The Basics of Female to Male Surgery (FTM)
Female to male surgery (FTM) refers to the collection of procedures that change a biological woman’s anatomy so that transformation to a body with the physical and functional traits of a man is possible. People who undergo this surgery identify as a man, although they were born with the physical anatomy of a woman. While some trans men choose genital reassignment as part of their female to male surgery (FTM), many others do not. Surgical choices that take place more frequently include chest contouring (giving the chest the shape of a typical male) and bilateral mastectomy (removing both of the breasts). Hysterectomy, or the removal of female sex organs, is another common choice.
The first medical treatment that occurs for most trans men is hormone treatment therapy with testosterone. Next comes mastectomy, also known as “top” surgery (because it affects the top half of the body).
Trans men who have medium to large size breasts generally have to go through a full bilateral mastectomy, along with reconstruction and grafting at the areola. This permits resizing the nipple and moving it to a position where it appears on the typical man’s chest.
Some surgeons use two steps to perform this procedure. The first involves making a cut around or inside the areola before letting the skin retract over the course of a year or so. At that point, a second operation takes away the extra skin. This keeps the surgeon from having to remove and graft the areola — a process that can influence the sensation.
With trans men whose breasts are smaller, a “keyhole” procedure involves an incision around the areola. This also keeps scars to a minimum, and the nipples remain larger as a result. In this case, full sensation returns to the nipple in a fairly short amount of time.
Another part of female to male surgery (FTM) involves taking the uterus out in a procedure known as hysterectomy. Some trans men opt for a hysterectomy along with a removal of the ovaries because they don’t want to have the female organs for reproduction anymore as a part of their transition. However, this is not strictly necessary because menstruation generally stops with hormonal therapy. Some choose this as the only “bottom” surgery (surgery affecting the lower half of the body) in their transition, opting not to have genital surgery.
Many trans men choose ovarian removal so that they can cut their risk of developing ovarian, endometrial and cervical cancer. This does not eliminate the risk completely but decreases it significantly. Trans men pursue this not only because of the medical desire to reduce their risk but also from the fact that many trans men have a high level of discomfort seeking out gynecological care after their transition. However, best practices dictate that trans men visit a gynecologist at least once every three years for a checkup, especially if they have a family history of cancers in that part of the body, experience of gynecological cancer personally or who are keeping their vagina before or after reconstruction of the genital area. Any trans man who encounters bleeding in the vagina after testosterone has stopped menstruation needs to visit a gynecologist immediately, as this is a possible sign of cancer in that part of the body.
When female to male surgery (FTM) does involve reconstruction of the genitals, doctors generally use the clitoris after enlarging it with androgenic hormones in a process called metoidioplasty or use tissue grafts taken from the belly, thigh or arm, as well as a prosthetic, in a procedure called phalloplasty. No matter which option the doctor uses, it is possible to reroute the urethra through the new phallus to permit urination using the new penis. The doctor connects the labia majora to create a scrotum, and the doctor can then insert prosthetic testicles.
Visiting sexchangeoperation.net is a great way to find the right medical practitioner for your female to male surgery (FTM). Numerous patients have located a surgeon who has given them the physical and aesthetic results from surgery to allow them to live as the men that they have always known themselves to be.
For more information: Click here to find a gender reassignment surgeon.