How to be Respectful Towards a Trans Person

Most of the people I talk to about my husband’s transition are open-minded and accepting but generally ignorant. They want to treat trans people respectfully but don’t know how. They want to learn more about my husband’s transition and my experience as his partner but don’t know how to ask the questions in a respectful way. So I thought I’d give you some suggestions or guidelines depending on your relationship with the trans person.

STRANGERS AND ACQUAINTANCES

Use the correct name and pronouns by which I mean use the name and pronouns that they ask you to use regardless of how they present at the time. If they don’t specify their pronouns you can ask or use the pronouns that is your best guess based on their presentation until they correct you. If they use other gendered terms to identify themselves then you should reflect their language back to them and use the corresponding pronouns unless they have specified otherwise.

You should not be asking anything about their transition including the name they were born with, whether they’ve had surgery (especially don’t ask if they’ve had ‘the’ surgery), whether their family is supportive, how old they were when they realized they were trans, or how long they’ve been on hormones.

Phrases to Avoid:

  • Are you a guy or a girl?
  • You look so good! I never would have known you were trans.
  • I have so many questions!

Phrases to Use:

  • My pronouns are ___. What pronouns do you use?
  • …blah blah blah… [incorrect pronoun]… sorry…. [correct pronoun]…. blah blah….

FRIENDS, COWORKERS, AND EXTENDED FAMILY

If this is the level of your relationship, the trans person may have shared more about their transition process with you. This may include frustrations and struggles, medical components such as starting hormone therapy or having surgery, and legal components such as completing their official name change on various documents.

The most important thing you can do remains using the correct name and pronouns. Even better, correct the people around you if you hear them get it wrong. Not only will this help you and others adjust more quickly but it will also show the trans person they have your support and establish an expectation for everyone that it is not acceptable to misgender someone. Correcting people’s pronouns is exhausting for the trans person especially when they have to correct the same person repeatedly. To help you adjust, change their name in your phone/contact info and put their pronouns in brackets next to it. Each time you think of that person, repeat their name and pronouns in your head five times. Don’t worry about sounding awkward and hesitating if that’s what it takes to use the correct name and pronouns. If you make a mistake, apologize and move on. Don’t derail the conversation and make it all about the trans person and their pronouns every time someone makes a mistake.

It is a long process with lots of barriers and frustrations. Drawing attention to how long the process is taking makes it harder for the trans person to deal with. Transition is not a step by step process or a recipe that people follow and does not always have a specific end point. Everyone’s transition process is different. Not everyone will be transitioning to male or female (they may identify as non-binary). Not everyone will take hormones. Not everyone will have top surgery or bottom surgery but some people might. The length of time between parts of their transition vary wildly. It is not your place to ask about this unless the trans person offers the information first. If they confide in you, it is not acceptable to share that information with anyone else without their permission.

Do not compare your frustrations with changing your last name after getting married to the trans person’s experience with changing their first name and gender. Forms that have categories for getting married do not have options for first name and gender changes. People that process name change paperwork are familiar with the process of last name change with marriage status but not first name change with gender. Talking about your name change with marriage does not put you at risk for discrimination or having people question your identity the way it does for a trans person. This example applies to almost any aspect of transition including hormone replacement, surgery, or other types of coming out experiences.

Try not to treat the person any differently once they transition or once you learn about their status as a trans person. Do not try to educate the trans person on ‘how to be’ their new gender. Do not second guess the trans person’s identity, even if their presentation or interests are not stereotypical of their stated gender. They have second guessed their identity enough, long before you became aware that they were trans.

Phrases to Avoid:

  • Why does your ID still have your old name?
  • When are you getting the surgery?
  • And your spouse/S.O. is ok with this?
  • I can get your name right but I just need a little more time to get your pronouns, you understand right?
  • You’re still not done yet? You’ve been working on this for a while!
  • I knew you as [birth name] for so long, it’s going to take a while to adjust
  • What bathroom are you using?

Phrases to Use:

  • I want to learn more about your experience. Do you have any resources I could look at?
  • Is there anything I can do to help support you?
  • …blah blah blah… [incorrect pronoun]… sorry…. [correct pronoun]…. blah blah….

CLOSE FRIENDS AND IMMEDIATE FAMILY

Everything from the previous section applies to you as well, especially the part about name and pronouns. In addition, you may be one of the first people the trans person is coming out to. Your support is the most important factor in helping the trans person get through their transition. Literally. The suicide rate for trans people is extremely high. The number one factor that prevents suicide among trans people is family support. So learn as much as you can about the transition process and let them know they have your support, even if you are struggling to accept or understand their new identity. Let them know that they should tell you if you do something or say something wrong or upsetting. Make sure you spend time with them doing things that you both enjoy that have nothing to do with their transition. It is a good way to stay in contact and get used to changes as they happen but not make everything about being trans.

If there are aspects of their transition that you are struggling with, let them know and tell them you are working on it. Find other people to talk to about it. Unless they have given you permission to tell other people, this will likely be a therapist. If they know that you are struggling and need to talk to someone and you ask if you can tell a specific friend or one other family member, they may be open to it. Never tell someone that this person is trans without their permission. Once they start telling people, you may become a conduit for information for the rest of the family or group of friends. Talk to the trans person about how they want you to answer typical questions and how much information they are comfortable with you disclosing. This type of conversation will happen repeatedly as the group of people they have come out to grows.

Offer to go with them to medical appointments and other difficult tasks even if they seem trivial to you. It often takes a lot of courage to get those steps done and having backup definitely can help. If they ask you to, try to be willing to attend therapy or support group sessions with them.

Phrases to Avoid:

  • You’re not going to get surgery though, are you?
  • These changes are permanent! What if you change your mind?
  • You really should tell [specific person]. They deserve to know.
  • You don’t really need to get the surgery, since you’re married. If you were single it would be a different story.
  • You can come over for dinner, as long as you don’t talk about your transition.

Phrases to Use:

  • Would you like some company when you’re going to… (eg: HR, passport office, fingerprinting, registry for name change)?
  • I support you and your decision to transition but it will take me some time to adjust. Is there anyone you would be comfortable with me talking to about this so I can work through my own feelings faster and not put them on you?
  • Let me know when you are ready to start telling other people and I will help you with that in whatever way I can.
  • What can I do to affirm your identity? You have told me what not to do, but are things I can do that feel positive for you?

MEDICAL AND HEALTH PROFESSIONALS

If a patient enters your practice seeking treatment from you and you are either aware of their trans status or become aware of their trans status during the interaction, the first thing to do is confirm that you are using the correct name and pronouns and then stick to those. Make sure your patient database on your computer system reflects the correct name and pronouns. If you are unable to change them in your system for legal/billing reasons until the person has completed their legal name and gender marker change, find a way to indicate in your system what name and pronouns the patient uses so that all the staff in your clinic identify the patient correctly.

As a health professional it is your job to know what aspects of the patient’s status as a trans person are relevant to your medical field and which are not. Learn how to ask questions about the relevant areas in a respectful, straightforward way that makes it clear why it is relevant.

You should not be asking any questions related to any aspect of their transition or experience as a trans person that is not relevant to your area of practice. If you want to learn more you can ask the patient for resources they would recommend, but, better than that, you can do your own research just like you are expected to do when a patient has a history of a medical condition you are not familiar with. It cannot always be up to the patient to educate the professionals. It is not only exhausting for the patient but unprofessional.

Keep in mind that trans people will have had many unpleasant, inappropriate, transphobic experiences with other health professionals before you. They are coming into this interaction with their walls up expecting a negative experience. It only takes one misstep to confirm their expectations that this interaction will be like all the rest. If you realize you have made a misstep, apologize for it taking full responsibility and move on. Stay focused on why they are there to see you and only what is relevant to that condition/concern/complaint.

Phrases to Avoid:

  • Oh! You’re trans? That’s so interesting! I’d love to talk to you more about that.
  • Have you had the surgery?
  • When will your transition be complete?
  • Anything irrelevant to your profession or the reason they are there.

Phrases to Use:

  • I admit I have very little experience with trans patients so if I say something inappropriate please tell me right away or if you think there is something relevant that I haven’t asked about, please feel free to mention it if you feel comfortable doing so.
  • I’ve been trying to find information on trans people’s experiences with this condition. Are there any resources you would recommend?
  • I understand from your history that you are trans. Have we been using the correct name and pronouns for you? If yes, let us know anytime if that changes. If no, what name and pronouns would you prefer?

I hope this information helps you feel more confident that you will be able to treat trans people in a way that conveys your respect for them. Did you find any of this surprising? If there are areas you want to know more about, take a look at the Resources Page or search for other similar posts under the Partner tab.

If you are trans and reading this, what other suggestions do you have? What is your reaction when someone uses one of the phrases that I recommend people avoid?

Dealing with Frustration

WHY FRUSTRATION?

It feels like frustration has become my default setting. Frustration is a result of having a goal but having minimal progress towards that goal. It’s a feeling of stagnation, of constantly coming up against immovable barriers and being powerless to make a difference. The more important the goal is to you or the bigger the effect that the goal will have on your life, the more urgently you want it and the less you can tolerate stagnation without becoming overwhelmed frustration.

During various stages in my husband’s transition we had to wait for medical and legal systems to change, creep up a waitlist, wait for the physical changes to happen that come with HRT (Hormone Replacement Therapy, in Jake’s case, testosterone), or wait for people to start using the correct name and pronouns. For myself, I find that the more dysphoria I feel, the less resilient to life’s stressors I am. I am less patient and more easily frustrated, especially when gender related topics or situations come up.

I have developed a number of strategies for dealing with or minimizing frustration that I thought I’d share with you. I have a couple general strategies, a couple for dealing with the waiting and frustrations associated with transitioning, and a couple for minimizing the increase in frustration due to dysphoria. I hope you find them useful.

GENERAL STRATEGIES

Get Enough Sleep

When I haven’t been getting enough sleep I am tired, cranky, and my brain hasn’t had enough time to recover from one day’s stress so it bleeds into the next day. I have to drink more caffeine to get through my day which makes me jittery. These effects are strongest when I haven’t had enough sleep, but are also present if I didn’t sleep at the right time (went to bed late and slept in), even if I slept for 8+ hours.

Suggestion: try tracking your sleep patterns and your mood, frustration level, energy level, or whatever symptoms you experience personally. Try planning your sleep as a part of your day just like you would with other important tasks.

Exercise

Frustration is a stagnant feeling. It is a holding of tension that has nowhere to go. For me, exercise helps. It gives me a feeling of getting that tension or energy moving and expelling it in a functional way. Some people accomplish the same thing by cleaning. I have found a base level of cardio exercise per week helps decrease the day to day frustration level and doing a harder weights workout helps if there is something specific that triggered a build up of frustration. I feel like martial arts or boxing would also serve the same purpose though I haven’t tried these personally.

Suggestion: try building exercise into your weekly plan if it isn’t already. Start at a level that feels ridiculously easy to accomplish and only increase the goal when you’ve been able to accomplish it three weeks in a row. Increase it by no more than 10% at a time. Try different types of exercise and note their effects on your mental and emotional state. When you have an increase in frustration, fatigue, anxiety, or whatever it is that you experience, schedule in the type of exercise that helps you manage that symptom the most. See my post At the Gym for my own exploration of exercise and dysphoria.

FRUSTRATION WITH WAITING

Get Involved

If you have the energy and time to do so, getting involved in changing the systems that are in your way can give a sense of purpose to your struggle and decrease the frustration. However, burning yourself out with advocacy will not help deal with frustration so be careful not to overextend. Advocacy doesn’t have to mean petitions or lobbying the government. It can mean volunteering at your local LGBT center, offering to do a presentation or review the policies at your workplace, or writing a blog.

Find a Project to Work On

Frustration is a result of a feeling of stagnation. You want to be seeing progress on something but you aren’t so you feel frustrated. It is a build up of tension and has nowhere to go. So find something else to focus on that you enjoy that will give you a sense of progress. Projects that involve learning new skills, are creative in nature, result in a shareable product or provide a helpful service for others, and can be broken down into small steps (frequently accomplishing milestones gives the best sense of progress). I find creative projects the most beneficial. You can pour your frustration onto the page, into a drawing or painting, or into a piece of music.

MORE EASILY FRUSTRATED DUE TO DYSPHORIA

Authentic Experiences

Seek out or create opportunities where you can be yourself and feel comfortable. Hang out with people that you are ‘out’ to. Spend time with people that have similar experiences or identities to you. Engage in activities that don’t trigger dysphoria or relate to your gender at all (gender non-specific activities). You read more about my own search for authentic experiences here: Finding Sources of Support and Experimenting with My Name and Pronouns.

Optimize Management of Dysphoria

Explore the specific sources of your dysphoria and develop as many strategies strategies for decreasing or managing your dysphoria as you can. For me, this process involved three stages: explore my identity, track and identify sources of dysphoria, and trial variations in gender expression to develop management strategies. Dara Hoffman-Fox’s book You and Your Gender Identity: A guide to discovery walks you through this process in a methodical process that I found very helpful. I have written about my experiences with this process in My Initial Gender Exploration Process, My Experiences with Gender Dysphoria and Euphoria, My Physical vs. Social Sense of Gender. I hope those posts will help you with this strategy.


Do you experience frustration the way I do or for similar reasons? How do you deal with frustration? Have you used similar strategies to the ones I describe above? Do you have other strategies that I didn’t mention that have worked for you? Leave a comment below! Your strategies may work better than mine do for someone else!

Interpersonal Dysphoria

After my husband decided to transition I slowly started picturing him the way he pictured himself: with a flat chest and facial hair. Seeing him with a female chest became uncomfortable. But I couldn’t really picture exactly what he would look like with a flat chest. So instead, this area of my mental image of him kind of blurred out.

In prep for his top surgery consult we had to take topless pictures for the surgeon and take measurements which was a very uncomfortable experience for both of us as neither of us pictured him with a female shaped chest at this point.

After surgery we went back to the clinic about a week later for removal of the bandages. It was a very interesting experience to see his chest flat for the first time. I was finally able to look at that part of his body and not have what I was seeing conflict with what he looked like in my head. Over time the blurry part where his chest was in my mental image cleared to match what his chest looks like now.

I have started describing this type of experience as Interpersonal Dysphoria. This is when your mental image of your friend/partner/family member has changed to match their newly affirmed gender but their physical body hasn’t changed yet.

Experiencing interpersonal dysphoria is a good sign!! It means you are ahead of the game and have adjusted your mental image to match your partner’s identity. But it still sucks because it makes you somewhat uncomfortable with how they look. If you never experience dysphoria for your own body this is as close as you are likely to come to knowing what it feels like.

The areas of their body that now seem ‘wrong’ to you are likely the areas that they experience dysphoria with. But making this assumption can cause problems. Are you comparing their body with a cis body of their ‘preferred’ gender? Or are you comparing their body to how they personally wish their body looked? These are two different scenarios. Comparing to a cis body can be dangerous because they may not have any problem with certain areas of their body. If you are comparing to a cis body you are assigning a gender to their body parts the same way society does which can lead to shame, disgust, and dysphoria or avoiding interacting with parts of their body that they are actually comfortable with.

To avoid this scenario you need to have open conversations with your person to learn how they feel about different parts of their body and why (or as open a conversation as is appropriate given your relationship to that person – coworker vs sibling vs partner). Give your partner room to think about these questions and change their mind at different times. Recognize that these conversations will cause a temporary increase in dysphoria just by having your partner focus on those body parts. You may want to break the conversation into small pieces and revisit it with recovery time in between. Build in self-care recovery time after each of these conversations for both of you.

If your person can articulate how they feel about their body and how they picture their ideal body that would match their identity, you should cultivate a mental image that matches. This will help you adjust to using a different name and different pronouns and help you unconsciously interact with them in more gender affirming ways.

If this person is your partner, this type of interpersonal dysphoria will also lead to changes in how you will be intimate with each other. If you haven’t already had conversations about what ways your partner is comfortable having you interact with their body and what they are comfortable doing with you, now is as good a time as any. Keep in mind this is a two-way street – the conversation should also include what you are comfortable doing with them and having them do to you.

As they explore their gender and gender expression and find ways to deal with dysphoria during intimacy and sex the boundaries of what each of you are comfortable with may overlap or not in various ways and may change over time. These are conversations that you should get used to having on a regular basis. I don’t want to go into full sex talk mode here so I’ll leave the rest up to your imagination. If these conversations are too difficult for you to have with your partner or your partner isn’t able or willing to engage with you in this discussion I recommend finding a couple’s therapist that is familiar with trans issues to help you out.

 

Have you experienced interpersonal dysphoria with your partner, friend, or family member? How did you navigate the conversations that needed to happen for you to know how they pictured their body? Leave a comment below with your experiences or questions!

Experimenting with My Name and Pronouns

I recently went on a vacation with my husband where I was attending a conference and was able to pick the name and pronouns that would appear on my ID badge. My husband asked if I wanted to use my male name, Ray, and they/them pronouns as an experiment to see how it felt. After some thought and a couple of conversations with trusted friends I decided to go for it.

My gender identity includes a female component which I was assigned at birth (named Meaghan) and a male component which I began to experience in the middle of grade 10 (named Ray). I am Meaghan in my everyday life and for a long time kept the name Ray and that part of my identity hidden. Since my husband began his transition from female to male I have been exploring my own gender more. (More on my own story here, my exploration process here, and my identity labels here).

Lately, I have begun using the name Ray and using neutral pronouns among other queer/gender non-conforming friends. This group of people are generally better at adjusting names and pronouns because they’ve had more practice and are more flexible in their thinking about identity. This allows me to express the part of myself that generally feels hidden or invisible to society. It has helped me feel more seen, more whole, and more authentic with a lot less fear and judgment.

The first few times I tried this were incredibly nerve-wracking. What would people say? Would they make mistakes? Would they correct themselves? Would I have to correct them? How would I feel? Would I get weird looks from the people around us? As it turned out, my friends were great and no-one around us seemed to notice. Maybe they assumed that by Ray I really meant Rae as in short for Rachael but who cares. It felt awesome.

When my husband was at the beginning of his transition and was trying to find a name that fit we went through a similar process of testing different names. We quickly figured out that when you’re only two people hanging out with each other you rarely use each other’s first name. So we did a trial period while we were on vacation and were more likely to be introducing ourselves to people or talking to each other from a distance. Turns out when the vacation is a camping trip where you are trying to avoid human contact this also doesn’t work very well. But it did give us an extended period of time when we forced ourselves to think of my husband using different names and in the end did help him settle on one. (More on my husband’s transition in Part 1, Part 2, and Part 3).

My situation was slightly different. When I first began to experience having a male identity it included the name Ray right from the beginning. So I didn’t have to look for a name or test a few out and narrow it down. I’m also not transitioning to using that name at all times instead of my female one. I want to be able to use either name depending on the situation and how I feel at the time. Ideally, I’d be using each name 50% of the time but I don’t think that is feasible, at least not yet.

So when my husband suggested I opt for using the name Ray and using neutral pronouns for the entire week at the conference I decided to go for it.

I wasn’t sure how it would feel to hear myself be referred to by that name all the time. What if it felt just as uncomfortable because I wasn’t hearing my female name anymore? What if I got weird looks or comments? What if it was just such an intense experience that it was distracting or exhausting?

None of this happened. It was awesome.

Typically when you change your name people make a lot of mistakes because they have known you by a different name previously. And if you’re just testing out a name and ask them to switch back and forth it’s even less likely to work. Since I was introducing myself to the people at the conference for the first time and I was wearing a name badge with my name right on it this didn’t happen. They got it right the whole time because they had no other name to call me.

The pronouns were a different story. People still defaulted to female pronouns even though I had ‘they/them’ printed below my name on my badge. I wasn’t the only one at the conference that used neutral pronouns. And it was standard that everyone had their pronouns printed on their badge. So in general the conference was very proactive and supportive. But still, people struggled to wrap their heads around using they/them. When this became evident on the first day I changed my expectations from ‘a chance for me to feel seen and live authentically for a week’ to ‘a chance for people around me to be exposed to they/them pronouns and have a chance to practice with them’. This reframing helped decrease the frustration, disappointment, and dysphoria immensely.

The whole experience also gave my husband a chance to practice using the name Ray and they/them pronouns when referring to me. I know he’s nervous about struggling with this, especially because I’m not switching 100% and will potentially be asking him to switch back and forth in different situations. I don’t know how to make this easier for him but I’m sure we’ll figure it out as we go along.

I highly recommend testing out names and pronouns on vacations or isolated opportunities such as social groups, camp, or conferences where you are meeting people for the first time that you are less likely to interact with after the fact. As it turned out, I have kept in touch with a lot of the people I met and therefore have had to re-introduce myself using my female name but hopefully, since they were primed to think of my as Ray first, they will see me as a combination of the two.

 

Have you experimented with a different name or different pronouns? How did the experience work out for you? Have you ever been asked by someone else to use a different name or different pronouns? What was difficult about this and what made it easier? Tell me your story in the comments below!

 

Finding Support

Whether you’re the one trying to figure out your gender or you partner is questioning theirs, you need a support system. This can come in many forms. Below are a few of the types of support I have found useful.

I think of support as a two way street. Ways that you are participating, communicating with others, where they know who you are. I think of resources as something you look at where the person who put it out there doesn’t know who you are. This post is about support. If you’re looking for resources, also useful but less personal, see my resources page.

Friends

Especially early on in the process, finding one good friend who can be a sounding board is extremely helpful. Having someone to tell your fears and thoughts and confusion to eases the internal pressure and helps you feel less alone. They can provide support, be a resource, help you clarify your thoughts, and help you experiment with a different name or presentation. They can be a shopping buddy if you’re looking for a new wardrobe. If they are more familiar with the queer community in your local area than you are they can help you connect to other types of support.

Before my husband came out to the world as trans, he came out to a mutual friend so that I would have someone to talk to. This friend helped me clarify how I was feeling and test out how I would respond to the questions I would likely get from others. Since I’ve been exploring my own gender identity, my husband has been my sounding board. As someone who also experiences dysphoria he is invaluable for commiserating or suggesting management strategies.

queer community

The queer community is where you’ll find people who have a better understanding of the language, experiences, and fear you might have. Queer events give you a safe place to be who you are, express your identity, and use whatever labels, name, or pronouns you want. Just having a safe place to be can be a big relief. Leaving these places can feel like putting your mask back on or going back in the closet so it’s nice to know when the next event/meet up will be so you have something to look forward to.

I have found the queer community very helpful since I came out as gay. I have always needed to be around people who have similar experiences and understand what I’m going through. We were initially part of a queer sports league which was great for exercise as well as queer time. Community became even more important when my husband came out as trans but we found that we had to find different groups that had a more trans focus. I have also been part of a queer choir which again, is great for getting time around queer people as well as keeping music in my life. Often these activity-focused queer groups are the nicest because the support and camaraderie are there but you don’t have to tell your life story to everyone or talk about what’s currently going on. Sometimes, talking is too difficult and all you need is the support.

Online groups

These are great. There are facebook groups for everything imaginable. Some of them are closed and you need to ask to join. Some of them are hidden and you need an invite from someone in the group (which is easiest to get by meeting people in the queer community or participating in similar online groups that have overlapping members). These groups give you a place to post questions, rant about a bad experience, celebrate milestones that other people wouldn’t understand the significance of, or just read what other people have been saying.

I’ve been part of online groups for our local trans/NB community, partners of trans men, genderfluid people, etc. There are groups dedicated to top surgery, bottom surgery, and HRT. Both my husband and I have used these groups to ask questions of others that have already gone through what were going through and provide support to others that are just starting something that we’ve already done. Some groups we are in separately and some we are in together. On days that were harder, I would check the group I liked the best almost hourly to feel a connection with other people who understood. I wish I had found these groups earlier in his transition process but I still find them useful today.

PFLaG

PFLaG stands for Parents and Friends of Lesbians and Gays. There are support groups all over North America. It may not seem politically correct or very inclusive but as it turns out, the support group in our area is mainly trans focused and very well run. This group is designed to take people from not accepting to accepting to celebrating their own or their loved one’s identities. The group includes people of all LGBT identities as well as friends and family. The discussion is different every time and includes whatever topics people want to discuss. We get the perspective of other people going through the process, friends who are trying to be good supporters, parents who are struggling to understand, siblings who are trying to build a new bond, and sometimes health professionals who want to be more inclusive.

This was one of the first sources of support we found. The group near us runs once a month. It was big enough that we could sit and listen without having to participate if we didn’t want to. No matter what was discussed we always got something out of it. It was like a release of pressure, an emotional breath of fresh air. During the harder months we would measure time based on how long it was until the next PFLaG meeting.

A few meetings in someone mentioned another PFLaG meeting near us at the opposite time in the month. For a couple of months we went to both. This second meeting was quite a bit smaller which pretty much required participation. At some point my husband couldn’t make one of the smaller meetings so I went by myself and ended up talking about a bunch of the stuff that I didn’t want to burden him with (mainly my anxiety about how he was really doing, fears about the possibility of him getting beaten up, my observations of the toll that coming out was taking on his mental health, etc). We decided that it was a good idea for me to have my own separate group to go to, especially since I was getting more out of the groups at this point than he was. So we would go to the bigger group together (whenever possible) and I could go to the smaller group by myself when I felt like I needed to. I continued going for about a year but eventually didn’t need as much support. We have continued going to the larger group for nearly 3 years and I have been helping to run a separate group every third month specifically for partners of trans people.

Lately, I have been finding the group helpful in providing support through my own gender discovery journey. Even once life is not specifically about our personal gender experiences we will likely still be attending just to have somewhere to be where the majority of people understand this aspect of our lives and so that we can provide support to others that are just starting the process.

therapists

Finding a trans-friendly therapist is very important. Some therapists present themselves as trans-knowledgeable, trans-positive, or trans-friendly but, as we have learned from friends in our various groups, some are operating from a very old and transphobic play-book. The best way to find a truly trans-positive therapist is to get a recommendation from someone in the community who is further along in the process than you are. When you are just starting out you don’t necessarily know what it means to be trans-positive. Only in discussing the things that your therapist has said to you with others in the community will you get the perspective that you need. Sometimes the therapist has already done serious damage to the person’s sense of self-worth.

A good rule of thumb in my book is that if you are coming away from therapy with more guilt, shame, fear, confusion, self-hatred, and dysphoria, this is not a good therapist for you to be seeing. Look online. Find support groups. Find friends that you can talk to. Ask around for recommendations. If you have a local queer community centre, ask them for recommendations. If the therapist they recommended was the one that made you feel worse, stop going anyway. There are other resources and other therapists out there that can help. Check out my resources page for some other options.

trans-friendly health professionals

These are rare in our experience. As a trans person you will need to receive care from family doctors, endocrinologists, psychiatrists, pharmacists, dentists, specialists (gynecologists, proctologists, fertility docs, speech therapists, physiotherapists), and surgeons. The more times you interact with a health professional that is not trans friendly the less likely you are to access health care the next time you need it. Finding trans-friendly and trans-knowledgeable health professionals is not only going to help you get through your transition but also take away a big source of stress. Finding trans-friendly professionals is easiest by asking your support groups.

Trans-friendly and trans-knowledgeable family doctors are especially rare and so much in demand that our community filled up the caseload of three family doctors in a row as they were suggested to the group. If you are a healthcare professional or you know of one that might be open to learning more about trans care and trans issues, give them/look up as many resources as you can. Spreading this information is one of the best things allies can do.

 

What are your support systems? How did you find trans-friendly therapists and other health professionals? Leave a comment below!

Help! My Partner Just Told Me They’re Trans!

If your partner just told you they are trans or wondering if they are trans it means they trusted you enough and value your place in their life to share this huge part of themselves with you. If you are not sure what to do next, how to be supportive, or what this means for you you’ve come to the right place. I hope this post will help answer some of those questions.

new relationship

Someone you’re dating who you are interested in and want to pursue a relationship with just told you they are trans.

They’re trans and ‘post’ transitioning

Ask them about their experience of being trans (if they are willing to share).

  • Do they use that label? Are they ‘out’ as trans?
  • When did they start to transition? How long have they been living authentically?
  • Do they have people who are supportive in their life? Are there people who have not been supportive?

Be honest about your level of knowledge and ask if they have any resources or things they feel you should look up.

  • Even if they say no, GO LOOK THINGS UP (which you likely are already doing if you have found this page so good for you! Keep going!). Learn some terminology, learn the basics of what dysphoria is and what the transition process entails for their area of the world.
  • Be honest about your level of comfort and confusion and that you will try not to do anything to offend them or make them uncomfortable and that if you do you want them to tell you right away so you can learn.
    • Sometimes giving someone feedback like this face to face is difficult which results in not getting the feedback you need to be aware of your actions and improve. Offer alternatives – they can write you emails or notes.
    • When is a good time for this type of feedback? It is much easier for people to offer intensely personal feedback if you ask for it directly. Once a week (or whatever time frame works for you), check in with them and ask for feedback.

Offensive questions/statements to avoid:

  • DO NOT blatantly ask about their genitals or if they have had ‘the surgery’ yet.
  • DO NOT say ‘wow! I’d never have known if you didn’t tell me!’ or ‘Wow you look really good for a [insert gender here],
  • DO NOT ask what their ‘real’ name is, or what their name used to be.

The fact that they told you means they feel strongly enough about the relationship that they wanted you to know and that they trusted you enough to tell you something that could potentially put them in an unsafe situation. This reflects well on how you have acted up to this point. Don’t mess it up with an ignorant if well-meaning response.

They are a person, same as they were before they told you they were trans. Nothing has changed. Continue with whatever topics of conversation you were enjoying and learn more about them the same way you would on any other date. Don’t make everything suddenly be about their trans identity.

They’re trans and ‘pre’/in the middle of transitioning

Ask them how they would like you to refer to them (pronouns and name) and try your best to respect that. It may change as they go through their transition so be open to that. If you mess it up say ‘sorry’, correct yourself, and move on. Don’t make a huge deal of it but don’t gloss over it either. If they would like you to use a different name/pronoun than they use in the rest of their life clarify when they would like you to use which set – will it change depending of where you are and who you are with? It is a good policy to have this check in each time you are entering a new environment/meeting new people.

Ask if they’re comfortable talking about it and if they’re willing to explain more about what they’re going through. Keep in mind that they may not want to if you’re out in public but might be ok with this in a more private setting. Or they may not want to right now but they might be able to in the future. This is not usually a reflection on you or how much they like you or how much they feel they can trust you. It is more likely related to whether they have found the words to express the confusion they feel inside.

Ask if they have any resources you should look at that will help you understand their identity or experience (see above).

Be open about your level of knowledge, confusion, and willingness to learn (see above).

Acknowledge that you might do or say something that offends them or makes them uncomfortable but that you don’t mean to and that you want them to tell you right away so you can learn (see above).

They are a person, same as they were before they told you they were trans. Nothing has changed. Continue with whatever topics of conversation you were enjoying and learn more about them the same way you would on any other date (see above).

Long term relationship

Your partner may have known for a long time and have been trying to suppress it, blend in, hide it from you but they can’t any longer. They may have been presenting very much in line with their gender assigned at birth to you and to the world so this can seem like a huge change.

Or, your partner may have been presenting as closely as possible to their true identity and when they reveal to you that they’re thinking of transitioning it may seem like it makes sense and won’t be much different or it might still seem like a surprise.

You may have feelings of shock, betrayal, anger, fear, regret, even disgust. Society teaches us that trans people are abnormal and many of your initial reactions may be a result of this conditioning. Do not beat yourself up for these reactions but try your best to figure out which emotions are specific to you and your situation and which ones are a result of your preconceptions and stereotypes from society.

Try to find some private space and time where you can talk to your partner for as long as you need to understand how they feel and what they want to do. Understanding who they see themselves as and who they want the world to see will help you get a better idea of how you might feel going forward.

Express your own feelings, both negative and positive, and decide whether you need some space apart to work things through or more conversations together to learn more about how/if things will work between you.

Make a list of the aspects of your lives this will affect – your relationship, children, business ventures, family relations, etc. Being able to categorize where the stress is and who is best suited to deal with it will help avoid situations where you are both frustrated and stressed and you don’t know why or what to do about it and end up taking it out on each other.

If these conversations continually break down, consider finding a therapist that is familiar with trans issues to help guide you through this process. You can see the therapist as a couple, by yourself, or recommend your partner see them. Support groups can also be very useful. We found a PFLaG group in our area and have been going as often as we can for over 2 years now. It is wonderful to be in a space where everyone understands what you’re going through without having to explain it in great detail first. It helps normalize the experience and can help you find the support you need.

If you’re up for it, suggest a trial period of them presenting how they feel comfortable. This can be an evening at home, or a weekend away somewhere. It can be done in stages with them slowly changing their appearance one piece at a time to give you time to adjust or all at once. However you decide to do it, I suggest you discuss it together first and make a plan so that no one is surprised or put on the spot.

At this point you likely have an idea of whether or not you are comfortable maintaining your relationship with them or not. This can look many different ways. Some examples are:

  • Yes! This makes so much more sense and I’m here to support them 100%!
  • Yes, I think I’ll be ok with this but it’s going to take some time and I’ll have to take it slowly.
  • No, I no longer see myself in a relationship with them but I’m all for supporting them as a friend.
  • No, I definitely am not ok with this and I don’t want to have any part in their transition.

All these reactions are valid no matter what other people will tell you. Your experience and your life is your own. Make sure your reaction is true for you and not a reflection of what others will think or what society has taught you. You have the right to change your mind at any time. If you think you might be ok with it but at some point realize the relationship is no longer working, be honest with yourself and your partner.

Moving Forward

Communication is key!! If your partner is not willing to sit down and have open conversations with you about who they are and listen to how you feel you may need to find a more formal venue for these conversations (ie couple’s therapy with a trans positive therapist).

Honesty with yourself and your partner is also key!! Be honest about how you feel and when you don’t know what you feel. Find ways to explore different scenarios with your partner to help each of you figure out how you feel. Your partner will be going through a lot of intense emotional things and you may not feel like you want to put all your doubts and confusion and frustration on them as well. Ask them if they are ok with you talking to one close friend about what you’re going through. For me, this was someone who lived somewhere else in the country which meant very low risk to my husband. It might help if it is someone who is somewhat familiar with the queer community, especially if you are not.

If you are happy staying with your partner, their transition will change how society views your sexuality (see my post about this here). I know, this makes no sense because you haven’t changed as a person, but it will happen anyway. Your sexual orientation and the labels you use can change if you feel like it has but it doesn’t have to. You are likely still attracted to the same types of people you were before your partner transitioned. Your partner may still fit within the label you use or you can see your attraction to your partner as an exception. Either way, it will help to find labels that work for you so you have a way to come out to people without outing your partner as trans (for those that didn’t know you beforehand).

 

I hope this helped. This is the type of information that would have been useful for me to have during my husband’s questioning phase and into the beginning of his transition. Giving support to other partners of trans people is one of the main reasons I started this blog.

 

How did you react when your partner told you they were trans? How has this affected you as you process this information? What types of support have you found? What is the outcome for you and your partner? Leave a comment below and tell me your story.

Intersections of Gender and Sexual Orientation

When my husband transitioned I was asked a few times if that meant I was straight. I knew this would be a question people would have but it took me a while to understand why that question was coming up and why I felt so annoyed by it. I tried to explain to a few people why I still identified as gay with varying success. I realized that the underlying issue is that although sexual orientation and gender are two completely separate aspects of a person, they are connected in society because of the labels we use to communicate them. This is my attempt to tease out these two aspects of identity and look at ways that they are entangled and misunderstood by society as a whole.

The basics

Sexual orientation is who you go to bed with.

Gender is who you go to bed as.

Though of course both are much more than that.

If sexual orientation was simply who you are attracted to or who you want to be in a relationship with the labels would mean something like ‘male-attracted’ or ‘female-attracted’ or ‘male and female attracted’ or ‘attracted to anyone regardless of gender’. Some labels do mean these things. Bisexual and pansexual for example. Or the more recently adopted terms of androsexual and gynesexual. But what about gender-neutral-attracted? Would that be neutrosexual? That’s the term I would use. Think it’ll catch on?

Where it gets complicated

The other sexual orientation labels require you to specify your gender as well as those that you are attracted to – homosexual and heterosexual (as well as lesbian and gay). Technically these labels mean ‘same-attracted’ and ‘different-attracted’ which requires you to first define your own gender so that society can identify who would fit into the ‘same’ category or the ‘different’ category. What if you’re questioning your gender identity and you don’t know what category you fit in but you are still attracted to the same people? Or what if your gender identity doesn’t match your gender presentation and people constantly assign the wrong gender to you (because who is going to ask your gender in order to clarify your sexual orientation)? This is where these labels intersect gender and become problematic for some people.

Take me as an example. I identify my sexual orientation as ‘attracted to people who are the same as me’. In order for society to understand who I would be referring to they first have to understand what category I am in. Because I am AFAB (assigned female at birth), they put me in the female box. Before my husband transitioned it was all good in society’s view – I was a lesbian. Though not entirely true or accurate it didn’t cause daily confusion. When my husband transitioned, society switched him to the male box and my sexual orientation label no longer made sense to most people. But rather than questioning their previous understanding of my sexual orientation or gender they would ask me if this meant I was straight. This is where their brain went even though nothing about me had changed.

what’s wrong with this question

The first problem is the feeling that society was policing my use of labels. Regardless of my own gender identity and that of my husband, I should be ‘allowed’ to continue to identify as gay if I felt like that label still represented my sexual orientation. I can understand people wanting to ask in order to make sense of how that works for me but that is not where their question usually came from. It was always phrased as ‘Doesn’t that make you straight?’ not ‘Does that impact your sexual identity at all?’

The second problem is seeing sexual orientation categories as absolutes instead of a spectrum. Gay does not need to mean 100% of the time attracted to same sex as myself, never ever anyone else. It is up to the individual where this line is for them. If 90% of the time I’m attracted to people like myself do I ‘qualify’ as gay? Am I ‘gay enough’? Or am I ‘required’ to use the label bisexual or pansexual if I’ve ever, even for an instant, been attracted to someone different from myself? What about if you identify as straight but you had a crush on someone who is the same sex as you once? Would you be ‘required’ to use the label bisexual or pansexual as well? Or would you have to be equally attracted to men and women in order to ‘qualify’ as bisexual? We need labels to communicate our experiences to each other but when labels become boxes they restrict people’s understanding and this becomes a problem. If my use of the label ‘gay’ was seen as a spectrum it would be possible for me to stay in the ‘female’ box society puts me in and be predominantly female-attracted but have fallen for this one guy, my husband.

The third problem was that society went from seeing us as in the same gender category to opposite gender categories. Gender should not be seen as two categories but also as a spectrum. If gender is a spectrum, it would be possible for me and my husband to still be closer to each other than either end and the label ‘gay’ (or same-attracted) would still make sense. Their question about my sexual orientation changing revealed their rigid understanding of gender and their assumptions about my gender identity.

The fourth problem with this experience is that it made it clear that people thought of my husband’s transition as a switch from being female to being male. Nothing about my husband’s gender was changing. He was still the same person, he had always represented himself in an honest way to me but just didn’t have the right words to express it to himself, to me, or to society. When he finally did, he had to transition in order for society to identify who he had been all along correctly but in my experience he barely changed at all.

This all sounds very rant-y and I suppose it is in some ways. But I’m not mad at people who ask me ‘doesn’t that make you straight?’ It just reveals their limited view of gender and sexual orientation. If they are the type of person that would be open to expanding their worldview and if I have some time (and energy) I’ll question why they think that would be the case.

How I answer the question

My personal crisis about my sexual orientation when my husband first identified that he was trans had very little to do with whether I would still be attracted to him. There was some doubt, sure, but the majority of my stress came from how I was going to explain my identity to other people who had only known me as gay.

When they ask ‘Doesn’t that make you straight?’ the options I came up with for answers were:

  1. I am still gay because I am primarily attracted to women but happened to fall in love with this man.
  2. I am still gay because I am attracted to people who are the same as me and we are much more similar than we are different.
  3. I am gay because even though I identify as female I am actually closer to the middle of the spectrum and so is Jake.

When Jake was first coming out as trans and I was getting the biggest number of these questions I was not yet comfortable discussing my own gender identity so I usually stayed away from #3. I felt like #2 was too vague and might be confusing or frustrating for people because it doesn’t specify anything about gender (which is actually what they’re asking about). A close friend of mine had a female friend who was gay and had been dating a guy for four years. She explained her identity as something like #1. So that’s what I went with most of the time. It still felt somewhat inauthentic but usually safety trumps authenticity (as most queer people can attest).

So that’s it. Pretty straightforward eh? Maybe next time I get asked that question, instead of answering I’ll ask them why they asked it in the first place and see if they can question their own assumptions instead of me doing it for them.

What is your sexual orientation and how does it relate to your gender? I am especially curious what you think of these ideas if you have never thought about your gender or sexual orientation before. Leave a comment below!

My Husband’s Transition – A Partner’s Perspective (Part 3: Medical and Legal Transition)

The story began in Part 1: Exploration.

The story continued in Part 2: Social Transition.

And now, the conclusion.

Where do we start?

As soon as Jake knew he needed to transition we searched for any information about the medical process where we live. There was nothing online. The most reliable source of information came from Jake’s psychologist who is very involved with the trans community, including moderating a PFLAG group that we had been attending for several months. At this community support group we heard from others that were further along in their transition process how they had accessed medical care and got their legal documents changed.

Jake started by going to our family doctor who was allowed to prescribe hormones following a very clear algorithm in the WPATH guidelines but, having been to a seminar about the transition process ten years ago, our doctor felt like he knew the appropriate process (all referrals had to go through the psychiatrist) and refused to overstep his bounds. As you may have guessed, the medical management process has changed somewhat in those 10 years but very few family doctors are aware or feel competent enough to provide the treatment that trans people require. And although he was ‘aware of the correct procedure’ he didn’t know that the wait to see the psychiatrist was over a year long or believe us when we informed him of this repeatedly after talking to other trans people who had just gotten their first appointment and phoning the psychiatrist’s clinic.

Luckily, through the community, we learned of a family doctor who had prescribed Testosterone for another member of our group. Jake booked an appointment with him asap and was able to start T a week later. At the time I’m writing this Jake has been on T for 14 months.

Testosterone

The first change was his voice. He was starting a second puberty at the age of 30, complete with the cracking voice which led to much hilarity and some mild embarrassment. Until his voice had dropped enough to be more consistently recognized as male, I was the designated representative when interacting with strangers – ordering food, making phone calls, giving my name for contact info.

As his voice dropped mine started sounding higher by comparison to the point of sounding nasal and squeaky at times. I naturally found myself lowering my voice which in the end made me more comfortable due to my own gender identity (more on this in the posts from the ‘Personal’ category).

Jake then started growing facial hair, a sleazy mustache at first, then very slowly sideburns and a goatee. He got stronger, especially in the arms and shoulders. The slow nature of these changes gave me plenty of time to get used to them as they happened. I never had a moment of hesitation or question about whether I still found him attractive. The more his body changed the more confident and comfortable he became. Confidence is very attractive. My mental image of him had included a lower voice and facial hair for quite some time so as his physical body changed it simply fit my mental image more closely rather than being more and more at odds.

As he was read more as male this in turn made us read as a straight couple and put me squarely in the female category. All of this took away our visibility as a queer couple, something which we both continue to struggle with. It was also a trigger for my personal gender exploration – more on this here.

The struggle of Changing his ID

When it came to getting his documents changed Jake encountered too many barriers to list here. Forms that did not include options for his situation, systems that couldn’t accommodate a change in this information, customer service people who were not familiar with the process, conflicting answers that often required backup from unrelated documents that he was also struggling to get changed, all of which required a fee to be processed.

My personal experience with this was when I had to change his information on my health insurance through work. You can’t do this over the phone, you have to email them, they will send you the form, you fill out the form and fax it in, they will email you when it’s completed. The form has a section for changing your  dependent’s information and reasons why you need it to be changed including information is incorrect, marriage, divorce/separation, etc. There was no ‘transitioning’ category (which I wasn’t expecting) but there also wasn’t an ‘other – fill in the blank’ category. So I ticked off the ‘information incorrect’ and wrote beside it ‘transitioning from female to male’. When I got the email saying it had been processed I checked my account and found his name had been changed but he was still listed as female and ‘Mrs.’ So I emailed them back. A while later it got updated to Mrs. Jake, male. Another email, another wait, and eventually they got it right.

This whole time we weren’t sure what would happen if Jake tried to claim health expenses using his updated Alberta ID if his info in my account didn’t match. So he had been holding off on a couple of things until this went through. This was a needlessly frustrating process but still was much safer than many of the interactions he would go through to get ID changed – for example justifying himself in front of a line of waiting people to a clerk who then had to go get their manager to whom he had to explain himself again.

Getting his national documents changed was the biggest ordeal because he was born in New Brunswick, the one province or territory that had not yet passed legislature for people to change their gender marker on their birth certificates. And until your birth certificate is changed you can’t change your passport. And until your passport is changed it’s not safe to travel to a variety of places including the United States. So we had to cancel our planned vacation to go to Arizona in February at a time when we really could have used it.

Frustration levels rising

All I could do was try to support him, provide a sounding board for his frustration and provide positive outlets and distractions. Very few people could understand what this process was like. When voicing our frustration to others we would usually get the response of ‘oh yah, when I got married it was such a pain to change all my documents, it takes forever, but it’ll be done eventually’. Oh yah? Did the forms you had to fill out not have the option you needed to check off? Did the clerk never know how to process your request or require medical documents as proof? Did it take a huge amount of emotional resilience to walk into each office and out yourself every time? Just like coming out as gay and coming out as trans are not the same thing, changing your last name on all your documents after getting married or divorced and changing your first name and gender marker because you are transitioning is not the same thing. I know people were just trying to be supportive but the amount of educating we had to do to get people to understand the differences was exhausting.

The overall the frustration level rose considerably while he was on waitlists for surgery and endocrine, waiting for paperwork, and even waiting for laws to change so he could change his birth certificate. Frustration is a stagnant emotion that I learned leads to considerable burnout. Eventually I had to start paying more attention to my own mental health and I started a bullet journal including habit tracking, weekly debriefs which eventually lessened to monthly, daily journalling which tapered off quickly, and making sure I had emotional outlets that provided some sense of progress and connection with the queer community – for me this is creative writing and music. It took me five months of consistent personal work but I improved significantly and was pretty much back to normal.

Top Surgery

Jake had waited 4 months for his consult for top surgery with a local surgeon which would be covered by health care. The consult was not particularly encouraging, suggesting that he would likely need a revision a couple years later which would not be covered. It would also be 1.5-2+ years wait before he would be having surgery (because of the waitlist). So he had booked a consult with a private clinic in Toronto which he waited another 4 months for.

In prep for this consult we had to take topless pictures for the surgeon and take measurements which was a very uncomfortable experience for both of us as neither of us pictured him with a female shaped chest at this point. Any time he saw himself in a mirror it would cause dysphoria. My image of him had a blurred out section at his chest. Since he overheats easily and has asthma he couldn’t really wear a binder comfortably so instead he had been wearing baggier clothes and adopted a slightly hunched and rounded posture which was causing upper back and neck pain.

This consult went very well and, as it turned out, they had a cancellation and could do the surgery a month later. We had a brief scramble to make sure we could both get time off from work, see how much flights would cost, make sure my parents didn’t have other visitors staying at that time, and then confirm everything.

Just before leaving for top surgery he received his final national documents in the mail – a huge milestone and a huge relief for both of us.

Getting him through surgery

The days leading up to surgery were filled with excitement and nervousness. After the pre-op appointment the day before surgery this went to a whole other level and all I could do was help him manage anxiety about surgery and self-doubt about whether this was right for him or not.

While he was in surgery I waited and waited and waited. I checked in with the clinic at the time when they said he’d likely be done, was sent away, returned an hour later to be told he was in recovery but that they wouldn’t let me in. I came back 45 minutes later to be told he was a little teary but was doing ok (What does a bit teary even mean? Why was he teary? Wouldn’t I be the best person to support him if he was upset?). Not having access to him in recovery to help with the immediate symptoms was even more frustrating because I work in a hospital and I’m very familiar with how to deal with people who are coming out of anesthetic and dealing with post-op pain.

Half an hour later I finally got to see him. He was super pale, sweaty, and shaky. But even with the post-op binder on his chest was flat! I asked him about the tears. Turns out it was just an endorphin response when coming out of the anesthetic, not an emotional response to the surgery or his chest like they had made it seem. I helped him change out of the gown into his clothes, grateful that we had been told by friends to wear a button up shirt. Eventually he was feeling good enough to go home but they insisted on escorting him to the car in a wheelchair. As far as I’m concerned they’re either ready to release him or not but whatever. This caused more hassle than necessary because I had to go get the car and figure out how to get back to where they were waiting. I tried to stay calm because Jake didn’t need any more stress than necessary but was ready to scream or burst into tears by the time we were finally in the car and driving away.

We spent the next few days resting in bed. I visited with my family while Jake was taking naps. I helped him manage the binder, adjust it as needed, and folded face cloths to wrap over the edges of it where it was digging in under his arms. I helped him stay cool or warm, got food and water, made sure he had entertainment when he was up for it so he didn’t get antsy, got him different meds when he got itchy or nauseous from the narcotics, and put arnica on the bruises (very gently). His energy slowly came back and the pain decreased enough to wean from narcotics but the binder was still digging in under his arms in the most painful bruised areas where they had done liposuction so he couldn’t use his arms much as a result. T-rex Jake.

Post-op reveal and return to normal life

We went back to the clinic about a week after surgery for removal of the bandages and to see how the nipple grafts were doing. I’ve seen incisions before so it didn’t make me queasy or concerned. His nipples looked really dark but this apparently is normal and the surgeon was pleased which was a good sign. It was a very interesting experience to see his chest flat for the first time. I was finally able to look at that part of his body and not have what I was seeing conflict with what he looked like in my head. Over time the blurry part where his chest was in my mental image cleared to match what his chest looks like now.

Once we were home he struggled with the binder for another few weeks but eventually gave up and stopped wearing it. He was instantly more comfortable using men’s washrooms which in turn decreased my own anxiety about him being at risk in public washrooms. He slowly started wearing the clothes that he hadn’t been able to for a while because they had been too fitted across the chest. Now they fit perfectly. I don’t think he had realized how much stress he had been dealing with whenever he was putting clothes on to go out until he was able to put on whatever he wanted and not worry about it getting him misgendered. It’s an amazing experience to see your person finally be at ease with themselves and gain the confidence they had been searching for for so long.

The end?

So in the span of about a month we went from huge amounts of frustration and burnout to all legal documents changed and top surgery complete. It took a while for the stress to dissipate and the relief to settle in but man, did it feel good. Not everyone has the opportunity to pay for private surgery and get it in a timely fashion. Not everyone has support from family when they’re going through these medical procedures or transition in general. We are extremely fortunate in both these areas. And yet, even with all that support and stability it was still a very difficult, stressful, emotional process that was very hard to explain to the people around us. Spending time with each other and other trans people and finding online resources that related to our experiences were the things that kept us going. It is not a surprise to me at all that approximately 50% of trans people attempt suicide at least once in their lifetime (reference).

There is no specific end point to transitioning. Jake may have other surgeries in the future and will continue to have slow changes from Testosterone. But in our experience, after being on T for year, having completed top surgery, and having all his documents changed he has been able to pass consistently as male and has considerably less daily struggle with being trans. When we go through future transition related experiences I will make separate posts about those so stay tuned.

I hope you found this account interesting and helpful. Leave a comment if you have had similar or different experiences or if you’d like to hear more about any particular aspect.

My Husband’s Transition – A Partner’s Perspective (Part 2 – Social Transition)

The story began in Part 1 – Exploration.

Coming out

We started Jake’s coming out process with some preparation and planning, as usual. We made a list of the people he wanted to tell first starting with who would be easiest to tell and would likely be the most accepting. Telling them would hopefully give Jake the confidence and support he needed to tell the ones who’s acceptance would have a bigger impact and therefore, would be a lot more stressful to come out to.

I helped Jake write an email that he sent to the first few people on the list. When that went well, he continued down the list at his own pace. We revamped that letter a number of times throughout the coming out process depending on who we were telling and what type of information they would respond to best.

Gender Gymnastics

I had my own sort of coming out process at the same time. For a long time I had been trying to refer to Jake using male pronouns and name in my own head and at home (which we discovered is hard to do because when it’s just the two of us we never use our proper names or third person pronouns). But until Jake was ready to come out I still had to refer to ‘my wife’ when I wanted to share personal stories with co-workers. This is something I had done a lot of in the past in an effort to be a visible example of a queer couple. Plus, I’m a talkative sort of person, what can I say. This became very uncomfortable, to the point where I began avoiding pronouns or using neutral pronouns when talking about Jake, and shortened his birth name to a gender neutral nickname. However, neither of those would fly around his family so I had to continue with the female pronouns and name with them.

Adjusting to someone’s new pronouns and name is extremely difficult for a lot of people but here I was switching back and forth between three sets of pronouns and names with minimal errors for about four months. We quickly realized this must be my super power. Even so, it took a lot of mental energy, caused a baseline level of burnout that would continue to escalate over the next two years, and caused me to develop a speech pattern that has random pauses in it from when I had to reorder the words in a sentence to avoid a pronoun midway through.

Telling My Co-workers

Around the time Jake started coming out to his friends and family, he gave me permission to ‘come out’ for him with my co-workers (whom he had minimal to no contact with). Finally, I would be able to use male pronouns and refer to my husband Jake. This happened to coincide with November 20th – Trans day of Remembrance. I work in health care in a department that is broken into smaller teams so I decided to make a short presentation at a the next team meeting.

I highlighted how difficult navigating the health care system can be for trans people and the disastrous consequences of that ignorance and transphobia can have, especially when it comes from a professional or happens at a time when the trans person is already in a vulnerable position. I explained that this issue is particularly important to me because my husband is transitioning. My voice only wavered a little bit at this point but I was extremely grateful that I could hide my shaking hands behind the lectern and lean on it for support when my legs went to jelly. I quickly followed this with an educational introduction video done by Jazz Jennings listing the 10 most important things to know about trans people. At the end of the meeting I received hugs from a couple of my closer friends on the team and someone even thanked me for helping them understand what a younger member of their family was also going through and how to support them better.

In my experience, there was plenty of gossip about co-worker’s private lives relating to other topics (deaths in the family, health issues, reasons for absences, personality conflicts, etc). I thought this would be a novelty item for gossip and would spread quickly through the department. Well, I was wrong. Either my partner transitioning is too far removed to be of interest (rather than me transitioning), or people didn’t know how to talk about it or were too uncomfortable to talk about it to want to gossip about it. Or they recognized that talking about it would constitute outing someone which is generally not acceptable, though in this case it would have been useful.

So this began about a year-long, slow coming out process with many repetitions of – blah blah my husband blah blah, oh yes, still the same person, yes, my wife is now my husband, no I haven’t gotten divorced and re-married in the span of a few months, my husband is transitioning, yes I’m ok with it, yes, I’m still gay, his name is Jake, no, it’s not actually polite to ask what his name was before, no, that’s alright, yes, I’m happy to explain it all to you sometime, just not right now in this room full of people, anyway, what I was saying was…. Each time my heart would pound, my palms would sweat, and I’d be glad I was sitting down or would find a chair quickly. This reaction lessened with each repetition but often the mini coming out sessions would take me by surprise because I was never sure who would have found out some other way or who I had told already (I am notorious for forgetting who I told what to).

Occasionally I would have longer more in-depth conversations with some of the co-workers I knew a bit better or some that were particularly curious. I say curious rather than nosy because for the most part their questions didn’t come from a place of wanting to know juicy details about my personal life or my husband’s. They were more curious about what the internal and external process was like in a general sense or in a health care related sense and what my reactions were to it. So even when their questions were targeted to me or Jake I would keep my answers broad such as ‘well often the trans person…’ or if I was ok being more specific or personal (which often I was) I would say ‘well I can’t speak for other people but for us…’ I had many conversations with Jake about what aspects of his transition he was comfortable with me sharing with people and lucky for me he usually said whatever I wanted to share was fine. This is partly because I was talking to people who he had little to no interaction with and partly because I work in health care and we want to educate as many health care workers about trans issues as possible.

Over time (via trial and error and educating myself via online resources) I learned what questions were appropriate for people to be asking and which ones they didn’t really need to know in order to expand their understanding of the trans experience. One example is when people would ask what his name used to be. They would remember that I had a wife but couldn’t remember my wife’s name so when I said I had a husband named Jake and yes, he was the same person as before, they wanted to fill in the missing information. In these instances I learned to tell people that this isn’t actually a question you should ask and provide an explanation why so they didn’t think it was just because I was uncomfortable answering and then go on to ask the same thing of the next trans person they met. For the above example I would explain that knowing his previous name wouldn’t help them understand his experience or who he was, it would likely only get in the way of them changing the image of him in their heads by giving them a female name to latch onto. Maybe at some point in the future I will be brave enough to challenge them by asking why they are curious about this in the first place and make them reflect on where that question is coming from.

Telling My Family

When Jake was ready to come out to my family we discussed who he needed to come out to directly and who I could act as a go-between for. I helped him rephrase his letter (again) and provided backup for the follow up questions. I had discussions with my immediate family about what this meant for me and how I was dealing with it all. By this time I had had plenty of practice with explaining this to people so though the conversation was slightly more intense because it was more personal, I managed it fine.

Since my family lives across the country from us they had to police themselves in order to reinforce correct name and pronouns. So we gave my immediate family some time to get used to the idea and more comfortable with the correct name and pronouns before telling my extended family. I hand wrote a personal letter and mailed it to my grandmother, hoping that the evident effort in writing it would show how important it was to me. I got a brief response from her that said she received it and that she loved us and she used male pronouns and ‘Jake’ throughout which was all we needed. We shortened this letter to just the necessary basics and sent it as an email to my extended family all at once. I got many responses of support, all of which I forwarded on to Jake so he would see them too. Overall, it went fairly smoothly.

Helping With His Family

Around Jake’s family I reinforced his name and pronouns just by using them. Since he never uses them for himself and they wouldn’t use them when talking to him it was only when I was also there that they would hear someone using them and we could see whether they were doing the same. This meant I had to get out of the habit of avoiding pronouns and start using them as much as possible – again, thankful for my super power. But their slow reaction time and constant misgendering of him took its toll on me. We discussed a number of times whether it was ok for me to correct them or not – was Jake not correcting them because he didn’t want to rush their acceptance process and he was trying to be respectful or because he didn’t have the energy but really wished I would? Jake preferred to correct them when he saw fit so when I felt my blood pressure rising I would bow out of a conversation or avoid social engagements with them for little while.

The turning point came when Jake’s step-brother got married. Jake hadn’t planned on telling his extended family yet but he knew he didn’t want to be introduced as the groom’s sister or be asked to wear a dress *shudder*. So about a month before the wedding Jake sent them an email (as per usual) and got a supportive reply suggesting they get together the next week when they were in town. We had a lovely open conversation with them and discussed how to handle this at the wedding. Jake decided he was going to jump in with both feet and correct people as needed but he would be ‘Jake’ and ‘he’, the groom’s brother from now on.

The majority of the guests at the wedding had never met Jake before, though a few would have known that the groom had a number of sisters but no brother. I assume some of that correction happened in the background on the groom’s part but for our part Jake and I made brief explanations and corrections for the people who actually knew him and his mom helped with that a bit too (yay!). Throughout the weekend everyone around us was referring to Jake as male like it was a non-issue. It was fantastic. More than that, it showed Jake’s immediate family that using Jake and he/him was ok, people wouldn’t treat him as a freak, and he was so much more relaxed. Because everyone else was calling him Jake and ‘he’, they looked weird when they didn’t. So his immediate family had a weekend of name and pronoun immersion which is just what they needed.

Coming out at work – more anxieties

We had been planning for Jake to come out at work for a while. He had contacted HR to make sure he had backup if he needed it, he had done bathroom reconnaissance to find a gender neutral bathroom in case the males were not supportive enough to feel safe using the men’s bathroom, and he had drafted a letter to his team lead and her boss. But after that weekend at the wedding where he got to be Jake for an entire weekend it was extremely difficult to go back to being a woman at work. So he bit the bullet and sent the emails and had the meetings.

When Jake was preparing to come out at work I had a resurgence of the anxieties about whether he’d be going to an antagonistic work environment that was unsafe but I knew that it would still be better than the constant overwhelming dysphoria. How would he deal with people that weren’t accepting? The first day when he was telling people was super stressful but in the end it went fairly well. They are still (more than a year later) messing up his pronouns on a daily basis which is taking a toll but overall everyone was supportive.

The next step was to start changing his ID. Not to mention that he was still waiting for the initial psychiatrist appointment who would refer him for hormones and surgery. This is where the real frustrations began.

The story concludes in Part 3: Medical and Legal Transition.

My Husband’s Transition – A Partner’s Perspective (Part 1 – Exploration)

initial reaction

We were driving in the car together (the place a lot of our more intense conversations happen) and my husband turned to me and said something like “I’ve been wondering lately if my social anxiety and awkwardness might be gender related…”. I wasn’t sure what he meant by that and tried to clarify. The conversation progressed something like this:

Jake: “What if this means I’m trans? What if I won’t be happy unless I transition?”

Me: “Wondering if your anxiety is gender related is nowhere near deciding you’re trans. Lets just take it one step at a time. And so what if that’s where it leads? We’ll figure it out.”

Jake: “You wouldn’t leave me? You’re gay! What if I end up being a guy? That’s not what you signed up for. You mean more to me than figuring this out. I wouldn’t do any of it if you weren’t going to be ok with it.”

Me: “Yah, I’m gay. So what? I love you. Let’s take it one step at a time. I can’t guarantee that there won’t be stuff that I’ll struggle with. But we’ll figure it out. You have to figure out how to be happy, figure out who you are. There’s no way I’d be ok holding you back from that.”

I don’t know if those are the exact words but you get the gist. I’ve heard from other people – either trans people or their partners – that this is a fairly common pattern. I understand why Jake would say that he wouldn’t transition if it meant I would leave him but what kind of person would I be if I said yah, I’ll stay so long as you never live authentically? Not the kind of person I wanted to be, that’s for sure.

This revelation didn’t particularly take me by surprise but I know it does for a lot of people. Jake had been living as authentically as possible and was quite a masculine woman to begin with which, I recognize, is a benefit of being AFAB that is not afforded to AMAB people who want to present more feminine (more about my thoughts on this topic here). I also had my own gender questioning experience and had been involved in the queer community for a number of years which gave me an understanding of what he might be feeling and the language to conceptualize and express it (more about my personal history here).

Exploration and Experimentation

So, we took it one step at a time, starting with a deep dive of the internet. We quickly learned terms like dysphoria, FTM and MTF, learned about binders and packers and STPs (stand-to-pee devices), and started looking for community support.

For the first few months we were exploring and talking about his gender confusion pretty much in secret. I was must happier being his confidant and helping him sort through it than I would have been finding out later that he had struggled through this part on his own while I was out/at work.

We learned pretty quickly that Jake’s experience of his gender and dysphoria didn’t match the typical trans experience of ‘feeling like you were born into the wrong body’ and ‘telling your parents that you were meant to be a [insert non-assigned gender here]’ or ‘suddenly feeling like your body was betraying you when you started puberty’. It took a while before we could explain what his experience actually WAS but now we know that, at least at the beginning, he primarily was experiencing social dysphoria (as opposed to the physical dysphoria described in the stereotypical examples). He felt fairly neutral towards his body but felt uncomfortable in female spaces, being treated as a woman, and referred to as female.

Unfortunately, it is almost impossible for general society to perceive you as male unless you physically appear as male so even though he was not uncomfortable in his body, a lot of the exploration required altering his presentation and body appearance (trying binding, packing, haircut, wardrobe changes, etc). This progressed at Jake’s pace which was significantly slower than I wanted things to move. I was all – yah! you can do it! Let’s figure this shit out! But sometimes people need time and space and the supporters need to give them that.

We also wanted to explore the social aspects of being male (pronouns, name, interaction) but that is impossible to test without first telling other people who you are exploring your gender and could they please use male pronouns and a different name for you. At the time we did not have a group of friends that we felt comfortable doing that with as a trial period so we tried it as best we could just between us.

My role and experience as a partner

Through all this my role was helping him see the bigger picture about how far he’d come, help him to not get discouraged or frustrated, provide support and feedback, provide options when the first thing didn’t work or feel good, provide positive distractions and outlets, and help him find confidence in his new image. Pretty much just give him a positive, safe space to explore himself in. I would often ask him how something had felt and he would struggle to put it into words so we would start with did it feel good, or bad? We used the things that felt good as a compass for what direction he was going with his gender.

I often pushed him to take the next step before he felt ready. This is partly because I didn’t want fear to stop him from figuring out who he is but also because the longer it took him to figure himself out the longer I was in limbo. How do you start the process of acceptance when you don’t know what the new status quo is going to be? I had a constant feeling of unsteadiness which worsened when I was away from Jake and improved when we spent time together. I think this is because when we were apart my mind would fixate on all the new things, all the changes, and all the unanswered questions. When we were together it was obvious that he was still the same person, we had the same inside jokes, enjoyed doing the same things, and had the same interactions as always. Together time was the major antidote to both of our mental and emotional stress during the entire transition and we learned early on to prioritize it as much as possible.

Changing my mental image of Jake

I knew a big part of accepting whatever the end result was going to be was that I had to change my mental image of Jake to match his mental image of himself. I was able to do this bit by bit rather than all at once. As he explored his gender we communicated regularly which allowed me to understand his sense of his own gender as he discovered it. This was very beneficial to me and allowed me to adjust the pronouns and name I used for him much more easily when he was ready to experiment with those.

Changing your mental image of someone who has told you they don’t identify as the gender they were assigned at birth is hugely important. In order to be truly supportive I couldn’t continue to see him as a woman – I wouldn’t be able to discuss his dysphoria or experiences of gender euphoria in ways that felt authentic to him. Yes, this took some personal work, a lot of mental corrections anytime I thought of him, and a lot of quality time talking about his perception of himself as it was changing during his experiments so I could give my mental image the best chance of keeping up. And once he was ready to change his name and pronouns it allowed me to consistently use male pronouns because my mental image of him was of a male person, regardless of what his physical appearance was. One of the things that helped the most with this was changing his name in my phone so that every time he texted me or called me I would see his preferred name. This was a huge step forward when I figured that out. We ended up recommending it to other people as he was coming out to them in an effort to help them adjust as well.

My Own Fears

I had many fears and questions that came up throughout this process. I didn’t want to talk to Jake about them all the time because I didn’t want my struggles to increase his already exponential fear and confusion. Luckily, we had a couple of friends that Jake felt comfortable telling early on in the process so that I would have someone to talk to about this stuff. Having that outlet was very important.

Some of my fears were: How would I respond to people’s questions about my identity changing? What if I wasn’t as attracted to him once he started appearing more male? What if I wasn’t interested in being married to a man? What if he changed as a person as he transitioned? Many of these questions couldn’t be solved just with introspection or discussion. Some required time and patience, some required trial and error, something I’m not as comfortable with. I had to see how I felt about him in ‘boy mode’.

So, on a vacation to an area where we wouldn’t likely run into people we knew, we planned for him to be my husband for the whole trip. We used male pronouns and tried out a couple different names that had made the short list. As we went along we realized you don’t introduce yourselves to many people when you’re on vacation, or at least not when you’re both introverted and you’re going on a driving and camping trip and the general goal is to stay away from civilization as much as possible. So it wasn’t the best test but it still gave us one more piece of evidence.

The Tipping Point

At some point we sat down and made a list of the stuff he had already tried and the stuff he wanted to try next and we realized that even if he didn’t go any further with exploration or transition he would still be more comfortable living as a man than either a non-binary person or a woman. Finally, I could let my mental image of him solidify.

At the same time, he all of a sudden had an exponential increase in physical dysphoria. He had identified that he was a man and suddenly his body was no longer what he wanted it to be or what other people would expect. This took us both by surprise. I have since learned that this is a very common experience from talking to other trans/NB people. This was extremely difficult for him to deal with and all I could do was support him, distract him, and interact with him in ways that validated his identity and avoided triggering more dysphoria.

The next step was to start telling people. This was a big relief for me because I no longer had to be alone in this. I would be able to share what was happening – take the lid off the boiling pot so to speak. But the thought of him coming out as trans increased my anxiety and fear in new ways – how people would react, would Jake be put in any danger, how he would respond to people who weren’t accepting, whether he would stand up for himself or absorb and internalize the antagonism.

There was nothing for it but to make a plan as best we could and push on.

The story continues in Part 2: Social Transition.

The story concludes in Part 3: Medical and Legal Transition.