Don't Have Genital Dysphoria? Gender Therapist Explains.

Makes sense.

is it normal not to know how you see yourself internally?

I'm transmasc and don't have any genital dysphoria - for me it's just because I don't view it as something tied to gender and also because my gender isn't binary. I'm also a drag queen so not tucking is convenient lol

I don't think I experience genital dysphoria, but I have to say... one of the scariest parts after finally accepting myself, and coming out to people close to me is the realization of all these repressed feelings/memories, and the notion that I may not be able to trust what I'm telling myself that I'm feeling about something at any given moment.

Why didn't anybody ever tell me emotions were difficult before I decided to start dealing with them? Lmao.

This vid had a lot of useful insight, def appreciated it. For myself I've already accepted that yes, I am a woman, and am trans, but I am fine with my genitals, my eventual HRT will change certain aspects about them I know, but I don't have genital dysphoria, and that's ok. I'm a woman, with a dick, that's just who I am.

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I had ONLY genital dysphoria. I had bottom surgery but that's all. I happen to be intersex. I actually need top surgery as well, because I have breast tissue that doesn't align with my male presentation. Ever since I was 11 years old I've basically wanted to be an intact transman, but I was labeled male because doctors in 1982 didn't recognize the signs of mild androgen insensitivity. Bottom surgery was fantastic and I'm extremely happy now.

Had me nervous when you described dormancy, but when you got to SW, I sighed in relief.

I'm glad im the not the only one, im extremely comforable with my male genitals and female breast

I am afraid this video is gonna awaken something within me 0_0

I cant believe what im hearing right now. Just courious on how many young and impressionable people come across this video. Deff feel this video should not be on here for anyone too listen to.

What it mean when l like to cross dress and imagine my self so a woman but sometimes i dont but the the feeling hits me stronger again off and on

I (as far as my current experience goes) fall into one extra category: I do not experience genital dysphoria because I'm quite strictly asexual. My reproductive organs are never at the forefront of anything, be it relationships, masturbation or anything like that. As an AFAB person, the one gripe I have with my organs is menstruation as it is inconvenient, sometimes makes my body feel bloated and is often painful. I also don't like the idea of being able to get pregnant (in case something unsavory ever happens to me). Other than that, my relationship with my external organs is merely one of maintaining hygiene and physical comfort. It's secondary characteristics that really drive me up the walls as I haven't been able to access top surgery yet and it tips the scales when people look at me and try to figure out what binary category they think I fall under.

How far do wish to go with your transition at this time? Your desires and what you can live with happily are mosr important, gentalia surgery is really not reverseable. It takes time to realize what you want to do and how far you want to go. You are exploring your self deeply probably for the first time in your life.

OMG...thank you...I have wondered this for soo long, because all my trans sisters all talk about Dysphoria about their genitals, and i never understood why I didn't have the same feelings and it made me question if i was even trans... THANK YOU!!!!!!

I’m AMAB non-binary and don’t experience genital dysphoria. I’m also asexual so don’t experience sexual attraction and have a low sex drive. I just don’t see genitals as a gendered thing; just something to pee out of lol

Yeah, I started experiencing genital dysphoria. Exactly as you said it would happen. I haven’t socially transitioned yet. I just…I still need to socially transition one day. Also, I’m researching what all goes into bottom surgery. There’s an aftermath, so I want to make sure I’ll be fine with the commitment of medical procedures. One last note, before body modifications I’m just getting comfortable with my trans identity first.

I'm a binary trans woman and I'd like to think I'm in the 3rd category. It's funny, though I've gone to great lengths to alter my body in sex-specific ways, in my heart I know there's nothing wrong with me.

Trans and non-conforming ppl have existed from the very beginning of gender - from the very beginning of society delineating roles and norms on the basis of sex. Indigenous cultures across the world embrace two-spirit and third gender ppl as part of natural human diversity. Western culture demands binary expression and punishes those who deviate from their assigned roles. Often, in order to feel validated in our gender and *for our very safety*, it's just easier to transition. My dysphoria is society's problem, not mine.

The shape of my chest or hips doesn't feel fundamental to my being the way my genitals do. I changed the former without hesitation in order to be perceived as a woman. But my "privates" are just that, nobody's business but mine and my partner's. Hating them and changing them feels, for me, like letting transphobia win.

As a trans man, bottom surgery was never even a serious thought for me. I'm asexual and so my genitals are like 100% just for me (or maybe my doctors) to see and so it just doesn't seem to be worth the hustle to be honest. The typical male genitalia is also quite repulsive to me so I have no urge to make my body look like that haha. For me, I'd probably get more insecure about the scars from the skin grafts than my current genitalia. This is such a personal thing but it's valid either way! You're alright.

Hi Dr Z.

You may have covered this off before (if so, can you please point me towards the relevant video), but if not, could you please explain the pros, cons, and risks of going on HRT and having surgeries for older trans people (50 plus). Appreciate you are not a medical professional but from your knowledge and experience - what are the medical risks and what steps should be taken to understand and mitigate those.

Love, Jess X

I agree and can attest this with you Dr. Z. I feel I am in the dormant state although I don't like getting the annoying erections.

Category 2 subset b. I am a woman, therefor I have a woman's genitals.

Wow, another great video that is right on by Dr. Z. I fall into categories 1 and 2. I expect as my transition continues the dormancy Dr. Z describes will become less potent for me, i.e., I will have more genital dysphoria. I would add a separate sub-category for category 2. I would call it age related genital acceptance. I do have a long term satisfying relationship, but not a lot of sexual contact which may or may not be a function of my age. It is very loving and caring and that is most important. I have started transitioning that includes HRT at a much older age, 68. As such, I have a lot of ambivalence about surgeries. It seems if I invest time in them, I lose precious time to focus on other parts of my transition. Added to this is my concern my partner may not find surgeries I could undertake as acceptable. Also, on some level when I think of altering my genitals I have a sense that I may be losing something that is a fundamental part of me. Kind of like having to say good-bye to an old friend. Nevertheless, I very much appreciate that my gender dysphoria will probably become more focused on my genitals as I get further along in my transition.

I fear i might fall into the first.

Hands down most important right now is all the outwardly visible stuff like you said and am planning ffs. But before social transition and hrt i was ljke nah i like my genitals i would never want to lose them and so on. But after a month or 2 on hormones and socially being a woman more ive noticed i am no longer so black and white on it and genuinly thinking of it sometimes. Its not like i really have dysphoria or i would really want it but its definitly more appealing to me and less a definite no... Maybe it will evolve more maybe not ....

I only experience a little bit of genital dysphoria . I am an asexual individual and I am not sure if this will change in the future.

Yes! I thought I didn't have genital dysphoria before I had top surgery, but as soon as I got that “off my chest”, it became very clear that I do very much struggle with genital dysphoria. Great topic, Dr. Z! Thank you.

i keep telling myseif that i dont need to tramstion but i find myself thi9nking about it all the time is this normal

I'm comfortable at the same time. I'm interested in Penile preservation vaginolplasty. But that is a much more niche procedure.

Hello i don't feel comfortable with my genitals what should i do?

Very useful information, thank you so much for clarifying a few things)) I fall into the 3rd category I think.. Never felt dysphoric about my genitals, but on the other side I want to be seen completely as a woman and therefore feel sometimes extremely dyshopiric about my face, chest, voice etc.. I have transitioned socially and legally already and am about to start my HRT in a few weeks time, which feels like a huge relief except for one thing.. I am worried how it can effect on my sexual life, cause I am not only ok with having my gadget, but I also wan't to use it to a degree or at least not become completetly asexual, cause sex can become problematic, painful or just bland with no feeling and etc.. Therefore I still have some doubts if HRT is the right choice for me.. Would be really happy to hear anybody's opinions or experiences in that matter😊

I've wondered about this for so long. I avoided watching this video thinking it might trigger genital dysphoria. I identify as trans lesbian and I don't feel the need for bottom surgery. The only problem I have with the male junk is the bulge in the leggings.

For me genital dysphoria has always been the strongest dysphoria but it's actually my last surgery I'm doing.

I used to tie rubber bands around my 🐮s when I was a kid

I think you mentioned something about feeling distant during sex. I’m wondering if you have heard of people having other issues such as delayed ejaculation? Or males who have had issues taking the dominant role in the bedroom or vice versa?

I've never connected genitals to gender. I don't know why I just don't. I don't really question things like this I just run with it.

I do not experience any dysphoria whatsoever from having the genitals I was born with. There is 2 sources of dysphoria there but they're caused by a mild case of injury caused Peroniey's and circumcision no doubt it would be the same if I were a cis man.

The first dysphoria I felt was from not having a vagina. I have no idea why or where it came from. This started in 1993 when I was 9 and didn't even know trans people exist. As my puberty went on other dysphoria developed. I embraced it all from the start too.

I forced the relevant dysphoria into dormancy by the time I was 17 because the thought of bottom surgery was extremely dysphoric and euphoric but I didn't want to break things that work and accepted having both is impossible.

In 2019 I learned of several surgeons who do penis preserving vaginoplasty so I'm getting this as soon as I get funding sorted.

This wasn’t really covered in the video. My experience (as a pre medical transition trans identified man), my genital dysphoria is mostly piss dysphoria. I see it as an organ that can give and receive pleasure (i think this is also helped by having a long term partner) and don’t have much sexual genital dysphoria but the fact that I don’t piss through a tube makes me really dysphoric (but usually comes in waves when i am in a generally compromised mental state and is definitely less intense than chest, face, and voice dysphoria).

Goodmorning. I would like to ask you what could be the motivation in a contrary case, in which at the beginning of the transition there is genital dysphoria while as the years go by and after physical changes due to hormonal therapy and other operations, such as mastectomy and hysterectomy, the genital dysphoria diminishes or goes by.

Just a few days ago I felt okay with body and it made me think Im not trans. But I only felt that way for a day. Its confusing me, so thank you for this video! And what you said about seeing my genitals as just a sexual organ makes so much sense to me in terms of why I don't always have dysphoria about them.

This quite interesting to be honest, finally someone who explains these difficult topics, in detail way. I always wanted to understand Gender dysphoria so can be more understand towards transgender related issues.

This video is amazing, I'm glad someone is talking about something so important and not talked about enough!

As a MTF transgendered person I hate my whole male body, especially with my genitals!

Can someone explain what she means by Trans-binary people?

I’m always watching your videos late 🙁 it took me awhile to find this channel, Dr Z o really think what your doing is amazing please keep it up ❤️ your so informative and interesting and I think it’s really helpful (I’m trans feminine girl btw, post op post transition because I’m in a weird situation right now but hopefully soon I can do stuff since I’ve known for so long)

I like you Dr. Z! You truly seem to understand all the subtle nuances of gender 'confusion'. Thanks so much for all your insightful content!

Hi Dr Z,
I tired to look for a previous comment from me on this video but didn't find it. Historically I've had some indifference to getting GCS, feeling that the only people it should matter to is me and my significant other. Lately though, I find myself aspiring to look feminine in ALL ways, including the area between my legs. To be able to wear clothes without a concern for hiding under clothes what doesn't match my gender. I somehow see it as "reaching for the gold ring" to be undisputed as a woman in all ways and form, as if the way I am now has not reached that goal. This video does feel a part of what I am now going through.

Thank you Dr Z for ALL YOU DO!
Hugs! Christie 🙂

I gotta ask could abuse cause a halt to the gender identity by chance?

Everyone in this comment section agreeing with this “gender expert” needs to seek deep therapy and GOD. You’re all lost. You can never change your sex. A pig wearing lipstick is still a PIG. Get a grip on reality and stop subjecting yourself to being a life long medical patient.

This is sooooo helpful and in general your videos practicality and compassion and openness and expertise has been very helpful. thank you for sharing this so accessibly!

I am for sure in the last category.. I don't think genitalia correlates with gender.. I am comfortable for the most part with my body as is.. I think I made a comment about that on another video of yours

I am going to try to explain what is going on with the language I have.
When it comes to my genitals.. I have a part of me that recives and does not cause me pain during sex.
I like that just fine.
However as I started to feel in congruence with other areas I have started to feel a kind of... "social dymorphia" in male bathrooms. The desire to stand to pee at a urinal is strong. I would gladly have bottom surgury for the sole purpose of being able to stand at the Urinal like any other man.
However all I have seen says my receiving part would have to be sacrificed to do so. I hate pain with sex so much!
Is it true they "Have to use that part to make Urethral Lengthening" ...
I mean the can grow an ear on a rat... why can't they just grow Urethal tissue so I can Have both?