Female to Male
(sex reassignment surgery)
Female to Male surgery involves removing the uterus and ovaries of the patient and altering the external genitalia to resemble those of a male. The urethra is lengthened and once the vaginal opening has been closed a phalloplasty is performed, fabricating a realistic male sexual organ.
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Our gender is our most defining aspect. As people we are labelled according to whether we are male or female and others will treat us according to our gender without even realizing it. Whatever situations you are faced with in life, you will subconsciously approach it with a different attitude depending upon whether you are dealing with a woman or a man. Some women feel that they have the wrong gender and long to be men and for them, female to male surgery in Phuket is an answer.
Are you mentally and physically healthy? Are you over the age of twenty years? Have you been living as a man for at least the last year? Have you been receiving hormone treatments for at least the last year? Do you have a letter from a certified counsellor who specializes in gender identity stating that you have undergone psychological counselling for at least the last year? If you meet these criteria then you may be an ideal candidate for female to male surgery.
The first step in female to male surgery is the removal of the ovaries and uterus, to do away with the menstrual cycle. Patients may elect to undergo a breast reduction surgery at the same time to give the chest a more masculine appearance. The creation of a penis also includes the creation of a urethra and to do this a catheter is inserted into the arm and tissue is grown around it to form a functioning urethra.
The patient will undergo a procedure to close the vaginal opening and to move the urethra to a more suitable position. The labia majora and labia minora are used to create a realistic looking scrotal sac filled with fatty tissue. After the tissue in the arm has grown sufficiently to complete the creation of a urethra the tissue is removed and transplanted to create a functioning and sensate penis. The final shaping of the glans is undertaken at a later stage. Each step is done at intervals, allowing the body to heal before proceeding. This ensures that any complications can be dealt with easily and individually.
Each step of the process requires a period of at least two to three months for the patient to fully heal and recover before continuing on with the next phase of the transformation. Initially the patient will experience pain and discomfort, but after six weeks they should be able to resume normal activities. By the second or third month they should be healed well enough to undergo the next phase. After full completion of the surgery the patient should refrain from sexual activity for at least two months.
The incisions are placed in such a way as to minimise scars but any surgery carries a likelihood of scarring. This all depends on your own rate of healing, after wound care and on your genetic predisposition for scarring.
Patients may experience pain, bruising, swelling, bleeding, infection, necrosis or tissue death, temporary or permanent numbness and scarring.