Transgender 101 - Student Leadership | NSC · •Identification documents •Bathroom •“Throw –away” children Transgender 101 North Seattle College 12. Is it just a phase?

Transgender 101Stephanie M. Dykes, Ph.D.

North Seattle College

November 15, 2017

Trigger Alert! This presentation may include discussions of some or all of the following topics:

• Anatomy

• Politics

• Religion

• Family issues

• Hormones

• Medical terms

• Emotions

• Sexual orientation

• Gender dysphoria

• Aging

• Parenting

• Surgery

• Parenting

2Transgender 101 North Seattle College

Basic Terms

• Gender• Transgender

• Cisgender

• Sex• Intersex

• Sexual Orientation


“Cis” – on the same side ofhttp://www.dictionary.com/browse/cis-

“Trans” – on the other side ofhttp://www.dictionary.com/browse/trans?s=t

“Intersex” is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that doesn’t seem to fit the typical definitions of female or male.Intersex Society of North Americahttp://www.isna.org/faq/what_is_intersex

Transgender (TG)

• Umbrella Term

• Crossdresser (CD)

• Transsexual (TS)

• Pre – Op

• Post – Op

• Non - Op

• Gender variant

• A cornucopia of genders• Gender Queer

• Agender

• Bigender

• Pangender

• Gender fluid

• Two Spirit

• Hijra

• Kathoey

• Boi


Gender

• Gender Identity

• Male

• Female

• Neither male nor female

• Gender Expression

• Masculine

• Feminine

• Androgynous

• Gender Performance

• Behaviors are often “gendered.”

• “Appropriate” gender performance can vary across cultures and across time.

• Gender Attribution

• Passing

• FTM

• MTF

• “The tyranny of passing”


Male and Female Craniofacial Differences

6

Source: “Feminization of the Transsexual,” Douglas K. Ousterhout, M.D., D.D.S., cited at http://www.drbecky.com/dko.html

Transgender 101 North Seattle College

Vocal Chords• Male vocal folds: 17 mm and 25 mm (0.67" to 1.0") in length.

• Female vocal folds: 12.5 mm and 17.5 mm (0.5" to 0.7") in length.

7

faculty.augie.edu/~pchanavan/speech/Chapter3.ppt

Transgender 101 North Seattle College

Transgender Health Issues

• World Professional Association for Transgender Health (WPATH)

• http://www.wpath.org/

• Standards of Care (SOC)

• Health Insurance

• Coverage in Washington state

• Inclusions

• Exclusions

• Employer Health Care Plans


Transgender Healthcare

• Mental Health

• Hormones

• MTF

• FTM

• Hair

• Removal, i.e. electrolysis, laser

• Transplants

• Surgery

• Genitalia

• MTF

• FTM

• Chest reconstruction (FTM)

• Breast augmentation (BA)

• FFS (Facial Feminization Surgery)

• Other

• Vocal chords


Challenges Faced by Transgender Persons in Healthcare

• Accessibility

• Finding qualified, compassionate care

• Educating the health care provider, i.e. being “the first”

• Preventative health

• MTF

• FTM

• Affordability - Many transgender persons cannot afford the healthcare that would enable them to live happy, productive lives.

• Ancillary Costs• Transportation

• Lodging

• After – surgery care


Estrogen and the Adult MTF Transsexual

• What estrogen will do:

• Breast development

• Fat redistribution

• Stops male pattern baldness (MPB)

• Effect(s) on emotions

• What estrogen will not do:

• Stop growth of whiskers

• Raise pitch of voice

• Change facial bone structure

• Regrow hair lost due to male pattern baldness


Issues Transgender Persons Face

• Violence

• “Death by a thousand cuts”

• Unemployment

• Underemployment

• Increased risk of suicide

• Anti – transgender violence

• Rejection by loved ones

• Rejection by social supports

• School

• Pronouns

• Identification documents

• Bathroom

• “Throw – away” children


Is it just a phase?

• How can a child know they are transgender?

• Insistent

• Consistent

• Persistent

• Hormone blockers, AKA “puberty blockers” or ”puberty inhibitors”

• “Pause button”


Big Deals

• Pronouns (and other gendered words)

• Call me by my name• Bathrooms• Terms to avoid:

• Transgendered• Tranny• Trans• Transvestite• Hermaphrodite• Shemale• Chick with a _ _ _ _

• Questions to avoid:• Have you had “the surgery?”• How could you do that to your [insert

name of body part]?• What do your [insert term] think

about you?• What does God think about you?• “Lifestyle,” as is “How do you defend

/ describe your life style?”


Transgender Resources

• Ingersoll Gender Center

• http://www.ingersollgendercenter.org

• Gender Justice League

• http://www.genderjusticeleague.org

• Washington Gender Alliance

• http://washingtongenderalliance.com

• Gender Alliance of the South Sound

• http://www.southsoundgender.com

• Trans Life Line

• 877 – 565 - 8860

• http://www.translifeline.org


Documents

Transgender 101 - Student Leadership | NSC · •Identification documents •Bathroom •“Throw –away” children Transgender 101 North Seattle College 12. Is it just a phase?