Transition – Page 3 – Purple and Green and the Life in Between

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!

What’s in a Name and How to Pick One

For many gender non-conforming and trans people, names are super important. Just like pronouns, names often have a specific gender attached to them. There are female names, male names, and gender neutral names.

Often one of the first things that a trans person will do, after coming out to themselves and before coming out to their broader community, is to pick a new name. This name is considered their chosen name. Their previous name is called their birth name. And once someone has socially transitioned and no longer uses their birth name, some trans people call their birth name their ‘dead name’.

So how does one go about finding a new name? I was lucky in that the masculine part of my identity came with a name that automatically felt right. However, this did lead to me having two names which I will discuss below. Jake, my husband, had a very different experience. He didn’t specifically dislike his birth name and if it had been an acceptable gender neutral or male name he probably would have kept it. He tried shortening it to a more masculine version but it didn’t feel right and ultimately chose the name Jake. I discuss more about his process below.

HAVING TWO NAMES

I have two parts to my gender identity, a female part and a male part, and I have a name that matches each. It has taken me a long time to figure out how I want to navigate the world and be identified and I am still figuring it out but here’s where I’m at so far:

In my head and when referring to myself as a whole (to people I am out to or in online spaces like this blog) I use both names as though they are one name ie Meaghan Ray
In my everyday life where I am not yet out as genderqueer or nonbinary, I use my birth name only
In queer spaces when I am feeling more neutral or masculine I use Ray only

Having two names means that when I am in spaces where I am out to people I have to specify how I would like to be referred to each time. Some people are better than others at asking and then using the name I specify. I am slowly getting better at remembering to specify and correcting people when they get it wrong. It’s an ongoing process.

So far, I don’t feel the need to change my name legally. At some point I may change my middle name to Ray but for now I am comfortable with where I’m at.

FINDING A NEW NAME

When Jake was looking for a new name we used a few different strategies. I have also heard some others mentioned by other trans people. Here are a few ideas:

Look up baby names from the years close to when you were born
Ask your parents what you would have been called if you had been born as your current/true gender
Make a list of names used in previous generations of your family
Make a list of names that start with the same letter as your birth name or middle name (if you like it) or other first letters that you like the sound of
Flip through a baby name book and make a list of names that feel right for you
Shorten or alter your birth name to version that matches your gender

There is no one way to find a name. Some names are more common in the trans community so connect with the community online if you can and see what other people with your identity have chosen. Maybe you want a common name, maybe you don’t. It’s your name and it is completely your decision.

TESTING YOUR NEW NAME

Choosing a new name can feel daunting and huge. This is the name that will represent you for the rest of your life! So, give yourself a trial period before you start telling everyone. Here are some suggestions of how to test your new name:

Use it as an alter ego online or as a character name in a video game
Ask a few close supportive friends or family to test it out for you (we learned that this doesn’t work very well with only you and one other person because you never use first names unless there are three or more in the group)
Try writing a journal entry about your day in the third person using that name
Participate in a queer social group that you have never met before and put your new name on the name tag
Pick one of the names on your shortlist and mentally use it as your name for a week, switching to a different name for the next week

Many of the above strategies will also work for testing out pronouns. Don’t be afraid to try out different names and change your mind. But be aware that it is often difficult for the people closest to you to adapt to a new name. So the more ways you can test it before telling the whole family or coming out at work the more confident you will feel that you are choosing the right name for you.

Remember that you also need time to get used to your new name. It will sound strange when someone refers to you by that name for a while. The longer you can give yourself to get used to it internally or with a small group before coming out publicly the more it will feel like your name when you hear people using it.

If you changed your name, what strategies did you use to pick a new name and test it out? If someone you know changed their name, how did you feel about the change? Leave me a comment below with your experiences!

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?

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!

Experimenting with My Name and Pronouns

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

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

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

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

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

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

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

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

None of this happened. It was awesome.

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

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

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

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

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

Finding Support

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

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

Friends

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

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

queer community

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

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

Online groups

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

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

PFLaG

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

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

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

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

therapists

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

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

trans-friendly health professionals

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

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

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

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

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

new relationship

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

They’re trans and ‘post’ transitioning

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

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

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

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

Offensive questions/statements to avoid:

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

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

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

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

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

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

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

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

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

Long term relationship

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

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

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

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

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

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

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

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

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

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

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

Moving Forward

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

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

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

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

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

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.