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Preamble

The terms transsexualism and transgenderism are distinctly different experiences. The two are often confused.

In light of documented progress in understanding transsexualism as a medical predicament with a biological basis, and also to bring clarity to both experiences, FTM Australia ascribes to the following statements:

FTM Australia Position

1. Transsexualism is -
1.1. One of the many possible biological variations in human sexual formation

Transsexualism exists in someone who at birth has chromosomes, reproductive organs and external genitals which appear to be typically of one sex but whose brain, the most powerful of all the sex organs, proves to be of the opposite sex.

It most likely occurs when, at critical stages during pregnancy, hormonal disturbances or other interruptions to the process of sexual differentiation irreversibly cause parts of the brain of a foetus to develop in a male or female pattern opposite to the rest of the body.

1.2. A medically diagnosable condition

Diagnosis is by means of psychological assessments, which differentiate between transsexualism and contra-indicating mental conditions, such as identity disorders or schizophrenia-related conditions. Transsexualism is characterised by an overwhelming and persistent sense of oneself as innately male or female, despite the opposite appearance of the body.

Men and women affected by transsexualism express a profound wish to live and be seen by their society according to the sex they know themselves to be rather than the sex they were assumed to be at birth, and seek a physical appearance, which reflects their true sex to the fullest extent possible through hormonal and surgical rehabilitation.

1.3. A medically treatable condition

Transsexualism is a neuro-biological condition of the brain, treatable through hormones and surgery under the care of qualified, experienced medical professionals.

1.4. A straightforward problem with a straightforward remedy

The remedy for the predicament of transsexualism is rehabilitative sex affirmation treatment (hormonal and surgical procedures) to bring the person's body and public presentation into harmony with their innate or brain sex so that this person can experience sexual unity and peace (ie "fix the body not the mind").

2. Transgenderism is -

2.1. A broad social phenomenon

A person who is transgender has a core gender identity outside of to the 'gender binary' (male/ female). Like other people, transgender people need to live authentically according to their own core sense of gender. Unlike most anyone else, this core sense tends to cross the gender binary or displace it altogether.

Transgender people often find it more comfortable to abandon the gender binary and live according to their own core sense of gender which completely crosses the gender binary or is outside the gender binary. - hence the term transgender.

The term 'transgender' was coined in the 1970s by the famous cross-dresser, Virginia Prince, a heterosexual male who lived as a woman without desire for surgery or hormonal intervention.

2.2. A human gender identity variation

While many transgender people are comfortable with the legal sex assigned them at birth, and do not seek sex affirmation treatment, some transgender people are naturally androgynous and find themselves able to live comfortably without any medical intervention at all. Some transgender people experience varying levels of discomfort and use a varying range of hormone treatments and surgical procedures to reduce this.

Many transgender people adopt a male or a female appearance or gender presentation in order to live in everyday society.

2.3. Frequently used as an 'umbrella' term

This word has developed over the years into a well-meaning but mistaken attempt to include people with diverse physical conditions, identities, and differing issues who may or may not require medical intervention, into the one basket. This umbrella term is incorrectly applied to people with intersex physical conditions and people with behaviours which span or explore gender such as cross dressing and "drag" (both male and female) entertainment.

Many at the forefront of social, medical and legal education and reform consider this umbrella usage counterproductive. FTM Australia does not use the word transgender as an umbrella term.

2.4. External to the binary (male/female) gender system

The gender binary is a limited construct for transgender people. Some transgender people recognise the one gender their whole lifetime, others change genders over time, and/or can identify as having multiple genders at the same time.

Some transgender people speak of being part of a continuum of gender. Some transgender people situate themselves on a continuum between male and female and often include a third, fourth or more genders.

3. A man who experiences transsexualism:

3.1. has a medical predicament which can be medically treated;

3.2. seeks to undergo the rehabilitation of sex-affirmation-surgery (SAS);

3.3. seeks the normalising of his life within the gender binary (male/female).

A man affected by transsexualism, as any other man, can be heterosexual, homosexual, bisexual, asexual and/or transgendered; these experiences being different and distinct from the transsexual condition.

The medically diagnosable condition transsexualism and the social phenomena of transgenderism hold similar and different medical, legal and cultural significance.

 

Related Reading

(2005) "Men with ts Position Statement", FTMA.


Position Statement Written January 2004
Position Statement Revised 14 April 2007

Citation — Terms - FTMA Position Statement. (2004).

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