Posts tagged srs

Regrets…

…I’ve had a few.

But then again, too few to mention. :)

And (lest i leave any reader in suspense), not a single one about my surgery. No: starting to recover, to come to terms with my adjusted or, as some would have it, “mutilated” body, i feel profoundly at peace with myself. Happy in a way its hard to remember ever being.

This is right. End of.

So just two thoughts. The first is that damnable curiosity of mine.

The psychs are keen to analyse and attempt to explain away every last millimetre of transition. Mostly, i suspect, without actually having a clue.

But has anyone looked seriously at those who later claim to regret their choice? I was very impressed by Natacha Kennedy’s deconstruction of one prominent “expert” – media Doctor, Az Hakeem – at the conference organised to protest the Royal College of Psychiatry’s ill-conceived review of trans issues earlier this year.

Natacha looked at a supposedly scientific study he published and tore the numbers into shreds. And if i have a chance (Natacha: over to you) i will happily republish her presentation on here.

Still, i’d like to know: who gets to the doors of the operating theatre and hasn’t thought it thru? Who goes all the way and then wakes up, puts a hand between their legs and goes “ooops!”? And how do they manage it?

Is the rest of their life equally chaotic? Or – and i’ll apologise now if i sound too flippant, too judgmental – what on earth goes wrong?

Dunno. IT just feels to me, from having had to answer all manner of other difficult to impossible questions over my lifetime, that sometimes looking at a different question can shed light on the ones you can’t answer. Instead of asking and asking and asking whether someone knows their own mind over transition – how about looking at those who didn’t, and identifying what it is about them that could have, should have been spotted.

Because, from where i’m sat, it doesn’t feel as though its much to do with people not having done their groundwork or lived their rle or not filled out their scrapbook (as at least one GIC appears to want you to).

I followed the process. I knew how to follow the process and i am pretty sure that i could have made a convincing case for my transition whether i meant it or not. The thing is: i knew. I so knew it was what i needed that the process was a total farce. Just a bunch of hoops to jump through in order to get to where i had to go.

So, no: i don’t believe the process protects as much as its meant to. But still, just who is being protected from what? Over to anyone else who cares to comment.

And second thought? Just a song, which i’ve always loved for its simple magnificence and which feels exceedingly appropriate to this post.

Sleep well, everyone.

jane
xx

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status update (the one about pain)

will catch up tomorrow but…today has not been one of my better ones.

major bladder prob kept me up all night and not properly diagnosed (cause the machine that goes ping was fucked and giving a mis-reading). By morning i was in pain. By mid-morning i was in severe pain.

And by the time the consultant did a check at noon, i was screaming. No. That’s not literary license…i was screaming…apart from the time i was in the bathroom banging my head against the wall. On a scale of 0 to 10, Jane, how’s it feel? Eleven!

In two days now, i think i’ve experienced the two most painful episodes ever in my life…and this was no. 1 by a mile.

Everyone was totally puzzled (that blasted machine reading: if it had said what was in my bladder, we’d have understood the problem in a moment).

So back to theatre (minor argument as i refused to lie down on a bed on my way): on my back just set off the pain again.

They sedated me. Not a general – but loads of morphine – and i woke talking nonsense again.

My body felt like i had been rolled down Rome’s Spanish Steps and then been given a thorough kicking at the bottom. Every part of me hurts and…on top of all, a few hours later, i had to start dilating again.

Am i down-hearted? er, no.

The big, big pain is gone, replaced by loads of little ones. They removed the elephant testicle size haematoma, and my left labia is starting to look like part of a female genital at last. Still bloody, bruised, tender, but about half the size of previous.

I’m not thru the woods yet. But unless something else horrid transpires, i am looking forward to going home tomorrow.

This is not to scare those coming after. Some get side-effects like this. Some get different ones. Some get none at all. Every journey is different.

I’ve just done more pain in 24 hours than in most of my adult life, but…you know what…its fucking worth it!

And sure, i am a total wuss and pacifist. But i think in future i will make exception. Any transphobe who dares suggest in my hearing that this is easy. That its done on a whim…Warning: when i am well, i will go out of my way to inflict just some of today’s pain on you.

Pain legitimises nothing: doesn’t make me any righter or wronger. It is, however, a price that some of us pay along the way.

I do not seek pain, do not welcome it in my life. But if i have bought anything today, i have bought the right to be me – and fuck every single bastard transphobe in the whole wide world.

You will never, ever get it!

jane
xx

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Not exactly Christmas

i am asked to be gentle – and whilst i am not known for pulling punches, i do get why. One of the worst things i have encountered in the last couple of weeks is the trans eeyore tendency: uber-pessimism to my sprightly pollyannaish ways. :)

So, asking about how srs may work out, i have been given (by some) not so much a factual pros and cons, but a listing of everything that could go wrong… I don’t like that. Its not helpful: its actually quite scary. And i will try not to add to the overall scaremongering.

Let’s start with the fairy tale version.

Fairy Story

She… was a middle-aged housewife and journalist. He… was a suave and elegantly grey-haired consultant. She had never been touched “that way” before… (now read on…)

Jane lay back on the bed. A halo of chesnut brown hair spilled out on to the pillow. “I need this”, she said, gazing trustingly up into his sparkling eyes.

“Its a full five inches”, he muttered, brusquely.

“I don’t care”, she whispered. “Do it now”.

Jane felt his hand roughly part her legs. Her lashes fluttered. Relax, she told herself: relax. Was there honey still for tea? The lad who brought the menus would surely know.

Had Lady Gaga peaked? Was Nick Clegg growing just a little too portly?

Did this mean she was no longer a virgin…?


Bloody reality

Now, if icky stuff bothers you, look away.

Sunday morning, a couple of nurses removed my “pack”: that is, the tight padding and t-shaped bandage that wraps your waist and…the wadding that fills u up inside. Very yuk feeling as that came out, a bit like your insides being unravelled.

I then began a voyage of discovery, which, i was warned, would be both horrific and difficult. Basically, i have a vagina – if i can find it behind the massive left-side swelling (technically, a haematoma, which represents internal blood loss during and post operation) which looks like a cross between over-cooked turkey and a bad case of elephantiasis. The suture lines (stitching) would make Dr Frankenstein weep. And the whole is pretty much numb, which adds to the general sense of disconnectedness.

This is not unusual. Its par for the course for major surgery and only scary if you haven’t encountered such during your life. I expected it, so mostly don’t need the soothing noises from nurse and surgeon about how it will get better. I know it will. I am actually quite content with the result so far.

Vaginismus?

Real difficulty sets in with my very first dilation. Yep. I shall now be dilating three times a day for the next umpteen months…and regularly thereafter for the rest of my life.

This is both to keep my new vagina open and to allow me the possibility of some penetrative sex life, should i ever decide i’d like one.

The first time ever, the surgeon approached the bed with a well-lubed… dilator (apparently i am not allowed to call it a dildo and will get my wrists soundly slapped should i dare do so).

Few preliminaries – certainly no flowers! – and then it was in with the thing and i was meant to lie back and think of england for ten minutes or so.

Ow! Like real ow! It hurt. But it shouldn’t hurt quite that bad. Tears.

Then more tears later in the day as i dilate for myself. I am tight. Too tight. It hurts: won’t go in. Various reasons volunteered, including the geometry of my new bits and the fact i haven’t been to the loo for a week. Valiant efforts are made to help me “go” – but my bowels soak up two suppositories, a laxative and a small enema and spit them back: we shall not be moved!

my very fitness may even play a part: one of the joys of zumba is the way it strengthens your core muscles. Sadly, it is now those, including my pelvic floor, that seem to be fighting back. Swine!

Pass the parcel – and learn about yourself

I end the day frustrated, just a tad cross at myself. But never forget: my sedcond name is Polyanna. :)

There is progress, too. New learnings – and those i mull over as darkness falls.

Some trans women are eager to sell the magic of the unwrapping moment.

Yes. I loved it – felt briefly elated. But as quickly realised that, just as you learn, slowly, that the op isn’t what its about, so that moment is not it, either. I have a cunt! But i don’t own it yet. Its numb…doesn’t feel part of me, causes me pain…and there is pain to come.

So i’ve taken another joyous step – but just one more step.

In the evening, i chat with a close friend. We’ve been swapping intimacies for some time. Today, however, seems to unpeel a further layer of intimacy. My sad news about dilation is countered with a scurrilous observation about the girth of her ex-partner (just ever so slightly too big!).

Would she have shared that before? Possibly. Would i have understood it – really understood it?. No. This latest step brings me a step closer to full inclusion: more, i realise yet agaihn, this entire journey has never been about “becoming” a woman, but about understanding how it is to be one.

Having a vagina (you know i’ll be blogging about that soon!) absolutely does not make me female. But it builds on the empathy that already exists: puts me ever more firmly on THAT side of the gender binary (and yes, i’ll write about that too).

Meanwhile, the unwrapping, the dilation, the pain and what follows…this is not, for me, like christmas day when one unwraps presents and shouts for joy and all is swiftly done.

No. Its pass the parcel. Just as i found with transition already, that you keep learning, so i discovered yesterday. One more layer off the elusive mystery inside. Gone is the gross shapeless mass and i am beginning to have a better idea of what is at the core.

But so many more layers to take off. So many more discoveries to make. Yesterday was a milestone day. It wasn’t THE day. Those are still to come…when the swelling subsides, when feeling returns, when (eeek!) for the first time i touch and feel the return of erotic sensation. So much to come. So much.

I shall love every moment of it.

jane
xx

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Next steps

12 hours to go.

12 hours, that is, if we stick to the outline schedule, which has me prepped and on the operating table at 8.

Actually, tis a bit more complicated, so here, for anyone into prayer – or just simply keeping their fingers crossed – is what tomorrow looks like.

12 midnight – nil by mouth (though some fluids stll permitted)

5 – no more fluids (eek!)

6/6.30 – wake to final checks and a pre-op enema (double eek!)

7.30 – meet the surgeon: discuss risks, etc. check for the umpteenth time if i want to do this.

7.31 – head for home

Nah. :) Only joking

8-9-ish, down to theatre and prepped for anaesthesia. There is a minor op before me so it may be closer to 9 that my op begins.

9 – before the op proper gets going (but after i am under) they do a final scan (probably) checking for nasties in my bladder. Everyone tells me it is 99.9% certain that there will be no issues. I am terrified…. not of the op…but of coming round to be told there has been no op.

Why me? As if there weren’t enough hurdles getting to this point anyway.

12-1 all being well, back from theatre with new body parts in place and start to come round to new life…

tomorrow evening…loadsamorphine!

Wednesday/thursday – zonked

Thursday/friday – start to get mobile once more. Dressings off and, for the first time, get to see my new anatomy.

Yay!!!!!

jane
xx

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Second thoughts? Not exactly…

Just about at the half way mark, since I stopped hormones, and the pace is hotting up. Not sure whether that’s a gear metaphor (moving up to third) or a horse one, which I find that bit more pleasing.

So. The last few weeks have been gentle trot, but, as we cross this weekend, I have a sense of days and time moving up to a slightly more energetic canter. Too, today, another milestone clicks over. 25 days and just 600 hours to go! (is this getting tedious yet? I promised not to list EVERY milestone – and I won’t do it again til we’re down to 300 hours!)

When will it be over?

And I’m hating it. First is the just waiting and the wanting to be there now. Its like Christmas and birthdays and anniversaries and every other big date rolled into one. Not good. I’m impatient and, both metaphorically AND in reality, drumming my fingers on the desktop of the universe. :)

And I am also hating the loss of hormones. I feel hollow: less cosy, less at one with the world. No major side-effects, that I’ve noticed: though I am definitely spottier, my complexion has suffered and, not sure if its my imagination, but body hair is being just that bit more recalcitrant. Ugh!

Leaping from tall buildings

So what’’s this about second thoughts? (as it says in the title) Is she – no doubt to the delight of her sister – about to throw in the towel and go “nah!”.

Well, as it also says. Not exactly. Though I am having all sorts of eccentric imaginings and I am beginning to focus in on what it is that is most scary.

First the imaginings. They are a bit like standing on top of a tall building and looking over the edge. Or rushing down a motorway at 3 in the morning. Have you never just had an impulse to jump? Or to take your hands from the steering wheel and let the car do its own thing?

I know I have – and not from any suicidal impulse, either. Talking to friends, it seems fairly common – though you’ll either understand it perfectly if you’ve felt it, or not at all if you haven’t. Its just a big mad urge to do the unthinkable. To soar. To freewheel. To launch into air and feel the impossible for a few moments – before the inevitable splat on the concrete below!

And so with the op. As it gets closer, I whirl around every possibility. Can i? should i? Will i? Over and over and over. I know I will be asked again at the very last minute and, as with the jumping, I imagine just looking back and going “no”.

Except. That isn’t what I want. Because the moment I imagine that, I imagine the after: a life with THIS body; a life as I have lived; and it isn’t what I want. Its just… in the hollowness of the moment, anything is imaginable.

The real fear

Which brings me back to just what IS scary now. Not the psychology of losing my “maleness”. Long, long since past that decision. I don’t like that anatomy. Have no affection for it. Won’t miss it. Don’t worry, folks: there will be absolutely no regrets at all on that count.

Second is the bigness of the op and I’ll admit: that still scares a little – no matter how encouraging the surgical team are. It’s a big feck-off op. Period. And I don’t even like needles! So I am bound to be a bit scared of that, although… I am beginning to come to terms with that, too. I’ll grit my teeth when the anaesthetist pricks my arm, but the odds are good. I’m OK. Just.

Which leaves the third and biggest thing: the sense (not entirely unconnected from some of the eeyore tendency that I correspond with) that the after could be very complicated. And painful. The need to make sure I get my hormone package right. The need to dilate. Douching. Granulation. Oh hell! It makes my head spin just thinking about it.

Its not that I’m not prepared for that – so much as I guess once upon a time I thought it would be simple: quick snip, bit of bodging around with my plumbing, and I’d be done.

Its not reason to change my mind because… well, see above. I couldn’t stand NOT doing this. It just weighs heavily. Though that may also be a (lack of) hormone thing.

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Gulp!

Swallowing down hormones tonight and…unless specialist says different on wednesday, that’s it for the next couple of months.

Hot flushes here i come!

jane
xx

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Countdown continues

Hormones tonight…hormones tomorrow and then…. eeek! No more for nine weeks. That’s six weeks til the op and, as i understand, three weeks after.

I shall, like Dr Jekyll before me, turn back into some revoltingly bristle-laden Hyde.

Too, the cheques are in the post (one for the surgeon, one for the anaesthetist) and, so long as no-one tries to bank them before friday, that is sorted.

Last big piece of work should “bank” this week, leaving June as a month to pull together contributions for my journal and set some publicity in motion for the autumn.

One more week, and its back to the GP’s for my anti-androgen and mini-menopause shot. Yay! Hot flushes, here i come.

Just before that, however, on wednesday, its back for one crucial visit to the electrolysist to make sure i’m doing fine on the depilation front. Definitely feels it. I am smooth in a way i can’t quite remember being for decades. So-o…fingers well and truly crossed on that front.

Psychologically, as key dates tick by, the pace does feel like its hotting up. I have six weekends left, and three, now, are filled with interesting events.

S’pose i should start to circulate the big event date, providing all goes to plan on wednesday, which is for a sort of open house on the weekend of July 9/10.

Not quite the sombre occasion of Jacques Brel’s dernier repas – though i like the spirit: a time of leave-taking, not so much of friends, but of my old self.

Because even if that is long gone: and even if, as i am sure others who have gone this way before are equally aware, the srs is not the major thing i once thought it was, it is still a useful point along the way for marking before – and after.

So, no. Not a celebration. Nor a wake. But, hopefully, a gentle time for those who know me to drop by, to take a glass of wine, to chat and, even more hopefully, to wish me luck. or whatever.

Somehow, i don’t think “break a leg” is quite appropriate.

jane
xx

P.S. I will ask – but does anyone know if i should also stop the finasteride pre-op?

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Talk about me if i like…

Contrary. That’s mostly how I’m feeling at the moment. In no mood to be lectured on the “right way” to do stuff or to “toe the line”.

Possibly last week’s conference on psychiatry had something to do with it. I got cross – and I’m still cross. About psychiatrists, mostly. I’ll write more on that later.

But I’m not a fan of having to conform, either. And even though the trans community, by definition, is pretty non-conformist when it comes to gender norms, it still has its own idees fixes and invisible lines that one crosses at one’s peril.

Maybe this one isn’t so much a trans-gression as something the cis world does and therefore a source for much harumphing amongst trans persons. It’s the old chestnut about being pre- or post- and discussing srs and, and… well, its about the inevitable curiosity that follows whenever someone non-trans learns that you are. Trans, that is.

cis obsessions

Much, much indignation about cis folk obsessed with the size, shape and nature of our genitals. And in there, somewhere, there is a real point. I mean, if someone is recovering from a hysterectomy, it is just not on to go up to her and ask how she feels about it. Or, if you want equal opps tastelessness, if I met a bloke with elephantiasis – a serious disease that has occasioned much music hall ribaldry over the years – I certainly wouldn’t start off the conversation by asking him about the size of his swelling.

So, yeah. There is a point in all this. You don’t JUST go up to someone and start asking about their genitals. Or if you do, you’re a rude and uncouth person and should be treated with well-deserved disdain.

contrary views

All the same, I’m not going to join in the general condemnation. Because, between friends, this is a topic of much curiosity and, if a friend was having any sort of surgical procedure, I’d be curious. Questions might range from the emotionally supportive (how are you feeling about surgery?), to the practical (are you coping?) to, yes, the slightly prurient (did it hurt? Has it left a scar?).

But there’s no general rule. I’ve lived with/gone out with women who have undergone all manner of interesting surgical procedures. Occasionally, I’ve asked: far more often, they’ve volunteered info, often far more than I wanted.

In respect of my own up-and-coming stuff, there seems to be a process that all who meet me on terms of friendship (from school mums to church mums) go thru. An initial curiosity. A bit of smuttiness (some of the funniest and also dirtiest suggestions around my srs have come from female friends) and then a normalisation. Jane will eventually have srs. So what. Big deal. (though I hope they’ll send a card when I do).

inappropriate curiosity – and anger!

That, at least, is the response from women: I have next to no close male friends, so I’m not sure what they’d say or ask. On the other hand, there are two circs where I think others bringing up surgery in any way is utterly, totally out of order – and deserves a slap. Literally, if I thought I’d get away with it.

One IS the pure prurience. The interest in your genitals, quoted on C4 by Paris Lees, as shown by strangers before any social permission to be friends has been granted. Nah. That’s improper.

And…going back to my leisure centre incident, the fact that someone who was trying to impose his view of the world on me, who had threatened me, could dare to raise in conversation that he knew my surgical status and that therefore he was entitled to mention it.

Bastard!

Bastard! Bastard! Bastard! I can still feel the shame and anger of that moment.

So-o…coming back down to earth. I don’t hold with the automatic “genitals is off-topc” view: but I do agree that raising them without (tacit) permission to do so IS wholly inappropriate and…well, as far as I’m concerned is more than justification for some serious pre-emptive nastiness.

jane
xx

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Girly dreams

Squirming. That feels the politest way to put it. Though not, for the benefit of any passing psychs, in any sort of sexual way.

Well, not exactly sexual!

As the op date draws nearer – since, in fact, I knew that I had a green light, that I was on the final run before landing, that I could start the countdown to srs – I’ve started to image.

Is that the right word? Sense, maybe? Anyway, its stronger than just imagine.

I’ve gone to sleep feeling how it might feel. I’ve woken up, thighs pressed together, just letting the idea of how it might soon be fill my head.

Its incredible! Definitely not sexual in the wow! flash! Horny! Sense of the word. Just a feeling of rightness, niceness, at-oneness that leaves me buzzing gently with delight.

Like my boobs…they definitely have an erotic use. But that’s not the best bit about them. The best bit, by far, is just that they’re there: that I feel them when I roll over in bed, or when I move my body around just a little too fast to accommodate my new shape.

They make me feel right.

In a way that the srs will – but ten times over.

I can’t wait! I want it NOW!

jane
xx

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On tenterhooks: seven weeks and counting

Seven weeks.

Forty-nine days.

I have so far resisted the temptation to work out how many hours or minutes, though I suspect it won’t take much more than a long car journey and my mind will, inevitably turn to the first, if not the second of those tasks.

If all goes well, if no obstacles appear, if, if, if.. . if no-one does the medical equivalent of leaping up and down at the back of the church and yelling “I object”, then on Monday 11 July I will enter hospital.

And a day later I’ll be down for srs.

Its finally dawning on me how close I am and the excitement, the happiness is palpable. I want to dance. I want to shout. And at the same time, I’m filled with dread.

What? At the idea of making a mistake? Might I end up as the UK’s seventh regretter? Er, no! No way!

The dread surges in on the back of some fairly typical – for me, at any rate – pessimism. So many tests still to pass: so many barriers to cross. On 1 June, the electrolysist will hopefully declare the war against the hair is won and give the green light.

At some point later in the month, yet another psych will eye me up and presumably pronounce me Jane. Sorry, sane!

And at the back end of June, another slew of tests: mrsa screen; ecg; blood work.

Eeek! This is like finals, only worse: if I fail a single module, its back to square one and start again. Or at least, wait another month or two or three.

I can’t. I just can’t! Already, I feel my life beginning to shift over to hold. June will be a month of preparation. One last major piece of work to go and deliver early next week. Then, since such work is never done when its done, loads of ever-decreasing questions and revisions to do. A few small pieces to write. A journal to put to bed and then… and then….

I can sense, already that I am going to be a nervous wreck before the wait is over (and that’s even without all the impending hormone changes).

jane
xx

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