{"id":187271,"date":"2022-06-30T14:18:24","date_gmt":"2022-06-30T18:18:24","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=187271"},"modified":"2022-06-30T15:10:15","modified_gmt":"2022-06-30T19:10:15","slug":"transgender-medical-services-at-uconn-health-helping-patients-live-their-authentic-lives","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2022\/06\/transgender-medical-services-at-uconn-health-helping-patients-live-their-authentic-lives\/","title":{"rendered":"Transgender Medical Services at UConn Health Helping Patients Live Their Authentic Lives"},"content":{"rendered":"<p>Transgender is a term that includes the many ways that people\u2019s gender identities can be different from the sex they were assigned at birth. Gender incongruence and\/or realization of identity as transgender can occur at any age.<\/p>\n<p>The number of young people who identify as transgender has nearly doubled in recent years, according to a new report that captures a stark generational shift and emerging societal embrace of a diversity of gender identities.\u00a0 This hasn\u2019t always been the case for other generations.<\/p>\n<p>The struggles faced by younger people are entirely different from those who transition later in life. Both Claire and Theo, patients of the UConn Health Transgender Medical Services, realized their gender dysphoria in their late 20s and early 30s.<\/p>\n<p><strong>CLAIRE<\/strong><\/p>\n<p>Claire was assigned male at birth and her earliest recollections stem from around 5 years old when playing house and wanting to play the \u201cmom.\u201d\u00a0 At the time, she thought nothing of it.<\/p>\n<p>\u201cI was a kid simply playing with my friends,\u201d she says.<\/p>\n<p>It was not until she turned 8 when things started to change. She was the quiet kid in school, not great at sports, who ran cross country and played video games but started getting picked on.<\/p>\n<p>When realizing gaps in the things boys were doing, she stopped playing dress-up and began doing things to fit in with her male friends.<\/p>\n<p>She didn\u2019t really like who she was and one birthday, her mom got her a book called \u201c<em>I Hate Everything<\/em>\u201d that characterized her personality.<\/p>\n<p>In her early teenage years, she started dressing in women&#8217;s clothes when her parents were asleep, she was happier when presenting more feminine but didn\u2019t really understand.\u00a0 At that time she didn\u2019t have the vocabulary or awareness that trans people existed. The cross-dressing continued in secret through college.<\/p>\n<p>\u201cI would often sit up at night wishing I could wake up as a woman,\u201d she recalls.<\/p>\n<p>She would want these things, but also fight them, repressing her thoughts or denying her feelings outright.<\/p>\n<p>Her first job was in Kansas, in the middle of the Bible Belt.<\/p>\n<p>\u201cI felt isolated, away from my family and the friends I had made in college,\u201d Claire says.<\/p>\n<p>Working in computers, she found a social virtual reality game online and decided to give it a try. The game allows players to talk with one another virtually in different rooms known as \u201cworlds.\u201d The worlds range from cozy dim-lit bars and cafes to the tops of mountains. Players could choose and even create their own avatar to represent themselves in the virtual world.<\/p>\n<p>\u201cIt was a place that accepted people for who they are,\u201d she says. \u00a0\u201cPeople talked to you like you are a person, and would not care about what you looked like.\u201d<\/p>\n<p>She immediately created a female avatar and tried different looks.<\/p>\n<p>\u201cI was on cloud nine, it felt so real and I was so much happier presenting as a woman,\u201d says Claire.<\/p>\n<p>Over time, she decided this was maybe something to think about and it was not a fetish or something to be hidden.<\/p>\n<p>At a routine check-up with her doctor, she decided to come out and ask about her different options. Her primary care physician was extremely helpful and referred her to the <a href=\"https:\/\/health.uconn.edu\/endocrinology\/\">UConn Health Endocrinology Department<\/a>.<\/p>\n<p>\u201cIt was nerve-wracking making the first appointment,\u201d said Claire. \u201cI thought I was going to have to prove myself to the doctor, that I was trans enough to move forward, but that ended up not being the case.\u201d<\/p>\n<p>The first meeting was with <a href=\"https:\/\/health.uconn.edu\/find-a-provider\/physician\/Shute-Britta\">Britta Shute<\/a>, and her anxiety and fears melted away as she started to tell her story. They discussed her possibilities and various medications.<\/p>\n<p>Claire decided to pursue hormone replacement therapy (HRT). Feminizing hormone therapy helps male-to-female transgender individuals (trans women) achieve a more feminine appearance. It uses anti-androgens to block male hormones. Taking estrogen and progestin helps you develop breasts, softer skin, rounder hips, and more.<\/p>\n<p>\u201cBritta was so very open and honest,\u201d says Claire. \u201cEvery visit is something I look forward to at UConn Health. If I&#8217;ve had a bad month, knowing I have an upcoming appointment keeps me going.\u201d<\/p>\n<p>The doctors involved in her care became a pivotal part of her transition process, they are the people she talked to beyond just the medication prescribed. \u201cBritta is always willing to help and having that has been insurmountably helpful, she has been nothing short of amazing,\u201d says Claire.<\/p>\n<p>\u201cLooking back a year or two, I struggled with depression that made it hard to get out of bed, I did not have any confidence or value of self in general,\u201d recalls Claire.<\/p>\n<p>She owed it to herself to find out who she is and live her life authentically. Claire is beginning her second year on HRT, has her dream job and a boyfriend.<\/p>\n<p>\u201cI am far more confident and feel I have a future \u2014 the book \u2018<em>I Hate Everything\u2019<\/em> is now in the trash,\u201d says Claire.<\/p>\n<p>Claire is very thankful to her family and doctors who have been so supportive.<\/p>\n<p><strong>THEO<\/strong><\/p>\n<p>Theo was born Grace to two amazing parents he describes as unencumbered by worries about traditional gender roles so he never had to worry about gender or gender expression.<\/p>\n<p>Now married, with two foster children and a job as a social worker, he knows it\u2019s normal for kids to be questioning who they are, but not everyone has family support.<\/p>\n<p>He did not grow up wrestling with who he was mostly because his parents let him be who he was.\u00a0 He realizes his journey is not typical and he came to the realization late, but feels strongly that we need to normalize exploration.<\/p>\n<p>Now 32, Theo started the transition in 2021.\u00a0 \u201cI\u2019d grown up a \u2018tom-boy,<em>\u2019<\/em>\u201d came out as a lesbian, and then explored a more nonbinary identity briefly before acknowledging that coming out trans masculine felt more authentic.<\/p>\n<p>\u201cI thought, this could be a thing, I could embrace being male,\u201d says Theo.<\/p>\n<p>He explored his thoughts with a therapist and his wife.\u00a0 His wife blessed his decision and was so supportive.\u00a0 It was then he started seeing Shute at UConn Health.<\/p>\n<p>\u201cBritta explained the process, asked how I came to the decision and what my goals were, says Theo.<\/p>\n<p>Theo also chose HRT and has been using hormones for a year. Female-to-male (FTM) testosterone therapy, or T therapy, is a treatment that some people may receive to induce \u201cmasculine\u201d physical traits and suppress \u201cfeminine\u201d ones. Those who choose to undergo T therapy will receive the hormone testosterone to reduce estrogen production<\/p>\n<p>He has chosen to have a subcutaneous mastectomy, a procedure to remove breast or chest tissue,<\/p>\n<p>Staying true to his roots, he chose the name Theodore \u201cTheo\u201d because his birth name of Grace of Latin origin means \u201c God\u2019s gift\u201d and Theodore of Greek origin also means \u201cgift from God\u201d or \u201cdivine gift.\u201d<\/p>\n<p>\u201cThis name was important to my mom and is a paternal family name, to honor my parents\u2019 respect regarding coming out I chose to keep it in this for her,\u201d says Theo. \u201cI am still Grace, I was a daughter, sister, mom, now I am a son, brother, father.\u201d<\/p>\n<p>He came to his decision late in life but loves that teenagers and kids are realizing their identity now and there is a vocabulary and conversation that did not exist when he was growing up.<\/p>\n<p>\u201cI am so grateful for UConn Health and all the support,\u201d says Theo \u201cIt is a nice climate and a good experience here.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Transgender is a term that includes the many ways that people\u2019s gender identities can be different from the sex they were assigned at birth. The Transgender Program at UConn Health supports those who are seeking services to change or explore the change of their gender identity. <\/p>\n","protected":false},"author":139,"featured_media":187758,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[179],"tags":[],"magazine-issues":[],"coauthors":[2209],"class_list":["post-187271","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uconn-health"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-11 06:23:26","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/187271","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/139"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=187271"}],"version-history":[{"count":11,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/187271\/revisions"}],"predecessor-version":[{"id":187755,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/187271\/revisions\/187755"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media\/187758"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=187271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=187271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=187271"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=187271"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=187271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}