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Medical Transition Position Statement

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Preamble

Transition is a process whereby a person diagnosed with transsexualism combines medical, social and legal steps to unify (to the fullest extent possible) their mind, body and public presentation.

FTM Australia understands this process, specifically the medical component, to be one of confirming or affirming a person's sex as consistently defined by them based upon the sexual development of the brain, and does not denote a "sex change";

FTM Australia Position

Transition is an individual process, for which there is no standard checklist or time limit. FTM Australia understands that expediting the process can be harmful to the individual physically, socially and mentally.

FTMA does not encourage anyone to undergo transition; yet understands that most experiences of transsexualism do necessitate the process, medical rehabilitation through hormone therapy and sex affirmation surgery (SAS) may be so significant as to be life saving for some individuals.

FTMA is available to offer information throughout the medical transition phase, as well as during associated social and legal adjustments.

FTMA recommends that appropriately qualified medical practitioners experienced in the management of transsexualism oversee transition.

FTMA advocates the use of the Harry Benjamin Standards of Care by medical practitioners when supervising the health care of people who experience transsexualism.

Testosterone therapy at the recommended doses for medical transition will result in a number of irreversible changes to the physical body. People who voluntarily undergo such treatment are solely responsible for the consequences of their decisions.

Sex affirmation surgeries, being procedures that remove incongruous reproductive organs and/or alter external genitals, are likewise irreversible. People who voluntarily undergo such procedures are solely responsible for the consequences of their decisions.

In the absence of a diagnostic test for transsexualism, medical practitioners must rely to some considerable extent upon the honest assertions of people presenting with transsexualism. FTMA encourages people who seek treatment for transsexualism (or indeed any condition) to foster a trusting relationship with their healthcare providers, rather than deliberately providing "textbook" responses to diagnostic enquiries (ie. tell doctors "what they want to hear") in order to access treatment.

This advice is given in order that the health needs of people with or without transsexualism may be managed most appropriately, and irreversible treatments might not be regretted.


Position Statement Written January 2004
Position Statement Revised 14 April 2007

Citation — Medical Transition - FTMA Position Statement. (2004).

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