Gender reassignment surgery is performed to change primary and/or secondary sex characteristics. For male to female gender reassignment, surgical procedures may include genital reconstruction (vaginoplasty, penectomy, orchidectomy, clitoroplasty) and cosmetic surgery (breast implants, facial reshaping, rhinoplasty, abdominoplasty, thyroid chondroplasty (laryngeal shaving voice modification surgery (vocal cord shortening hair transplants) (day, 2002). For female to male gender reassignment, surgical procedures may include mastectomy, genital reconstruction (phalloplasty, genitoplasty, hysterectomy, bilateral oophorectomy mastectomy, and cosmetic procedures to enhance male features such as pectoral implants and chest wall recontouring (day, 2002). The criterion noted above for some types of genital surgeries. E., that patients engage in 12 continuous months of living in a gender role that is congruent with their gender identity is based on expert clinical consensus that this experience provides ample opportunity for patients to experience and socially adjust in their desired gender role. In addition to hormone therapy and gender reassignment surgery, psychological adjustments are necessary in affirming sex. . Treatment should focus on psychological adjustment, with hormone therapy and gender reassignment surgery being viewed as confirmatory procedures dependent on adequate psychological adjustment. .
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Note: Blepharoplasty, body contouring (liposuction of the waist breast enlargement procedures such as augmentation mammoplasty and implants, face-lifting, facial bone reduction, essays feminization of torso, hair removal, lip enhancement, reduction thyroid chondroplasty, rhinoplasty, skin resurfacing (dermabrasion, chemical peel and voice modification surgery (laryngoplasty, cricothyroid approximation or shortening. Similarly, chin implants, lip reduction, masculinization of torso, and nose implants, which have been used to assist masculinization, are considered cosmetic. Note on gender specific services for the transgender community: Gender-specific services may be medically necessary for transgender persons appropriate to their anatomy. . Examples include: Breast cancer screening may be medically necessary for female to male trans identified persons who have not undergone a mastectomy; Prostate cancer screening may be medically necessary for male to female trans identified persons who have retained their prostate. Aetna considers gonadotropin-releasing hormone medically necessary to suppress puberty in trans identified adolescents if they meet World Professional Association for Transgender health (wpath) criteria (see cpb 501 - gonadotropin-Releasing Hormone Analogs and Antagonists). Aetna considers the following procedures that may be performed as a component of a gender reassignment as cosmetic (not an all-inclusive list) (see also. Cpb 0031 - cosmetic Surgery abdominoplasty, blepharoplasty Brow lift Calf implants Cheek/malar implants Chin/nose implants Collagen injections Construction of a clitoral hood Drugs for hair loss or growth Forehead lift Jaw reduction (jaw contouring) hair removal (e.g., electrolysis, laser hair removal) hair transplantation Lip reduction. Background Gender dysphoria refers to discomfort or distress that is caused by a discrepancy between an individuals gender identity and the gender assigned at birth (and the associated gender role and/or primary and secondary sex characteristics). A diagnosis of gender dysphoria requires a marked difference between the individuals expressed/experienced gender and the gender others would assign him or her, and it must continue for at least six months. This condition may cause clinically significant distress or impairment in social, occupational or other important areas of functioning.
The transgender actress told Entertainment weekly last year: 'Im so grateful that I had the luxury of transitioning in private because when you transition in the public eye, the transition becomes the story. 'Im always disturbed when I see conversations about trans people that focus on surgery. But I believe caitlyn will transcend this moment.'. Number: 0615, policy, aetna considers gender reassignment surgery medically necessary when all of the following criteria are met: Requirements for mastectomy for female-to-male patients: Single letter of referral from a qualified mental health professional (see appendix and, persistent, well-documented gender dysphoria (see appendix and, capacity to make a fully informed. Note that a trial of hormone therapy is not a pre-requisite to qualifying for a mastectomy. Requirements for gonadectomy (hysterectomy and vietnamese oophorectomy in female-to-male and orchiectomy in male-to-female two referral letters from qualified mental health professionals, one in a purely evaluative role (see appendix and, persistent, well-documented gender dysphoria (see appendix and, capacity to make a fully informed decision and to consent for. Requirements for genital reconstructive surgery (i.e., vaginectomy, urethroplasty, metoidioplasty, phalloplasty, scrotoplasty, and placement of a testicular prosthesis and erectile prosthesis in female to male; penectomy, vaginoplasty, labiaplasty, and clitoroplasty in male to female). Two referral letters from qualified mental health professionals, one in a purely evaluative role (see appendix and, persistent, well-documented gender dysphoria (see appendix and, capacity to make a fully informed decision and to consent for treatment; and, age of majority (age 18 years and older.
'There are going to be parts of you that are going to melt off. It is really scary. But its also perfectly normal Jessica, transgender woman 'but having a person inside my vagina was a relatively new experience for. Ive had fingers but ive never had a penis. 'It was a little overwhelming, but it was pleasant and fun and I would totally do it again. The person I had sex with was a preoperative trans woman.' Transgender model Andreja pejic underwent gender-reassignment surgery, also known as gender-reconfirmation surgery, in 2014. Talking about the travel decision last year the bosnian model told Vogue: 'society doesn't tell you that you can be trans. I thought about being gay, but it didn't fit 'i thought, well, maybe this is just something you like to imagine sometimes'. Orange Is The new Black star laverne cox said she short does not like the focus on gender reassignment surgery - saying she is 'grateful' she could have gender reassignment surgery in 'private' unlike caitlyn Jenner.
The struggle is real. I have this newfound respect and empathy for my fellow sisters. I get it now. 'i just had my first p-in-v sex as a vagina-haver and it was different from what i expected. It was more intense than i expected. 'i had gotten used to the process of dilating my vagina, which I do with a medical phallus one to two times a day, to keep the new vagina from closing. 'ive been doing that for.5 months since my surgery. So having something in my vagina is a normal sensation for me because i experience it every day.
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She said the development of surgery has made experiences for people undergoing the procedure 'a lot better' in the last decade. She added: 'some things are different for trans feminine people who had their surgery ten years ago. 'doctors have gotten to essay a point now where they can make a vagina that allows you to come and really gush from internal vaginal stimulation just like a cis-gendered woman does, if thats something that youre capable of doing.'. Jessica paid for her breast augmentation herself but the vaginoplasty was covered by her insurance as required by california law after a doctor said it was medically needed. Despite having done so herself, jessica warned against having both surgeries in one operation. 'i woke up in the recovery room in a world of pain, unable to move she said.
'i really underestimated how much the recovery from breast augmentation takes out of you.'. She said she opted for a full vaginal canal because she wanted to experience penetrative sex and to 'relate to cis-gendered women'. Content: Jessica said she is pleased with the surgery, pictured above, and said since then she has found she has a g-spot and has had orgasms. Progress: Jessica said vaginoplasty surgery, pictured in diagram, has developed considerably over last decade. She added: 'i had to wear a pad every day and I get.
Its still very enjoyable. 'Orgasms are very different. They were different even before my surgery after I started hormone replacement therapy. Thats when I started having more full-body orgasms. Icon: Transgender actress laverne cox, 31, left, has previously said she was pleased she could undergo gender reassignment in private; transgender model Andreja pejic, right, also underwent the procedure in 2014 'The sensation wasnt just concentrated immediately around my genitals anymore.
It was more like waves of pleasure throughout my body. 'so that started happening with just hormones. But then, of course, the surgery changes everything.'. She added: 'i didnt think that I would get such good results from my surgery but there they are. 'i definitely experience internal stimulation orgasms and they are different from the orgasms I get from clitoral stimulation. 'Theyre deeper and theyre more intense — always gush from internal orgasms.'.
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'basically, my clit was telling me that it was still the head of my penis, that the most sensitive part of it was still there. It took a lot of adjusting and it was pretty weird at first.'. She said she has shown her new sexual organs to cisgender females who have told her the surgeon 'did a great job'. Jessica said she has a g-spot and that she has had orgasms - but they are 'very different' to what she experienced before drinking surgery. She said: 'i do have a g-spot. In fact, i still have a prostate, even though its much smaller short than it was because of hormone replacement therapy. But its still there and it can still be stimulated.
Im dying." But it turns out that it is perfectly normal.'. She said doctors should better prepare patients for what will happen following the surgery. 'Its something doctors should tell patients beforehand. Because youre already dealing with so many changes, working with so many geographic changes on innovation your body. Healing: She said she had anticipated her vagina looking 'like frankenp*y' after surgery, pictured in diagram, but said it was much worse than she expected (medical diagram shown) 'your clitoris, which used to be the head of your penis, is positioned in a completely different. In the early days after the operation, jessica said there were occasions when she thought she still had male genitalia. She said: 'There were times early on when I felt like i could feel my penis. I figured out what was going on though.
residue. 'so you might have a chunk of your inner labia just die off, just fall off, and itll just grow right back. Its hard to believe because when you lose a limb or a toe it doesnt grow back. But it turns out that your p*y does. 'And its gross and its funky and its awful and you think, "Oh my god, What is happening? My p*y is melting.
One of the many things I learned along this journey is that male genitalia and female genitalia arent that different. Theyre arranged differently, but the individual parts are really similar. 'so vaginoplasty consists of a re-positioning and folding of all these driver tissues using the existing tissues. 'When thats done, some of the tissues might not get as much blood flow as they did before, so they get starved of nutrients and oxygen. 'Thats when the surface tissue tends to die off — which is as gross as it sounds. It is really really awful.'. Warning: Jessica, who was born male, said: 'There are going to be parts of you that melt off' after surgery (medical diagram shown). Although Jessica said she was expecting her vagina to 'look like frankenp*y' after surgery, it was much worse that she could have imagined.
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A transgender woman who underwent a vaginoplasty to have her penis turned into a vagina has described in graphic detail what the process was really like. Jessica, who identifies as a queer woman, had already started hormone replacement therapy and gone all the way to south Korea to have vocal chord surgery to transform her baritone voice when she decided to have a breast augmentation surgery and a vaginoplasty in one. After her vaginoplasty, which she had near her home in East bay area, california, she warned 'there are going to be parts of you that essay are going to melt off' in an interview with. Scroll down for video, melting: A transgender woman has described what it is like to undergo gender reassignment surgery; a video reenactment by the european Association of Urology shows what genitals might look like after the procedure. Jessica, whose partner was also born male and had already had the surgery, said there were elements of her recovery that she was not warned about by doctors, adding that it was 'really scary'. She said: 'There are going to be parts of you that are going to melt is really scary. But its also perfectly normal and most people recover from that completely as if nothing has happened. 'basically the furniture down there gets rearranged during the surgery. .