Gay vs Trans

There are lots of ways that being gay and trans are similar but there are also a lot of differences. I have found that when I initially start talking about gender with someone new who has minimal queer literacy, they often get confused between sexuality and gender and conflate being trans with being gay.

Below are a lists of similarities and differences between being gay and being trans based on my experiences of being gay and non-binary and my husband’s experiences of being gay and trans. We both identified as gay first, and later discovered and expressed our non-cis gender identities.

SIMILARITIES

  • Incorrectly assumed to be the default (cis or straight)
  • Living with confusion and feeling like you don’t fit in before you know why
  • Have to figure out your identity
  • Have to ‘come out of the closet’ ie tell other people
  • Dealing with fear of rejection, prejudice, loss of housing or work as a result of coming out
  • Excitement and comfort of finding people that have the same/similar identity/experiences as you
  • Culture, experiences, and history specific to queer community
  • Lots of different terminology, language, and labels
  • Different interaction with people in your community than people outside of it
  • Risk to physical and psychological safety by living authentically
  • Pride parades, pride month, pride flags and symbols
  • Being labeled by strangers (often incorrectly) based on how you look or who you’re with
  • Often become parents via alternative fertility methods, surrogacy, or adoption
  • Prejudice in health care and legal systems (significantly worse for trans identities but present for both)
  • Lack of appropriate/relevant sex education

DIFFERENCES

  • Who you like vs who you are ie sexuality vs gender
  • Gender based experiences and identities are much less understood and accepted by the general public than sexuality based ones (though this wasn’t always the case and we hope to get to the same place with acceptance of gender identities)
    • Significant energy has to be put towards educating the people around you when you come out as trans that isn’t necessary when coming out as gay
  • Coming out as gay requires the other person to change how they refer to your partner (if you have one) whereas coming out as trans requires them to change how they refer to you (which takes a lot more work on their part)
  • Dysphoria with trans identities that doesn’t relate to gay identities
  • Possibility of medical intervention and changes to legal documents with transition
  • Difficulty accessing appropriate/competent medical care as a trans person when it wasn’t a problem as a gay person
  • Gay community is readily available and easy to find while trans community is much smaller and harder to find
  • Extreme shift in privilege with transition that is much less pronounced with coming out as gay
  • Most trans people pick a new name, gay people don’t

If you have anything you’d like to add to these lists, leave me a comment below!


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Let’s Talk Gender S1E2: Transition Timelines

OVERVIEW

Transitioning is a slow, often frustrating, ongoing process. It can roughly be broken down into four phases: personal, social, medical, and legal. We discuss the general timeline of each phase and how they overlapped for Jake’s transition from female to male. At the end, Meaghan Ray shares what their transition has included so far.


SHOW NOTES

General Thoughts on Transitioning

  • Typical FTM trans narrative
    • Binary transition from one to the other
    • Medical system sees it as a treatment to change from one to the other
  • In reality, it’s a slow frustrating process
    • No sudden tipping point or specific end point
  • Non-binary transition is even more vague
    • Often have to fake a binary identity to get the medical care you need
    • Wide variety of social, medical, and legal changes
  • Generally made up of four stages
    • Personal transition: an exploration of your own identity
    • Social transition: the coming out process
    • Medical transition: any medical interventions that help ease dysphoria or increase gender euphoria (HRT, surgery, electrolysis, voice therapy)
    • Legal transition: changing name and gender marker on legal documents and with various institutions
  • Stages can overlap or blend into each other
  • Trans people do not need to go through all of these stages in order to transition or be considered trans.

Jake’s transition process:

Personal Transition

  • Longest stage
  • Began in 2015 until late 2016
  • Self-questioning, self-doubt, internal conflict
  • Talking to friends, looking things up on youtube
  • Found a therapist that was trans friendly that was familiar with the referral process
    • Referral to gender psychiatrist
  • Felt like the therapist and Meaghan Ray were much more convinced that it made sense and he would be going through with it than he was
  • Finally determined that he would be more comfortable living as a man
  • Personal exploration continues throughout transition
    • Getting used to body changes
    • Learning how to communicate your identity
    • Learning how to navigate new social status and changes in privilege

Social Transition

  • Came out to parents with a message of ‘I’ve been thinking about this, I’m exploring this’
  • Different approaches to coming out
    • Emails, letters, face to face
  • You realize how many people you have in your life
    • Very overwhelming and exhausting
  • Started with the people who would be most likely to be supportive
    • Didn’t always work out as planned but generally helped build support
  • We were hoping that some people we told would pass on the information to others but it never actually worked out
    • Ended up having to tell them ourselves
  • Reactions
    • Some people changed name and pronouns right away
    • Some people needed to be told multiple times and are still misgendering Jake (in late 2019)

Medical Transition

  • Lots of gatekeepers
  • Gender psychologist – referral to gender psychiatrist in summer 2016
  • Gender psychiatrist in summer 2017 on a cancellation
    • Referrals for endocrine and surgery consult
  • Family doctor who was willing to write prescriptions for HRT – started Testosterone in May 2017
    • Turned out to be an easy process once he built up the courage to ask the affirming doctor
  • Top surgery consult in fall 2017, didn’t feel good about the two year wait or the type of surgery offered
  • Had top surgery done at a private clinic (paying out of pocket) in April 2018
  • Hysterectomy in October 2018
  • Potential for bottom surgery in future – would require another visit to gender psychiatrist to get referrals to surgery and separate referral for funding
  • Got most of the information about who is allowed to make referrals, who is willing to make referrals, who is accepting referrals, and what the wait times are through the trans community
    • Connections to community are very important

Legal Transition

  • Different process in each province or local area
  • First item was a piece of paper stating that [previous legal name] is transitioning from F to M that officially explains why you don’t look like the picture on your ID
    • Important during the stage when you’re already on hormones and presenting differently but haven’t yet changed any ID
  • Name and gender marker change document that requires fingerprinting
    • Submitted in Aug 2017, received it in October 2017
  • Immediately got driver’s license changed
    • Felt safer in general but now had conflicting documentation with national documents
  • So many different documents that needed changing
    • SIN card
    • Banking information, loans, mortgages, credit score
    • Marriage certificate
    • School records, work ID, email addresses
  • National documents were the hardest
    • Birth certificate took the longest due to waiting for laws to change – finally done in summer 2018
  • Took over a year
    • No international travel
    • Lots of stress, confusion, frustration

Transition is never completely finished

  • Will always be people to come out to or correct, medical history to explain, and documents that pop up that don’t match

Meaghan Ray’s Process:

  • No medical or legal transition yet
  • Personal transition started with a genderqueer experience back in grade 10
    • Ignored it, put it away until Jake’s transition provided more language, strategies, and community to give myself space to explore it
  • Tracked my gender and explored it for a bit
  • Have just started coming out to friends and family and coworkers one at a time, very carefully
    • Limited understanding of what non-binary means so coming out requires a lot of educating
  • Will be an even longer, slower, more careful process than Jake’s
  • May be interested in some form of top surgery or legal gender marker or name change in the future

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Pregnancy Fears, Hopes, and Strategies

Being pregnant is a huge undertaking for your body. It makes permanent changes to lots of areas, includes lots of discomfort and unpleasant experiences, and involves a decent amount of risk. It changes how you are viewed by society and how strangers interact with you. And it is (or can be) the first step in one of the biggest changes anyone can make in life – becoming a parent.

So of course I have all the typical fears:

  • How will my body change?
  • Risk of miscarriage (Ha! That already happened once)
  • Huge life change
  • Adverse symptoms for nine months such as nausea, fatigue, and joint pain
  • Birth trauma
  • Postpartum depression and isolation

Pregnancy is also one of the most feminizing experiences a person can have. So, as a nonbinary person, I also have gender related fears:

  • Will my sense of where my gender is on the spectrum shift in unpredictable ways due to hormones?
  • Will my social dysphoria increase to unbearable levels due to the quintessential feminization of my body?
  • Will my physical dysphoria increase due to my chest getting bigger and my pregnant belly?
  • Will I struggle to find clothes that fit me that are not hyper-feminine like typical maternity clothes are?

But on the other side of my fears is what I hope for:

  • My gender identity will shift to the more feminine side of my range like it does during my period and result in minimal dysphoria with pregnancy changes
  • I will have fewer physical discomfort symptoms than I am expecting
  • Many of my current clothes will fit throughout pregnancy since I prefer looser clothes to begin with (though they will end up being more fitted as I get bigger)

Now that I have actually been pregnant once, for a short time, and only in the first trimester phase before the hyperfeminization of my body happened, some of these fears and hopes have shifted. I now know, or am more confident that my gender will shift to the female side for some or all of my pregnancy. Hopefully this will help with the social and physical dysphoria.

But this caused another area of discomfort: feeling like I was missing half of who I was. And after I had a miscarriage, my gender swung back to the male side with a resurgence of dysphoria that I was now unaccustomed to. You can read more about that in Pregnancy, Miscarriage, and Gender. So I can now add ‘postpartum dysphoria’ to my list of fears.

Here are some strategies I’ve come up with to help me through this process:

  • Look for alternative maternity clothing stores or just buy larger sized clothing from cheaper places
  • Come out to as many people as I am comfortable with so that I have lots of options of people to hang out with in a gender affirming environment to combat social dysphoria and invisibility/inauthenticity
  • Focus on the personal, wondrous, internal feeling of growing a life inside me
  • Be kind to myself post partum while I’m learning how to deal with dysphoria again and review my personal journals and previous blog posts about how I deal with it

If you have a similar identity to mine, I hope that sharing my thoughts and experiences with pregnancy will help you feel more comfortable in your skin or at least not so alone during this experience. If you have someone in your life who is pregnant, maybe this will help you understand that not everyone who looks pregnant identifies as female and what that might feel like.


Do you have any stories of your own or strategies that got you through pregnancy with dysphoria?

Do you have any questions or specific aspects of this experience that you are looking forward to hearing more about?

Leave a comment below! I’d love to hear from you.

Pregnancy, Miscarriage, and Gender

IT WORKED!

We were pregnant! If you missed the story of how we got here, check out Getting Pregnant is Hard to do Without Sperm.

The first thing we felt was excitement. The second was anxiety. Not because suddenly such a big thing was happening, but because we had spent so long stopping ourselves from being excited in order to avoid the pain of disappointment that any excitement we felt triggered anxiety. This reaction slowly wore off and we allowed ourselves to be happy and excited but the more excited we got the more we wanted to share the news. Suddenly, we had a secret again.

I knew I was pregnant before we got the results. I know that’s a cliche but it’s true. My breasts were so sore that I couldn’t touch them, days in advance of when I normally have PMS symptoms. I was fatigued to the point of being in a daze. These symptoms continued and were joined by mild to moderate intermittent nausea. All the typical symptoms but nothing extreme. If you know me at all, you know I can’t keep anything to myself. Especially if it involves distress. I much prefer to complain – I mean, commiserate – about it with others. Luckily, a couple people at work were in their second trimester and gave me a small community for support with this new adventure.

GENDER WHILE PREGNANT

If you’ve read other posts on this blog, you may already know that I am gender fluid, shifting between moderately female and mildly male with the majority of time spent in the neutral space between. But, as I talk about in Menstruation and Gender, I consistently shift towards the female side during my period. The same thing happened when I was pregnant. Except that I wasn’t just pregnant for a few days, like when I’m on my period. So I shifted to female and stayed female for two and a half months.

After about three weeks of being consistently female I started to feel like the male part of myself, Ray, was imagined, a dream, a ghost. I was missing half of myself, unable to experience my full range of gender that I had only just recently struggled to understand and accept. This was a symptom of being pregnant that I couldn’t so easily explain to or commiserate about with others.

EARLY ULTRASOUNDS

Because we were followed by the fertility clinic, we were scheduled for early trans-vaginal ultrasounds. The first one was when I was 7 weeks pregnant. The image on the screen showed a slightly small gestational sack in my uterus but no yolk sack or fetal pole. This was mildly concerning but not conclusive since it was still early and the gestational sack was small. We went back the next week for another one. It showed the same result which was significantly more conclusive of a blighted ovum. With some googling, I learned that this happens when the egg that was fertilized happened to grow without any genetic material inside it. An ’empty egg’.

So, I had to come to terms with the fact that at some point in the next few weeks, when my body figured out something was wrong, I was going to have a miscarriage. I was waiting, and dreading, but not yet able to grief or process because if I did, I would be grieving until it happened, which could be days or weeks or a month. But I had to go to work as usual, travel to visit my family, and stand with my friend in her wedding. So instead, I became emotionally constipated, numb, and burnt out.

While visiting family, I had some spotting and cramping but then it stopped again. When we returned home, we had a final ultrasound that showed the same result and gave an official diagnosis of a non-viable pregnancy. This triggered a referral to the early pregnancy loss clinic. They called me four hours later and reviewed my options. I could let the miscarriage happen naturally (which my body didn’t seem to want to do), take a medication that would induce severe enough cramping to force my body to miscarry (sounds terrifying), or have a procedure (Dilation and Curettage or D&C) where they put me to sleep, dilate my cervix, go in, and scoop everything out. If the first two options didn’t expel everything I may end up needing the D&C anyway. Since I had known this was coming for what felt like an eternity already, I work in a hospital so medical stuff doesn’t bother me, and I had had a polyp removal six months prior via the same procedure, I opted for the D&C. It was scheduled for three days later.

RECOVERING FROM MISCARRIAGE

Both the physical recovery and the emotional recovery took longer than I expected, despite warnings from everyone I talked to who had also had a miscarriage (it is surprisingly common given how little it’s talked about). Physically, I had a few days of mild cramping and fatigue. When these initial symptoms faded out I felt like I was better and returned to work only to find that more than half an hour of being on my feet (I have a fairly active job) caused waves of moderate to severe fatigue, shakiness, dizziness, and hot and cold flashes. My body was in hormonal shock.

The most frustrating part physically was that knowing why it was happening and trying to connect with my body to calm it down did absolutely nothing to help. It felt like my body’s operating system had crashed and was taking forever to reboot. So I started doing really slow, gentle, breathing pace exercises. Anything from dynamic stretching to Qi Gong. Almost instantly, my mind-body connection began to repair itself. It was such a dramatic improvement at a time that I needed it most that I have kept up with these exercises ever since.

Emotionally, I expected to be a wreck as soon as the procedure was done and maybe the day after. But because I had not allowed myself to feel the grief for three weeks I was in an emotional holding pattern. I thought that maybe I had been processing my emotions this whole time and I didn’t need to have a strong, overt reaction. But the exhaustion after the second day back at work meant that I didn’t even have enough energy to hold my emotions back and once I got home I broke down and had a couple hours of intense crying and grieving with my lovely husband for support.

Overall it took just over a month for me to feel like I was back to my normal self.

GENDER WITH MISCARRIAGE

Going through the procedure itself and being in a ‘Women’s Hospital’ didn’t feel dysphoric since I was still feeling very female at the time. A week or so after miscarriage, my gender started shifting slowly back to the middle, then to the male side. And there it stayed for almost three weeks. This felt both good and bad. Good, because I was finally able to experience the other half of myself that had been missing for the last two and a half months. Bad, because all of a sudden I had dysphoria again. And I was out of practice with how to deal with it. While still being very emotionally raw.

Initially, it was very distracting and a constant irritation that sucked up a lot of mental and emotional energy. But I slowly remembered the strategies I had been using before and became acclimatized to the discomfort of dysphoria and it faded to a background buzz.

TALKING ABOUT MISCARRIAGE

Over the last few years both myself and my husband have been through some pretty major experiences that all have different levels of taboo and layperson knowledge/understanding. When I talk about our fertility struggles, very few people have negative reactions to discussing that and it doesn’t feel threatening for me to open up about it and though most people don’t know the variety of options, they have a general understanding that there are medical options and often know someone who has used them. When I talk about gender identity or transitioning, I don’t always know what reaction the other person will have and often have to deal with a negative or ignorant response. Most people have little to no understanding of nonbinary gender identities or the transitioning process to the point that they can’t even relate to whatever it is I’m telling them about unless I explicitly state what emotions are tied to this experience.

When talking about miscarriage, everyone instantly understands that that would be a difficult thing to go through, understands what emotional response is appropriate, and provides support. And yet, it’s still something that isn’t often discussed openly. I’m guessing this is partly because historically, it was viewed as the fault of the woman that it happened and was shameful. But nowadays, I think we’re mostly past that (based on the reactions I get when I talk about it) so I’m guessing it’s not discussed simply because it’s an emotionally difficult thing to talk about and considered a very private experience. I’d like to change the culture of silence around miscarriage and normalize talking about it and then eventually, normalize the idea that people of any gender identity could have a miscarriage.

THE JOURNEY CONTINUES!

At this point, we are still trying to get pregnant. There are a few more options we are willing to try and since the last one worked, I feel like it is likely to work again. But we have also discussed what our limit is in terms of how long we want to try for and how much money we are willing to put towards it. We are not tied to the idea of the child being genetically related to us (seeing as how it won’t be genetically related to Jake anyway) and open to considering adoption if we reach our personal fertility limit.

Subscribe to the blog or keep checking back to get future updates and find out what happens next!


Have you had pregnancy struggled or miscarriage? For those of you who are trans/non-binary, how did pregnancy and/or miscarriage affect your gender? Please leave a comment below. I’d love to hear your experiences.

Getting Pregnant is Hard To Do Without Sperm

When Jake and I first met we were unsure if we wanted kids. Once our lives stabilized it seemed a lot more feasible. Around the same time we spent some time with a couple small babies and had our parental instincts kick into high gear. Since both of us had a uterus and ovaries we had a choice of who would carry. Jake was more worried about being able to bond with the kid and I was more worried about the physical process of pregnancy so initially he was going to carry (this was pre-transition for him). This decision came with the caveats that if for some reason he couldn’t conceive or if gender ever became a question and he was no longer comfortable with it, I would carry.

Since neither of us produce sperm, our options were sperm banks, fertility clinics, or known donor. We were both less comfortable with the known donor path and there was a two year wait for our local fertility clinic. So the best option for us was to start with a home insemination program run by a sperm bank. We started saving money as each attempt through this program would cost between $1,500 and $2,000. When Jake’s gender questioning led him down the path of transitioning and he started to come out, we figured that was enough emotional stress on its own so we put the baby making on hold.

A year and a bit later, things had calmed down and we were ready to start trying. We started with home insemination from the sperm bank in Toronto. We signed up for the program, had a consult, and got blood tests done. We went through the online catalog and each month on day 1 of my cycle we would send in our top three choices to the sperm bank. On day 11 a 2.5 foot tall box would arrive which contained a large cryo container and a tiny vile of frozen sperm. It also contained specific instructions on how to thaw it and inject it. I tested for ovulation (LH surge) each morning and when it was positive we carried out the instructions. Then the dreaded two week wait (that anyone who has struggled to get pregnant will understand) began.

After four cycles and no success we decided to save the rest of the money we had put aside for future options. We quietly asked a few friends and family members if they would be interested in being a donor for us and ended up trying twice with two different donors (four more cycles). This involved a lot more social engagement and logistical planning but ultimately followed the same pattern of make plans, test for ovulation, do the thing, wait two weeks. Again, no success. We decided it was medical intervention time.

We went to our family doc to request a referral to the fertility clinic. Since we had only technically completed 8 tries (equivalent to 8 months of TTC – trying to conceive), he was reluctant since the typically referral criteria require 12 months of TTC. So instead, I got a referral to a women’s clinic where they ordered more specific blood work and other tests to make sre there was nothing structurally wrong. When this all came back normal, that doctor finally referred us to the fertility clinic.

The two fertility clinics in our city (one public and one private) had recently amalgamated which cut the wait time from 2 years to 6 months. When we finally got our appointment there was more blood work and tests. They started me on a low dose of Synthroid to get my thyroid levels from low normal to high normal. On the scan of my uterus they found a fairly large polyp that they decided should be removed prior to any insemination attempts so I was on a waitlist for that for another four months (which turned out to be 7 months). I had very little warning when my surgery date came up so, suddenly, I was having surgery (which went totally smoothly) and then we were told we could try on the next cycle.

Except with all the waiting I had slacked off and hadn’t gotten the mandatory counselling session booked, a requirement before ordering sperm. Within a week we had that done (a stupid, expensive hurdle that I could rant for a paragraph about but I will spare you), we ordered sperm (a fairly straightforward process since we had done it before), Jake got his final blood work done, I had my surgery follow up, and we were ready to try!

We decided that we would start with IUI (intra-uterine insemination) with a natural cycle (ovulation is not enhanced or induced with drugs) since I don’t have PCOS or endometriosis or other conditions that interfere with the menstruation and ovulation cycle. Again, I peed on sticks to detect ovulation, we phoned the clinic early in the morning when I got a positive result, and went in a few hours later. We received a mini report of the quality of the sperm and how well it had woken up from cryo. The insemination was completed by a nurse and off we went.

The two week wait was even worse than last time. Unfortunately our first attempt didn’t work. The month after we were out of town during my ovulation dates so we gave ourselves the month off to regain our emotional stability and tried again the month after. Somehow, this time felt different. A week after insemination my breasts became very sore and I had a few sharp pains in my uterus area. Since we were doing a blood test for pregnancy (HCG) two weeks after insemination we didn’t bother peeing on a stick. This time, the result came back positive. We were pregnant!!!

Read the next part of our journey in Pregnancy, Miscarriage, and Gender (coming soon).


If you relate to any part of the story above or have any questions, leave a comment below and I will respond!

Menstruation and Gender

Having a menstrual cycle is treated as a very female experience. It is seen as the transition from being a girl to being a woman. It is treated as a symbol of fertility and future motherhood. So it is understandable that people who menstruate but who do not identify as women would struggle a lot with this time of the month.

Menstruation is a huge trigger for dysphoria in a lot of people. For people that menstruate who don’t identify as women, they are going through PMS mood swings and the physical pain of cramps and the inescapable bleeding all while combating feelings that this invalidates their gender identity, that their body is doing things that feel wrong, and that no one would understand how this feels if they ever had the courage to talk about it.

Then there are the women who have never menstruated and never will. They hear other women complaining about their symptoms, having to take birth control pills, or see it represented in media (on the rare occasion). Not having a period and not being able to relate to the experience of having a menstrual cycle can feel invalidating of their identity as a woman.

There are many reasons why a woman may not have a menstrual cycle. And it’s not only women that can menstruate. We need to start separating the things our bodies do and the way our bodies look from gender. Menstruation is something that some bodies do. It does not belong solely to women and it is not necessary in order to be a woman.

Menstruation is something that some bodies do. It does not belong solely to women and it is not necessary in order to be a woman.

I am an AFAB, non-binary, genderfluid person. When it comes to my period, I am one of the lucky ones. Almost every menstrual cycle, my gender shifts in the female direction with the beginning of my period and has a corresponding shift in the male direction as my period ends. This means I have very little dysphoria when it comes to my period. Sure, I still have the fatigue and cramps and grossness but I feel more female than male at the time so it feels in line with my gender. Usually these shifts in my gender are gradual over the course of a couple days but when they happen in the span of a few hours it makes me feel very cranky, out of sorts, and often dysphoric. Maybe this pattern is hormonal, maybe its societal. All I know is that it’s consistent and very helpful.

I figured out this pattern by tracking my gender for a couple months which I describe here. Knowing this pattern has helped me significantly when managing dysphoria. I know to watch for the shift in my gender around the time when my period is supposed to start and then again as it’s ending which allows me to adapt my presentation and dysphoria management strategies more easily.

Not everyone with a fluid gender will have predictable fluctuations in their gender like I do and not everyone will have fluctuations based on a menstrual cycle. My gender fluctuates in less predictable ways during the middle of my cycle.

Regardless of whether someone’s gender fluctuates or not, they do not need to be a woman to menstruate and they do no need to menstruate to be a woman.


What influences your experience of your gender? Do you experience dysphoria related to having or not having a menstrual cycle? Leave a comment below with your experiences!

AFAB and AMAB Non-Binary Differences and Similarities

Note: Since writing this post I have learned that the use of AMAB and AFAB to categorize people, especially nonbinary people, is exclusionary, reductive, and often not helpful in describing experiences in an accessible way. I am working to stop using these terms. I have chosen to leave this post up for now. If you feel strongly about what is written here please leave a comment or send me an email. I appreciate your input.


I recently joined Instagram in an attempt to find more non-binary community. For the most part it has been immensely helpful and wonderful. But one of the things that surprised me was how uncomfortable it was for me to see images of AMAB non-binary folks playing around with their presentation. I was not uncomfortable because I thought they looked strange or weird (they didn’t, they looked awesome), I was uncomfortable because as a non-binary person I was expecting to empathize with them and instead, when I automatically pictured myself using similar strategies for presentation, it made me super dysphoric. This post is an attempt to explore that experience.

AMAB and AFAB people are going to feel dysphoric in different ways and are therefore going to use different strategies to mitigate that dysphoria. This can lead to vastly different, or sometimes completely opposite, gender expressions. For example, an AFAB person might wear a binder, wear traditionally male clothing, and limit their use of makeup. An AMAB person might wear traditionally female clothing, makeup, jewelry, or nail polish.

This is not to say that in order to ‘be’ non-binary, you have to alter your appearance to conform to the other binary gender from what you were assigned at birth. There is no one way to ‘be’ non-binary. There is no ‘right’ way to be non-binary. You can be AFAB, wear a dress and makeup and paint your nails and still be non-binary. But often, dysphoria is either related to aspects of our bodies and biology, or related to how we are viewed by society. Altering our body shape and presentation can help with the dysphoria or lead to gender euphoria and there are strategies that are common among AMAB people and vastly different strategies that are common among AFAB people.

Despite these differences that have made it hard for me to relate to images of AMAB non-binary people, there are many similarities in how we experience the world. We all had to struggle to figure out why we felt uncomfortable with either of the binary gender options that were presented to us. We all had to figure out how to communicate our identity to ourselves and others. We all struggle to have our identity recognized as valid by those around us and society at large. We all struggle against binary assumptions, expectations, and limitations.

There are some AMAB non-binary people who, having taken estrogen, have some breast development and occasionally wear a binder. Or some AFAB people who take low dose testosterone to lower their voice and change their body structure but don’t want facial hair and end up having electrolysis. So even with what seem like vast differences in our strategies to present authentically, non-binary folks can have experiences that overlap in important and interesting ways.


What similarities or differences have you experienced with other non-binary folks? Have you been able to connect with people who share your identity but were assigned a different gender at birth? Leave a comment below and tell me what you think!

When the Stereotypical Trans Story is Wrong

‘True Trans’ Narrative

When you think of a generic trans person, what comes to mind? Is it someone who feels like they were born into the wrong body, who knew from a very young age that they were meant to be the other gender, who preferred the ‘wrong’ toys and the ‘wrong’ clothes? This is the stereotypical trans story. Within the trans community, this type of experience is called ‘True Trans’ implying that because their experience matches the stereotype, their identity as a trans person is somehow more valid than other people.

While it is true that people with the stereotypical trans experience will be questioned less as to whether they are sure and will have to explain their experience less often, this in no way makes their experience or identity more or less valid than any other. There is no hierarchy of transness.

Other Trans Narratives

Some trans people didn’t realize that their discomfort was related to their gender until they were a teenager going through puberty, or as an adult having kids, or as an older adult going through menopause/andropause. Some trans people don’t feel like they were born into the wrong body at all. Some trans people are only uncomfortable with how society views their body and how they are identified as a result of their body but are completely comfortable with their body on it’s own. Some trans people prefer the activities and clothes typically associated with the gender they were assigned at birth.

These trans experiences are poorly represented by mainstream media and therefore poorly understood or acknowledged by the general public. People with trans experiences that do not match the ‘true trans’ stereotype have a harder time understanding themselves, finding the appropriate words to convey their experience to others, and sometimes fall back on descriptions that match the stereotype just so they can get the validation they deserve from people in their lives and medical professionals even if this is not true to their experience.

The Role of Stereotypes

Identities are complex. Social structures such as gender, race, ethnicity, class, disability, sexuality, etc are all infinitely complex. Stereotypes provide a short hand for people who do not have personal experience with a specific identity can have a basic image or understanding of what other people are referring to.

Stereotypes are often the first step in increasing the visibility of a particular identity and eventually normalizing it. Initially this can be helpful but the stereotype quickly becomes something that the people who live that identity need to fight against and correct.

The Harm of Stereotypes

Stereotypes become harmful when people outside that identity don’t recognize it as a stereotype. They believe that the image or understanding they have of that identity is accurate to everyone with that identity. This is especially true for medical professionals who are in a position to refuse a diagnosis or treatment to someone when that person doesn’t fit the medical professional’s personal definition of ‘trans’.

As I mentioned above, stereotypes can also create a hierarchy within a marginalized identity where the people who’s experience match the stereotype are seen as more valid or more deserving of recognition. This can lead to people being excluded from the community that they need support from the most.

Broadening the Trans Narrative

Members of the trans community have pushed back against the stereotype using phases such as “I am trans enough” which got shortened to “I am enough” and “All trans people are valid”. These have been hugely important messages for many people to see and internalize. Just like cis men don’t have to be hyper-masculine to identify as a man, trans men shouldn’t have to ignore or hide their more feminine interests in order to be recognized as a man or seen as ‘trans enough’ to receive medical treatment (if they want it).

The increasing visibility of non-binary identities and non-binary trans people is also a huge step towards broadening the trans narrative and combatting the ‘true trans’ stereotype. Awareness and acceptance of a minority often ends up benefitting the majority in some way, for example sidewalk cutouts for ramps were originally mandated to improve accessibility for wheelchair users but end up making cityscapes much easier to navigate with a stroller, trolley, bicycle, skateboard, or roller blades. I believe that bringing awareness and acceptance of identities that fall in various places on the gender spectrum, identities that are fluid, and identities that don’t always match the person’s presentation will also benefit cis people by making it acceptable for them to explore interests and presentation options that would have previously been deemed ‘inappropriate’.

How have stereotypes been beneficial or harmful to you? What strategies have you used to correct people’s assumptions based on a stereotype? What other stereotypes of trans people have you found? Leave a comment below!

Educating Others Without Compromising Your Boundaries

Sometimes those of us with experience and knowledge of trans related topics want to help educate those around us and sometimes we don’t. And that’s ok. You should never feel like you have to compromise your own mental health for the sake of addressing someone else’s ignorance. But how do you politely tell people to bugger off and educate themselves through other means? And when you are comfortable having some of those conversations, how do you know what you’re comfortable sharing and what you’re not? How do you make them aware of your boundaries without derailing the conversation or damaging your relationship with that person?

Throughout my husband’s transition and my own gender explorations I have had many different conversations with many different types of people about gender and trans related topics. Many times towards the beginning of this process I was already knee deep in a conversation before I realized that I was well past the line that this person shouldn’t have crossed. I am a very open person and I am often comfortable sharing much more personal information with others than most people are so I wasn’t personally uncomfortable with the content. What concerned me more, and often only in retrospect, was that the person I was talking to had no awareness of which questions were appropriate and which ones they should have asked special permission for (and respected my response if I said no). If you have people in your life that have a similar lack of understanding of what is appropriate to ask about or say, see my post How to Interact Respectfully with a Trans Person, or, better yet, send that person the link.

How far do you go before you recommend resources and leave the conversation? That is completely up to you. Everyone will have different boundaries relating to their privacy depending on the type of information, their relationship to the other person/people in the conversation, and the setting where the conversation is taking place. Boundaries are healthy. They are self-protective. The more experiences we have that are threatening, the more self-protective we are likely to become.

The problem comes when you don’t know where your own boundaries are until they have been crossed. This can make you vulnerable, defensive, antagonistic, and can even put your safety at risk. Often, the other person/people in the conversation don’t even know they have crossed a line. Your sudden change in manner can be a shock to them and even to yourself.

How do you avoid this? Think about your boundaries in advance. Below are some guiding questions to get you started. I recommend you add to it any time you get asked a question that triggers a warning bell in your head. Revisit this exercise every few months, when you are nearing a major transition related event, or when you’re going to be interacting with people you haven’t seen in a while (family gatherings). For each question, try to answer it for a variety of different people in your life – a co-worker, a friend, a parent, your doctor, another member of the trans community, etc.

General Info: Are you comfortable…

  • disclosing your birth name?
  • explaining why you prefer the pronouns you use?
  • talking about your experiences of dysphoria?
  • talking about specific strategies you use to change your appearance or presentation (binding, packing, tucking, padding, etc)?
  • talking about how supportive your family, significant other, or other people in your life are?
  • talking about what support groups you attend/are a part of?
  • talking about wait times, difficulties finding a trans friendly family doctor, and other systemic barriers?

Medical Info: Are you comfortable…

  • talking about medication you are on related to transitioning?
  • talking about changes you are experiencing as a result of those medications?
  • disclosing what surgeries/surgery you are interested in having/have had?

Legal Info: Are you comfortable…

  • talking about legal documentation changes?
  • discussing transphobic politics and policies?

This is by no means an exhaustive list of topics that might come up related to your own or your partner’s transition or gender identity. If your partner is the one who’s information you would be sharing, go through this list with them so they can tell you what they are comfortable with you sharing with people in your life. My husband is typically a fairly private person (at least compared to me), but often had much looser boundaries when it came to me sharing info with my coworkers or friends if they were people that he was unlikely to interact with.

Now that you know your boundaries, what do you do or say when someone asks something that you are not comfortable talking about? Try saying exactly that – “Sorry, that isn’t something I’m comfortable talking about with you.” Another phrase I use a lot (because there is rarely something I’m actually not comfortable talking about with someone) is “That is not actually something you should typically ask about a trans person.” They usually respond with “Oh, really? I had no idea.” You can also add phrases such as “Thank you for your concern” or “Thanks for trying to learn more about my experiences/trans issues” or “If you want to learn more about that I would recommend [appropriate resource].”

So whose responsibility is it to do the educating? I believe that no amount of reading on the internet can substitute for face to face conversation and personal anecdotes. But that doesn’t mean that it is always up to the minority to educate the majority. People from or connected to the trans community should not be responsible for providing all necessary information to everyone around them (especially medical professionals). That would be more than exhausting. But you will need to provide the people in your life with enough information to get them from unconsciously ignorant to consciously ignorant and explain how important it is that they educate themselves further. It will also help if you can provide them with specific resources that speak to you. They are much more likely to absorb the information they are getting from other sources if they are confident that it is relevant to your experience.

What other topics or questions would you add to the list? How do your boundaries change depending on your situation or the person you’re talking to? What phrases do you use to identify your boundaries to other people? Was there a situation where you shared something that you realized in retrospect had crossed your personal boundary? Tell me what happened in the comments below!

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?