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Girls to Guys -- It's on the Rise
San Francisco Examiner ^ | 12/19/01 | Tanya Pampalone

Posted on 12/19/2001 8:58:59 AM PST by medlarebil

At his brother's wedding, the photographer put Marcus Rene Van with the men in the family and his sister screamed, "That's my sister."

Technically -- and biologically -- she's right. But two years ago, the 25-year-old spoken word artist with a tiny goatee swapped genders and went from she to he.

Van is one of a rising number of young women who are opting to live their lives as men -- a trend on the rise in San Francisco's lesbian community.

Business is booming for doctors specializing in chest surgery, clinics that provide hormone treatment and psychologists who offer gender therapy, with one popular surgeon completing twice as many surgeries as he did five years ago.

When Van -- who lives as a man without the help of hormones or surgery -- made the switch, it wasn't a popular thing to do. Now, he said, he's just another trans man living in The City.

Access to transsexual procedures is helping many be true to their chosen gender. But is easy access to hormones and the deluge of information about transsexuality helping those in need, or is it just plain hip right now to be a boy?

"I think (some young) people are going to end up regretting what they have done," Van said of those who might be too quick to take hormones without considering the effects. "If you take hormones for a couple of years, there is no turning back."

Easy access

Dimensions, the lesbian, gay, bisexual, transgender youth clinic in the Castro-Mission Health Center, is where many trans men have been coming since the doors opened three and a half years ago.

The clinic offers hormone treatment and has at least 25 female to male (FTM) transsexual clients who are on testosterone, according to clinic coordinator Laurie Lenrow.

Before a patient is permitted to take the hormones, they (or their guardians, if they are underage) are required to sign a consent form that outlines the permanent damage testosterone can do. Hair loss, beard and mustache growth, deepening of the voice, increased body hair and enlargement of the clitoris are irreversible, and the risk of cancer and diabetes is increased.

The clinicians here, like many who work with the transsexual community, do not closely adhere to what they consider conservative international standards of care for transsexuals, the Harry Benjamin Standard. The guidelines suggest three months of psychiatric treatment for those wanting to take hormones.

But patients at Dimensions do not have to undergo therapy and most are able to start hormone treatment within five weeks of their initial visit, following lab tests and a staff review of the individual case.

Lenrow compares taking testosterone to birth control pills, and points out there are many who don't take hormones or get operations. Besides, she said, most of their clients have been considering transition since they were teenagers and are usually "well-prepared" to make the decision.

Making history

Barely old enough to buy a drink, Chris Tavelli, 21, got chest surgery to remove his breasts in March and began taking testosterone in May.

He said he has known that his gender was wrong for as long as he remembers, but still admits that he made his decision at a young age, even though his family wanted him to wait.

But he doesn't think he'll have any regrets.

"Anything is possible, but I highly doubt I will ever regret it," he said. "You don't get to this decision on the whim. I'm just not a girl."

Still, many in the lesbian community are struggling to understand why so many young women want to change genders. While some view it as betrayal, others are just confused.

Bonnie Barrett, 33, graphic designer, is one of the confused. Barrett has been mistaken for a boy all her life.

"I'm not that old-fashioned," she said. "But (taking hormones) is a radical decision that I think is taken very lightly. What's wrong with just going to gym? What's wrong with just being butch?"

Why not just be a butch lesbian is a question that Van and Tavelli have all been asked a million times.

"It didn't fit," Van said simply. "I wanted to be myself, and myself is male."

Under the knife

A graceful metal robot with big red lips and voluminous breasts greets Michael Brownstein's clientele in his Potrero Hill loft medical office.

The gray-haired plastic surgeon has been doing sexual reassignment surgery in The City for more than 20 years. He has done hundreds of mastectomies and metoidioplasties -- the transformation of external female genitals into male (see inset) -- and business is booming.

Brownstein is doing twice as many surgeries as he did five years ago for clients who are mainly women in their 20s and 30s and want a mastectomy, or top surgery -- the more common of the two procedures that he does.

But he maintains that having surgery -- or even changing genders -- is not a fad.

"It's not a trendy thing," he said. "It's not like a rave party. This is a real condition."

Brownstein said the reason for the increase in procedures is that there is more acceptance of transsexuals, and more access to information via the Internet.

As chairman of the ethics committee for the Harry Benjamin International Gender Dysphoria Association, he makes certain that his clients are ready to make the decision for surgery. But Brownstein doesn't require a letter from a therapist in every case, as is required in the guidelines.

"Someone who is 40 and has lived as a male for 20 years successfully, I wouldn't have much reservation," he said. "But a 22-year-old doesn't have that same degree of experience."

Getting equipped

Riley Richard is considering his options.

The 26-year-old with a sweet round face and tattoos running up his arm is going to therapy to figure out if hormones are the right treatment for him.

A few months ago, Richard decided to switch genders and went from she to he. Inside, Richard is all man.

"I'm a boy and I always have been," he said behind black-rimmed glasses and a ski cap pulled around his face. "I just don't have the biological equipment."

Richard has made the choice to go by "he" in a workplace that is accepting of his new gender, even though he was blessed otherwise.

Pronouns are important at Good Vibrations, where Richard works as a warehouse clerk. Sometimes it's the only word that gives away a person's gender in the sex toy distribution company where up to 15 percent of the employees are transsexuals -- the majority of whom are female to males transsexuals in their 20s and 30s.

But while Richard contemplates taking hormones, chest surgery is something he plans to do as soon as he can save the money.

Van doesn't plan to have surgery, top or otherwise.

"I want to keep my body intact," he said. "But there are things I can't do. I can't wear a tank top, I can't walk into a men's locker room."

But taking testosterone would change some of that. It would stop his periods, put more hair on his face, move fat off his hips and into his abdomen. It would make his bones bigger, his voice lower. With so many friends taking hormones, it's something Van has been contemplating.

"I think about it every day," he said.

E-mail Tanya Pampalone at tpampalone@sfexaminer.com


TOPICS: Culture/Society; News/Current Events
KEYWORDS:
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To: Tall_Texan
May I borrow this word for my next game of Scrabble? Or Pictionary?

Sure, it's a real word, too.
pseudohermaphroditism

in human beings, a condition in which the individual has a single chromosomal and gonadal sex but combines features of both sexes in the external genitalia, causing doubt as to the true sex. Female pseudohermaphroditism refers to an individual with ovaries but with secondary sexual characteristics or external genitalia resembling those of a male. Usually at puberty the female secondary sex characteristics develop. If the condition is identified at birth, the child may be raised as a female with a minimum of social readjustment. Administration of certain corticosteroids prevents further development of the condition, and surgery may be used to correct any residual genital defects.

Male pseudohermaphroditism refers to individuals whose gonads are testes but whose secondary sexual characteristics or external genitalia resemble those of a female. In this disorder the fetal target organs are unable, for unknown reasons, to react to testosterone produced by the fetal testes. [The reasons aren't entirely unknown since the lack of androgen receptors makes target tissues unable to respond to males hormones] The most common type is testicular feminization, wherein the external genitals are entirely feminine, and at puberty female secondary sex characteristics appear, yet the gonads are testes, and the sex-chromosome pattern is male. The disorder is sometimes recognized at puberty when menstruation fails to begin. In testicular feminization, because there is little or no response to male hormones and because the external genitalia are female, the child is raised as a female. Other forms of male pseudohermaphroditism can be altered to become "complete" male, and such children may be raised as males.


One of the doctors who taught this part of graduate level biochem said of one instance he saw, "I said, 'That's either a very small penis or a very large clitoris.'" Another example given was of a freshman student from the college who came in for an exam because "she" wasn't menstruating. Further tests revealed that "she" had defective androgen receptors and was genetically male. It was a big shock.
221 posted on 12/20/2001 9:48:27 AM PST by aruanan
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To: wirestripper
You have already stated your argument on that point more than once. You are dead wrong on all counts. I am afraid you need to go back to conservative school for a refresher.

Knowledge is power, knowing where your enemy stands on certain issues, makes you stronger.

And I make it a point to know eaxctly what groups view what. Now leftist man-hating liberal feminists loath male-to-female transsexuals. And leftist man-hating feminists are indifferent to female-to-male transsexuals.

Also, the leftist liberal homosexual groups have only paid a token responce, lip service towards transsexuals. The leftist liberal homosexual groups don't really like transsexuals either.

Now the strangest thing I have found out about transsexuals is that up to 90% of them, the ones not shown on Jerry Springer or the leftist media, hold more conservative values, than liberal values.

222 posted on 12/20/2001 10:12:21 AM PST by Paul C. Jesup
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To: wirestripper
By the way, what in the heck is nature vs. nurture! I thought it was the debate over breast feeding. LOL! Trans gender ajustment as you people put it is the most sickening thing I've heard of in my lifetime. Disgusting. Morbid. Anti-human sicko crap.

You really should learn to be more polite, but since you asked.

The nature versus nurture debate has been going on for about 40 years. In a nut shell, this debate deals with personality. One side says that our personality is pretty set when we are born (nature) and the other side says that life experiences as we grow up, shape our personality (nurture).

Now the nurture side of this debate comes from the flawed reseach of Dr. John Money, his theory was the brains of both boys and girls are born the same and the life experiences shape their personalities. Needless to say, the leftist liberal man-hating feminists latched onto this theory like a rabid dog. Now this theory has been proven wrong on so many different levels, the brains of males and females are physically different, for example, the speech center of the male is located on the right side of his brain, but a female has two speech center, one located on each side of her brain.

Now if you want to know what Dr. John Money's reseach was, the title of the books sums it all up; As Nature Made Him: the Boy who was Raised as a Girl, by John Colapinto.

223 posted on 12/20/2001 10:31:55 AM PST by Paul C. Jesup
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To: wirestripper
We still have mental institutions. We just don't put people in them simply for disagreeing with you anymore. Now they are reserved for those who actually have mental disorders.
224 posted on 12/20/2001 10:34:02 AM PST by Equality 7-2521
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To: Age of Reason
Check out post 119 on this thread.
225 posted on 12/20/2001 10:34:51 AM PST by Paul C. Jesup
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To: ArGee; Emmylou
Strange, I thought Emmy's comment was rather hilarious.
226 posted on 12/20/2001 10:38:32 AM PST by Equality 7-2521
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To: ArGee
It hardly seems perfect to me if it could be broken by someone having a desire to gain knowledge.
227 posted on 12/20/2001 10:40:10 AM PST by Equality 7-2521
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To: ProudAmericanConservative
You are bizarre! So what you are saying is that, I as a white male may call myself black, and as long as I think I am black, then I am?? Thats Ludicrous...... (although this may have advantages, I'm married to Ann Coulter, I'm married to Ann Coulter, I'm married to Ann Coulter.....)

I take it that you have never heard of mixed racial marriages>

Children born from mixed racial marriages can have skin as pale as snow, but if these same children get a tan, their skin might look as black as night.

I know of a couple people who have this interesting trait.

228 posted on 12/20/2001 10:40:28 AM PST by Paul C. Jesup
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To: ProudAmericanConservative
ProudAmericanConservative, I think you should change your handle to "TooProudToLearn".
229 posted on 12/20/2001 10:42:19 AM PST by Mini-14
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To: ArGee
Homosexuality is easy. 'Thou shalt not commit adultery.' Transsexuality may have no bearing if sexual activity is not involved

That deals with married people, not homosexuals.

230 posted on 12/20/2001 10:43:19 AM PST by Paul C. Jesup
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To: ArGee
Go check out post 222 of this thread.
231 posted on 12/20/2001 10:45:40 AM PST by Paul C. Jesup
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To: aruanan
Sentence #2 contradicts sentence #1, if you're attempting to use what was learned in sentence #2 as some kind of demonstration that sentence #1 is faulty. That book demonstrates that physical gender had a greater impact on gender identity than environmental influences. However, when someone is born with an intersex disorder, it may be difficult to make this determination by physical characteristics alone. And even though someone with pseudohermaphroditism may genetically be male, the lack of androgen receptors makes it impossible that this individual could EVER manifest secondary sexual characteristics appropriate to his karyotype.

Interesting statement.

Also, the title of the book stated the doctor's reseach, but after looking back at it, I see I may have made some grammar mistakes.

232 posted on 12/20/2001 10:49:40 AM PST by Paul C. Jesup
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To: ArGee
By the way, I notice that the supporters of sex-change surgery have not bothered to bring up the people who are having their bodies surgically altered to look like animals. I saw a man on TV once who had his face altered to look like a great cat. He had claws where fingernails should be. The TV show treated this as perfectly normal and discussed what his employer had to do to keep him from scaring the customers.

We call this the slippery slope. If a woman can be born in a man's body, why can't a puma or, as I believe one man did, an iguana (no pictures for that one)? Once you get to the bottom of the slope you realize the absurdity of the whole thing. Unfortunately, there often is no way back up.

Shalom.

The show you saw that on is titled, Ripley's believe it or not, on TBS.

233 posted on 12/20/2001 10:52:20 AM PST by Paul C. Jesup
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To: Paul C. Jesup
but a female has two speech center...

Is that why they never shut up?

234 posted on 12/20/2001 10:52:34 AM PST by Equality 7-2521
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To: Paul C. Jesup;wirestripper
**Now the strangest thing I have found out about transsexuals is that up to 90% of them, the ones not shown on Jerry Springer or the leftist media, hold more conservative values, than liberal values.**

OOOOH! I'm breathlessly waiting documentation for THIS claim - documentation not provided by Jerry Springer or the leftist media, of course.

235 posted on 12/20/2001 11:00:10 AM PST by Tall_Texan
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To: Equality 7-2521
Is that why they never shut up?

Could be.

236 posted on 12/20/2001 11:02:00 AM PST by Paul C. Jesup
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To: Tall_Texan
OOOOH! I'm breathlessly waiting documentation for THIS claim - documentation not provided by Jerry Springer or the leftist media, of course.

So, you would prefer to believe the leftist media and Jerry Springer. Tell me, have you heard of the new book, Bias?

It may take me a while. But I will try to find the documentation that I read six months ago.

237 posted on 12/20/2001 11:06:24 AM PST by Paul C. Jesup
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To: Equality 7-2521
It hardly seems perfect to me if it could be broken by someone having a desire to gain knowledge.

That is not why it was broken. It was broken by a man having a desire to be god. Whenever someone tries to be something they are not it causes severe problems.

Like how that came back to the thread topic?

Shalom.

238 posted on 12/20/2001 11:07:34 AM PST by ArGee
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To: Paul C. Jesup
The show you saw that on is titled, Ripley's believe it or not, on TBS.

I don't think so, since I don't have cable. I don't have access to TBS.

I also read an article about "body art." That's where I read about the Iguana-man.

Shalom.

239 posted on 12/20/2001 11:09:19 AM PST by ArGee
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To: Paul C. Jesup
That deals with married people, not homosexuals.

The commandment against adultery means we should only have sex with the people to whom we are married. Since homosexuals cannot be married (theologically) the commandment applies to them. It also applies to all other forms of fornication.

Shalom.

240 posted on 12/20/2001 11:10:34 AM PST by ArGee
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