Can transgender individuals have children?

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. 

If you don't take testosterone or undergo top surgery, you can still build your pecs by lifting weights. Pecs, short for pectoral muscles, can grow with exercises like chest presses and push-ups, which target these muscles. Pace yourself, use the correct form, and be consistent with your workouts. Your pecs can still develop even without testosterone.

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. 

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.

In case you are thinking about using the FTM hormones and having surgery to get a perfect result in New Delhi, it should be pointed out that this practice is a part of transitioning from female to male people. Gender dysphoria is generally expressed through the person's feeling that the gender identity that the person was born with is inappropriate and does not agree with the person's innate gender. Hormone therapy and surgery can help reunite gender and sex. Make sure to approach a specialized doctor in New Delhi who has the necessary experience in providing these treatments for the best outcomes.

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 is usually not recommended to get top surgery at 13. One should atleast be 18 years of age to get top surgery.