Hey Dr Jame, off topic, but I just wanted to let you know I'm LOVING your pink look- pink blazer, pink nails, pink spots on your blouse, pink graphics on your slides- you put in some serious effort and I'm impressed! Keep being awesome :)
These timing issues are exactly why I have requested to have my FFS before my vulvoplasty, rather than what was originally planned. I have just finished laser, and have authorization for electrolysis. Having the FFS first might not push back the bottom surgery at all. And the orchiectomy was done a year ago.
Yes, makes sense. They typically recommend a 6 month recovery s/p FHS, but given the waits for bottom surgery, you’re probably not going to skip a beat. 💕🏳️⚧️😊
A good friend of mine went through this process with Doctor Marci Bowers. I cared for her after surgery. You are right about one thing in particular: the process can not be hurried.
So well explained! I wish I had this video back when I was going through the process. I was able to start hair removal before consult (SoCal Kaiser might be a bit different). However, I still was 22 at consult and finally had my surgery 7 months ago at the age of 25. Alot of uncertainty in my early to mid 20's to say the least. As long as you stick it out, the results will be well worth it!
Very informative. I think it important to emphasize that Dr. Jame's timeline is particular to Kaiser. I have Medicare and it is my understanding vaginoplasty is covered, but not FFS. Any comment about this would be greatly appreciated. Since much of my dysphoria is associated with having the wrong genitals, I know vaginoplasty would be affirming. However, I am nearly seventy years old and do not think I could find the support necessary to go through with the surgery. Luckily, my dysphoria is not so bad that surgery is my only option. My health is good, but given my age that could change. I have gotten my laser hair removal in Serbia at a fraction of the cost of what it is in the US. It seems like the hair removal required for the penis and scrotum can be done by laser or electrolysis within six months. Electrolysis may be the preferred method since it is considered more permanent. For me, though I am sure vaginoplasty would be hugely affirming, I would have to become more emotionally comfortable in taking this important step. So far my transition plan has included HRT, hair removal, and social transition. FFS is the next step for me, but that may be difficult given my support structure. In the absence of FFS I will probably have hair transplantation. Orchiectomy is something I am seriously considering.
doi.org/10.1097%2FGOX.0000000000004521 I would check out this article (link above). It looks like access to FHS is very state dependent. I know a number of people in California who have Medicaid and got GREAT FHS. I’m glad you’re considering all the pros and cons of various procedures and how affirming (or not) they might be. No transition is alike and the important thing is that you are being authentic to yourself. That may mean things change as your transition progresses (as it has for me). From what you describe, you’ve already made some big steps and those have been largely affirming. Stay tuned for something on hair removal today. 😀
I have Medicare since I am over 65. Medicare is health insurance offered to people over 65 administered and funded by the federal government. I have supplemental Medicare insurance, but I doubt it will cover gender affirming care since it only kicks in after Medicare approves a procedure. State laws do not help for people on Medicare. Honestly, if they did I would consider moving. My hope is that one day politicians at the federal level will realize how important gender affirming care is and will change the law. For now, except for HRT, which is cheaper in the US, I am finding providers in Serbia for the care I need. There is a wonderful gender clinic there that has been of help.@@DrJamieTalks
@@marti7343 Thanks for sharing. I know of one transgender woman who has a Kaiser Medicare Plan (I guess it must be a supplemental plan) that is going to cover her FHS. I would take a take a look at www.transequality.org/know-your-rights/medicare Happy there is GAC in Serbia. That’s awesome!
Dr Jame! Thank you so much! Would you define RN intake please? I have two gender dysphoria diagnoses that go with the four gender incongruence diagnoses that I also now have! (No wonder the NHS waiting lists are so long in my country! Although I actually paid for one of those gender incongruence diagnoses and two of the gender incongruences came with gender dysphoria diagnoses, so four psychologist consultations.) I have a date for my first surgeon consultation (it will be in person in London) now! So, four years full time, 2.5 years hormones - think I meet those requirements! I was told today that it will be at least six months before the op can take place after that consultation - I haven't done any hair removal down there but I'm also thinking more about having the aesthetic option (no neovag, also known as zero-depth or minimal depth) - I'm not at all sure that I would take care of a neovag in terms of the amount of dilating required and I'm not really active (also I have very little interest in men), but of course I know there's no way to have one afterwards.
The RN intake is an appointment with a nurse who handles referrals to specialty services. I’m so happy to hear about your upcoming appointment! 💕🤗🏳️⚧️🍻 How exciting!!!!! I know a number of trans-women who choose vulvoplasty and are very satisfied with the result. Minus the penetration component, sensation should be maintained, so sexual activity remains an option if desired. 🙂
Just for your information if you research Montreal Canada their is a private clinic that has a different process for all G R S. I'm from Canada and that is were I had mine done and it is much simpler. They still follow all wpath rules. Kay
Again thanks for another educational video. But if you go zero depth what is the requirement for hair removal in the US. And I am still smiling 3 weeks after my orchiectomy. Thanks again and look after yourselves. 😊
Yaaaaaaay Orchiectomy!!!!! 💕😀🏳️⚧️ I’m still smiling 3 months after mine! 😃😄😁 I plan to do a video in the next day or two where I will talk about hair removal for full depth and no depth vaginoplasty. 💕🏳️⚧️🤗 Stay tuned!
@DrJameTalks thanks for that it's taken me nearly 70 years to get to this point in my life and I regret so bloody much not doing it much much sooner thanks again
Well, I have a few trans friends who have had vaginoplasty and they all report that the first time they sit down to pee after their surgery is a little strange. The anatomy is different so it takes a little while for example to find the on and off switch. 😅
Hey Dr Jame, off topic, but I just wanted to let you know I'm LOVING your pink look- pink blazer, pink nails, pink spots on your blouse, pink graphics on your slides- you put in some serious effort and I'm impressed! Keep being awesome :)
Aw, thanks. 💕🏳️⚧️😊 I was pink deprived most of my life and now I can’t get enough! 😁
Great, helpful information. Thanks for all of your great posts!!
Your welcome 🙏 I appreciate your viewership and thoughtful comments. 😊
These timing issues are exactly why I have requested to have my FFS before my vulvoplasty, rather than what was originally planned. I have just finished laser, and have authorization for electrolysis. Having the FFS first might not push back the bottom surgery at all. And the orchiectomy was done a year ago.
Yes, makes sense. They typically recommend a 6 month recovery s/p FHS, but given the waits for bottom surgery, you’re probably not going to skip a beat. 💕🏳️⚧️😊
A good friend of mine went through this process with Doctor Marci Bowers. I cared for her after surgery. You are right about one thing in particular: the process can not be hurried.
I hope your friend has recovered well! 🙂💕🏳️⚧️🙂
@@DrJamieTalks oh yes! She is 6 1/2 years post op! She had great results.
Wonderful! 🥰@@willsmom93
So well explained! I wish I had this video back when I was going through the process. I was able to start hair removal before consult (SoCal Kaiser might be a bit different). However, I still was 22 at consult and finally had my surgery 7 months ago at the age of 25. Alot of uncertainty in my early to mid 20's to say the least. As long as you stick it out, the results will be well worth it!
Thank you! I appreciate the support and I’m so happy things went well for you. I’m hoping to get my in person consult soon! 🤗
Very clear! Thanks!😊❤
You’re welcome 😊💕🏳️⚧️🏳️🌈
Very informative. I think it important to emphasize that Dr. Jame's timeline is particular to Kaiser. I have Medicare and it is my understanding vaginoplasty is covered, but not FFS. Any comment about this would be greatly appreciated. Since much of my dysphoria is associated with having the wrong genitals, I know vaginoplasty would be affirming. However, I am nearly seventy years old and do not think I could find the support necessary to go through with the surgery. Luckily, my dysphoria is not so bad that surgery is my only option. My health is good, but given my age that could change. I have gotten my laser hair removal in Serbia at a fraction of the cost of what it is in the US. It seems like the hair removal required for the penis and scrotum can be done by laser or electrolysis within six months. Electrolysis may be the preferred method since it is considered more permanent. For me, though I am sure vaginoplasty would be hugely affirming, I would have to become more emotionally comfortable in taking this important step. So far my transition plan has included HRT, hair removal, and social transition. FFS is the next step for me, but that may be difficult given my support structure. In the absence of FFS I will probably have hair transplantation. Orchiectomy is something I am seriously considering.
doi.org/10.1097%2FGOX.0000000000004521
I would check out this article (link above). It looks like access to FHS is very state dependent. I know a number of people in California who have Medicaid and got GREAT FHS.
I’m glad you’re considering all the pros and cons of various procedures and how affirming (or not) they might be. No transition is alike and the important thing is that you are being authentic to yourself. That may mean things change as your transition progresses (as it has for me). From what you describe, you’ve already made some big steps and those have been largely affirming.
Stay tuned for something on hair removal today. 😀
Thanks Jame for your supportive comments. It is great to see you looking well. Luv ya!@@DrJamieTalks
@@marti7343 🏳️⚧️💕😃☺️😊 💕🏳️⚧️
I have Medicare since I am over 65. Medicare is health insurance offered to people over 65 administered and funded by the federal government. I have supplemental Medicare insurance, but I doubt it will cover gender affirming care since it only kicks in after Medicare approves a procedure. State laws do not help for people on Medicare. Honestly, if they did I would consider moving. My hope is that one day politicians at the federal level will realize how important gender affirming care is and will change the law. For now, except for HRT, which is cheaper in the US, I am finding providers in Serbia for the care I need. There is a wonderful gender clinic there that has been of help.@@DrJamieTalks
@@marti7343 Thanks for sharing. I know of one transgender woman who has a Kaiser Medicare Plan (I guess it must be a supplemental plan) that is going to cover her FHS.
I would take a take a look at www.transequality.org/know-your-rights/medicare
Happy there is GAC in Serbia. That’s awesome!
Dr Jame! Thank you so much! Would you define RN intake please?
I have two gender dysphoria diagnoses that go with the four gender incongruence diagnoses that I also now have! (No wonder the NHS waiting lists are so long in my country! Although I actually paid for one of those gender incongruence diagnoses and two of the gender incongruences came with gender dysphoria diagnoses, so four psychologist consultations.)
I have a date for my first surgeon consultation (it will be in person in London) now! So, four years full time, 2.5 years hormones - think I meet those requirements!
I was told today that it will be at least six months before the op can take place after that consultation - I haven't done any hair removal down there but I'm also thinking more about having the aesthetic option (no neovag, also known as zero-depth or minimal depth) - I'm not at all sure that I would take care of a neovag in terms of the amount of dilating required and I'm not really active (also I have very little interest in men), but of course I know there's no way to have one afterwards.
The RN intake is an appointment with a nurse who handles referrals to specialty services.
I’m so happy to hear about your upcoming appointment! 💕🤗🏳️⚧️🍻 How exciting!!!!!
I know a number of trans-women who choose vulvoplasty and are very satisfied with the result. Minus the penetration component, sensation should be maintained, so sexual activity remains an option if desired. 🙂
Thank you for the information
You’re very welcome ☺️ 🏳️⚧️💕
Just for your information if you research Montreal Canada their is a private clinic that has a different process for all G R S. I'm from Canada and that is were I had mine done and it is much simpler. They still follow all wpath rules.
Kay
Thanks for sharing! 😊💕🏳️⚧️
Again thanks for another educational video. But if you go zero depth what is the requirement for hair removal in the US. And I am still smiling 3 weeks after my orchiectomy. Thanks again and look after yourselves. 😊
Yaaaaaaay Orchiectomy!!!!! 💕😀🏳️⚧️ I’m still smiling 3 months after mine! 😃😄😁
I plan to do a video in the next day or two where I will talk about hair removal for full depth and no depth vaginoplasty. 💕🏳️⚧️🤗 Stay tuned!
@DrJameTalks thanks for that it's taken me nearly 70 years to get to this point in my life and I regret so bloody much not doing it much much sooner thanks again
Hi I’m having a vulvoplasty next week I’m not required to do any hair removal.
@@brianr6704 Interesting. 🤔 I’m wondering if it’s surgeon or technique specific then.
Thanks so much for the information
❤❤❤ I have a Question How hard was it to learn to pee being a brand new skill??
I just hit send and noticed the date
I thought oops sorry
Well, I have a few trans friends who have had vaginoplasty and they all report that the first time they sit down to pee after their surgery is a little strange. The anatomy is different so it takes a little while for example to find the on and off switch. 😅
Best of luck 👍 ✨️ 💓
Perhaps why so.many go to Thailand or Brazil
❤❤❤Have the best Thanksgiving you can have ❤❤
If we ever meet in person no doubt we will talk for hours
Happy Holidays! 🎄🤶