Transexual women before and after

Individuals are considered to be transgender if their gender identity does not align with the sex they were assigned at birth. Not all individuals choose to medically or surgically transition. However, those who do may face a dilemma: what do they do if they want to have children later in life? Both hormone treatments and surgery can impact fertility. Some surgeries, such as the removal of the ovaries or testes, will leave someone permanently infertile. Research has shown that around half of transgender adults regret their inability to have children after they transition.

Gender identity clinics are in place throughout the UK to provide support to those feeling distressed by the condition - but what happens when a trans person undergoes surgery and later decides to revert back to their original gender? These are not questions that are not easily-answered. Five phone calls and endless emails later, the details regarding what circumstances would allow for such a treatment to be carried out on the NHS remain muddled. A specialist in genital reconstruction with 20 years of experience, Prof Djordjevic began conducting the innovative procedures after a transgender patient who had undergone surgery to remove male genitalia requested a reversal.

The year-old is thrilled with the results and the pioneering surgery has given her the chance of having a sex life again. A woman has become the first transgender person in the world to undergo successful vaginal reconstructive surgery using the skin of tilapia fish. The year-old, who prefers to be identified only as Maju, underwent the procedure as her vagina began to shrink and close up following botched sex reassignment surgery. A medical team led by gynaecologist Professor Leonardo Bezerra, of the Federal University of Ceara UFC in Fortaleza, north east Brazil, revealed that the pioneering operation has given her the chance of having a sex life again.

Gender identity is a person's internal, personal sense of being a man or a woman or boy or girl. For some people, their gender identity does not fit neatly into those two choices. For transgender people, the sex they were assigned at birth and their own internal gender identity do not match.