There are a number of measures that F2M individuals may undertake to transform their bodies. Temporary measures include the use of male hormones, such as testosterone, binding of the breasts, the packing of an artificial penis, and dressing in a more masculine manner. F2Ms may also opt for more permanent surgical procedures including chest reconstruction and procedures to transform the genitalia including phalloplasty, vaginectomy, and scrotoplasty. Many of these surgical measures lead to infertility.
Not all of the steps that F2M people take to present themselves as female are physical. It’s quite common for F2Ms to alter their birth certificate and other identification to better reflect their gender.
F2Ms are at greater risk of mental health problems than the general population. Many F2Ms struggle to fit in, which can lead to shame, loneliness, and depression. These problems can lead to self-harm, substance abuse, and suicide. Because of these risks, it’s crucial that F2Ms get the support they need, whether from family members, friends, support groups, or counseling services.