Archive for the ‘metoidioplasty’ Category

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FTM seeks Andractim cream for clitoral enlargement

Sunday, August 8th, 2010

Hi Dr. Reed,
I sent my prescription for the t-cream to Strohecker’s they called me to say that they don’t make that. I asked him if I could get it filled at a Walgreen’s and he said if they make it it would be 500-700 dollars??

Do you know anyone that make the compound? You said it wouldn’t be very expensive so I thought that price was way off as well.

Anyway – let me know where to go from here.

Strohecker’s is sending the prescription back to me by mail.

Thanks,

Derek
Andractim? (dihydrotestosterone)

The primary manufacturer of dihydrotestosterone gel globally is Besins International, based in France. Besins produces the drug under the Andractim name, … theironbrotherhood.com/showthread.php?717-Andractim?…

The Walgreen’s price is not that expensive considering a small “dab”.

Harold

Posted in FTM, metoidioplasty, phalloplasty, sex change | No Comments »

TV production studio seeks help with transgender documentary

Sunday, August 1st, 2010

Hi Dr. Reed,

I’m a casting producer with Pie Town Productions, a television production company based in Los Angeles, California. During my research, I came across your information and specialization in this area and wanted to touch base with you.

Our company is currently in the early stages of developing a documentary-style series that would follow a couple as one of the partners undergoes a gender transition. We are looking to make a thoughtful series that could potentially shatter misconceptions and stereotypes about those transitioning genders — and be relatable to all — no matter your sexuality.

As we begin our casting process, I wanted to see if you might be able to share information about our project with your clients – and/or have any suggestions of organizations / couples within this area whom we should contact. Any and all help would be greatly appreciated.

A little about us…Pie Town Productions, a Power Up! award-winning company, was founded in 1995 and has produced over 3,200 episodes of programming in a variety of formats from daily series to network specials to weekly reality shows. Our client list over the last fifteen-plus years includes: Discovery, TLC, Paramount, A&E, WE, Lifetime Television, Logo, CMT, Discovery Heath, the Food Network, and HGTV. We’ve brought over 44 series, 36 special projects, and 1 feature documentary to the market, including the Emmy-award winning A Baby Story. We are currently producing the new Food Network hit, Chefs V. City and WE’s new family docu-soap, Downsized. To see more about our programming go to www.pietown.tv < http://www.pietown.tv/>

Again, any suggestions you may have would be greatly appreciated. Thanks very much for your time!

I look forward to speaking with you.

Warm Regards,

Nina Corbett
Casting Producer
Pie Town Productions
818-255 9322

On 7/29/10 3:19 PM, “Harold M. Reed, M.D.” wrote:

July 29, 2010

Good afternoon Nina,

Your message is posted on our Yahoo group web-site http://groups.yahoo.com/group/MTF-SRS-FTM/
and may influence how arrangements could make with prospective patients.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

At 07:11 PM 7/30/2010, you wrote:
Hi Dr. Reed,

Thank you so much for the reply and for helping to get the word out about our program.

I wasn’t able to access the link that you gave me. Would love to check it out.

Thanks very much again! Will keep you posted on any referrals.

All the best,

Nina Corbett
Casting Producer
Pie Town Productions
www.pietown.tv
818-255-9322

July 31, 2010

Good morning Nina,

Real simple.

Enter http://groups.yahoo.com/
then specify our group name

MTF-SRS-FTM

This is an adult group, so there are a couple of dance steps you need to go through, and voila. You are there.

Your personal comments would be most welcome.

Have a restful weekend,

Harold M. Reed, M.D.
305-865-2000

Posted in FTM, FTM chest, Feminizing vaginoplasty, Labiaplasty, MTF, MTF Grants, Vaginoplasty, male chest reconstruction, metoidioplasty, sex change, subcutaneous mastectomy | No Comments »

Metoidioplasy patient looking for all the extras

Friday, April 30th, 2010

Hi Dr. Reed,

I am a female and wish to BECOME: Male – FTM
Hormones/Conversion: Yes, I have been on Testosterone since Dec  2, 2002. I have had a full lap hysto and chest reconstruction.
Specific_Questions: Is the vaginectomy included in the 12,500  meta?
If it is then everything for bottom surgery is 12,500+5000 = 17,500?? How much extra is the mons reduction so the penis sticks out farther?

Can you at least tell me the length of stay in Miami for each surgery:

Mons/pubis reconstruction
Metoidioplasty/vaginectomy/ureathral hookup
testicular implants.

Great. Please let me know what you have available in July, the 5th Monday would be good. I wll be in Clearwater, Florida and I could drive down for the appointment.

Do you recommend doing the mons/publis reduction first? If so we could schedule that for late may 2011.   If you only require me to be in Miami one or two weeks for the metoidioplasty surgery I could maybe do it earlier than may of 2013.    Please let me know.

I can schedule the 3 sugeries separately correct?  Mons reduction first, then metoidioplasty/vaginectomy/ureathral hookup and then testicular implants last. How far in advance can I schedule surgery?

Thank you in advance for answers to these questions.

Denar

Good afternoon Denar,

Sounds like you are well on your way.  Yes, we’ll be happy to include vaginectomy (colpocleisis) in your fee for 12,500.  Testicular implants are 5000 extra and I would propose that this be done as a secondary stage.  We can do pubic reduction gratis as an additional procedure, but remember the pubis is the delta which drains the lymphatics from the perineum and labia, so too much surgery there causes a swelling and sub-optimal wound healing down below.  Best to have that done as a procedure unto itself.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

 If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

Posted in FTM, Mons pubis resection/lipousction, Testicular Implants, metoidioplasty, sex change | No Comments »

When a letter from a therapist doesn’t satisfy WPATH SOC

Saturday, December 12th, 2009

Dear Laurie,

Read the letter and this is the classic example of how a letter of endorsement should not be written. This type of letter is in fact seen when a therapist feels a certain obligation to say something but in fact has deep seated reservations about making any written commitment. This is akin to a “letter of recommendation”  for an employee.   Miss so and so worked in my office from June 1st 1999 to September 5, 2001. (Start, period, end of letter).

This is a more a letter of detachment.

The standards for how a letter should be written if the Dr. is interested are posted on WPATH.   To wit:

 

The Mental Health Professional’s Documentation Letter for Hormone Therapy or Surgery

Should Succinctly Specify:

1. The patient’s general identifying characteristics;

2. The initial and evolving gender, sexual, and other psychiatric diagnoses;

3. The duration of their professional relationship including the type of psychotherapy or

evaluation that the patient underwent;

4. The eligibility criteria that have been met and the mental health professional’s rationale

for hormone therapy or surgery;

5. The degree to which the patient has followed the Standards of Care to date and the

likelihood of future compliance;

6. Whether the author of the report is part of a gender team;

7. That the sender welcomes a phone call to verify the fact that the mental health professional actually wrote the letter as described in this document.  

The organization and completeness of these letters provide the hormone-prescribing physician and the surgeon an important degree of assurance that mental health professional is knowledgeable and competent concerning gender identity disorders.

More or less in the first paragraph the therapist should introduce him/herself by virtue of their background and training and societal memberships. Next the therapist should endorse the client for transgender surgery (“I recommend, I endorse, or Miss so and so would be a good candidate for transgender surgery, etc”).

Next suicidal ideation or attempts (yes or no) should be mentioned, as well as any drug abuse history or ethanol dependency (yes or no).

Lastly the therapist should invite the recipient to call their office for further discussion should questions arise.

Look at Dr. Mora’s letter hopefully and you will see the difference.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Posted in FTM, FTM chest, Feminizing vaginoplasty, MTF, Vaginoplasty, male chest reconstruction, metoidioplasty, sex change | No Comments »

Dr. Carol L. Clark holds non-stop sexuality seminar at Jackson North Hospital

Sunday, November 15th, 2009

I followed a GLBT advocate and counsellor. My talk on sexuality included as per syllabus from Dr. Clark…

Medical factors related to sexuality and sexual functioning

Objectives:

· Define the DSM sexual disorders, and discuss the following in relation to it: symptoms, factors increasing susceptibility, and prevention.
· Describe how surgical procedures, such as a hysterectomy, may affect a woman sexually, physically, and emotionally.
· Define hormone replacement therapy and explain its advantages and potential risks.
· Describe the incidence of, symptoms of, and treatment alternatives for penile cancer, testicular cancer, prostatitis, benign prostate hyperplasia, and prostate cancer. Describe tests for prostate cancer and treatment alternatives.
· Describe the reasons why women would choose to have or not have breast implants and controversies concerning the implants themselves.
· Learn how major disabilities my affect sexual function and expression. Learn coping and enhancement strategies for people with disabilities.

2 hours later with time for serious questions and answers, we were done. But aside from potty breaks their day was still going strong. Young therapists seeking their doctoral degrees, thirsty for knowledge. Commendable, Carol (who is a board certified sexologist with a doctoral degree, how many therapists can claim that!).   Dr. Carol L. Clark   (closest to our office)  305-757-6070 

Harold M. Reed, M.D.

305-865-2000

Posted in FTM, FTM chest, Feminizing vaginoplasty, MTF, Testicular Implants, Vaginoplasty, Vaginoplasty revision, male chest reconstruction, metoidioplasty, phalloplasty, sex change | No Comments »

Transfer of Topical Testosterone Preparations to Children or Spouses

Friday, October 23rd, 2009

Reported by Drs. Tyler Lewis and Irwin Goldstein in Journal of Sexual Medicine (Vol. 6, No. 10, 2009) Testosterone gel 1% has been approved for transdermal testosterone application. Preparation names include, Androgel and Testim. Even sharing a wash cloth or hugging can cause transfer. Women have noted growth of hair and lowering of the voice and children have experienced very early onset of pubic hair. Once recognized early-on, fortunately these changes were reversible.

Proper usage should be: allow to dry and cover with clothing and do not share wash cloths unless laundered.

Harold M. Reed, M.D.

Tags:
Posted in FTM, male chest reconstruction, metoidioplasty, penile implants, phalloplasty, sex change | No Comments »

FTM needs some advice before male chest reconstruction and metoidioplasty/

Thursday, August 27th, 2009

possible phalloplasty.

Dr. Reed,

 I have been on T since Jan 2008. I am looking into having a hestorectomy, but also want to have both top and bottom surgery as well.
Specific_Questions: I am on psychratric medications. Seroquel, Methylphenidate ER, Methylphenidate, and Lexapro. Would these medications be a complication?

 Armando

 Hi Armando, 

Thank you for your interest in what we do.

Hysterectomy is performed by others, but if you have this done, please go for a laparoscopically assisted vaginal hysterectomy and simultaneous oophorectomy (removal of ovaries) as well.  2 letters of therapy clearance should be obtained prior to this irreversible surgery.

We operate on patients taking your medications all the time, and this is not a contraindication.  A letter of clearance from your psychiatrist will be requested, and also we do advise your taking any AM medication on the morning of surgery with a sip of water. 

A word about methylphenidate…

Methylphenidate is the most commonly prescribed psychostimulant and is indicated in the treatment of attention-deficit hyperactivity disorder

Contraindications:

Methylphenidate should not be prescribed concomitantly with tricyclic antidepressants, such as desipramine, or monoamine oxidase inhibitors, such as phenelzine or tranylcypromine, as methylphenidate may dangerously increase plasma concentrations, leading to potential toxic reactions (mainly, cardiovascular effects). Methylphenidate should not be prescribed to patients who suffer from severe arrhythmia, hypertension or liver damage. It shouldn’t be prescribed to patients who demonstrate drug-seeking behaviour, pronounced agitation or nervousness. Care should be taken while prescribing methylphenidate to children with a family history of Paroxysmal Supraventricular Tachycardia (PSVT).

Special precautions:

Special precaution is recommended in individuals with epilepsy with additional caution in individuals with uncontrolled epilepsy due to the potential for methylphenidate to lower the seizure threshold.

All the best,

Harold M. Reed, M.D.
305-865-2000

Posted in Electrolysis, FTM, FTM chest, male chest reconstruction, metoidioplasty, orchiectomy, phalloplasty, sex change, subcutaneous mastectomy | 1 Comment »

How old do you have to be for FTM surgery

Sunday, August 23rd, 2009

Good morning Mariah,

We would not recommend any surgery be done until a patient is over 18 years of age, unless there is some very strong compelling reason, and then your parents would need to be a part of the decision making process.

Have a restful Sunday,

Harold M. Reed, M.D.
305-865-2000

Posted in FTM, FTM chest, Testicular Implants, male chest reconstruction, metoidioplasty, penile implants, phalloplasty, sex change | No Comments »

Metoidioplasty with urethral extension, hysterectomy needed?

Tuesday, August 18th, 2009

Yes, I have been on Testosterone for almost 5 years and had chest surgery done 3.5 years ago.
Specific_Questions: Can I have the metoidoplasty and scrotoplasty (to stand to void)done now and later obtain a hysterectomy?  Monty

Hi Monty,

 Medical technology continues to evolve.

In this day and age, we have come to recognize colpocleisis, removal of the vaginal lining with subsequent closure by healing, helps to minimize the occurrence of urethral fistula.  However, and this a big however, you cannot close up the vagina and leave the uterus inside, as where will secretions and any mentral flow go.  What is needed is a laparoscopically assisted vaginal hysterectomy with bilateral salipingo-oophorectomy (removal of ovaries and tubes) first.  Doesn’t have to be, but is a recommendation.

You could have an attempt stand to void metoidioplasty and scrotalplasty done now but I must advise the likelihood of a urethral fistula is probably over 50%. Even if you have colpocleisis, the likelihood of fistula is probably about 25%

This is always more upsetting for the patient than for the doctor as we will pursue these problems one by one and hopefully ultimately give you an intact extended urethra.

That is the nature of this type of surgery, and this needs to be put out front.

Believe me I am in your corner and will do whatever possible to assure that you have the best possible result.

Sincerely,

Harold M. Reed, M.D.
305-865-2000
 

Posted in FTM, Testicular Implants, metoidioplasty | No Comments »

Hormones for transgendered patients

Sunday, August 2nd, 2009

GENETIC: Male
BECOME: Female – MTF
Hormones/Conversion: no but need some send to me for free or i will pay for it. Can you give me a prescible for it?

 Glendon

July 31, 2009

Good afternoon Glendon,
Thank you for your continued interest in what we do.  Yes, we do hormones.  You will need an appointment as we will be spending good hour together and a letter of therapy clearance from a licensed therapist with a doctoral degree.

You only pay for a consultation once and that is 250.  We charge 600 a year to initiate hormone therapy although we will delay billing for 3 months.  You will also need baseline laboratory testing and interval laboratory tests obtained every 3 to 4 months, until we see a pattern of stablizaion and then these tests can be spread further apart.

 All the best,

Harold M. Reed, M.D.
305-865-2000

Posted in FTM, Feminizing vaginoplasty, MTF, metoidioplasty, sex change | 1 Comment »

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