The Hook - DR. HOOK- Change up: Transgenders seek understanding

Search SiteWebBizes

November 2008

Tonight's Events

Click for Charlottesville, Virginia Forecast

Subscribe to the Issue.
emailIcon

Subscribe to the blog.

by JOHN HONG, MD published on 6/12/2008 in the category

by JOHN HONG, MD

published on 6/12/2008

in the category

Email this Story

Print this Story

Write a letter to the Editor

DR. HOOK- Change up: Transgenders seek understanding

By JOHN HONG, MD
Published June 12, 2008 in issue 0724 of the Hook

Transgender people are the bravest people in the world. (If Barbra Streisand ever makes a sequel to Funny Girl, she can add those lyrics to her song "People.") In the USA, gender roles are narrowly defined and stringent. That's why I don't go to comedy clubs anymore-- 99 percent of all jokes are about how men and women are different or bashing gay people. I'd rather go to an Aryan Nation meeting.

So for a man to become a woman or for a woman to become a man in this society is harder than Rush Limbaugh and Michael J. Fox going out on a date.

Transgender means a person feels he or she is the opposite sex. So male-to-female (M◊F) transgender persons are genetically male but identify themselves as female and want to change their sex to female to match their self identity. Female-to-male (F◊M) transgender persons are genetically female but identify themselves as male and want to change their sex to male.

Why do transgender people believe they were born the wrong sex? We don't have an answer. But does it really matter? For those who think it's unnatural to consider yourself a different sex than you were born, consider this. One in 2000 births involves an intersex baby, a baby whose sexual organs are not clearly identifiable as either a boy or a girl. Also not everyone is born with an XX or XY chromosome set. Sometimes there are extra chromosomes.

Also not everyone responds to their genetic sex hormones, so there are some "hot babes" in Hollywood with XY (male) chromosomes. But does that make them weird? Or does it mean we come in many varieties?

Oh, to be clear, transgender is not about sexual orientation or about cross-dressing. Sexual orientation is about whom you love, whom you are sexually attracted to. Cross-dressing is about wearing the opposite sex's clothes but doesn't point towards gender identity or sexual orientation.

Transgender is about gender identity. I know many transgender folks who change sex and are attracted to the same sex (e.g. M◊F is a woman now and in a relationship with a woman). "Free Your Mind" as En Vogue would sing.

Unfortunately, there are a lot of physicians who are uncomfortable with, if not cruel to transgender people-- and gay people-- and minorities (even at an academic medical institution near where I live, though you would hope they would know better). That is really heartbreaking because without medical help, it is impossible for transgender folks to make the transformation to the other sex. Instead, they face prejudice and barriers. For transgender people, being in the wrong sex body is very disturbing and often leads to depression or self-destructive behaviors. The transformation from genetic sex to their identified sex through hormonal and surgical therapy can help.

My partner is an endocrinologist who works with transgender folks, and I have transgender patients as well. Unfortunately, many come from hundreds of miles away because they face so much discrimination with their local doctors. (And with the cost of gasoline...) Going from M◊F or F◊M is a process that affects family members, friends, and colleagues. We work with a terrific therapist who helps in this process. Hormones are needed, and eventually gender reassignment surgery can become an option. But it's expensive, and insurance usually doesn't cover it.

Could you imagine if Endora from Bewitched waived her hands and changed your sex to the other sex? Probably you would feel very uncomfortable being in the wrong sex, living a different sexual role, and feeling forced to watch ESPN vs. The View depending on which gender change you went through. Maybe the book Men Are from Mars, Women Are from Venus should be renamed, "We All Are from Earth."

Dr. Hook cracks a joke or two, but he's a renowned physician with a local practice. Email him with your questions.

Thank you, Dr. Hong for that blog. You definitely 'get it' and I want to thank you for simply being in the world and posting this. I don't think of myself as 'brave,' although I understand why you and other cisgendered, cissexual people would think of us as that. Because somewhere deep inside most cisgendered, cissexual people there is something that they find utterly foreign to them when they even consider losing the genitalia or the body shape and recognition as themselves that would come to them if them had the procedures we do to simply be ourselves. I imagine that in that deep place lies your own, their own gender-identity and that the revulsion so many feel is their own gender-identity dysphoria that wish so fervently to say we cannot possibly have and feel. That I have felt that most of my life they cannot seem to grasp, although if they contemplate my own changes they seem to feel the exact same thing in reverse. Thus, I don't find GID & transsexuality, transgenderism to be a psychological illness at all. Instead it is another variation in a wide-variation of human being. One that can be relieved and expunged in the same fashion that that deviated septa can be repaired, or the same way doctors everywhere and parents attempt to expunge the 'defect' of intersex within hours of the birth of individuals who have those 'abnormal' genitalia you noted. Those genitalia are not abnormal at all, the embarrassment that causes such natal surgeries that 'correct' them are merely reactions to the doctors and the parents own gender-dysphoria projected to those children. Thank you so much for seeing that we are all in this life together and that humankind is far more varied and normal than many people believe. May blessings rain upon you, gently, Nichole posted by Nichole Weberring at 6/12/2008 2:10:36 PM
Dear Dr. Hong; Thank you so much for your insightful, concise description of transgenderism. when I try to explain what it is (what I am) I tend to ramble. I appreciated your comparison- viewing ESPN vs the View. Bless you and your partner for being enlightened, caring people. Omia posted by Omia Bumgarner at 6/13/2008 3:19:22 PM

Thank you, Dr. Hong for that blog.

You definitely 'get it' and I want to thank you for simply being in the world and posting this.

I don't think of myself as 'brave,' although I understand why you and other cisgendered, cissexual people would think of us as that. Because somewhere deep inside most cisgendered, cissexual people there is something that they find utterly foreign to them when they even consider losing the genitalia or the body shape and recognition as themselves that would come to them if them had the procedures we do to simply be ourselves.

I imagine that in that deep place lies your own, their own gender-identity and that the revulsion so many feel is their own gender-identity dysphoria that wish so fervently to say we cannot possibly have and feel.

That I have felt that most of my life they cannot seem to grasp, although if they contemplate my own changes they seem to feel the exact same thing in reverse.

Thus, I don't find GID & transsexuality, transgenderism to be a psychological illness at all. Instead it is another variation in a wide-variation of human being. One that can be relieved and expunged in the same fashion that that deviated septa can be repaired, or the same way doctors everywhere and parents attempt to expunge the 'defect' of intersex within hours of the birth of individuals who have those 'abnormal' genitalia you noted.

Those genitalia are not abnormal at all, the embarrassment that causes such natal surgeries that 'correct' them are merely reactions to the doctors and the parents own gender-dysphoria projected to those children.

Thank you so much for seeing that we are all in this life together and that humankind is far more varied and normal than many people believe.

May blessings rain upon you, gently,

Nichole

posted by Nichole Weberring at 6/12/2008 2:10:36 PM

Dear Dr. Hong;

Thank you so much for your insightful, concise description of transgenderism. when I try to explain what it is (what I am) I tend to ramble.

I appreciated your comparison- viewing ESPN vs the View.

Bless you and your partner for being enlightened, caring people.

Omia

posted by Omia Bumgarner at 6/13/2008 3:19:22 PM

Your Name:
Your Email (optional):
Comment:
Image Verification:
Please type the letters above:

	* We want vibrant debate, so please comment on this story. People say the darndest things, but if they use language stronger than "darn," if they use ethnically or racially disparaging language, or start comparing people to Hitler, they may find that we've deleted the comment without warning. A few more rules: no libel, no slander, and no lying. And please stay on the topic.