It took me a long time to figure things out and be able to accept myself fully. At that point, though, it was either transition or die. I couldn't deal with it any longer. As I told a friend of mine who had asked me why I was transitioning, I was simply tired unto death, and it was time for a change.
I think that there is varying degrees of GID and that influences how badly that we need to transition. Another factor that we each tend to consider is the price that we are liable to have to pay, if we choose to transition. After all, we risk losing everything in our lives that we have built up, from our relationships to our financial affairs. The older that we are, the more that we have built up, and the more that we are used to dealing with the situation as it is. This would tend to influence our decisions, I would think.
As far as the FTM surguries not being a priority, I do tend to agree with PaPa, but I also think that there might well be other factors in play, here. There may be technical difficulties to be considered as well, you know. I do not know for certain, nor have I done the research to be sure, one way or another, but I was told long ago, by an elderly ftm that I met at a support group meeting, that babies with indeterminate gender at birth were often coercively assigned female by surgury, as it was easier to dig a ditch, then build a pole. (Um, that was his choice of phrase to explain it, not mine, but it does work.).
Another factor to be considered, I think, is that it has generally been easier for someone that has been coercively assigned female at birth to express their masculinity via clothing and actions then it has been for someone that was coercively assigned male at birth to express their femiminity. This tends to lead MTFs to need to transition more then it does for FTMs, and thus, the demand for FTM surguries tends to be less then for MTFs. Of course, I could be all wet, as well.
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