Charice Pempengco‘s ho-hum revelation straight from her horse’s mouth over the weekend wasn’t taken seriously for the main reason that everybody knew about it already. It must have been an ill-advised move by some powers who thirsts for a leap in the ratings game at her expense. Of course half of the southern hemisphere knows that she is a carpet-eater and in our double-standard culture we love to tolerate what is taboo or outright ridiculous. The poor guel , err guy allowed herself to be eaten [???] alive on national tv while shedding tears! Gosh, MEN don’t cry! Especially if you are still hoping to be recognized as one. She has also revealed here and there that she attributes her coming out to her HATERS. Haters? Are you serious my dear? Sinong tanga ang nag-advise sa’yo na pagbigyan ang mga nasusuklam sayo? Kuh Ledesma offered some unsolicited remark that Charice should have just kept her ‘real self’ under the cloaks of pretense ; perhaps talking from her own lurid experience but then when all the smoke dies down into a flimsy string of a fading white blur, the international Filipino singing sensation has only herself to reckon with. So where does this leave her now? Definitely her skin will crack if she belted songs the world loved her for like And I Am Telling You, etc… Would she rap/rock/popfunk; do a K.D. Lang or opt to live in Russia as a new man? Everything is possible. To date , she must be mulling over a SEXUAL REASSIGNMENT Surgery to further her cause. That is one brilliant move if ever , after all let’s face it [even if her plastic showbiz friends supposedly supports her decision] , she just shrunk her market to a meager slice of audience. By becoming a man, the possibilities of prolonging her career to some gainful lengths is bright. As a starter , she can probably connect with Chas Bono who is now successfully a man! If ever, what name in heaven would Charice adopt? CHA? CHAR? CHIZ? choz.
To save Charice from googling I grabbed some from the unreliable but tolerable WikiPedia:
Sex reassignment surgery from female to male includes a variety of surgical procedures fortranssexual men that alter female anatomical traits to provide physical traits more appropriate to the trans man‘s male identity and functioning.
Many trans men considering the surgical option do not opt for genital reassignment surgery; more frequent surgical options include bilateral mastectomy (removal of the breasts) and chest contouring (providing a more typically male chest shape), and hysterectomy (the removal of internal sex organs).
Many trans men seek bilateral mastectomy, also called “top surgery”, the removal of the breasts and the shaping of a male contoured chest.
Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position.
By some doctors, the surgery is done in two steps, first the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year, where in a second surgery the excess skin is removed. This technique results in far less scarring, and the nipple-areola doesn’t need to be removed and grafted. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer.
For trans men with smaller breasts, a peri-areolar or “keyhole” procedure may be done where the mastectomy is performed through an incision made around the areola. This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. In addition, there is less denervation (damage to the nerves supplying the skin) of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return.
Hysterectomy is the removal of the uterus. Bilateral salpingo-oophorectomy (BSO) is the removal of both ovaries and fallopian tubes. Hysterectomy without BSO in cisgender women is sometimes erroneously referred to as a ‘partial hysterectomy’ and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. A ‘partial hysterectomy’ is actually when the uterus is removed, but the cervix is left intact. If the cervix is removed, it is called a ‘total hysterectomy.’
Some trans men desire to have a hysterectomy/BSO because of a discomfort with having internal female reproductive organs despite the fact that menses usually cease with hormonal therapy. Some undergo this as their only gender-identity confirming ‘bottom surgery’. In other cases, sterilization may be required by the state in order for the sex marker on official documents to be changed.
For many trans men however, hysterectomy/BSO is done to decrease the risk of developing cervical, endometrial, and ovarian cancer . (Though like breast cancer, the risk does not become zero, but is drastically decreased.) It is unknown whether the risk of ovarian cancer is increased, decreased, or unchanged in transgender men compared to the general female population. The risk will probably never be known since the overall population of transgender men is very small; even within the population of transgender men on hormone therapy, many patients are at significantly decreased risk due to prior oophorectomy (removal of the ovaries). While the rates of endometrial and cervical cancer are overall higher than ovarian cancer, and these malignancies occur in younger people, it is still highly unlikely that this question will ever be definitively answered.
Decreasing cancer risk is however, particularly important as trans men often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. Though ideally, even after hysterectomy/BSO, trans men should see a gynecologist for a check-up at least every three years. This is particularly the case for trans men who:
- retain their vagina (whether before or after further genital reconstruction,)
- have a strong family history or cancers of the breast, ovary, or uterus (endometrium,)
- have a personal history of gynecological cancer or significant dysplasia on a Pap smear.
One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist. This is equivalent to post-menopausal bleeding in a cisgender woman and may herald the development of a gynecologic cancer.
Genital reconstructive procedures (GRT) use either the clitoris, which is enlarged by androgenic hormones (Metoidioplasty), or rely on free tissue grafts from the arm, the thigh or belly and an erectile prosthetic (Phalloplasty). In either case, the urethra can be rerouted through the phallus to allow urination through the reconstructed penis. The labia majora (see vulva) are united to form a scrotum, whereprosthetic testicles can be inserted.