Category Archives: Phalloplasty

Woman in China slices son’s genitals to avenge marital discord – Indialivetoday

Woman in China slices son’s genitals to avenge marital discord

Fuzhou,August26:After a marital discord, a woman in China did to get back at her husbands family will leave you shocked as she went on to cut her sons penis over a fight. The child was brought to the hospital by his grandparents with blood soaked trousers and doctors performed penis construction surgery following which his condition was stable.

A woman in ChinaseasternJiangxi province cut off her sons penis to get back at her husbands family, Chinese media reported.

The boy, identified by Chinese news website as Xiao Wen, is no longer in a critical condition.

The incident took place inChongren county, in Jiangxis Fuzhou city.

Doctors said that although the boy will struggle with functions involving the penis, he will be able to have children in future if the recovery goes well.

While the exact reason for the womans actions arent yet known, the victims grandmother informed media that she had left the family a year back to marry someone else.

Doctors performed a phalloplasty or penis construction surgery, and his condition has stabilised, reported on Wednesday (Aug 23).

Doctors said he will likely experience some difficulties in penile functions. However, he may still be able to have children in future, if he recovers well, they added.

The boys paternal grandmother told Chinese media that the woman had left the family over a year ago, and married someone else.

The motives behind her actions are unclear.

Netizensexpressed outrage, with many of them blasting the mother for being sick.

One person wrote: If you have any grudges, go look for the adults. Why do you hurt your own son?

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Woman in China slices son’s genitals to avenge marital discord – Indialivetoday

Phalloplasty Before and After Photos

Before & After PhotosPhalloplasty Before and After Photos

IMPORTANT NOTE: This page contains medical information that includes graphic visuals of medical pre-operative and post-operative photos that may be disturbing to some viewers. DO NOT ENTER THIS PAGE if you do not wish to see these images. Access to this medical information is NOT AUTHORIZED for those UNDER THE AGE OF 18. By entering this page, you hereby certify that you are 18 or over.

The web site fully respects and honors the integrity of the information that is displayed on the web site. In that regard, you, the viewer may feel completely assured that the pre and post-operative photos (before and after photos) have been certified by this web site, with the individual doctor, in writing, that they are; 1)his/her original work from the same patient and not taken from any other source, and; 2) the photos that are displayed have NOT been altered in any manner digitally, and; 3) that the patients in the before and after photos that are displayed have given complete consent to the doctor displaying them on website.

Finally, it is important that the viewer of this web site realize and understand that the results displayed in the before and after pictures are SPECIFIC to each patient who has had a surgical procedure performed and that the results viewed in the before and after pictures CANNOT be a measure or guarantee to the viewer that they will achieve the same results, as all patients are different in their surgical healing and recovery processes.

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Phalloplasty Before and After Photos

Blurred Lines: The life of a transgender woman in Kenya – The Standard

ALSO READ: Fact:You know nothing about a woman til shes drunk

While the western world has made significant strides in accepting transgender people, Africa stills lags behind. Letoya Johnstone, an openly transgender Kenyan woman sharesher struggles to find acceptance, and ultimately, herself.

Letoya is one of the few transgender people in Kenya who are open about their identity. She sits opposite me in a crowded coffee shop, taking small bites of the food in front of her, sipping lemonade, and pulling her hair. She dons a white vest, a ragged denim jacket, kitenge print shorts, and bright rings on her fingers- an androgynous getup that allows her to blend safely into Nairobi’s streets while also expressing her feminine side. I spy the people around us looking in our direction in curious confusion, fascinated by her ‘otherness’. Letoya is a 25-year-old Kenyan transgender woman. She is a model, runway catwalk coach, stylist, talent manager, and counselor.

She realised that she was different when she went to high school, the same time she was undergoing puberty. “At that point, I started getting attracted to boys instead of girls. I would try to suppress my feelings and date girls. I thought maybe it was a phase that would pass. But I would end up being best friends with the girls I tried to date and the relationship would only be platonic. I was attracted to men but never really knew how to handle it, so I remained a virgin.At the beginning of the interview, I asked her which pronoun she preferred. She laughed her good-natured laugh, “I’m a ‘she’, darling. But I understand when people call me a ‘he’. They are just going by what their eyes are telling them,” she said. “It’s like when someone is drinking from a coffee cup, you expect them to be taking coffee. But they could be drinking anything- maybe vodka or wine or water. The same way, these bodies don’t automatically determine what’s inside. I was born a man yes, but I’m a woman inside. My soul is a woman’s trapped in a man’s body” she elaborated.

And this way of life has cost her.”I have been assaulted, raped, insulted, and made to feel like I’m less than human. I have hit the lowest point anyone can get to in life, battled depression, and attempted severally to commit suicide. I am still here… but I don’t feel whole, I don’t feel healed, I don’t feel like I’ll ever be ok…I’m broken,” says Letoya Johstone as she nervously pulls at her short, coloured hair.”My adoptive mama would try to change me through beating me and pressurising me to marry a girl. At some point I would be locked up with the dogs. My school fees would go unpaid. It was a very horrible experience,” she says.

Always knewLike most transgender people, Letoya says that she’s never felt at home in her body. “Growing up, I was drawn to things which were supposed to be for girls. When playing house with other children, I would take up the mother role… never the father. I also loved to play with my doll- I would dress her up. When I was given the conventional ‘boy’ toys like cars, I would end up giving them away to my cousins. I also liked wearing high heels and dressing up in girl’s clothes whileplaying. But at that point, I didn’t think much of it and neither did the people around me. They brushed it off as ‘they’re just kids playing’,” she says.

Growing up in rural Kendu Bay and later Homa Bay, I had never heard of transgender people. I had only heard of gay people, and for a long time I thought I was just gay. I was confusing sexual orientation and gender identity” says Letoya.Much like in the general population, the confusion of gender and sexuality is not uncommon in the LGBT community. Most people think of transgender as another kind of homosexual. However, being transgender is independent of sexual orientation. This means that just like the rest of the population transgender people can also identify as heterosexual, bisexual, asexual, or homosexual. “Deep inside, I didn’t feel like I was gay. I didn’t see it as being attracted to people of the same sex. I felt I was a woman and just like other women, was attracted to men. When going out with my friends, I wanted to dress up in heels and dresses like the other ladies. It was all very confusing to me,” she says.As she learned more about herself and got more exposed, she realised that she was transgender, not gay. “It’s only when I went to college that I realised I was transgender. This was quite recent…like three or four years ago. It was in a way, liberating,” she says.

Coming outHowever, her life wasn’t wade any easier by defining herself as transgender. If anything, it became harder. She had to face harassment, both from the public and from close friends and family. “As a child, I was always treated different anyway; my family wasn’t a loving one. My biological parents died when I was a child and I was adopted by relatives. I don’t like talking about my family in the media. All I can say is that I appreciate the people who were there for me. It wasn’t easy and I know they weren’t capable of understanding the concept of transgender people.

ALSO READ: Revealed: Why men don’t like church

About three years ago, she finally publicly announced that she was transgender. “I wrote a Facebook post about it. At that point I thought, enough is enough. After all, nobody loves me anyway. So I might as well be true to who I am. People insulted me. I have gone through so much hatred, harassment, abuse, and depression. I had tried to commit suicide five times. Fortunately, I had gone through counseling and decided to live.”

RapeIn 2008, at the height of the post election violence which rocked the country, Letoya was waylaid and gang-raped by a group of unknown men. “I was going to the shop this group of men grabbed me, pushed me to the ground and sexually assaulted me. This was in Homa Bay. It was dark, so I couldn’t even identify them. I went to the hospital to take HIV prophylaxis drugs. When the doctor in charge learned that I was gay- as I identified as then- he refused to treat me. That was so painful to me. I was almost dying and was refused treatment because of my sexuality.”

What Letoya went through is quintessential of many transgender experiences across the world. Statistics documenting sexual violence against transgender people in the U.S show that one in two transgender people are sexually abused or assaulted at some point in their lives. A report by an American organization called National Coalition of Anti-Violence Programs showed that 50% of people who died in violent hate crimes against the LGBTI community were transgender women. Moreover, transphobia is rife in health care all over the world, making it more difficult for trans people to get the care they need after rape and sexual assault.

In Kenya, transgender people submitted a memorandum on the 2016 Health Bill seeking to be legally recognized and to curb the stigma associated with trans identity. They said that they face plenty of challenges in accessing health care in the country.

Speaking of her rape experience, Letoya says “It’s one that that really brought me down both emotionally and physically. I don’t feel like I’m a human being. Up to now, I haven’t healed from that experience. I don’t see myself as a valuable person, or a person that people can trust their kids with. Not because I would do anything to them, but because people say I might turn children to be like me. At some point, you start believing these things.”After surviving the gang-rape ordeal, Letoya fell into a deep depression. On five occasions, she tried to commit suicide. “I wanted to jump from the fourth floor of a building in Homa Bay and I considered hanging myself. People were mocking me and implying that I deserved to get raped because I wanted to be a woman. The police didn’t take my case seriously. I had no protection, even from the authorities.”

Transgender people face alarmingly high risk of suicide. According to various studies, 41% of transgender people attempt to commit suicide compared to 4.6% in the general population. Prof Wamue-Ngare says that while shocking, these statistics are not surprising. “Many transgender people went through trauma as children and continue to be traumatized as adults. I expect that it’s not easy for them and some might end up committing suicide.”Letoya later went on to study counseling psychology, which helped her- to some extent- to deal with her trauma. She spends some of her time working at a hospital counseling youths struggling with gender identity and sexual orientation. “My training has also taught me how to help other people with similar experiences,” she says.

ALSO READ: Why a Kenyan man cant tell his father, I love you Dad

Finding herselfLetoya finally found self acceptance and decided to live her truth boldly. She enjoys her career in the fashion industry, saying that she’s always been interested in the field. “From when I was a child, I was doing fashion shows and photo shoots…but as a boy. I only did my first show in a dress in 2014,” she says.Although she says that the fashion industry is relatively liberal, she still encounters stigma. “Most don’t want to associate with me because of my gender identity. They try to control what I wear, how I conduct myself. So when I’m working with somebody it’s like they don’t want me to be myself, they want me to be someone else. I end up conforming because I need the money. But even with that, I have lost several jobs because of being transgender,” she saysShe’s never worn a dress in public. “I don’t want to provoke people and give them an opportunity to kill me in the streets,” she says. However, she indulges in female underwear and makes her outfits as androgynous as possible. She also likes female perfumes.

Not safeLetoya is always worried about her safety and has resigned herself to what she considers her ultimate fate. “I never do anything to hurt another person. I give people love, because it’s something I lack in my own life. That’s why I call people ‘darling or sweetheart’ when talking to them. But I know that there’s somebody somewhere who’ll eventually kill me. My life is always in danger. I even have a neighbor who keeps on threatening me,” she says.Her concerns are not unfounded. Existing as a transgender person in Africa, and across the world, is never safe. Between 2009 and 2016, there were 2,115 documented killings of transgender people worldwide. Bearing in mind that some cases go unreported, the actual number of killings is expected to be even higher.

Dating while transTo add to social stigma, trans people face even more challenges in finding romantic partners than their gay, lesbian or bisexual counterparts. Although some men fetishize transgender women, very few want to be in relationship with a transgender woman.

Letoya says that she’s never really been in a relationship and has given up on ever finding love. “People want you in the dark, but pretend not to know you during the day. They tell you ‘I don’t want anyone to know about this.’ You love someone but they don’t love you back. They’re just using and discarding you. Also there’s the worry that the people you’re attracted to might turn against you, or use your attraction to them to embarrass you. I’ve been single all my life and don’t even think of dating. I’m not used to love and I’m even skeptical when someone shows me affection.”Reassignment

Transgender people have the option of undergoing gender reassignment- a process that involves both hormonal therapy and surgery. While most transgender people shown in the media have undergone or are in the process of undergoing gender reassignment treatment, the everyday transgender person is less likely to do it. This can be due to economic constraints, apprehensiveness about the process, and religious/personal beliefs.Letoya says that even though she would have liked hormonal treatment if she could afford it, she would never consider gender reassignment surgery because of her religious beliefs. “I was raised in the Catholic church. I believe in God and that he created me in his image. Even though I feel like I’m in the wrong body, I don’t want to tamper with how God created me. I go to church although I don’t feel accepted there. The Bible gives me comfort, which is weird because people use the same Bible to attack me,” she says.In Kenya, gender reassignment surgery is still a pipe dream. Kenya’s first and perhaps only sex reassignment surgery was done in the 1980s on a woman only identified as Rose. Six months after the surgery, Rose committed suicide because of the stigma that still plagued her.In April 2012, the Kenya National Commission on Human Rights reported that a witness who had undergone the process of reassignment claimed that she had been denied the surgery by Kenyatta National Hospital without giving any reasons. Her subsequent attempts to appeal to the Kenya Medical Practitioners and Dentists’ Board had been futile.Additionally, Kenya doesn’t have laws to allow a person to change their gender from the one assigned at birth. Currently South Africa and Botswana are the only African countries which have laws to allow official documents to be changed to suit desired gender. The caveat is that you still need to show medical proof of transition- a sex change.Letoya says that she will probably never change her gender in her official documents. “It’s a long process which I don’t have the money, time, or energy for. Letoya is the name in my birth certificate and I like it,” she says.Professor Wamae-Ngare says that while having a sex-change surgery might bring the transgender person some satisfaction, it’s not a long-term solution. “One will always be genetically male or female, regardless of the surgery. As a society we can’t just give transgender people hormones of the gender they desire or surgically change their sex organs and call that a solution. Changing a name doesn’t really change anything either. We have to go back to the root cause. Let’s strengthen the social set-up and the family values. We should stop abandoning our culture for western culture. We can still retain our culture and be civilized.”

Transition ProcessMost transgender people choose to transition only socially (such as wearing clothes of their desired gender), some go for hormone replacement therapy, while others go for combined Hormone Replacement Therapy and Sex Reassignment Surgery.

Hormone Replacement Therapy: Taking synthetic hormones to cause the development of the desired secondary sexual characteristics such as growth of breast or beard, deepening of voice, and muscle distribution. The hormones taken include estrogens, antiandrogens, and progestogens.Sex Reassignment Surgery: The surgical procedure (or procedures) to alter the sexual organs to resemble those of the desired gender. For trans women, these procedures include penectomy to remove the penis, orchiectomy to remove testicles, and vaginoplasty to create a vagina. Trans men go for masculinizing genitoplasty such as metoidioplsty to enlarge the clitoris, or phalloplasty to create a penis.

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Blurred Lines: The life of a transgender woman in Kenya – The Standard

First transgender medical fellowships launched in New York – Gears Of Biz

The surge in demand for transgender surgeries in the United States has triggered a New York City hospital to launch a program to train doctors to perform gender reassignment procedures.

Mount Sinais Center for Transgender Medicine and Surgery opened early last year in Manhattan and has since operated on roughly 350 patients.

Dr Jess Ting, the centers director of surgery, said the team operates on nearly four patients a week.

But even still, transgender patients experience disproportionate health inequities: only about five hours of medical school training are spent covering issues related to their health.

In an effort to address those inequities, the center has created two year-long fellowships to train a new transgender surgeons and psychiatrists to be able to work with these individuals.

The new program comes as the Trump administration prepares to roll back protections for transgender Americans.

During 2016 more than 3,200 surgeries were performed to help transgender patients feel more like themselves.

That number showed a a 19 percent increase in vaginoplasties, phalloplasties, top surgery and contouring operations, but the waiting list for the surgeries is still incredibly long.

Surgeons in the field claim that figure is a conservative estimate and would likely three times higher if all hospitals had a uniform way of documenting such surgeries.

At Mount Sinai there are roughly 500 patients awaiting gender confirmation surgery.

Dr Ting explained that this is because he is the only surgeon with the expertise to perform these surgeries.

Theres only so many patients I can see at a time, Dr Ting told Daily Mail Online.

So in Julythe team launched the countrys first transgender surgery fellowship which lasts for one year.

During the fellowship the participants will assist and perform surgery, teach residents and medical students and conduct transgender-related research.

Dr Bella Avanessian is the first surgical fellow, and came to Mount Sinai after completing a residency in plastic surgery.

Male to female genital surgery is called vaginoplasty; female to male genital surgery is called phalloplasty. There are various techniques and ways to perform each procedure.

I decided to switch to gender confirmation surgery because I felt it would be more impactful in a city with 500 plastic surgeons and no transgender surgeons, Dr Ting explained.

And the surgeries are beautiful and intricate and complicated. Its so satisfying technically and aesthetically to be able to be able to change someones life so much. Its a privilege.

The fellowship will train one new surgeon who can perform the gender confirmation surgeries each year.

By the time Dr Avanessian finishes her year, Dr Ting said she will be very sought after since there are no other specially-trained surgeons in the field.

Forty percent of transgender adults have attempted or seriously thought about suicide, a rate which is nine times higher than the general population.

So to go along with the surgical fellowship, Mount Sinai also launched a psychiatry fellowship directed by Dr Hansel Arroyo.

Plastic surgeons often partner with other experts to provide comprehensive care, such as doctors who specialize in hormone therapy or urology and with mental health professionals who help patients through the emotional aspects of their transition.

Transgender patients face a great deal of discrimination, Dr Ting explained.

Many doctors wont take care of transgender patients or if they are willing, dont know how. These fellowships will train the next generation of surgeons and psychiatrists to improve healthcare disparities in the transgender community.

Dr Matthew Dominguez is the first fellow and came into the program following completion of his residency in General Adult Psychiatry.

Across the country more hospitals are beginning to offer gender reassignment operations.

In 2016, Boston Medical Center became the first hospital in Massachusetts to offer the surgery, and at the University of Maryland Medical Center in Baltimore surgeons normally complete two of the operations a week.Other hospitals that offer the surgeries are the University of Michigan Medical Health system and the Hahnemann University Hospital in Philadelphia.

The Mount Sinai Icahn School of Medicine is the first and only to offer a program to train people specifically to perform gender reassignment surgeries.

Though the growth in transgender medicine is giving hope to patients and experts in the field, some wonder whether it will continue under the new administration.

Medicaid insurance coverage of sex reassignment surgeries could be rolled back in the coming months.

How can a parent know if their child is transgender? What separates a young boy who might be transgender from one with a vivid imagination who likes to dress up in his sisters dresses? What do you do if your daughter tells you shes a boy?

The Associated Press spoke to gender experts to answer some of parents most commonly asked questions.

My answer is, we dont know, says Dr Diane Ehrensaft, a developmental and clinical psychologist, director of mental health at the University of California, San Franciscos Child and Adolescent Gender Center and author of The Gender Creative Child.

What we know is, you have a son who likes princess dresses. I would say get him the dresses. Have your child feel free to choose. Maybe theyll stop wearing dresses. Maybe theyll grow up to be gay, Dr Ehrensaft explained.

Transgender children will be insistent, consistent and persistent about their gender dysphoria, she says.

Its not something the child says one time and it goes away.

For critics who question whether preschool-age kids should be allowed to socially transition, Dr Ehrensaft says.

We expect a 2-year-old to know I am boy. I am girl. So why cant that also apply to transgender children?

If Im a kid who occasionally wants to put on my moms high-heeled shoes or wear my moms princess dress, Im not the kid who wants to live as a girl. Im the boy who occasionally wants to wear girls clothes, says Dr Johanna Olson-Kennedy, medical director of The Center for Transyouth Health and Development at Childrens Hospital in Los Angeles.

The important thing to ask is whether your child is in distress.

Are you having daily battles about clothing before school? Dr Olson-Kennedy says.

There are some things that are pretty universal. Is this the kid that everyone is trying to give Mutant Ninja Turtles to, and what they really want is the gifts their sisters are getting?

Using a childs happiness and health as a guide is critical, she says.

It can also help for parents to get away somewhere with their child and allow the child to call the shots in terms of their gender, such as letting them use a different pronoun or wear a dress or other clothing of their choice, Dr Olson-Kennedy says.

Do it somewhere where youre not going to see people you know, if thats an issue for you, she says.

Do a weekend as a different gender, and see what you learn.

People have said this over and over again: Oh, my God. I saw a side of my child I had never seen before.

Though there are no set rules, Dr Ehrensaft says some early signals can provide information about whether a child is transgender. They include:

Certain actions at a very young age, such as toddlers pulling barrettes from their hair, grabbing for their sisters dress and dolls, or throwing away their trucks.

The use of verbs regarding gender. Instead of I wish I was a girl, a transgender child will say, I am a girl.

Frustration over their genitals. By around age 3, children understand penis equals boy, and vagina equals girl, Dr Ehrensaft said.

Often those are the kids who cry out, Why did God get it wrong? Mommy, can you put me back inside so I can come out like my sister?

Taking gender expansion play seriously. Many young boys like to play dress-up in their sisters princess costumes, twirling around and then moving on to other toys, Dr Ehrensaft said.

A transgender child also wants to get into his sisters closet, but hes not going to go for the princess dress hes going to go for her school uniform, she says.

Hes going to put on her everyday clothes because he wants to be a regular girl, not a pretend princess, she explained.

Excerpt from:
First transgender medical fellowships launched in New York – Gears Of Biz

Men are now contouring their penises | GQ India | Grooming – GQ India

If theres one global, irrefutable truth, its that all men dream of being enormous even the ones who are already well-hung.Blame pornif you want. Or our cultural predisposition to always think bigger is better.

In a bid toreach unattainable standards of penile beauty, men have done everything from being treated with a range of cutting-edge hormone replacement therapies to getting the most intimate nip-and-tuck taboos like Scrotox (botox from the scrotum), Phalloplasty (penis enlargement surgery) or the painful bionic silicone penis implant called Penuma. The demand for intimate procedures is unprecedented. But the latest alternative to penis enlargement takes vanity to a new, ballsy level (albeit a far less painful territory) to treat mens inherited shortcomings. ALSO READScience provides a natural alternative to penis enlargement

Brace yourself. Because, apparently, guys are now contouring their penisesfor bigger, wider, and smoother schlongs. You didnt see this one coming, did you?

For the uninitiated, contouringinvolves putting different shades of make-up on your face and blending it all in to give the illusion that the shape of your face has changed. Typically contouring involves a lot of highlighting, contour powders, various makeup brushes and a lot of effort to achieve the desired effect. Made famous by the Kardashians and Jenner sisters, contouring ismeant for your face, obviously, but recently more and more people are trying it on other parts of the body. And thanks to the contouring gods, women have discoveredboob contouring to create the illusion of a plumper and deeper cleavage (not that were complaining), while some men are using contouring to create the illusion of having abs (which is a lot less work than busting a gut down the gym every day). But men, like women, are now going nuts with contouring. Literally.

Afew men are now championing the art of penis contouring (a trend that was actually only a matter of time), including internet-famous makeup artist Jeffree Star. The makeup artist revealed that he has contoured below the belt but not to make it look slimmed down.I contour my shaft a lot, confessed Jeffree, explaining that he contours his penis while its erect, so that when it goes flaccid it still looks big.

We let a lot slide in the name of menswear and male beauty progress, but frankly were not feeling so lenient this year. So just know this: Penis contouring will never be a thing.Not today, not ever, Satan!

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> More on Grooming

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Men are now contouring their penises | GQ India | Grooming – GQ India

More WA men seeking penis surgery to increase size – Perth Now

INCREASING numbers of WA men are seeking to enlarge their manhood with surgery, with doctors warning of risks to their sexual and psychological wellbeing.

Cosmetic surgeon Dr Jayson Oates, who runs a cosmetic surgery clinic in Subiaco, and clinical psychologist registrar Dr Gemma Sharp have teamed up to improve patient safety.

Dr Oates said WA men travelled interstate and overseas where penile augmentation was popular, particularly in South Korea and Mexico.

He said while men risked disfiguration and function loss from invasive surgical phalloplasty, there were safer non-surgical alternatives including an injectable procedure which increased the girth of mens appendages.

Size is an important issue for many men and is considered to symbolise masculinity and sexual prowess, he said.

Men commonly believe that bigger is better. So when men feel inadequate, it can have a major negative impact on their self-esteem and sexual functioning. It comes as no surprise that men are increasingly seeking procedures, and non-surgical enhancement.

At his Calibre Clinic in Subiaco, Dr Oates has performed more than 100 male enlargement procedures on men as young as 22 and as old as 68 with a non-surgical technique he pioneered to increase size without surgery, using dermal fillers usually used for the face.

Dr Oates said the calibre procedure can be performed during a one hour in-clinic session and last up to 24 months.

He is now collaborating with Dr Sharp to research penile augmentation. She noted most men who requested penile augmentation had a penis in the normal size range, but were unhappy with its size.

The doctors hope for better understanding of motivations for cosmetic genital surgery.

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More WA men seeking penis surgery to increase size – Perth Now

Manhood: The Bare Reality by Laura Dodsworth – review – Evening Standard

Power, penetration and strength. Weakness, misery and shame. Can a single organ embody all of these? Should it? You wouldnt think a penis would matter so much, to look at it a few ounces of flesh that, for better or worse, symbolise masculinity. But I would say that, wouldnt I? As a former call girl Ive seen more than my fair share. Which is why Laura Dodsworths new book Manhood: The Bare Reality, in which 100 men reveal all, took me by surprise.

It isnt the beautifully composed, gorgeously lit portraits that tell us about men, although there is that. By focusing on the unique attributes of each penis, circumcised and not, fleshly or strap-on, its possible to see the organ in a new way. But that is not what stays with you after closing the cover. Its what they have to say about whats in their pants that counts.

Dodsworth brings us the full spectrum of manhood: mainly cis-gendered but trans men are represented too. Small and large, bold and shy, from the super-endowed fellow who sometimes finds photos of his own cock on gay dating sites, to the chap whose micro-penis seems to have loomed ironically large in his life. A penis created through surgical phalloplasty. A strap-on. Men who give their penises names such as Rufus and ones who dont. Men who trim or shave their pubic hair (a surprisingly high proportion, actually).

The photos are un-retouched and the owners of the penises anonymous. We dont see their faces, though a few biographical details sketch out each subject. Would they have been so forthcoming about their true feelings if names were supplied? Possibly not. As someone who was formerly anonymous myself, I appreciate the freedom that comes with being nameless.

The book is refreshing in its lack of loutish, locker-room bravado. I have certainly seen 100 penises before but I have never known men to talk about themselves like this except to trusted sexual partners. If at all.

In a society where men have the upper hand it is a surprise to learn how many do not feel that way. Men do not think, as Monty Python once assured us, that its divine to own a dick.

Dodsworths previous book, Bare Reality, a Kickstarter hit that documented 100 women and their breasts, touched on some of the same issues of insecurity and feeling judged. Women are often hemmed in by what others think of their bodies. But for men the critical eye is turned inward: after all, we so rarely get to see penises outside of porn and antiquity. A single vicious comment in the bedroom or changing room may change how a man feels about himself for ever. Women, by contrast, must endure a deluge of outside assessment on a daily basis.

There are surprises, things we should talk about more often but rarely do. Such as a black man who found himself sexually fetishised by white women in his youth. Or the 92-year-old who speaks of himself as an intersectional feminist. The testicular cancer survivor who tries to live in the moment. The spina bifida patient whose colostomy bag is apparent, almost more prominent than his penis, in the photo.

Or the man who found himself hiding a personality he wasnt sure others would like behind a body he was confident they would. Age and race, disability and illness. These issues affect us all, but like the penis, are just as often hidden away.

I loved this book, though it may be too on the nose to leave it on my coffee table for guests to peruse. Still, buy the book. Get it for the photos, but read it for the funny, the shocking, and the vulnerable moments we might otherwise never see. I hope for love. I want to be desired, says one man. So do we all.

12.75, Amazon, Buy it now

Excerpt from:
Manhood: The Bare Reality by Laura Dodsworth – review – Evening Standard

Tantrums Aside, the Law Leans Toward the Employee in Issues of Social Media and Free Speech – JD Supra (press release)

[co-author: Sujeeth Rajavolu]

Whether or not your friends and family get a kick out of your misery at work, that online post of yours might tick off your employer. But what rights do employers have to restrain their employees from complaining about them online? Can employers punish employees for posting their grievances online? How do courts differentiate between protected and tantrum posts? What is the Governments view on employees social media postings? In 2011, Pier Sixty LLC fired Hernan Perez for labeling his supervisor a nasty M.F. and using similarly profane language against his supervisors family in a Facebook post that ended with a plea to Vote YES for the UNION. In a 2016 decision, the Second Circuit enforced the National Labor Research Boards (NLRB) decision and found that the employee was protected under the National Labor Relations Act (NLRA) because the post was in relation to a union-related activity.

In 2015, a Chipotle employee James Kennedy tweeted nothing is free, only cheap #labor. Crew members only make $8.50hr how much is that steak bowl really? in response to a customers tweet [f]ree chipotle is the best thanks. In another instance, he tweeted [s]now day for top performers Chris Arnold? when the hourly workers were made to work on snow days. In yet another tweet, referring to the fact that Chipotle charges for guacamole, he tweeted its extra not like #Qdoba, enjoy the extra $2. Chipotle asked Kennedy to delete the tweets because they violated the companys social media policy. Chipotles social media policy provided that employees could not make disparaging remarks about the company. The NLRB again sided with the employee and found that the companys social media policy violated the employees NLRA protection.

Partly Cloudy with a Chance of Tantrums However, in one case, the NLRB found that an employer did not violate the NLRA for terminating an employee based on the employees posting on Adrian Scott Duane, a transgender worker was discharged by IXL Learning Inc. (IXL) for his comment stating that [m]ost management do not know what the word discrimination means, and that if youre not a family-oriented white or Asian straight or mainstream gay person with 1.7 kids who really like[s] softball then youre likely to find yourself on the outside.

Duane joined the company in June 2013. In January 2014, Duane sought and obtained permission from his supervisor to work outside the office and with irregular hours. He then obtained a leave of absence from October 2014 to December 2014 to undergo and recover from a phalloplasty surgery, a female to male reassignment procedure. Upon return, he got into a conflict with his supervisor over the ability to work flexible hours, and posted the above anonymous review on the Glassdoor website. IXL then terminated Duane, saying the post showed his poor judgment and ethical values.

Duane filed a suit claiming that IXL discriminated against him on the basis of his disability. He also claimed discrimination by his colleagues and management for his transgender identity on multiple occasions. In April 2016, an Administrative Law Judge held that IXL did not engage in unfair labor practices because Duanes tantrum amounts to a childish ridicule or gripe. Importantly, his mistaken and unreasonable concerns about discrimination were purely personal in nature and not a concerted activity undertaken for mutual aid or protection. Moreover, the Judge made repeated note of the fact that unlike social media postings on Facebook, Twitter, or Instagram, where a post initiates a group discussion, here, Duanes anonymous one-way posting did not allow for any further discussion. Instead, is a website used by employers as a key recruiting tool to recruit prospective employees. Consequently, the Judge dismissed Duanes NLRB suit. Duane then filed a civil suit in the local District Court alleging civil rights and FMLA violations.

Enter the EEOC The U.S. Equal Employment Opportunity Commissions (EEOC) trial attorney Ami Sanghvi expects to see an uptick in these cases because the way employees communicate internally and externally is changing. So, how are courts dealing with these cases?

This involves a balancing of legitimate interests of the employer against the NLRA protections. In general, an employer may not prohibit employee postings that are merely false or misleading. Rather, in order to lose the NLRA protection, it must be shown that the statements were made with malicious motive, i.e., statements were made with knowledge of their falsity or with reckless disregard for the truth or falsity. Similarly broad prohibition against disclosing confidential information is not permitted if the term confidential is vaguely defined, and could be construed by employees as restricting their NLRA rights. However, a prohibition against harassing or discriminatory statements is not treated as a violation of the NLRA, unless the statement was in relation to a union-related activity, in which case the employee may still be protected depending upon the totality of the circumstances.

So, can an employee post anything related to a union-related activity? For a union-related activity, the NLRA generally prohibits employer from discharging employee for concerted activities for the purpose of collective bargaining or other mutual aid or protection. This right is, however, lost when the employees conduct is so abusive or opprobrious as to lose the protection of the NLRA.

The Nine-Factor Test Traditionally, the starting point for evaluating the protection for opprobrious conduct under the NLRA has been the four-factor test established by the NLRB in Atlantic Steel. That test considers (1) the place of the discussion; (2) the subject matter of the discussion; (3) the nature of the employees outburst; and (4) whether the outburst was, in any way, provoked by an employers unfair labor practice.

However, courts found this test not suitable to address issues involving employees off-duty, offsite use of social media to communicate with other employees or with third parties. To deal with such situations, the NLRB has developed a nine-factor totality of the circumstances test for social media cases. The test considers the following factors:

Courts have not yet ruled on the validity of the nine-factor test, but the government seems to be in favor of providing more protection to employees in relation to their online posts. The General Counsels Office guidance for evaluating an employees use of social media which resulted in the totality of the circumstances test is employee-friendly, and limits the ability of employers to issue rules regarding the use of social media. Moreover, the EEOC took up Duanes issue and filed suit against IXL, claiming Title VII, Title I and Americans with Disabilities (ADA) violations.

According to Sanghvi, pursuing Duanes case is meant to send a strong message that we will protect workers that engage in activities, not just through traditional avenues, because while the platforms for employees to speak out against discrimination are evolving with technology, the laws against retaliation remain constant. If an employee reasonably believes that illegal discrimination occurred, the EEOC will vigorously defend that workers right to raise the issue, whether they do so by filing a charge with our agency, notifying company management or posting in a public arena such as

It remains to be seenhow the District Court will rule on Duanes suit.. It also remains to be seen how the courts will rule on the validity of the nine-factor test. But for now, an employee is protected under the NLRA if the post is in relation to a union-related activity on a social media platform where there is an actual discussion of the topic for the mutual aid or protection of employees. In addition to the NLRB, as the EEOCs recent suit demonstrates, employees may also find protection for their otherwise offensive postings under federal and state anti-discrimination and other laws

The trend of these cases suggests that the law clearly favors the protection of employee speech, even highly inflammatory speech, and employers should tread carefully when crafting or reviewing their existing social media policies to consider these issues.

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Tantrums Aside, the Law Leans Toward the Employee in Issues of Social Media and Free Speech – JD Supra (press release)

Augusta trans man inspires others to live their truths; urogynecologist weighs in – Georgia Voice

Gender confirmation surgery includes a number of different procedures, including chest augmentation and genital construction. More than 3,200 such surgeries were performed in 2016. (Photo via iStock)

Rowan Elijah Feldhaus, 25, passed away May 16 following complications from gender confirmation surgery. The Augusta resident made headlines in June 2016 after a local judge denied his name change request, a decision overturned earlier this year by the Court of Appeals of Georgia. But that was just the start of his legacy.

In life, Feldhaus was known for his grace, quiet dignity, strength and self-assurance, Lambda Legal Counsel Beth Littrell said in a statement. Now, after a Harry Potter-inspired wand ceremony to celebrate his time on Earth, Feldhaus lives on as both an organ donor and an inspiration to all who want to live their truths.

According to the American Society of Plastic Surgeons, there was nearly a 20 percent increase in gender confirmation surgeries in just the first year of reporting. In 2016, more than 3,200 surgeries were performed to help transgender individuals.

Whats right for me?

Transgender individuals dont always elect to undergo surgery as part of their transition, but if they do, there are a number of procedures available to them. Some are more cosmetic, such as body or facial contouring, but others involve creating functional genitalia.

Its a grab-bag term, but it involves multiple types of procedures depending on where an individual is in terms of their transition and what they feel helps affirm them and their expression of the gender, said Dr. Bernard Taylor, a urogynecologist with the Carolinas Healthcare System Department of Obstetrics and Gynecology in Charlotte, North Carolina.

He specializes in bottom surgery, which involves surgeries that affirm gender below the belt.

The women who undergo transgender female surgeries generally have to have their testicles removed, penis removed and then we create a vaginal canal, Taylor said.

This procedure inverts the skin of the penis and scrotum. Its a bit of the opposite for trans men, however.

Many times theyre going to start with a hysterectomy and the removal of the ovaries. Then that may be all that they want; they want to have their menstrual period stopped. They want their uterus and ovaries removed, Taylor said. If they want to further transition to more masculine genitalia, many times well close off or remove the internal vagina and then reconstruct a small penis they can use to urinate while standing.

For transgender men who plan to have sex, Taylor said its possible to undergo a procedure called a phalloplasty, which constructs a penis that, if desired, can have a prosthesis that allows it to become erect.

Taylor said these surgeries are only performed for individuals with a medical condition called gender dysphoria, meaning they feel their genitalia must be changed in order to live as their true gender.

Those individuals who have dysphoria are those who physically look at themselves in the mirror and are really distressed about their bodies not being the gender they were born to be, Taylor said.

Regardless of what procedures, if any, a transgender individual chooses, theres lots of preparation and counseling involved.

The bottom surgeries are permanent. Theyre not reversible. So the patient has to undergo much more thorough counseling and we have to make sure theyre prepared, and their families and their social life, Taylor said. We have a consultation about the various types of surgery.

Age of transition is also a hot topic in the medical community. Taylor said the standards of care is that surgery is acceptable at 18 years old, though some individuals may choose to begin hormone therapy or other non-surgical forms of transition much earlier.

Be risk-aware

Like any procedure, bottom surgeries are surgery, and with them come risks even some that may seem far-fetched.

Any surgery, theres an immediate risk of bleeding, anesthesia, risk of injuring body organs, infection, Taylor said. The long-term potential risks or complications that can arise can be chronic problems with bladder dysfunction. If were creating a urethra or penis, you can have a fistula, which is a narrowing of the urethra. For a patient undergoing vaginoplasty, they require dilation, and if they dont dilate regularly, then they could actually have narrowing, tightening or shortening of the vaginal canal internally and it wont be functional.

Even a regularly performed surgery can have potential complications. According to the Centers for Disease Control and Prevention, there are approximately 600,000 hysterectomies performed each year in the US. However, it was complications related to this procedure that led to Feldhaus death.

Sepsis is an overwhelming infection in the body where bacteria and some of the toxins can be released and they cause organ damage, particularly kidneys, liver, heart and lungs. Thats what could occur with any surgery, and it has to be identified very early and treated in the hospital, Taylor said. Typically its pretty rare to have it happen after an elective surgery, but it can occur after any procedure.

He advised transgender individuals considering surgery to ensure their procedures are done by a board-certified physician who has hospital privileges in case a complication does arise.

We dont plan them, but they happen. When it does happen, you want to make sure your surgeon has privileges and resources so you can be taken care of, Taylor said.

Unfortunately, theres not a great resource available listing doctors who perform gender confirmation surgeries. Taylor said patients should ask their doctors how many such procedures theyve done in the past year to ensure theyre pairing with someone prepared to offer them the best treatment available.

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Augusta trans man inspires others to live their truths; urogynecologist weighs in – Georgia Voice

What it’s really like to have a two-inch micro-penis – GQ India

The average erect penis is about five inches long and four-and-a-half inches in circumference according to a 1996 Journal of Urology study. But when it comes to penis size and settling the score on penile proportions, who really believes the stats? If theres one global, irrefutable truth, its that all men dream of being enormous even the ones who are already well-hung. Blame porn if you want. Or our cultural predisposition to always think bigger is better. But one man, author of the book The Small Penis Bible, Ant Smith has set out on a mission to overcome the stigma surrounding penis size and campaigning for realistic expectations of the perfect manhood.

Ant Smith has a micro-penis. Smiths body image issues and insecurities about his thimble-sized penis were such a problemthat he remained a virgin until he was 21 and even continued to worry about his inadequate genitals after he got married. The 50-year-old added that comparing your dong to well-hung porn stars is stupid, because normal isnt necessarily what you thought.

Heres everything you need to know about living with a small penis:

A micro-penis is any member that is 2.8 inches or less, erect. The condition is reported to affect around one in every twomales. It is the a result of a real condition called hypospadias. Hypospadias is a birth defect in men where the opening of the urethra isnt located in the penis. The abnormal opening can be anywhere from just below the end of the penis to the scrotum. Men with hypospadias may have a curved penis, an undescended testicle or a micro-penis. In extreme cases of micro-penis, there is barely any shaft, and the glans appears to sit almost on the pubic skin.Thought to be caused by inadequate testosterone in the later stages of fetal development, or maybe insensitivity to androgen, its a rare and often self-misdiagnosed condition.

Micro-penis can be treated with hormone replacement therapy, which brings the penis upto a normal length. Theres also huge news for men with micro-penises: It can also be super-sized with a phalloplasty (penis enlargement surgery) or get a bionic silicone penis implant called Penuma.

Sexual dysfunctions arise not because of small dicks, but because of your own insecurities. Here are three secrets to pleasing a women from men living with a micro-penises:

Heres a list of 15 edible goodies that will keep your manhood in perfect working condition:

The summer fruit is high in citrulline, which like that little blue pill stimulates nitric-oxide production and increases blood flow to the penis, strengthening erections.

Yes, they really are aphrodisiacs. Raw oysters are the richest dietary source of zinc, which not only improves blood flow, but also fuels testosterone production. When testosterone levels drop, so do your performance and libido.

Studies show that flavonoids in red, blue and purple berries cleanse free radicals from arteries, relaxing them and improving blood flow.

Yes, they really are aphrodisiacs. Raw oysters are the richest dietary source of zinc, which not only improves blood flow, but also fuels testosterone production. When testosterone levels drop, so do your performance and libido.

Recent studies have shown that people with the highest intake of vitamin k2, found in grass-fed beef and dairy products like butter, cut their risk of coronary heart disease in half. And whats good for your ticker is always good for your erections.

This allium vegetable boosts blood flow to the penis by increasing nitricoxide production and relaxing blood vessels.

Dont giggle: Bananas are high in potassium, which relaxes blood-vessel walls, allowing for better blood flow throughout the body. plus, it offsets a high sodium diet, keeping your blood pressure in check according to a study inthe journal hypertension. Narrow blood vessels lead to low blood flow, which leads to well, not much.

The amino acid L-arginine, found abundantly in walnuts is one of the building blocks of nitric oxide. Translation: a diet that includes these nuts with rock-hard shells makes for consistent, rock-hard erections. According to a panel conducted by the European food safety authority, you should eat about cup a day.

By scrubbing blood vessels of free radicals and decreasing inflammation, ginger relaxes arteries and improves blood flow. According to a study in the International Journal of cardiology, about 1tsp a few times a week is all you need to reap gingers cardiovascular rewards.

A study of natural aphrodisiacs in the BMc complementary and alternativeMedicine journal found that nutmeg increases libido and erectile performance.Nutmeg also contains myristic acid, which has been shown to stimulate production of the all-important nitric oxide, the key to a healthy erection.

According to a study in the journal Lipids, olive oil helps increase testosteroneproduction.

Rich in omega-3 fatty acids, salmon promotes erectile health by effecting a threefold increase in nitricoxide production, according to the Journal fertility and sterility. The researchers recommend 1gm of omega-3s a day, which you can get in 85gms of salmon.

Moderation is the key. According to research conducted by David R Meldrum, MD, a reproductive endocrinologist and a clinical professor at the David Geffen School of Medicine at UCLA, one or two drinks daily can have beneficial effects on erectile function, but more than that can suppress blood flow and decrease nitric-oxide production. Red wine is generally the best, Meldrum says. But the antioxidant content can vary a lot. Generally, warmer growing regions produce wines with more antioxidants.

Adding a daily handful of pistachios to your diet can improve your erectile function, sexual satisfaction, orgasmic function, sexual desire and overall satisfaction, according to a study in the International Journal of ImpotenceResearch. These tasty snacks are high in arginine, which increases nitric-oxide production.

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What it’s really like to have a two-inch micro-penis – GQ India