An open letter to our trans partner

I am the wife of a trans woman who transitioned during our marriage. I am writing this to support partners as there are significant areas in common for us all but each of our paths on this journey may be very different. I also write to the trans person and just hope you both talk to each other. We want to keep our marriages intact.

There is no clear cut care pathway for partners here so do not be afraid to seek help and counselling. This journey can’t be done alone. Local GPs and counsellors are not specialists, so the more we speak up the more awareness will be raised. This is not a life choice for either of us; something that took me years to understand. I still ask myself: ‘why me’?

I had advanced notice before we got engaged that my husband was cross dressing since childhood. She agonised over telling me but we still got married and have now been together for over 30 years and married for 27. The prognosis for staying together is much higher if surprises and shocks are limited. We decided never to have children and life is a lot less complicated. However, it was still a shock when my partner decided to transition and, before I could understand the implications, she was self-medicating secretly. I went through hell. Women are good listeners and can be sympathetic, but I don’t like dishonesty, hiding or deception. We can detect little signs, and you may think your partner is having an affair if female clothing is found in the house which does not belong to you.

Helen and Betty 1For the trans partner: please remember that this is like a bereavement but with no body and no funeral. If you are going to throw clothes from your previous gender away warn your partner and, perhaps, allow us to keep some sentimental items – even if just for a while, so we can grieve in our own time. Acknowledge this grieving process is just like any other, it HURTS!

Keep open channels of communication at all times and also agree to stop talking if it is getting too much. My counsellor suggested we have a password to use if this is happening, and we then agree to talk later at an agreed time. So far that works for us.

The trans person may be tempted to rush into transitioning (coming out, HRT, ‘real life experience’ and possibly surgery) because it is a lifelong desire to change gender. For the partner, it is a constant ‘in your face’ tornado of selfish wants that completely ignores and threatens the relationship. The effects of HRT on the mind and the body are visibly shocking and can be upsetting for the partner who knew another person intimately. Thankfully, there are now several good books out there and web sites. Bear in mind that by ‘outing’ yourself as being trans, you do the same to your partner and they may be concerned about what others think. The partner of a trans person may worry about peoples’ perceptions: are we a lesbian couple, sisters, sisters-in-law…?

Our particular relationship has been strong enough to overcome this. My partner first attempted a kind of dual life of living as a woman outside work many years ago, but this time around its permanent and that was a big adjustment for me. In transition we now tend to avoid the same haunts we frequented because waiting staff would recognize me and wonder if I have a new relationship as we sit at the same table ordering the same favourite meals. Even in places we have never been to, the ‘couple’ in us still comes out as we say ‘we’ the whole time when talking. I have to be very blunt here and say a part of our success is that my partner is completely convincing and I doubt if I would remain if she was not. Do not ‘carry the monkey’: other peoples’ reactions are their problem not yours. Who to tell and when is up to you. We have now told all our best friends and family, but my partner’s family proved to be the most negative.

For me this is not a linear process either. I have not gone smoothly from timid enquiry, anger, depression, thinking and reading to acceptance. Some days are better than others. Several times I revisit each emotion forwards and then backwards. This is where counselling helps. You are not alone. Also, bear in mind this is no-one’s fault so try not to blame when you are at your most angry to accuse. If you think that is easier said than done, I totally agree as I am guilty of doing that often – even now. I was quite shocked in one professional counselling session in the UK to be told I had in fact married a woman all along! To be told it was all to do with conception, what happens in the womb and the brain was earth shattering. Read, read and read. I have found it quite fascinating, painful and absorbing.

Having gone through more than a woman should for love, my partner wants a Gender Recognition Certificate. In 2014 with same sex marriage legal, the process is still unclear for married people where a partner transitions and, yet, retains the same legal rights. The irony that we already live as same sex couples after surgery is lost on them.

To end on a lighter note; there have been many fun moments, e.g. I now get to buy more clothes than before as she understands the need, but co-ordinating what to wear out can be a laugh. In the end love is more important than gender.

(Photograph is not of the post author but of Helen Boyd and her partner, Betty Crow. Helen is the author of She’s Not the Man I Married.)

An open letter to our families

We know that being the family of a trans* person is not something you sought or ever thought you would have to deal with. We know that in coming out as trans*, we are also forcing you out as the family of a trans* person. We know that you are concerned for us, for our welfare, for our healthcare, for our relationships, for our safety, for all the reasons that you have seen as headlines in the newspapers, and that makes you afraid for us. We know that you can’t be sure we are doing the right thing, maybe we are just going through a phase. We know that you will get our name wrong and use the wrong pronoun sometimes, which may embarrass you in public. We know all of these things and that’s why coming out to our families is the hardest thing we have to do. We worry so much that, if we can’t help you find a way through all of these issues, we may lose you. We don’t want to lose you, we want you in our lives. Our love for you doesn’t change when we transition but, sometimes, your love for us does.

familyIn an ideal world, when we come out to you as trans*, at some point in the process, we would like you to give us a hug and say something similar to: “That’s great news. I’m so happy that you have reached a place where you feel able to express yourself in a way that is true to the person you really are. How can I best help and support you?” We know this is a big ask, but it’s not an impossible ask.

To our mothers and fathers: when the midwife placed us in your arms for the first time and said, “It’s a …”, would you have loved us any less if she had said our real gender as opposed to the gender dictated by our genitalia? To our partners, siblings, children and wider family: when you met us for the first time and were introduced to us, “This is …”, would you have loved us any the less if you had been introduced to us as the name that we have chosen for ourselves to match our true gender? If the answer to both these questions is “no”, which it probably is, then the problem with transitioning is not our gender or our new name, the problem is that we are changing from something familiar to something that seems unfamiliar.

Nobody likes change and our transition imposes a change on your life that you did not seek. Because of the process of transition, the news of this change is necessarily sudden for our families. Transitioning is never a spur of the moment decision and coming out to our families happens at the end of a process that may take years. Our families, therefore, receive the news of our transition with none of the preparation time we have had. Put like this, as the person transitioning, we have a responsibility to help those whose love and support we value to transition with us.

As the family of a trans* person, you have a right to ask them to accept this responsibility and to give you the help and support you need to manage the change that is happening in your life. This may include arranging for you to speak to a counsellor about your concerns or finding appropriate resources to help you understand the process of transitioning and why it is not a choice for the trans* person. To this end, we have added a post about the Transition Curve – the stages that everyone goes through when faced with change – that gives the trans* person in your family some guidance on how best to do this. You may also want to read it to understand a little more about why human beings don’t like change much and react in similar, predictable ways to it.

It is in our interests to help you cope with our transition. If we want you in our lives, we must make the effort. Communicating with you is, therefore, vital to the process. However much you might not want to talk about it, expressing your feelings is better than bottling them up. Please tell us how you are feeling. If you can’t do it face-to-face, phone us or write to us. If you need time and space, say so. We can respect that. Trans* Jersey’s post on communicating assertively applies to you as well as to us. Anger is a common reaction to change, especially change that is out of our control. Get angry, but please don’t get angry with us. Gender dysphoria is not something that we chose. If you need to get angry, get angry with the change, with the dysphoria, with the situation, but not with us.

To speak assertively: at some point, you have to accept that our transition is not just a phase, it isn’t going to go away. If you want us in your life, you must make an effort, too. Acknowledging this fact is the first step to accepting our transition and that goal of giving us a hug and saying something similar to: “That’s great news. I’m so happy that you have reached a place where you feel able to express yourself in a way that is true to the person you really are. How can I best help and support you?”

To answer the question, “How can I best help and support you?”, all we ask is that you are as proud of us as you always were. Be open and honest about our transition, don’t hide it. Be as proud that you have a trans* family member as you are of the other things we have done in our lives and the other members of your family. If you hide it, you are suggesting to those outside the family that there is a reason to hide it, that it is something of which to be ashamed. When people see that those closest to us accept our transition they, too, will take that attitude. After all, if those closest to us accept us, what right have others to find it “weird”? This also maximises our chances of staying safe from transphobic attacks – one of your fears for us. If we have allies who will step into defend us, we aren’t alone.

And that is what all trans* people who come out to their friends and family fear most – that they will end up alone as a result of their revelation. Please don’t do that to your family member, they will be much more vulnerable if you do and you will be the poorer for it.

Emergency info

Trans* Jersey asked the States of Jersey’s LGBT liaison officer to provide us with some basic safety advice for trans* islanders. Transwomen across the world are particularly vulnerable to physical and verbal attack so it is important to know where you can turn for help in the event that you find you are the victim of bullying, harassment or violence.

Important phone numbers
Emergency number: 999
Police headquarters main switchboard: 612612
(If you want to speak to the LGBT community liaison officer, you should ask for PC710 Emma Poulliquen or email the LGBT community liaison team.)
MASH (Multi-Agency Safeguarding Hub) number for young people only: 449213

town-smallPersonal safety advice
The States of Jersey Police is committed to building trust and confidence throughout the entire community. We treat all reports or concerns of harassment, assault and any hate crime related incident seriously and endeavour to assess all of these with a view to investigating and providing support to those affected.

Statute legislation may not yet be in place covering certain aspects, but we aim to learn, develop, educate and encourage equality across all members of Jersey’s community.

If you have ever been on the receiving end of someone’s verbal abuse or the victim of an assault, you will know it can have a significant and traumatic impact on day to day life and the way you feel about yourself, even more so if you feel there is no one there to help, or nothing that can be done.

If you are the victim of a verbal or physical assault or other aggressive act, consider the following steps:

  1. Try to write everything down as soon as you can, dates, times, place, people, descriptions, what was said and how it made you feel at the time. Even the smallest detail can often be a big help.
  2. If other people have witnessed the incident and you are able to get their details, then do so. DO NOT PUT YOURSELF IN DANGER TO DO THIS.
  3. If you have been the victim of a physical or sexual assault try not to change or wash your clothes or yourself, there can be evidence which may help when investigating any allegations.
  4. If you are injured photograph your injuries as best you can before you clean them. DO NOT RISK YOUR OWN SAFETY OR HEALTH. ALWAYS SEEK MEDICAL ADVICE IF YOU NEED IT.
  5. If you are attacked, concentrate on getting yourself out of danger and then call 999. Even if you don’t want to support any later police investigation, your attackers may still be a danger to yourself or someone else.

Internet safety tips
The internet offers endless opportunities to meet new people from all over the world, but remember to use caution and try not to get caught out online. Here are some basic safety tips to help keep you safe online:

  • DO NOT give out your personal details, photographs, or any other information that could be used to identify you, your family or where you live.
  • DO NOT believe everything someone tells you online, they may not be what they seem.
  • NEVER arrange to meet someone you’ve only ever spoken to online without telling a friend. Remember to give them as much information about the person and place you are meeting.

Social media
Nowadays everyone is texting, using Facebook, twitter or other social media sites. Often this means our lives are on display for everyone to see and can leave you open to abusive messages being posted. If this happens to you:

  1. DO keep the messages on your phone.
  2. DO print copies of anything on social media sites directed at you, showing who it is from.
  3. DO NOT respond, as tempting as it can be sometimes to respond to negative comments, refrain from reacting.
  4. DO send a single response telling the person to stop contacting you, tell them it is unwanted. KEEP this message.
  5. Consider changing your mobile number and only give out your new number to people you trust.
  6. Block the person on social media sites and limit your public profile.
  7. Report the person through social media outlets.

Medical treatment of trans* people

Because there are no specialist gender healthcare professionals in Jersey, all trans* islanders have to go abroad for treatment. Most will, at least initially, go to the UK. Therefore, any issues that trans* organisations have with the UK healthcare system are shared by Jersey trans* individuals.

In addition to producing a report on the health of trans* individuals, GIRES also identifies three main areas of concern:

Multiple referral for treatment 

Current treatment protocols often require two referrals before cross sex hormones, or chest reconstruction, or genital surgery, etc are authorised. This causes delays. No other medical treatment requires two referrals so why are trans people singled out for a “special” treatment protocol.

Man and psychiatristRefusal to treat

If a trans person has been treated for gender dysphoria in the private system or overseas, that person’s treatment on the NHS may be delayed. No other such patient is refused treatment on the NHS for any other condition.

Health providers must be challenged to provide the equality analysis that justifies treating trans people in a different manner from other service users.

Delays in receiving treatment for young people

A young trans person can benefit hugely from an early medical intervention to ensure that the damage done, both physically and psychologically, from an inappropriate puberty can be minimised, where there is a clear clinical need established.

Delaying treatment for young people can have a disproportionate impact. A delay of (for example) three years in treating a 30 year old gender dysphoric person will not significantly change the physical outcome on the transition as the individual will have already developed adult sexual characteristics. However, for the 11 year old, the situation is completely different. However, both patients will suffer psychological stress due to the delay.

Again, Health providers must be challenged to provide the equality analysis that justifies treating trans people in a different manner from other service users.

As we have stated elsewhere, it should be noted that Jersey trans* people can avoid some or all of the above problems if they have the resources to navigate the system privately or semi-privately. In which case, they may not find the above to be an issue in their transition.

MtF resources

UK Charities
GIRES
The Gender Trust
Gendys Network
Gender Matters
The Beaumont Society
Mermaids (for children and teen support)
Depend (for friends and family support)
Press for Change (for legal issues)

Links
NHS transgender advice – NHS Transhealth
Transitioning on the NHS information from a transwoman – Writings of a Trans Activist
UK based forum predominantly for MtF friends and advice – TransgenderZone
UK based advice for transwomen – The Angels
UK comprehensive medical advice for transwomen – Looking Glass Society

US based resource for all things MtF – Transsexual Road Map
US based online magazine for transwomen – Femme Secrets
US based online magazine for transwoman – Lynn’s Place
US based advice for transwomen – Susan’s Place
US based advice for transwomen – Laura’s Playground
US based advice for trans* people – Trans Health

Wigs – Alternative Hair, Jersey
Laser hair removal – Aesthetic Laser Clinic, Jersey

Complete make-over service, dresses, shoes, lingerie, cosmetics, wigs, breastforms – TransLife
Dresses, shoes, lingerie, cosmetics, wigs, breastforms – Suddenly Fem
Shoes, lingerie, cosmetics, wigs, breastforms – The Fantasy Girl
Shoes, lingerie, breastforms – Classic Curves

booksBooks
On Becoming a Woman: A Transsexual and Transgender Guide for Transitioning From Male to Female by Jennifer Corbett (2014)
My New Gender Workbook: A Step-by-Step Guide to Achieving World Peace Through Gender Anarchy and Sex Positivity by Kate Bornstein (2013)
Transgender 101: A Simple Guide to a Complex Issue by Nicholas Teich (2012)
Grrl Alex: A Personal Journey to a Transgender Identity by Alex Drummond (2012)
Helping Your Transgender Teen: A Guide for Parents by Irwin Krieger (2011)
The Transgender Guidebook: Keys to a Successful Transition by Anne Boedecker (2011)
Becoming Drusilla: One Life, Two Friends, Three Genders by Richard Beard (2009)
The Transgender Child: A Handbook for Families and Professionals by Brill (2008)
She’s Not the Man I Married: My Life With a Transgender Husband by Helen Boyd (2007)
The Transgender Companion (Male to Female): The Complete Guide to Becoming the Woman You Want to Be by Jennifer Seeley (2007)
Finding the Real Me: True Tales of Sex and Gender Diversity by Tracie O’Keefe (2003)

MtF timeline

For those who are still questioning their gender, take some time to read this site, to surf the Internet and watch video clips uploaded by transwomen, to read some of the excellent personal accounts of transitioning available as books from Amazon, and to feel comfortable with the idea that you are trans*. This is an important step and not one that should be hurried. It can take years to reach a point of ease with who you are.

However, it is worth reaching that point before you more forward with your transition, especially in Jersey. We all know how quickly news travels in small communities, more so than in a big city. You are unlikely to be able to keep your transition a secret in the island. You need to be prepared to ‘out’ yourself to all sorts of people in order to get their help and you can only do that if you are proud and confident about who you are.

Having reached a place where you know that you are transgender, your first point of contact is your doctor/GP in Jersey. Explain to them that you are unhappy with the gender assigned to you at birth and that you would like to start the process of transitioning. Ask your GP to write a letter of referral to a gender therapist (if going the privately funded route) or to a psychiatrist within the health services in Jersey (if going the publicly funded route).

There are no gender therapists in Jersey so you will have to go to the UK for counselling. Your GP can either refer you privately to a gender clinic of your choice or your Jersey psychiatrist can refer you through the NHS to the Charing Cross Gender Identity Clinic. The advantages of going private are that you control the timetable and can get things moving as quickly as you need to. The disadvantage is that you pay for private consultations (see the finance page). The NHS route is free but you are stuck with their timescale.

Remember that your therapist is not there to ‘judge’ you. They are there to help you make sure that transitioning is what you want to do. Therapy is a time for you to ask questions about transitioning, to be honest with yourself and answer the therapist’s questions as openly as you can, to think about alternatives to transitioning and to understand why they are not an option for you, and to double-check your feelings with an impartial and skilled observer.

Depending on how you and your therapist feel about your readiness to transition, the next step is either to change your name by deed poll to the name by which you want to be known going forward or to commence hormone therapy.

For more information about changing your name and all your documents, see the change of name page.

evolution-womanJersey has the necessary skills on the island to administer your hormone therapy, which will be a lifelong commitment to taking estrogen, progestogen and antiandrogen in some form. Your therapist will need to provide a letter to your GP or psychiatrist recommending that you commence hormone therapy, the appropriate delivery method of the hormones and the doses that you require. Your GP or psychiatrist can then refer you to the island’s endocrinologist. This can be done privately, for which you will pay, or you can be referred through the States system, which is free.

For more information about hormone therapy, see the hormones page.

This may be as far as you wish to go in your transition. You may consider the changes made by the hormone therapy sufficient to allow you to pass as a woman. However, you may elect to undergo one or more surgical procedures to further feminise your body. If so, you will need to leave the island again for your operation(s). Jersey has no surgeons who can perform this specialist surgery. You will need to decide whether you wish to pay for surgery privately or whether you are prepared to wait for surgery in the UK through the NHS.

If you elect to have surgery through the NHS, you need to ask your NHS therapist to place you on the NHS waiting list.

If you elect to have private surgery there are two advantages: you can choose your surgeon, so you can choose to see anyone in the world who takes private patients, and the timing of your surgery is your choice. You should research your surgeon carefully, taking time to read testimonials from transwomen who have had surgery with them. If you are unsure about your choice, ask your GP for their opinion.

Once you have selected your surgeon, contact them directly. You do not need to go back to your GP for a referral. However, the surgeon will undoubtedly want a letter from your therapist or GP referring you after you have made the initial contact.

For more information about surgery, see the surgery page.

Finally, take ownership of your transition. If you are not getting the answers you require from your health professional, keep asking until you do. Research as much as you can and prepare the questions you want answered before every consultation. Your Jersey GP may never have taken a patient through a transition process so you may need to guide them on what they need to do next for you.

NHS leaflets

This is the range of NHS leaflets available for trans* patients explaining the various aspects of the NHS service –

An introduction to trans* issues
A guide for NHS practitioners treating trans* patients
GIRES guide to your rights to care and treatment under the NHS
A guide to NHS funding and waiting times
A guide to hormone therapy
A guide to lower surgery options and procedures for transwomen
A guide to lower surgery options and procedures for transmen
A guide for families with trans* children or teenagers
nhs

FtM resources

UK Charities
GIRES
The Gender Trust
Gendys Network
Gender Matters
The Beaumont Society
Mermaids (for children and teen support)
Depend (for friends and family support)
Press for Change (for legal issues)

Links
NHS transgender advice – NHS Transhealth
Transitioning on the NHS timeline information – UK FtM
UK based FtM forum for friends and advice – FTM UK
UK based advice for transmen – TransitionFtMUK

US based resource for all things FtM – Hudson’s Guide
US based online magazine for transmen – Original Plumbing
US based online magazine for transmen – Transguys
US based advice for transmen – Tranifesto
US based advice for transmen – The Self Made Men
US based advice for trans* people – Trans Health

Packers, StP devices,binders, briefs, swimwear – TranZwear
Packers, StP devices, binders – Tool Shed Toys
Binders – T-Kingdom
Binders – Underworks
Packers and StP devices – FTM Packers

booksBooks
The Boy Who Was Born a Girl: One Mother’s Unconditional Love for Her Child by Jon and Luisa Edwards (2013)
My New Gender Workbook: A Step-by-Step Guide to Achieving World Peace Through Gender Anarchy and Sex Positivity by Kate Bornstein (2013)
Transgender 101: A Simple Guide to a Complex Issue by Nicholas Teich (2012)
Hung Jury: Testimonies of Genital Surgery by Transsexual Men by Trystan Theosophus Cotten (2012)
Helping Your Transgender Teen: A Guide for Parents by Irwin Krieger (2011)
The Transgender Guidebook: Keys to a Successful Transition by Anne  Boedecker (2011)
The Transgender Child: A Handbook for Families and Professionals by Brill (2008)
Just Add Hormones: An Insider’s Guide to the Transsexual Experience by Matt Kailey (2006)
The Testosterone Files: My Hormonal and Social Transformation from Female to Male by Max Valerio (2006)
Becoming a Visible Man by Jamison Green (2004)
Finding the Real Me: True Tales of Sex and Gender Diversity by Tracie O’Keefe (2003)
FTM: Female-to-male Transsexuals in Society by Holly Devor (1999)
Transmen and FTMs: Identities, Bodies, Genders and Sexualities by Jason Cromwell (1999)
Information for the Female to Male Cross Dresser and Transsexual by Lou Sullivan (1990)

 

Help in Jersey

The first place any trans* person should go for support is their doctor or GP. If you do not think your GP is comfortable handling your case, do not be afraid to change to another GP in the practice or move practices. Your GP is the gatekeeper to many of the trans* services and medical procedures you will need to access so their support is crucial.

For those trans individuals who are going the public healthcare route into the UK system, the Community Mental Health Service (Adult Mental Health or Child and Adolescent Mental Health) at La Chasse is where their GP should refer them and where their psychiatrist will be based. For those wishing to see a psychiatrist privately, there are several practitioners in Jersey who have clinics at The Little Grove, St Lawrence. However, patients will still need to be referred there by their GP.

For those trans individuals who elect to undergo hormone therapy, the Department of Metabolic Medicine at Overdale is where their GP should refer them and where their consultant will be based. For those wishing to see an endocrinologist privately, there is a clinic at The Little Grove, St Lawrence. However, patients will still need to be referred there by their GP.

If you are unsure what you should do and just want to talk to someone in confidence, the Jersey branch of the Samaritans can be telephoned on 725555 or 08457 909090 or contacted by email at jo@samaritans.org

Trans* islanders seeking legal advice regarding their rights in Jersey can get free, confidential and impartial advice from the Citizens Advice Bureau.

Trans* islanders who wish to change their name by deed poll will need the services of a legal practice. Again, as with your GP, ensure that your advocate is sympathetic to your needs and do not be afraid to change if he or she does not seem comfortable handling your case.

help
As a trans* person you may be subject to discrimination or harassment as an employee or as a customer of a business. If you find yourself in this position, Jersey Advisory and Conciliation Service (JACS) can provide you with free, confidential and impartial advice regarding your rights.

Transwomen as a demographic are particularly vulnerable to physical abuse and attacks. In the unlikely event that you have been the victim of an attack in Jersey, you should call the States of Jersey Police (emergency no. 999, telephone no. 612612) as soon as possible to report the crime. If you want to speak to the LGBT community liaison officer, you should ask for PC710 Emma Poulliquen or email the LGBT community liaison team.

If you are in the UK, the Metropolitan Police give this advice for reporting a crime online and, specifically, regarding hate crime. If you are not sure whether you have been the victim of a hate crime, read the City of London Police guidelines.

Finally, when dealing with all these agencies, remember Jersey is a small place and your case may be the first of its kind for the person you are dealing with. Be patient with them and explain clearly what  you need them to do for you. You will find that most islanders are not transphobic and will do their best to help you.

Young People

If you are under 16, there are some specialist agencies in Jersey that can help you. All the agencies listed above will also help you – they are not just for adults.

If you are the victim of harassment, bullying or abuse, at home or at school, because of your gender expression, you should contact The Multi-Agency Safeguarding Hub (MASH) who work with lots of different childcare agencies to keep young people safe. They are based at the Bridge and can be contacted by telephone on 449213 or by email at enquiries-MASH@gov.je

If you just want to talk to someone in confidence about gender issues, you can contact YES by telephone on 08007 350121 (freephone) or 766628 or by email at yes@youthservice.yc.je All calls or emails to YES are treated in the strictest confidence.