General Discussion
In reply to the discussion: Planet Fitness cancels woman's membership after her complaints of transgender woman in locker room [View all]HereSince1628
(36,063 posts)A clinical threshold is passed when concerns, uncertainties, and questions about gender identity persist in development, become so intense as to seem to be the most important aspect of a person's life, or prevent the establishment of a relatively unconflicted gender identity. The person's struggles are then variously informally referred to as a gender identity problem, gender dysphoria, a gender problem, a gender concern, gender distress, or transsexualism.
Such struggles are known to be manifested from the preschool years to old age and have many alternate forms.
These forms come about by various degrees of personal dissatisfaction with sexual anatomy, gender demarcating body characteristics, gender roles, gender identity, and perceptions of others.
If a decision is made to make a transition then something like this is required
1) legal age met to make decisions
2) 12 months of continuous hormonal therapy for those without a medical contraindication
3) 12 months of successful continuous full time real-life experience. Periods of returning to the original gender may indicate ambivalence about proceeding and should not be used to fulfill this criterion. (This seems to indicate use of the restrooms, locker rooms of the transitions target gender, would be expected)
4) necessary psychotherapy to deal with the experiences of the real life trial.
5) knowledge of the cost, required lengths of hospitalizations, likely complications, and post surgical rehabilitation requirements of various surgical approaches.
6) awareness of different competent surgeons