Gender Dysphoria

 

/Image from UnSplash

The confusion suffered when a person has a problem deciding which gender they are is often a cruel lifetime curse.

After all these years of living a reasonably successful life as a fulltime transgender woman, when I look in the mirror in the morning and really anytime, I still see a man looking back at me on occasion. Surely my hormone replacement therapy (or whatever it is called today) has aided in my transition but the problem just won't seem to go away.

It is about this time, when I am becoming discouraged concerning my appearance, I look at the reality of the situation. Which is, at the age of seventy three, there will be little more than I can do to insure the world sees me in a more feminine way. All those years of testosterone took it's toll. I do know also I could consider facial femininization surgery but the cost and pain just wouldn't be worth it. So, by my own choice I am stuck with what I see in the mirror.

Not too long ago I was watching one of my guilty pleasure reality talk shows when the host had on a beautiful transgender woman. Along the way during the interview she told the world she was thinking of having facial surgery which amazed the host and I. When he asked why, she said she still saw her old male self when she looked in the mirror. Sad but true.

It is my understanding too that growing up transgender does not automatically guarantee you will have suffered from any gender dysphoria at all. I found out the hard way years ago when I went to one of my transgender-transvestite support group meetings. I brought up my gender dysphoria issues and was quickly told by the moderator she had never suffered from the problem at all. She later went on to completing a gender realignment surgery so I have often wondered one of two things. The first, did she change her mind or two, did she even know what the term meant. Regardless, I learned my lesson and did not bring it up again. 

Regardless, I needed to find away to deal with my own gender dysphoria. After years of turmoil. I finally decided I didn't look as bad as a transgender woman or as good as the mirror sometimes told me I did. I just tried my best, as any cis woman does (on occasion) to look her best when she goes out into the public's eye. Presenting privilege's are so difficult to come by for any transgender person who is attempting to cross the gender border. Think of it this way, there are many cis-women who struggle to have any presenting privilege at all and supposedly the women had the benefit of growing up female. 

I am sure I will take my own gender dysphoria with me to my grave. My biggest paranoia is the dysphoria will not helped along by any assisted care facility I may find myself in.        

Knocked off Another Pedestal

Image from Deva Williamson
on Unsplash

 Recently I participated in a Veterans Administration survey. It primarily revolved my treatment at VA facilities as well as background on my life as a transgender woman. Included within the survey were heavy questions on had I attempted any surgical gender intervention, as well as treatment I had personally received as various VA facilities. As I have said many times, following a very slow and unsure start my treatment has evolved to a positive experience.  

Long ago, I decided at my age, I would decline any and all gender surgeries including facial feminization, breast augmentation all the way to genital realignment surgery. In other words, I decided the numerous and welcome changes I experienced through hormone replacement therapy would be sufficient. My thought pattern was and is my gender is a highly personal matter and was decided by what was between my ears and not my legs. It didn't hurt either the only surgery I had ever undergone was to have my tonsils removed. Who was I to attempt to question success. My rule of thumb was to not undergo any or all unneeded pain. Such as elective gender surgeries.

Overtime I built up a bias towards those who viewed me as less transgender than they were since I have not gone under the surgical knife. While I still think the "transer than thou" ideas of certain post GRS persons is completely unfounded, I understand why some of the younger trans individuals would desire the surgery more than others. An example would be at the age of seventy three, my life is at a point where I am secure where I am currently at as far as my life as a fulltime transgender woman. Again, I don't see surgery giving me any sort of improvement.

The more I thought about the surgical questions in the survey, I put myself in the place of a much younger transgender person. Throughout my younger years, lack of insurance support and financial considerations would very much stop any idea of gender surgical intervention. These days though, there are more and more ways to finance surgery. Even the VA was asking in their survey. Perhaps most importantly there are more and more surgeons who can do a quality GRS and not mutilate their patient. After all, no matter how you cut it (pun intended) genital realignment surgery is a major operation. Major or not, if I was a young transgender person looking ahead at life. If I was in their shoes, I would desire any benefit I could get to live my life as happily as I could. 

Luckily when I fell off my pedestal, I didn't hurt myself. Plus I realize also many older transgender adults go through GRS for any number of reasons. I'm sure many see the surgery as a natural progression in their gender lives. Sadly our trans community puts too many up on their own pedestals as they try to find a way to look down on others. It's a human condition.