Patrick
Gender expression: Trans masculine
Pronouns: He/Him/His
Patrick identifies as trans masculine and gay. Patrick came out as trans in 2014 at about age 15, before he completed his GCSEs. At this time, he was the only trans person in his school, which made his journey very difficult. Patrick says, “It took me several years to navigate and become comfortable in my own identity.” Patrick’s first memory of gender incongruence was in Reception when he was asked what he wanted to be when he grew up. Other children responded with astronaut or fireman and Patrick said he wanted to be a boy.
When Patrick started puberty, he said he felt “wrong” and like his body “should not be going through certain changes”. Because he did not have the language to describe why these changes felt so uncomfortable, he was not able to identify as trans until a couple of years later. Patrick has bounced around different labels within the trans umbrella. He says he has settled on trans masculine as something that works best for him.
Patrick has sought medical support from children and adolescent mental health services (CAMHS), and when he turned 18 he was referred to adult gender identity services. He has been on hormones and has had top surgery and is now waiting for lower surgery. Patrick says he continues to explore gender and all its complexities.
Patrick has decided to pursue a medical transition. This begun with taking hormones in the form of a gel. At first Patrick felt fine about taking the gel, but he did not see many physical changes. So, he began taking Nebido, a hormone injection, every 3 months. He says he has seen more drastic changes while on the injections.
When asked about his experience of receiving information about trans healthcare, Patrick says it has been challenging. He thinks that trans people tend to get information about healthcare through word of mouth and talking to other trans people rather than through more formal routes (i.e. GPs). Patrick’s message for healthcare professionals is “do your research, don’t wait until you need to know the information.” He adds, “just treat us with respect.”