I have no facial hair and at times I do bind. Yet in spite of this I am fully aware of the fact that I am in the greater grey area when it comes to the gender spectrum. It isn’t something I focus on, wallow over and such but it is certainly something that I do consider. Although I would love to sit back and claim that it does not matter, ultimately it does. Not for society but for me – my comfort and my ability to finally feel at one with my body. But what will this entail?

If I do go through with the top surgery, I will have no breasts which is a bonus – yet I will be lacking the extra masculinity that testosterone would offer. Am I to forever live in the grey? A boy who is not yet a man, nor will ever grow to be a man. I do have moments when it gets rather irritating. Yes there are stares, whispers, etc. Most of the time they roll right off of me – but some other times, it does irritate me or even makes me laugh. As you can imagine, one of the daily activities which brings this to the forefront of my mind is the public restrooms issue. I am pretty sure that in any TG person’s blog you come across, this topic will be covered at some point. It is inescapable. So what do you do when you are too masculine to use the women’s restroom but not masculine enough to use the male’s room? Last Thursday I had to use the restroom and went into the women’s restroom – upon leaving one of the workers of the establishment walked in and gave me a look of both shock and anger. In an upset tone she looked me in the eyes and proceeded to say sarcastically “Hello! No men allowed.” I smiled and proceeded to make my quick exit but couldn’t help but shake my head. Do I understand? Of course. Yet it brings me back to my current situation and my options. My top surgery would not be done in order to appease society; it will be done in order to make me feel comfortable about myself. But I am not blind and must keep in mind what this will entail. I will be in the in-between and will face more of these constant issues. As it is right now, people will watch me and stare in hopes of trying to decipher the mystery of whether I am male or female. At times my voice will give it away, whereas other times I can actually see their gaze fall from my face to my chest. To some, I will be considered a masculine woman. What happens when the indicator is gone? Great, right? Not always the case. When people are unable to use these “signs” to peg me whatever it is they wish – they do stare. Annoying, yes, but more importantly what I keep in mind is safety.
When I think of transitioning halfway, I think about my safety. Not only my safety but that of my partner but more importantly, the children. Though we do live in a society which is far more advanced than it was a mere twenty years ago, it is still a dangerous one nonetheless.
Examples:
- 1993 – Brandon Teena, transgendered man, was raped and murdered in Humboldt, Nebraska.
- 1998 – Matthew Shepard killed due to the attackers’ feelings on his homosexuality.
- 1999 – Barry Winchell, a young soldier beaten to death for falling in love with a transgendered woman.
- 2010 – A transgendered male student of California State University was attacked when using the men’s room. According to police, the suspect pulled the victim’s T-shirt over his head, pushed him into a stall, and then slashed his chest with a sharp object, carving the word “IT.” Victim’s name not disclosed.
These are only those who have stood out the most for me due to my own personal interests in researching the news articles, books and movies. However there are thousands upon thousands of cases that occur yearly. Violence plagues the streets of nearly every city in the country. No one is exempt from it; however people whose identity falls under the umbrella term of GLBTQ seem to have bulls eye on their back.
Some Statistics:
- Gays and lesbians are the most frequent victims of hate crimes. (SIECUS Fact Sheet on Comprehensive Sexuality Education. (February/March 1993). “Sexual Orientation and Identity.” SIECUS Report.)
- Gays and lesbians are at least 7 times more likely to be crime victims than heterosexual people. (SIECUS Fact Sheet on Comprehensive Sexuality Education. (February/March 1993). “Sexual Orientation and Identity.” SIECUS Report.)
- At least 75% of crimes against gays and lesbians are not reported to anyone. (National Gay and Lesbian Task Force Policy Institute Report. (1991). Washington, DC.)
- In a study of 5 metropolitan areas (including Boston, Chicago, Minneapolis/St. Paul, New York City, and San Francisco), there were 1,833 [reported) incidents of anti-gay and anti-lesbian crimes, which was a 31% increase over the previous year. (National Gay and Lesbian Task Force Policy Institute Report. (1991). Washington, DC.)
Take for example how common it is for people to engage in the violation starting in school: “75% of people committing hate crimes are under age 30 – one in three are under 18 – and some of the most pervasive anti-gay violence occurs in schools.” –New York Gay and Lesbian Anti-Violence Report, 1996.
Too much violence in the world today and it is something that many people face daily simply because they have the courage to stand up and be themselves. So yes, due to the circumstance, there will be times when something as simple as using a public restroom will cause a person to pause, even for a second. Fortunately there is more of an effort being made by many in order to bring such things to light.
Tonight MTV will be airing a one-hour special called It Gets Better, focusing on the stories of three extraordinary young people:
- a young gay man struggling to tell his family and friends about who he really is
- a lesbian looking for parental acceptance
- a transgender man preparing to get married
Click here for the trailer.