Men who are transgenders assigned female at birth still possess uterus, and consequently continue to menstruate as normal. Hormone therapy commonly used in the gender transition brings about a significant decrease or cessation of menstrual bleeding. In order to get personalized advice regarding the management of menstrual health for those going through gender transition, a specialist in transgender medicine or endocrinology needs to be consulted.

Yes, transgender women can have sex.

• She might engage in vaginal sex with a woman while still in the pre-op state. 
• If she has recovered from surgery, she might engage in vaginal sex with a man as a woman.

For someone who is 48 years old and seeking to transition from male to female, it's important to consult with an endocrinologist before starting any hormone therapy. They will guide you on the appropriate medications and dosages based on your specific needs. 

Transitioning from male to female involves various procedures, which may include hormone therapy and surgeries that align physical appearance with gender identity. Common feelings during this process include anxiety, depression, or uncertainty about body image. Causes can stem from gender dysphoria and a desire for authenticity. Solutions vary, ranging from emotional support and counseling to medical interventions. It’s essential to consult a plastic surgeon  who specializes in gender-affirming care for personalized guidance. They will work with you to develop a plan that best suits your needs.

Gende­r dysphoria causes discomfort with your assigned gende­r. You may feel sad or disconnecte­d from your body. Hormonal feminization therapy deve­lops feminine traits by taking female­ hormones. It helps your physical appearance­ match your true gender ide­ntity. Consult a plastic surgeon spe­cializing in transgender care. The­y'll guide you through the process, monitor progre­ss, and ensure safety.

It seems like you may be going through some changes about turning into the opposite sex. Understand that these changes are complicated and might need some medical interventions. You might require different amounts of hormones to help you through the process. Talk about what is bothering you and your symptoms with a doctor who can help you figure out the best way forward.

It's wonderful to hear you're considering surgery to align your physical body with your identity. At 52, many individuals successfully undergo this life-affirming procedure. Costs can vary significantly based on the surgeon, facility, and specific needs, typically ranging from $20,000 to $30,000 in the U.S. I strongly recommend consulting a qualified plastic surgeon who specializes in gender-affirming surgeries. They can help you understand the entire process, including potential risks and recovery. 

There are non-surgical options to consider. Methods involving hormones that cause breast development, such as the administration of estrogen or the use of progesterone, could be effective. The use of the hormonal valve of these aids is advised only medically and not as a means for self-reliance since it can have side effects on health.  I advise you to get in touch with a healthcare professional for a consultation so they can give you the right advice and direction considering your health condition and also investigate the effectiveness of the treatment. 

Starting the Opill birth control for breast enlargement can be risky. Use of birth control pills for a long time can cause problems such as high chances of blood clots, weight change, and emotional state. The hormone progestin in the pill can affect my levels of hormones. There are also claims that birth control pills made of progestin can affect the production of hormones. Consult your healthcare provider to make a safe decision and avoid risking negative consequences. 

You can certainly express your identity as a woman without experiencing significant discomfort associated with your assigned gender. Many individuals may identify diversely, and not everyone feels distress, which is essential to acknowledge. It's important to explore your feelings and experiences. Connecting with supportive communities can also be beneficial. However, discussing your thoughts and identity with a plastic surgeon can provide additional insights and guidance tailored to your needs. They can help you navigate your path, ensuring you feel understood and supported throughout your journey.

For feminization before hormonal therapy few tests has to be done, the eligibility and other health conditions need to check and based on that proper treatment plan can be prescribed.

Biologically a female aged 23 cannot be totally changed to a male by surgery. The fact remains that sex is defined by chromosomes. On the other hand, some transgender individuals might refer to surgeries in this area to alter their looks. Whoever is struggling with the gender issue, should get the consultation of a counselor who focuses on the theme of gender identity to reflect and discuss their feelings and the possibilities of their solution.

Transgender women who have had hormonal treatment and/or surgery may notice a drop in sperm count and fertility as a side effect of the process. But this scenario, when became the case, is an exception. Effective relationships between transgender women who wish to have a baby and a reproductive endocrinologist or fertility specialist are of utmost importance as they will provide them with advice and the needed support.

No, transgender women cannot get a period. 

A trans lady is a transgender person,

• Who has become male to female and
• Women who were designated to be male at birth are considered transgender. 

A trans woman lacks ovaries and a uterus because she was born with masculine gender identity. Trans women do not bleed or menstruate because they do not have uteruses, which shed and flow during menstruation. It is not possible for even those transgender women who have undergone sexual reassignment surgery (vaginoplasty). 

The cost for transitioning procedures varies widely, but typically, upper surgeries (like chest reconstruction) can range from $7,000 to $10,000, while lower surgeries (such as phalloplasty or metoidioplasty) can range from $20,000 to $30,000. Factors influencing these costs include the surgeon’s expertise, location, and hospital fees. It’s important to consult with a plastic surgeon who specializes in gender-affirming care for personalized advice and to discuss your options thoroughly. They can guide you through the process and help ensure the best possible outcomes.