Transsexuality – news.lgbti.org

Understanding Transgenderism

The prefix ‘trans’ comes from the Latin word for across, so ‘transgender’ literally means “across gender” (Huffington Post). This is an umbrella term with people of various types attached. Since gender is such an important part of identity in most cultures, it’s difficult for a transgender person to “come out” to someone. It takes a lot of trust and courage. If someone comes out to you, show them the utmost sympathy, ask them questions and find out more. If they begin to feel uncomfortable about your questions, give them some slack. Also, be there for them and let them know that you recognize how difficult it was for them to come out.

We have a dichotomous society when it comes to gender, which divides into whats called, “the gender binary”. We decide restrooms to use on our gender, what clothes to wear and how to act. Though this is simple and accepted by most people, this makes life very difficult to navigate for the transgender community.

“Gender identity” or “gender expression” is another complicated matter for transgender individuals. Though we often think we can tell, clothing is not always an accurate indicator of gender. What’s underneath may be far different then what is believed.

The moment of self-realization can take many forms for a transgendered person. Often times it takes them a while to figure out which sex they self-identify with. Many people are led to act a certain way by their parents, or they do what they think they need to do to fit in, but everyone’s situation is different. A person may be in denial for years or know all along that they felt more like one gender than the other. Many in this community continue to deny signs of what they feel is their proper gender. Surgery usually needed to become one distinct gender, but still some don’t need it. This “gender assignment” surgery helps people become on the outside, what they feel they are on the inside.

Dr. M. Mirza, LGBT Health Wellness – 2014

What is Gender Identity?

Gender is a primary category in which individuals both identify themselves and are identified by others. Gender is not a set of binary categpries, but rather a spectrum. The concept of gender can be restrictive in many ways. People are generally expected to identify as a particular gender, the one which has been assigned to them, and act in specific ways deemed accordingly. While gender roles are the expectations a culture has of one’s behavior as appropriate for male or female, gender identity is, the individual’s actual subjective sense of belonging to the female or male category or neither of the two.

Some people discover that their gender identity does not match the gender role they have been assigned, a condition traditionally referred to as gender dysphoria. In other circumstances, children may be born with both sets of genitalia, a condition referred to as being intersexed.

However, bipolar definitions of gender with the assumption of them matching one’s biological sex can create an either/or situation in which people fail to see the existence of an in between. There are severe ramifications. People who do not identify as the gender they have been assigned face the threat of violence, actual physical attacks, verbal assaults, in the worst cases murder, and at the very least mockery and scrutiny.

Interpretations of Gender Identity and Sexual Orientation

Various research and theoretical writing from people such as Kate Bornstein and John Money have examined the notion that gender is a fluid category with room for movement. (Crooks and Baur1998 and Bornstein, 1994) Bipolar definitions, for the most part, require that the gender roles for both men and women involve heterosexuality. This is not always the case. Gay men and lesbian women continue to define themselves as men and women while maintaining primary interest in people of the same gender. There is a conceptual middle ground, almost a crossing between the continuum of gender and sexuality. The existence of people who openly cross this line is certain. Gender identity theories are complex and explanations range from those rooted in psychological, sociological, and biological interpretations, to the personal anecdotes of those whose life experiences have led them to examine the concept of gender. Gender Assignment

Sex is generally referred to as the biological category involving the existence of certain genitalia and reproductive capabilities. Many times people attribute the word “natural” or “normal” to that which exists biologically. Gender is a category which currently maintains two supposed distinct and opposing components. The truth is that many variations in sex exist on a purely biological level. For example, turner’s syndrome involves the existence of female reproductive internal and external structures (Crooks and Baur 1998). Most people with this identify as female however they do not develop breasts nor are they fertile. Klinefelter’s syndrome involves the development of small testes, male reproductive internal structures but also may result in feminization of secondary sex characteristics such as breast development and rounded body contours(Crooks and Baur, 1998). People with Klinefelter’s vary in their gender identity. Androgen insensitivity syndrome involves a lack of set of either male of female internal structures (Crooks and Baur 1998). Puberty may result in breast development but menstruation does not occur. Although they have XY chromosomes, these people mainly identify as female. Several other examples of “natural,” biological contradictions to the binary definitions of sex exist. Suzanne Kessler discussed several problems in choosing the gender of “intersexed infants…babies born with genitals that are neither male nor female.” (Kessler, 1990 ) She notes that the ground on which the determination of a biological male or female is made are socially rooted in “…such cultural factors as the ‘correct’ length of the penis and the capacity of the vagina.” (Kessler, 1990) This sex assignment by persons other than the individual him/herself can cause conflict later in life. If one thing is clear, it is the idea that whatever the root of an individual’s gender identity, it should be a personal decision.

It is important, therefore, to remember that gender identity could have biological roots, but it does not necessarily have to. Many people maintain a gender identity which opposes the gender role they are assigned without having a biologically identifiable root to their gender identity. Gender is a fluid category involving a spectrum of attributes which contribute to gender identity. In the biological respect, there are examples of chromosomal and hormonal combinations in which an individual cannot strictly be deemed a man or woman. In this respect, there are as many sexes as there are humans. On the psychological and social level, several people do not feel that they fit in with other people of the same gender as themselves- they do not feel a part of the gender that they have been assigned without any identifiable biological (hormonal, chromosomal) distinctions between themselves and other people of the same gender. Gender and sex do not necessarily coincide, nor do gender assignment and gender identity. Often times the concepts of gender identity, gender role, and sexual orientation become mixed. But, each is separate and not necessarily a determinant of the next.

Transgender People

The notion of a gender continuum becomes a reality by examining the existence transgender people. The broadest definition of people who identify as transgender includes “anyone who bends or challenges traditional gender roles” (Youth Resource Library). Transgender people contest gender norms “by wearing clothing not generally associated with their own sex and in some cases by modifying their bodies to be more like those of the other sex”(Youth Resource Library). This definition encompasses a large number of people including: intersexed people, transvestites, drag queens/kings, transexuals, and androgynes.

Intersexed people, as mentioned before, are born with genitals “which show characteristics of both sexes” (Youth Resource Library). Transvestites or crossdressers wear clothing traditionally worn by the other gender on occasion, but do not have the desire to change their sex. It is estimated that the percentage of crossdressers in the heterosexual and homosexual communities is about equally at 10% (Crooks & Baur, 1998). This means that 90% of transvestites are heterosexual (Crooks & Baur, 1998). Drag queens/kings present exagerated images of men and women using stereotypes mainly for entertainment. Transexuals feel trapped in the body of the wrong sex. Many transexual people develop a sense of inconformity with their genital anatomy at a young age; some recall identifying strongly with characteristics of the other sex as early as five, six, or seven tears of age (Crooks & Baur 1998). Most transexual people lead heterosexual lifestyles and “…prefer to have sexual relations with a member of the other sex.” – meaning other than the gender they identify as (Crooks and Baur 1998). About 50% of those who have sex changes are female to male transexuals (FTM) (Crooks &Baur;, 1998). The other half are male to female (MTF) (Crooks & Baur, 1998). The number of people living as the gender other than the one they were assigned range from 50,000 to 75,000 and an estimated 25,000 Americans have sex-changing surgery (Brook, 1998). Androgynes or gender blenders “merge the characteristics of both sexes” (Crooks and Baur,1998).

Being transgender has no determinable correlation to being homosexual. Apart from sexuality, transgender people confront gender roles and act in opposition to them. Although they are distinct and unique, each of the above categories challenges gender roles.

The Impact of Gender Identity

The gender identity of an individual can have an incredible impact on his/her life experiences. For example an individual might maintain the gender identity which conflicts with the gender role s/he is assigned. In this case gender, one category generally perceived as simplistic and bipolar, becomes an area of extreme confusion and discontent. Aside from genitalia, which remains generally unexposed, society maintains certain expectation of what each gender should look, sound, and act like. Any deviation from these rigid models opens a person up to at the very least ridicule. Challenging gender roles is often the source of harrassment. Adolescence is a period of growth and development already filled with feelings of awkwardness. Understanding of these concepts open doors to a world of greater understanding and possibly even compassion. Presently, there is little space for those who do not fit within a specific set of gender definitions and regulations. There is a need to look beyond what we see or think we know about other people and start listening to what they know about themselves.

References

Bornstein, K., Gender Outlaw: On Men, Women, and the Rest of Us. Vintage Books, 1994
Brook, J., Sex Change Industry a Boon to Small City. New York Times November 8, 1998
Crooks, R. & Baur, K., Our Sexuality: Seventh Edition. Brooks/ Cole Publishing Company, 1997
Kessler, S., “The Medical Construction of Gender: Case Management of Intersexed Infants” in Signs. Division of Natural Sciences, State University of New York College at Purchase, 1990
Stoltenberg, J., “How Men Have (a) Sex.” in Reconstructing Gender: A Multicultural Anthology. Mayfield Publishing Company, 1997
Youth Resource Library Transgender: What is it? youthresource.com/library/trans.htm

youthresource.com/feat/trans/art_gen.htm – 2004

Sexuality

By and large, the transsexual condition is referred to, and often dealt with, as a sexual problem. Gender identity and sexuality are two separate aspects of our lives. Yet, it is amazing how many people have trouble conceptualizing the difference. Since transsexuals began approaching the medical community after W.W.II, the general view of those practitioners was one of taking a social deviant (socially embarrassing, “effeminate” men) and through chemical and surgical adjustments create a socially acceptable woman. Once it was discovered that a portion of these “new” women took female partners and identified as lesbians, the medical screening process was tightened up. Those who identified as anything other than heterosexual were forced to lie. If they mentioned any behavior that smacked of bisexuality or homosexuality, they were rejected from most gender programs. Those who felt they could not fight the system learned to lie. The medical community taught many transsexuals that their gender and sexual identity were inseparable.

One of the first people to challenge the gender programs and the medical professionals on this attitude was Louis Sullivan. He was the founder of the largest and longest-running FTM organization (to date) in the world, now known as FTM International, Inc. Lou identified not only as an FTM, but also as a gay man. He spent ten years of his life writing letters, personally visiting doctors, educating them, and persevering against the system. For ten years, he was denied hormone therapy or surgery. Finally, his persistence paid off and he was granted the right to pursue the treatment he felt he needed. He was the first FTM who openly led the way for others who identified as gay or bisexual.

Within the FTM experience, the entire gamut of the sexual spectrum is covered. A large portion of FTMs identify as heterosexual men who date and even marry women. There are those who identify as non-sexual and others who see themselves as asexual, choosing only self-stimulation. A large number of people identify as gay or queer, others identify as bisexual. There are those who identify as pansexual or simply sexual.

Of course with the exploration of sexuality comes the discovery and exploration of sex. And with sex, the specter of HIV/AIDS and STDs arises. Most of the FTMs on the street hustling for survival and money are fully aware of the risks they run. They face some of the tough problems that other male hustlers face on the streets. Most johns will pay higher dollar if they don’t have to use a condom. In San Francisco, $10 to $30 dollars will get you a blowjob. These are usually performed with condoms. To kick without a condom, the asking price is $75 to $150. Several of the young men have commanded prices of $500 or more for the john’s privilege to not use a rubber. It seems an awfully low price for their life. The chance of drug use, mostly intravenous, is high for these young men. To our knowledge, at this point in time, the number of young FTM men who work the streets is low.

The FTMs who are probably at the highest risk of transmitting or contracting STDs are those who identify as heterosexual. Many hetero FTMs feel they are immune to HIV/AIDS because it is still considered a gay disease, and not all FTMs emerge from the dyke community. Their biggest risk is their ignorance and lack of education. This is probably less so in urban areas, but the attitude is still alarmingly proliferant. Not surprisingly, those FTMs who identify as gay or bisexual are usually the most educated in regard to any STD as well as safer sex practices. This has not, however, kept FTMs from contracting HIV or other STDs. In both urban and rural areas, the number of FTMs who have sero-converted has risen in the past three years. Herpes is wide-spread if not epidemic. A large number of FTMs have spoken up about cases of gonorrhea as well. When asked why they choose not use condoms or other forms of protection, many state that they have felt pressured into not using them. Several have spoken of being told they won’t be seen as “real” men if they insist on protection. This kind of pressure has come from straight women, bisexual men and women, and gay men. Peer pressure seems to run the gamut in the sexual spectrum as well. More education is needed about safe sex that recognizes the unique conditions of FTM bodies and psyches.

Notes on Gender Transition

Revised September, 1997

FTM 101 — The Invisible Transsexuals

By: Shadow Morton, Yosenio Lewis, Aaron Hans–James Green, Editor