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.”

Patrick says the media coverage around young trans people has been vile…I found a lot of value in not checking the news.

Age at interview 20

Patrick describes his sexuality I am a masculine presenting person who is attracted to masculine presenting people.

Age at interview 20

Patrick talks about the misinformation of young people accessing healthcare.

Age at interview 20

Patrick says I had so many other things going on with my mental health that weren’t tied to gender.

Age at interview 20

Patrick talks about the support they found from the trans community and youth groups.

Age at interview 20

Patrick describes his sexuality a little bit as like a coat that you can put on and you can take off.

Age at interview 20

Patrick talks about their experience of recovery after top surgery including drains for fluid and dressings.

Age at interview 20

Patrick says the crossover from the young person services to adult services had been really easy.

Age at interview 20

Patrick describes administering Nebido [a long acting testosterone injection]

Age at interview 20

Patrick describes the two main options for lower surgery’ Metoidioplasy and Phaloplasty.

Age at interview 20

Patrick describes his experience of double incision top surgery’ and being a lot more comfortable in his body.

Age at interview 20

Patrick reflects on his expectations of GIDS. At the time it was really frustrating but looking back it was really useful to have that space to just explore what I wanted.

Age at interview 20

Patrick felt the assessment sessions were an interrogation of who I was,’ and it was overwhelming.

Age at interview 20

Patrick talks about cutting his hair, buying new clothes and wearing a binder.

Age at interview 20

Patrick talks about his support in college and the value of being able to share his experiences with people.

Age at interview 20

Patrick feels that when visiting the GP he always has to do the explaining.

Age at interview 20