MTF vs FTM | Everything You Need to Know in One Detailed Guide

The incompatibility between the physical phenotypes of persons and their conceptions about gender is called transgender identity and gender dysphoria. It is possible that a broader understanding of medicine is to blame for the rising prevalence. However, differences in brain anatomy as they pertain to biology and sexual orientation are becoming more widely studied factors in MTF vs FTM.

Key Takeaways

  • The term “Female-to-Male” is used to describe a person with a gender identity disorder who is going through transitioning their gender from female to male. You may use surgery and medication to facilitate a social or physical transition.
  • MTF refers to people identifying as female, whereas their biological gender is male.
  • The number of people with a prevalence of gender dysphoria or identifying as transgender is rising.
  • Many gender dysphoric individuals seek sex hormone therapy to help the transition.

MTF vs FTM: What Is the Sex Ratio?

According to the number of transgender patients visiting a transgender clinic for hormonal therapy, the rate of transsexualism, also called prevalence gender dysphoria, was 22.1 per 100,000 people, with a ratio of around 2.2:1 between the number of male to female transsexuals and the number of female to male transsexuals.

gender symbols

Why Are Trans-Women More Common Than Trans-Men?

Studies show that individuals receiving hormonal therapy were more likely to have a longer form of a receptor gene than cisgender males.

The binding of testosterone or dihydrotestosterone to the androgen receptor (NR3C4) causes it to become active. Once activated, the androgen receptor forms primary and secondary male sex characteristics.

What Causes This Gender Dysphoria?

Studies show that a particular variant genotype of a gene known as CYP17, which operates on the sex hormones pregnenolone and progesterone, is associated with female-to-male transsexuality but not with male-to-female transsexuality.

Not only do the FTM individuals have the variant genotype more frequently, but they also have an allele distribution that is equivalent to that of male controls, in contrast to the female controls.

graphic illustrations of person and their reflection in the mirror

A 2008 study discovered that one-third of identical twin pairs in the sample were transgender. The study found 13 of 39 monozygotic or identical pairings of assigned males and 8 of 35 pairs of assigned females were transgender. Only one out of 38 dizygotic or genetically non-identical twins was found to have both pair members identify as transgender.

Although there is a lot of variation in the available data, it is not uncommon to see gender variations in prevalence rates of transsexuality that are approximately 2:1 or greater for trans-women (MTF) over trans-men. That is because transsexuality is more common in women than males (FTM).

Because men only have one copy of the X chromosome, abnormal alleles are much more likely to be expressed phenotypically in men. This discovery is consistent with a genetic predisposition. Genes connected to transsexuality are identified on the X chromosome.

A comparable ratio of men to women is evident in sexual orientation, wherein gay men are nearly twice as prevalent as gay women. The gay male population is around twice as common as the gay female population.

a person in yellow sweater and blue jeans

Top Surgery for Gender Identity

The term “top surgical procedures” refers to operations performed from the waist up to the neck. Therefore, this necessitates the removal of the breast in addition to a double mastectomy for FTM patients. To generate breasts in an MTF scenario would require adding silicone.

Some choose not to get cosmetic surgery on their heads. It is pretty significant. Becoming the person you want lends an air of sophistication to the process. Surgery of the genital areas is what we mean when discussing bottom surgery. Therefore, modifying the initial work. The vagina will develop into a penis in an MTF, while the penis will form from the vagina in an FTM.

Top Surgery Explained

The size of their breasts and the location of their nipple-areola complex are being evaluated here; things that can affect how the surgery is performed.

Therefore, unless an individual is exceptionally petite, the two primary techniques to perform the procedure are a double incision, which involves creating a keyhole underneath the breast with a free nipple graft, or a free nipple graft alone. 

closeup of surgeon's hands and tools

Also, we believe that this is the most typical method employed by the majority of people that perform a significant amount of top surgery. There is a different approach that keeps the nipple sensation intact. However, this results in the loss of some breast tissue, which may cause the person to have a less flat chest overall. Everything hinges on what you hope to accomplish through the operation.

Therefore, the surgeons do an operation analogous to a subcutaneous mastectomy, in which they preserve the skin but remove all the breast tissue that lies beneath it. In addition, the nipple and areola complex is eliminated, removing any excess skin when the breast is lowered.

After that, they make a scar that runs across the underside of the breast. And position the nipple-areola complex as a free nipple graft, which means that they put it on as a skin graft in a position on the chest that gives the impression of being more masculine. And they do it while the patient is sitting up in the operating room so that they can identify where they want to put it and make some adjustments to it.

Again, to accommodate the male chest, they make the complex of the nipple and areola smaller. When surgeons perform activities of this nature, the pectoralis muscle is their reference point. In addition, a more developed pec is commonly a side effect of testosterone use, which can be a positive aesthetic change.

a person holding a lipstick and a mirror

Frequently Asked Questions

What is FTM vs MTF?

We consider anyone who blurs the distinctions between genders to be transsexual. The vast majority are categorized as either female-to-male (FTM) or female-to-woman (MTF), depending on which gender they were assigned a birth.

What is the ratio of MTF to FTM?

The ratio of MTF to FTM is not very clear. However, there is evidence to imply that there is a higher ration of trans women in the United States than trans men.

Are FTM male or female?

The term “female-to-male” (also known as “FTM”) refers to both a specific form of transgender or transsexual identity. It also refers to the direction of the physical change a person can undertake either socially or with the help of medical professionals through hormone therapy plus surgery. The individual is nonbinary.

What does MTF mean in gender?

MTF stands for a trans female. Descriptive phrases like Male to Female (MTF) and Female to Male (FTM) frequently represent transsexual people in the trans community. The terms are also used as a way of communication among transgender people.

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