A guide to lower surgery for trans men - Gender Identity Research ...

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Many people who have genital herpes do not experience any symptoms, but if you do, the onset is usually between 2-7 days after exposure to the virus (usually by sexual contact). However, it is important to note that symptoms occasionally do not appear until months, or sometimes years, after being exposed to the virus. The first occurrence of genital herpes may cause a range of symptoms including: mild fever, aches and pains, swollen lymph glands (at the top of your legs), and feeling generally unwell. These symptoms may last for up to 21 days. You may also have an itching or burning sensation in your genital area. Painful red spots may appear around your genitals that gradually turn into fluid-filled blisters. These blisters will then burst, leaving painful ulcers. However, the ulcers will eventually dry out and heal, after about 10 -14 days, and should not scar. These symptoms can vary from person to person. For example, you may not experience the blisters, but only have ulcers that appear to be small cuts or cracks in your skin. The symptoms of genital herpes usually affect the vulva (entrance to the vagina) and sometimes the cervix but any part of the genitals and the surrounding area may be affected. You may experience vaginal discharge. If you are having penetrative sex with a man, his symptoms are likely to affect the end and shaft of the penis, the foreskin, and sometimes the testicles. It is also possible, though less common, to have sores on the buttocks, anus and top of the thighs. Urinating may be very painful. Once the initial infection has subsided, the symptoms will disappear, but the virus will still be present and can be reactivated. When this happens the symptoms are usually milder and last for about 3-5 days. If the virus is reactivated, it will cause symptoms of itching, or tingling, sensation around your genitals, lasting for between 12- 24 hours. If recurrences are frequent and disabling they can be treated with anti-viral drugs that shorten the length of the episode. Herpes is incurable and recurs throughout life. Chlamydia Chlamydia accounts for 30% of all new cases of STIs. In 1996 there were 42,668 cases. In 2006 there were 113,585 cases – a rise of 166%. This condition may © GIRES A GUIDE TO LOWER SURGERY FOR TRANS MEN 49
emain symptomless but can lead to infertility. It can be treated successfully with antibiotics. In trans men having non-penetrative sex with a woman, (rubbing vulvas together) or having penetrative sex with a man, or with a woman (perhaps using sex toys) in the vagina and/or the anus, genital chlamydia can occur and may cause: pain when passing urine (cystitis); a change in their vaginal discharge; and mild lower abdominal pain. If you have any of these symptoms, or you believe you may have chlamydia you can ask to be tested by your doctor or your local pharmacist, or you may be able to do the test at home. Those over the age of 16 who have tested positive but who are still symptomless, will be able to buy the necessary antibiotic over the counter, without a prescription, from 2008. This will be available to partners as well. If left untreated, the chlamydia infection may lead to the following symptoms: pelvic pain, pain during sexual intercourse, or occasionally, bleeding between periods. The infection can also spread to the uterus, and cause pelvic inflammatory disease (PID). If you wish to become pregnant at some future time, you should be aware that PID causes infertility and risk of ectopic pregnancy in those still at risk. Hepatitis Hepatitis A and B affect the liver and can cause jaundice. Hepatitis can be transmitted in several ways, one of which is by sexual contact. Hepatitis A can be transmitted through sex involving mouth to anus contact. Hepatitis B can be transmitted in body fluids and the risk is, therefore, higher during menstruation. It is strongly recommended that vaccination against hepatitis A and B is undertaken by those having anal sex. This involves three injections over a period of a few months; this provides life-long protection. This treatment can be provided by a genito-urinary medicine (GUM) clinic. Hepatitis C can be passed on through sexual contact and, as mentioned above, you are at increased risk of catching it if you are HIV positive. Although it cannot be passed on by ordinary social contact, it can be transmitted through, for instance, sharing toothbrushes. You are at high risk if injecting drugs with shared needles. 50 © GIRES A GUIDE TO LOWER SURGERY FOR TRANS MEN
Page 1 and 2: A guide to lower surgery for trans
Page 3 and 4: About this publication This publica
Page 5 and 6: Lower surgery for trans men 1 Intro
Page 7 and 8: 3 What are my options? It is essent
Page 9 and 10: 5 Choosing the surgeon for hysterec
Page 11 and 12: In rare circumstances, where hyster
Page 13 and 14: lot depends on how well you are whe
Page 15 and 16: 9 What next? genital surgery? The m
Page 17 and 18: You should also be made aware of th
Page 19 and 20: Clitoral release The simplest opera
Page 21 and 22: Clitoral release creating micropeni
Page 23 and 24: Disadvantages compared to phallopla
Page 25 and 26: 13 Option 2: Phalloplasty “I’m
Page 27 and 28: How do I choose the donor site? One
Page 29 and 30: As this is a pedicle flap, arteries
Page 31 and 32: The disadvantage: You risk complic
Page 33 and 34: alternatively, a more complex devic
Page 35 and 36: shaft of phallus sulcus glans cathe
Page 37 and 38: 36 TR catheter emerging from the ur
Page 39 and 40: months later when sensation is esta
Page 41 and 42: Among those who had urethroplasty,
Page 43 and 44: Diagram to show the areas of sexual
Page 45 and 46: Changed sex anatomy Anatomically, a
Page 47 and 48: many years. 26,27 Since people do n
Page 49: The first and second stages of syph
Page 53 and 54: Symptoms include: increased discha
Page 55 and 56: Information and support a:gender Te
Page 57 and 58: The Gender trust PO Box 3192 Bright

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