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Cover of Max Valerio's BookTHIS BOOK is subtitled ‘My hormonal and Social Transformation from Female to Male’. It deals primarily with the effects of hormones rather than surgery, which, for Valerio, came six years after he first began hormone treatment.

This is one man’s opinion and observations based on his personal experiences. His style is blunt and some of his conclusions, particularly in relation to men and women, are potentially offensive.

It is, however, interesting not only for its autobiographical value but for its descriptions of the changes that take place as a result of the hormones. Valerio is in constant wonder at the transforming power of testosterone.

He details his transformation from the time he first begins taking testosterone and documents the changes to both his body and how those around him relate to him as a man.

Physical changes such as voice deepening, greater muscle mass and changes to hair and skin are met with wonder and delight as people start to see him as a male with the help of other passive measures such as chest binding and penile prosthetics.

He talks about the women he meets and how people treat him in his job at a call centre, a job he took to raise money for his chest surgery. It is in these discussions about women that some may find offensive.

He also tends to stereotype men as being wild beasts driven by their hormones and at one stage makes the extraordinary claim that he thinks it’s a wonder that men don’t rape more often.

Several chapters are dedicated to the issue of increased libido and an overall greater sexual awareness. He details various visits to strip clubs and porn shops.

It may sound sleazy and at times it is but these chapters are interesting and important because they may help answer questions for other men about their own sexuality and sexual responses to taking testosterone. Questions they may be afraid to ask others. Valerio also includes the observations and experiences of other transsexual men he knows, gay and straight, who identified differently prior to taking testosterone.

Some readers may find this book and its author confronting but it is well written and accessible and certainly worth reading, particularly for those in the early stages of transition.

ISBN: 1-58005-173-1
Hardcover: 280 pages

Except

“My gestures have “become more male.” Although I’m contemplating the nuances and subtle cues of maleness and femaleness as never before, I’m surprised by this assessment. I’m not deliberately trying to alter my gestures. That would be cheating. I wasn’t aware that the way I was moving seemed differently. Apparently, even before I sat in this chair, steeled with anticipation, a process of letting go of any effort to conceal my sense of male identity was well under way.

I have also felt an overall sense of relief. “I’m going from female to male,” I declare to a bewildered Dr Argopolis. Peering at the wispy dark hairs stranded atop his shiny balding head, I worry about whether this doctor has much experience ewith female to male transsexuals (FTMs).

“Are you sure you want to do this?” Dr Argopolis asks.

In my hand I clutch a letter from my counsellor, Joanne. The necessary “hormone letter.” My passport to this office, to a physical examination, an initial shot, and a prescription for testosterone. I’d gotten that letter, earned it in a way, after seeing Joanne for three months. That was the minimum requirement. She determined I wasn’t psychotic, that I understood the process of “sex reassignment,” that I was aware of the risks and understood what I could and could not realisitically expect from testosterone treatment and, eventually, surgery.

Dr Argopolis asks to see my California driver’s license. I hand him my California state ID card, which I’ve already changed to my new name, Maximilian Wolf Valerio. He eyes the picture and name for a long time before glancing up over the top of his glasses to announce, “Maximilian. That is a very masculine name.”

“Uh, yeah…” I notice how much I’m smiling and nodding. Walking the line. I don’t want to say anything that’ll make him decide not to treat me. The fact that I changed my name on my ID should be proof of my commitment to a male life, a certificate of sincerity.

“You will grow hair,” he points out, gesturing toward his chin.

“Yes, I know – just as long as I don’t lose it,” I quip.

I knew what I was getting into.

I check Dr Argopolis out with a dubious eye. Is this guy a quack? I glance around the room. There is a certificate... He isn’t an endocrinologist, but I can see he is at least a doctor. I’d heard that genuine endocrinologists charged three times as much. These specialists ran test after test, and sometimes put you through a six-week waiting period just to test your nerve. All that felt like a game. I know what I want and I’m anxious to get on with it. Through reading and talking with transsexual men who are further along, I understand the parameters of hormone treatment. I’m aware of the risks.

From the beginning, I had strategized to accomplish my transition as expediently and as cheaply as possible. Initially, I had gone to a therapist at a gender centre who had peered at me skeptically and asked why I couldn’t just remain a lesbian. That prospect of having to explain this tired fact to him for six months to a year was simply too expensive and time-consuming.

I opted for Joanne, a transwoman counsellor, who was supportive and discerning and didn’t pretend to be sceptical simply to give me a hard time. Otherwise, I felt as though I would be trying to game the therapist to get what I wanted. With Joanne, I could be honest and expect her to follow through appropriately and not waste my time or money. I could also get supportive feedback that I could trust from someone who had been through transition.

Dr Argopolis feels my liver to see if it’s swollen, placing a hand just below my rib cage and squeezing. He weighs me, asks a few questions relating to my general health. My blood pressure, low as usual. “Do you feel faint if you get up suddenly?”

I laugh and say, “No, not usually…”

“Well, it’s okay, but it is very low.” Resting heart rate also low, everything’s fine. Next is a liver panel to check my enzymes, a test that will become routine – every six months to a year – to make sure that my health isn’t adversely affected by the testosterone.

“Goodbye.”

I gaze into my face in the mirror above the sink in his small bathroom. My female self is receding as I watch my eyes. I memorize the moment. Stretch the crossroads out. This first shot is what I’ve waited and plotted for, my walk off the precipice.

Dr Argopolis draws up the shot from the small bottle. “Here, get ready…here is the medicine.” The doctor squints into the barrel of the syringe as it fills up with the virilising potion.

From that first shot, I’ve lived each day as though I were already physically the man I decided to become. I’ve injected a powerful elixir, the workings of which hurtle me into a web of energies and impulses I couldn’t have anticipated. The doors are blasted open. I begin to enter the realm of male life.”

Valerio, Max Wolf (2006), The Testosterone Files, Seal Press: California, p. 13-16. Excerpt from http://www.amazon.com/

Citation — Collins, S. (2006). Book Review: The Testosterone Files by Max Wolf Valerio. Torque, 6(4), December.

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