Little Transgender

🛑 👉🏻👉🏻👉🏻 INFORMATION AVAILABLE CLICK HERE👈🏻👈🏻👈🏻

 
Media interest in young transsexuals is high, leading to an uncomfortable feeling of possible exploitation in some cases.
Introduction
This article discusses the treatment of transsexual boy-to-girl children.  It occurs when an individual is physically born of one sex but is convinced that they are of the opposite gender.  Symptoms usually occur early on in childhood, when the individual will play with toys and wear clothes traditionally used by the opposite sex. [Apologies for this gross simplification to the roughly 0.06% of the population who have a genetic intersex condition]
When allowed to, such children are almost always able to rapidly and successfully assimilate themselves into society as a female, this alone is enough to differentiate them from the experience of most transsexual women who transition when an adult.
It is also perhaps necessary to distinguish between intersex infants, who in some cases are assigned a gender contrary to their genetic sex, and children with a Gender Identity Disorder (GID, aka transgender), also often termed Gender Dysphoria. While very young intersex infants have no say in their sex assignment or reassignment (which is usually done before they are 24 months old), transsexual children consciously reject the gender in which they are being brought up at some point between two years old and puberty.
Prevalence
Since the 1960's - when Dr John Money, a physician at Johns Hopkins University, made the medical community at last recognise transsexuality - there has been an ever-increasing incidence of Male-to-Female (MFT) of reported GID cases and requests for treatment across all age groups. 
Meaningful statistics on the prevalence of transgender children only began to be collected in the late 1990's. Textbooks published before then commonly state that about 1 in 10,000 children have GID, this number seems be based on a single study made in the 1970's.  
In 1997 Press for Change reported that in the UK there were 600 transitioned transgender children. This was less than 1 in 20,000 children.
Note: The figure of 600 excludes the very small proportion of "XY" intersex children born in the UK with ambiguous or malformed genitals who are assigned to the female gender by doctors while still a baby, perhaps 20-40 each year deriving from USA figures. There are also many children with "male" genes who are identified at birth as female and then brought up as girls, for example there are perhaps 3000 "XY" women in the UK who were born with Androgen Insensitivity Syndrome. 
However, since 1997 the recorded number of transgender children has exploded. New sources of information such as the internet and TV documentaries mean that children and parents are no longer accepting as gospel the advice of an experienced and over-loaded doctor or psychiatrist. The growth in reported GID cases among teenagers has been extraordinary. For example in 1999 alone, the number of transgendered people under 22 in the "gender reassignment" program at New York's Michael Callen-Audre Lorde Community Health Center tripled! 
By the early 2000's the UK's NHS was suggesting that 1 in 4000 children was transgender, the Netherlands and Belgium 1 in a 2000, whilst the number in some Asian countries was reaching 1 in 500 (almost all Male-To-Female). 
A UK study published in November 2005 said that there were 2,000 young transsexuals in the country age 15-19, about 1 in 2,500 of that age group.
The newly launched UK Charity Gires had a sceptical reaction when it claimed in 2010 that there were now 26,000 "young people" in the UK with gender identify problems, and that the number would soon reach 100,000, i.e. about 1 in 130 of the UK's population under age 18. However, in 2016 the UK's NHS website was suggesting that 1 child in a 100 had gender problems. A study of 8000 students in New Zealand also arrived at a figure of less than 1 in a 100. 
The growth in the number of transgender children in the UK can be illustrated by the exponential growth in referrals to the Tavistock and Portman NHS Foundation Trust in London - the primary UK centre for children and adolescents with GID:
The balance had also changed from female-to-male (FTM) children greatly outnumbering female-to-male (FTM), to the exact opposite - the clinic now has more than two FTM referrals for every MTF. Other studies estimate that as many as 5 to 12% of girls and 2 to 6% of boys exhibit cross-gender behaviour.
A very interesting trend is the increase proportionately of referrals of young people assigned female at birth (AFAB). These now outnumber males by more than two to one - among adults the opposite is still true.
Undoubtedly the growth in numbers is largely the result of increased access to information. A child today with 'gender dysphoria' - the catch-all term for disconnect between body and gender identity, will almost certainly have heard about transsexuals and transgender long before they reach the critical point of puberty. Many children with GID problems learn about transgender from TV shows and documentaries and then go on-line, looking up anything and everything they can find out about transsexuality, and start to chat and email with other transsexuals. For example, the 2014 American reality TV series I am Jazz starred a 14-year old transgender girl, Jazz Jennings, whilst UK television had the series My Transgender Kid. 
With the increasing awareness and more favourable publicity given to transgender, MTF children who in the past would have suppressed their female gender, or at least defer dealing with it openly until reaching adulthood, are now coming forward while still a child.  In most cases their families respond very positively and supportively, but occasions of outraged parents and internal family battles about how to deal with a would-be daughter will never cease completely. Perhaps a good indicator of the changed situation is that by 2016 about 90% of UK primary and secondary schools had policies to support transgender students.
There continues to be a reluctance by the general medical profession to pro-actively treat gender identity disordered children.  In the UK a referral to the few specialist NHS clinics is the best outcome, although these are being overwhelmed by numbers that are roughly doubling every year. It is also worth noting that young transsexuals (i.e. under age 20) seeking and obtaining medical help and treatment at these clinics are still vastly outnumbered by their older counterparts - most of whom bitterly regret their years of delay. But a major problem is that the NHS's waiting list for GID treatment is two years, and additional resources are desperately needed. There is strong case that younger transgender patients should be prioritised over older patients - unfair though this may seem to the later.
Young transgirls tend to immediately and successfully go stealth after transition, unlike their older counterparts. The girls pictured on this page are thus exceptionally brave about their transsexuality - or had little choice as they were out'ed by the media.

Born in 1992, teenager Kim Petras (born Tim) became world famous when it was inaccurately reported that she was the youngest person ever to have had SRS - at age 16. (Germany)
A person's sex can be determined or judged by many factors, including:

Maxine (born Maksim) transitioned at age 14, had a "nose job" at 16, started hormones at 17, had SRS at 20 and is shown age 21 in the main picture. (Moldavia / Germany).
It is quite possible for these factors to disagree and contradict, e.g. a post-operative transsexual person may have a male birth certificate, a male karyoptype (XY genes), no internal female sex organs, female appearing genitalia and secondary sexual characteristics, live and identify as a woman, but be sexually attracted only to other women and in a lesbian relationship.
Factors 6, 7 and 8 are commonly and unfortunately combined under the term "gender-role", but I prefer to keep them separate when possible. A particularly confusing but frequent use of the word gender is in the phrase "Gender Re-Assignment Surgery" (GRS). It's essential to differentiate between a person's physiological sex (factors 4 and 5), and a person's social & mental gender (factors 6 and 7), surgery can't ever change the later and phrase "Sex Re-Assignment Surgery" (SRS) is a better, although still seriously exaggerating, description of what surgery can achieve.  
Gender
For most children their legal, chromosomal and physical sex agree with their mental gender and preferred gender role.... but not always. As already mentioned, children with gender identity problems are described as having gender dysphoria.
Establishing a gender identity is a process that most people take for granted, but that no one completely understands.   

Three theories of gender development (click to enlarge)
Scientists and sociologists agree that traditional gender roles are in many ways socially constructed, e.g. girls learn to wear dresses and boys learn to wear trousers. But no one seems to understand what makes a transsexual child raised in a male gender role embrace the female role as her own and vice versa. Nor can anyone explain why many intersex children raised as one sex eventually migrate back to the gender that their genetics or their prenatal hormonal environment would have predicted.

John/Joan (David Reimer) - may he RIP.
Bill Summers, a professor of medical history at Yale who has studied the science behind gender and sexuality says "You have to learn somehow what it means to be a boy or a girl. You don't come born with this idea. But enough people say, 'I always knew I was a boy but I was raised as a girl' that I can't doubt they have these feelings."
Summers points to the work of Dr John Money who became famous in the 1960s for recommending and surgically facilitating the transition of a young boy with a botched circumcision into living as a girl - the so called "John/Joan" case. Money initially declared the gender re-assignment to be a success, but his work was later undermined when the girl grew up with a masculine gender identity anyway. Summers notes that "the whole idea [was] that given hormone treatment and the right social environment, you can determine gender identity. It's not really quite so simple."
The bottom line seems to be that sociologists and psychologists still don't know where gender identity comes from or why - but it is unlikely that either biology or society operates totally independently from the other. The only current certainty seems to be that when a young child decides that they are a boy or a girl and this decision contradicts their supposed physiological sex, the result is much anguish and cost to the child, the parents and the medical profession.  
Sexual Identification of Transsexual Children
It is important to note that many boy-to-girl "transsexual's" do not consider themselves to be transsexual - indeed they often actively dislike being called such - they just consider themselves to be girls and in a medical context suffer from Gender Identity Disorder (GID) The reality is that young transgirls often associate the word "transsexual" with TV documentaries featuring strange balding middle-aged men, married with children, who at the end of the programme still look, sound and behave like men wearing wigs, dresses and too much makeup to their very discriminating eyes and standards. Young transgirls simply cannot relate themselves with these examples of transsexuality - their problems are totally different, and even passing is rarely one of them.
Whilst there is no such thing as the typical young child with GID, perhaps a good example is Zach Avery. At first, he seemed to be a 'normal boy' but when age 3 he turned around and told his mother, Theresa, "Mummy, I'm a girl". She assumed that he was just going through a phase and just left it at that, but Zach started to insist on wearing his sister's clothes and would become upset if anyone referred to him as a boy. Theresa notes that "He used to cry and try to cut off his willy out of frustration". His parents became increasingly worried by Zach's behaviour and took him to the doctors. After numerous consultations and observations, he was officially diagnosed by NHS specialists as having GID, and transitioned age 4.
A key, if obvious, differentiator between transsexuality emerging in children and the far more numerous instances of it emerging in an adult is the pre-puberty age at which noticeable cross-gender behaviour appears in the former group. This has been confirmed by numerous studies...

The age of realisation of gender variance
In one study, two thirds of transsexual boys were aware that they belonged to the opposite sex and exhibited such behaviour by age 5, and 77% by age 10. 
Another study of 137 MTF transsexuals, 70% exhibited cross-gender behaviour before age 10, and another 20% before age 15. 
A third study of 121 transgender individuals between age 18 and 65+ gives a modal average of 5 years for the age when the participants began to question their assigned gender, and a mean average of 7.9 years.  Just 4% first had doubts about their gender after age 18. Over 80% of the participants in the study were assigned male at birth.

Riley (formerly Richard) "Grant", age ten, she never doubted that she was a girl and transitioned when age 7. (USA) Source: Heidi Gutman/ABC
It seems that until the 2010's most young transsexuals suppressed their doubts about their assigned gender, as one later said "my overriding need was to a keep it quiet and not come out and seek acceptance that 'God has made a mistake'".
But there were brave exceptions. For example Richard ('Richie') always wanted to wear dresses like his sister, when age two and a half his mother caught him trying to cut his penis off with nail clippers, saying "this doesn't go here". At age 7 he was finally diagnosed as having Gender Identity Disorder, his parents changed her name to Riley Elizabeth and let her go to school as a girl - where she blossomed from a "sad confused little boy into a happy young girl". The financial burden of Riley's medical care had been crippling, but her parents had no doubts - "seeing Riley's happy face now, it's worth every penny".
  

Jerke, a 10-year old transgirl
from Holland.
If clinical testing finds that the following conditions apply:
onset of a desire to belong to the opposite sex before puberty
cross gender behaviour and social role without sexual arousal
dislike for one's own secondary sexual characteristics
then core transsexuality, commonly known as "true" or "primary" transsexuality, is likely to be confirmed and appropriate sex-reassignment treatment should be started.  

Nicole Roukema (Netherlands) was born Neils but knew that she was a girl by age 3. She transitioned age 13 and plans to have SRS surgery when 18.
However there still remains considerable reluctance by the medical profession to supportively treat a physically normal boy with gender identity problems - a boy who's adamantly insistent that he's really a girl. The sex re-assignment of babies and very young boys became medically acceptable in the 1970's and 1980's (indeed, perhaps too common) - but has since become discredited and unfortunately there has been a carry-over affecting young transsexuals. It seems too often require courageous and forceful parents before doctors will medically facilitate the transition of a minor.
Another interesting (aka confusing) development since 2010 is that several studies suggest that more than two thirds of boys diagnosed with gender dysphoria when pre-puberty, accept that they are actually male when post-puberty. This however opens a host of questions about the amount of medical support that they received, their access (or lack of) to puberty blockers and hormones, an inability to transition, social and family pressures, sexual orientation, and the long term physical and mental consequences - particularly on those girls still diagnosed with gender dysphoria.

Suzannah Fleming, age 6 (inset) and now. She started hormones age 12 with the brave assistance of her mother - a registered nurse.
Parents
An understandable reluctance to "come out" to one's parents remains probably the greatest single obstacle to the early and successful treatment of many transgirls. On the other hand, things do seem to be improving and television and the Internet is playing a key role in this - these days most transsexual children first learn about "transsexuality" from TV programmes, relating to this condition they - and often their parents - seek further information via the Internet (now an extraordinarily valuable resource) and from books.

Danielle (formally Daniel) Gomez (Mexico/USA) had SRS at age 17, while still at High school. Her supportive mother has written a book about Danielle's journey to womanhood.
It is impossible to underestimate how important the understanding and support of parents is for a young transsexual her eventual success in life. It is also difficult to underestimate how much emotional strain having a transsexual child can impose on his/her parents.
Many parents become a pillar of support and understanding, indeed there are many instances of parents going to extraordinary lengths and expense to aid their new daughter - for example moving house so they can go to a different school and avoid anyone who knew them as a boy. 
In another positive example, Jamie never felt herself to be a boy, and when at age 11 she finally told her parents "You think that I am a boy, but I am a little girl!", they accepted her choice and she is now living very happily and confidently as their daughter.

20 year old Rachel transitioned when 17, but still visits her parents as their son Daniel. (UK)
On the other hand, there are also instances where the child tells the parents and the result is a nightmare of arguments and pressure. Rachel (formerly Daniel) describes how when she told her parents at age 17: "They didn't shout at me but the conversation was very heated. Mum got upset - although she said she'd guessed a while ago - and Dad was annoyed. They both said they didn't want me to dress up in the house and that I'd always be Daniel to them. ... My parents have been good to me, but they'll always see me as their son."
 
For many years Amy (shown age 19) received psychiatric treatment to "cure" her gender dysphoria.
Rachel is actually luckier than many girls. Enforced visits to a suitable psychiatrist (suitable for the parents at least) to treat the child's gender disorder are common. Perhaps in a few cases a "cure" is achieved, but more commonly the child suppresses his/her transsexuality, and if he persists then an eventual total rejection by one (usually the father) or even both parents may well occur. For example, Brazili
Turkish Old Sex
Freedom Stars Xxx
Www Brazzers Porn Star
Www Spit Ru
Elder Xanders Porn
How to Determine if a Child is Transgender (with Pictures)
Second Type Woman - Young Transsexuals
Transgender - Wikipedia
How to Know if You Are Transgender: 12 Steps (with Pictures)
Transgender celebs you need to know - CBS News
Little Transgender