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Look up Benjamin Standards of Care for transgenders. Basically, you must first be evaluated by a professional--a psychologist, therapist or psychiatrist who will make the determination whether or not you are gender dysphoric. If that diagnosis is made (usually after a number of appointments) he or she will refer you to an endocronologist for testing. If there are no contraindications you will be prescribed female hormones. Usually the prescribing doctor will start you off on relatively low doses to make sure there are no adverse effects. If, after a few months there are no negative side effects, the dosage is usually increased. You will probably take a testosterone blocker such as spironolactone as well. Once the higher dosage is prescribed you can expect your body to start changing fairly quickly (although it is highly individualistic as to how quickly and how much). The first thing you are likely to notice is increased nipple size and sensitivity along with an expansion of the dark area surrounding the nipples. Most transgender women also notice, after a time, a hard and somwehat painful lump behind each nipple. This is caused by the development of milk ducts as your body responds to the estrogen. Depending on how old you are (the younger the better) your breasts will develop over a period of one to three years. Your skin will soften, your butt will probably get larger and rounder, your thighs will reshape to a more feminine contour, your waist will diminish and you will probably notice a heightened sensitivity from all over your body. There are other changes as well--some of then psychological as your mind also feminises. Essentially you are going through a second puberty. It is essential to get periodic blood tests during this time. Generally, there is a one year requirement for living and working in your new gender--24/7--before you can be considered fot SRS. During that year you will dress, live and function as a woman. I hope this answers your question.

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