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Male to Female (MTF)
(Below is just a brief summary of what to expect.)
(Amended 03/11/09)

If you believe yourself to be transsexual or are confused about your gender identity or expression of your gender, you may wish to consider treatment. Treatment is offered at a number of centres across Scotland. It follows a well established pattern, through a series of stages, ultimately leading to gender reassignment surgery. The process has a number of appointments with specialists and will also involve your own GP.  Some GP's may be unsympathetic to treatment - in this case you may have to change your doctor. 
 
You should be aware that the process involves a radical change in your life, with far-reaching effects. It will affect every aspect of your life, particularly your relationships with your family and friends, but also with the public in general. It may affect your employment and your lifestyle.
 
Initial assessment
Treatment of MTF transsexuals begins with a referral to a gender specialist. This can be done via your GP, or directly. The initial assessment may be followed by a diagnosis. If gender dysphoria is diagnosed, you will be accepted for treatment. If there is any doubt about diagnosis, then further assessments may be required, or counselling may be recommended before you are accepted. 
 
Real Life Experience
During this period, you need to live continuously in your preferred gender in the whole of your day-to-day life for at least a year before you can get surgery.  It is important to experience the realities and challenges of interacting in your preferred gender in your local community through all situations such as employment, voluntary work, educational study, with relatives and in social & leisure activities. This will involve changing your name, updating all documents such as passport and driving license, and altering details for banks, energy suppliers, etc. You will also be expected to attend support group meetings.

This is in accordance with the guidelines set out in the ‘Standards of Care’ as laid down by the World Professional Association for Transgender Health (WPATH), formally known as the Harry Benjamin International Gender Dysphoria Association (HBIGDA). www.wpath.org

Second assessment
After 3 months a review will follow, with a further interview with a second specialist, to confirm the diagnosis. Evidence will be required to show that you are living full time in your new role.
 
Hormone Treatment
If the diagnosis is agreed then feminising hormone treatment may be prescribed, in the way of oestrogens and possibly anti-androgens. It is vital that monitoring, by the way of blood tests etc, is done when taking hormones, as they may have dangerous side effects.
 
Surgery
You will be expected to continue for a minimum of a year before gender reassignment surgery will be considered.  A second opinion from a mental health professional is also required prior to referral.
 
Post Transition
Service users are normally offered an appointment to attend the clinic 6 months post transition.

Peer Support for Trans-women
Sandyford Trans-women Support Group.
It is open to trans-women who are current or previous service users of Sandyford Gender Identity Clinic, those who feel they may wish to use the clinic at some stage in the future, or indeed any Male-to-Female (MTF) people with gender identity issues.
Although run under the auspices of Sandyford, the group is independent of the Clinic and meets twice a month within Sandyford, in a non-clinical setting. You will be made very welcome and have the chance to meet other people who may have had similar experiences to you, where you can share information and support.
For further information about this group, contact Colin Mackillop, the Community Access Co-ordinator at Sandyford 
colinmackillop@nhs.net

Crosslynx
The group, to which we are affiliated to. Based in Glasgow, they run a monthly support meeting, for those who consider themsleves to be Transgendered.
For further information about the group, visit their website: www.crosslynx.org.uk

Edinburgh Trans-women's Group

The group is aimed at transsexual women at any stage of transition or women who are transgendered and live as women full-time or part-time. They welcome new people to join the group.
They are based in Edinburgh, Scotland but open to trans women wishing to travel to them. They meet once a month for a support group meeting with general chat and discussions relating to transition or life living as a woman. There are also social events at LGBT and mainstream venues. They look forward to seeing you at their meeting or social events and feel free to contact them if you want more information
For further information about this group, visit their website: www.edinburghtranswomen.org.uk

Stirling TG Group (formally known as the West Lothian TV/TS Group)
Support group based in Buchlyvie
For further information about this group, visit their website: www.stirlingtggroup.org.uk

Swans of Scotland
Support group based in Inverness
For further information about this group, visit their website: www.spanglefish.com/swansofscotland

North East Support Trans (NEST)
Support group based in Aberdeen
For further information about this group, visit their website: www.nestsupport.co.uk


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