FTM – Page 2 – Purple and Green and the Life in Between

Wearing a Binder: Physiological Effects

Wearing a binder is sometimes the only way that a person with dysphoria related to having breasts can leave the house. The psychological and emotional impacts of dysphoria are often worse than the physical discomfort from the binder. But that doesn’t mean we should ignore the binder’s effects on our body.

I strongly believe that the more you know about something, the more you can do to make it better.

If you are someone who wears a binder, occasionally or regularly, and just suffers through the physical discomfort in order to manage dysphoria, I’m here to tell you there are ways to make the physical pain less. I can’t guarantee the strategies I talk about will get rid of it, but they will prevent worsening and decrease the pain.

This post is not designed to scare you. It is designed to give you accurate anatomical and physiological information about the various ways a binder can affect your body. In the next post, I will give you concrete ways to minimize these effects.

Disclaimer: I am a physiotherapist and as such have a strong understanding of anatomy and physiology. I am someone who wears a binder and has experienced these effects. I have not done any scientific research on the effects of binder use nor read any scientific research on this topic. I have attended a lecture by researchers who have looked at binder use and I have talked to many trans people about their experiences.

LUNGS

Your lungs are like an upside down tree. They have a main trunk, large branches, then smaller branches, all leading to little round bubbles called alveoli. They are roughly pyramid shaped with the smallest part at the top by your collar bone and the largest part in line with the bottom of your breastbone. They are a self-cleaning organ that requires a consistent exchange of clean air to remain healthy.

When you wear a binder, your lungs cannot expand to their full capacity. The restriction is mostly in a circle around the widest part of the lungs. In order to breathe, you have to expand more through the upper parts of your lungs which are much smaller. This restricts your body’s ability to get more oxygen when exercising and can make you lightheaded. The parts of your lungs that stay closed can become sticky and develop mucus which holds and breeds bacteria. Without taking time to fully expand your lungs when you take off the binder, this could develop into a chronic cough or pneumonia.

SPINE

Your spine is made of vertebrae stacked on top of each other with discs between the bodies and many ligaments and muscles connecting them together. It has a natural inward curve in the neck, outward curve in the upper back, and inward curve in the low back. The different areas of the spine are designed to move in different ways but over all it can bend forward and back, side to side, and rotate. These large movements are created by a small amount of movement between each vertebra.

When you wear a binder, it restricts the movement in the mid spine or upper back forcing the areas above and below to compensate and move more. The areas above and below become hypermobile which can cause pain. Because of the lack of movement in the mid-spine (the section under the binder), the ligaments and muscles become tight, short, and weak which will cause stiffness and pain even when not wearing the binder.

RIBS

Your ribs connect to your spine in the back and your sternum in the front. The joints in the front are more flexible than the ones in the back. The ribs are designed to move out and up when we breathe in. They have ligaments connecting them to the spine, cartilage connecting them to the sternum, and muscles connecting them to each other.

When you are wearing a binder, your ribs are restricted and compressed. The ligaments and muscles can tighten and shorten over time, decreasing your lung capacity even when not wearing the binder. The joints at your spine stiffen up, forcing the joints at the front to move more than they should in order to expand your chest to breathe. This can cause sharp pain by the sternum, or costochondritis. If you use something other than a safe binder to bind with, wear a binder that is too small, or wear your binder too long or too often, you can also cause fractures in your ribs.

SHOULDERS

Your shoulders are designed to have a large range of motion. In order to do get your arms above shoulder height and reach above your head, the structures around the shoulder have to rotate up and out of the way. This includes the shoulder blade, collar bone, and upper ribs. When these three structures rotate up, the tip of your shoulder comes towards your ear.

When wearing a binder, there is more pressure downwards on the collar bone and compression around the ribs. There can also be tension on the skin under your arm and around your shoulder. This all causes restriction in the ability of those structures to move up and rotate when you raise your arm. This can lead to a feeling of weakness in your arm, pain at the shoulder joint from tendons being pinched, and a loss of the body’s natural mechanics, and therefore strength, for overhead movements.

PELVIC FLOOR

Your pelvic floor is made up of many different muscles that form the bottom of your abdominal and pelvic cavity. If you think of this cavity as a pop can, the diaphragm is the top and the pelvic floor is the bottom with the abdominal muscles forming the sides and your organs inside. When you take a deep breath in, your diaphragm pushes down on your abdominal organs, increasing the pressure in the abdomen and pelvis. Your abdominal muscles and pelvic floor muscles absorb this pressure by expanding slightly while maintaining their contraction.

When wearing a binder, your diaphragm is not able to flatten fully and you are unable to take a full deep breath. This means that your pelvic floor muscles do not get the regular exercise of maintaining a contraction while stretching. They become weaker, tighter, and shorter. This can lead to pelvic pain from trigger points in the muscles, pain on penetration, and sometimes incontinence.

RECOMMENDATIONS AND EXERCISES

Again, this post was not designed to scare you. In Wearing a Binder: Recommendations and Exercises, I give you concrete ways to minimize these effects – general recommendations for binder use and a variety of exercises I recommend to counteract some of the effects discussed above.

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The Coming Out Equation

Coming out is not a one time thing. The closet metaphor may be accurate for how it feels with each instance but it is not a good metaphor for the lifelong process and constant decisions.

Coming out is a matter of degrees. You can be completely open about your identity or experience or just hint at one part of it. You can also be out to a different extent to different people.

Deciding how ‘out’ to be can be a complicated process. How ‘out’ is it safe to be in this situation? How much energy do you have for the questions that will follow? Is it worth the risk? How much benefit will all the effort give you?

The way I see it, it is a matter of need and benefit on the ‘pro’ side vs cost and risk on the ‘con’ side. For me, this equation usually tips to the con side at the moment. But I’ve been working on being more aware of the balance and, when it does tip to the pro side, taking the opportunity to come out to more people.

PROS

Need

Because my gender shifts between male and female so I am comfortable being seen as female about 30% of the time. When I am uncomfortable it is a moderate discomfort so my need to come out is at a low to moderate level at the moment.

Benefit

The benefit of coming out is always hard to determine accurately. It is hard to predict the future. Some things that can help is seeing out people respond to hypothetical conversations or how they respond to a mutual friend or family member coming out before you do.

As a nonbinary person, the benefit of people accepting me for who I am 100% of the time would be just as strong as for any binary trans person but the likelihood of that happening is significantly less. This is simply due to the lack of awareness and the reliance on the binary for so many aspects of western society (see my posts on passing as non-binary and how to explain your fluid gender identity for more discussion on this). So, while the benefit would be huge, I would generally rate it as low likelihood of receiving that benefit.

CONS

Cost

I think of the cost of coming out as an emotional cost. How much effort will it take to get people to understand and eventually lead to the benefits? For similar reasons to the benefit being low, the cost of coming out for me is generally high. I am often the first nonbinary person they have met so I have to start at gender 101 for them to understand why it’s important what I’m saying and why it’s important that they make an effort to use they/them pronouns.

The other thing to take into account in terms of emotional cost is how it feels to be misgendered after coming out to someone vs before. When someone is unaware of my identity, being misgendered feels uncomfortable. When I have come out to someone and still get misgendered it feels terrible. Given the high likelihood of being misgendered as a nonbinary person, this also contributes to the cost being high.

Risk

I think of the risk of coming out as the physical or safety risk. I am lucky to live in an area where being visibly queer does not inherently put me at high safety risk. I would not likely lose my job, my family support, housing, or access to medical care. So the risk of coming out for me is low.

FTM VS NONBINARY

The stage at which this coming out equation is most relevant is the time between when you come out to yourself and the time when you are fully out to everyone in your life (or as out as you ever want to be). I call this stage ‘limbo’. My husband’s limbo stage lasted about about 9 months. Mine has so far been going for about a year and a half with no end in sight.

So what makes such a huge difference? On the pro side, his need was much higher than my own. He was not at all comfortable being identified as female and it only got worse the longer it went on. His benefit was high but had much higher likelihood of paying off. On the con side, his cost was still pretty high but not as high as mine as it is generally easier for people to understand identities that fall within the binary. And, since he has a similar situation to me, his risk was fairly low. So his equation balanced in the ‘come out’ direction much faster than mine has.

SHIFTING THE EQUATION

So what shifts my equation to create those situations where it is worth it for me to come out?

The biggest one is the cost going down. If I am talking to someone who is queer or someone with previous trans knowledge, I have to do a lot less educating. In this situation the likelihood of experiencing the benefits also goes up.

The other time I am likely to come out is when my need is significantly higher (usually as a result of a triggering situation or bad dysphoria).

I will often try opening up about other ‘difficult’ topics to see what kind of response/support I get from someone as a way of testing the waters. If their interaction with me changes for the worse, my likelihood of coming out to them as nonbinary goes down significantly. So don’t take less important seeming conversations any less lightly.

Maybe some day, when the general population is more knowledgeable about nonbinary identities or if my gender shifts more consistently in the male direction, I will come out publicly. Until then, I will be paying attention to this equation situation by situation, person by person and take it one decision at a time.

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Why I Don’t Identify As Trans

Trans

The root word trans typically means across or change. As a queer identity it has two main meanings. The binary version is that a trans person identifies with the opposite gender from what they were assigned at birth (still the way society interprets the label). The gender spectrum version is that they do not identify with the gender they were assigned at birth (this is the definition that I use). None of these definitions really fit me as I still do identify with the gender I was assigned at birth but I also identify with other parts of the gender spectrum at the same time.

experience with a label is important

My experience with the trans label is primarily through my husband’s transition from female to male. This involved a change of name both socially and legally, a change of gender pronouns and legal gender marker, and various components of a medical transition. None of this applies to me or what my personal acceptance and exploration path looks like (at least not yet).

Trans is not the same as ‘not cis’

For me, Trans is a specific identity that covers many different types of experiences but not necessarily all identities that are not cis. Many people use it as an umbrella term to cover any identity that is not cis-gendered (their gender matches what they were assigned at birth). Technically I would fall under that umbrella term. But that is not how I define trans. I don’t see ‘trans’ and ‘cis’ as opposites. Someone else with an identity similar to mine is totally free to use the label trans if it suits them.

Presentation

Even though my presentation is often fairly masculine, I am socially read as female. If I used the label trans I would either be read as a pre-T trans guy or a trans woman (which is a label that is generally used by AMAB people who identify as female), neither of which applies to me and really just confuses the situation.

Me

My gender is both the same as what I was assigned at birth and includes a component that is different from what I was assigned at birth. My husband’s experience is very different from mine and I strongly associate the label ‘trans’ with his experience. Many people who are not cis have a feeling of being ‘not trans enough’ to earn the label or to ‘qualify’ to use the label trans. I too have to fight against the feeling of not being legitimate in my gender experience but since I do not have an affinity with the label ‘trans’ I can’t express it using the phrase ‘not trans enough’. I have found other labels I prefer which you can read about here.

What is your definition and experience of the label Trans? Is it a label you identify with? Have you struggled with other people assuming your identity is something other than what it is as a result of using the label Trans? If you don’t associate with the label Trans, what other labels do you use instead? Leave a comment below and share your experiences!

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!

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 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.