How can I transition to male in Bangladesh?

Usually, top surgery is suggested when you are 18 or above the age of 18. But you can get top surgery at 16 if you have your parents approval and after consulting with a qualified doctor. 

FMGA surgery DOES NOT allow for biological pregnancy.. 

Before undergoing mtf or ftm, the doctor may suggest doing some tests. 

Tests for mtf

• Hormone level testing
• Pelvic exam
• Breast exam
• Prostate cancer screening

Tests for ftm

• Hormone level testing
• Pelvic exam
• Breast exam
• Cervical cancer screening

Other than the tests, the healthcare provider may give certain instructions. For example, if you are planning for a hormone therapy, you may be given instructions on how to take the hormone medications and how to monitor for potential side effects etc. And in case of a surgery also, you may be given certain instructions on the diet you need to follow, and which medications you should take or not take, etc.  

It is important to work closely with your healthcare provider and follow all the guidelines and instructions given by him to have a smooth transition journey. 

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.

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. 

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. 

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.