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Boygasms and Girlgasms: A Frank Discussion About Hormones and Gender Differences
THOUGH I AM OFTEN RELUCTANT to indulge people’s fascination with the details of my physical transition from male to female, I will often make an exception regarding the psychological changes I experienced due to hormones. The reason for this is quite simple: Sex hormones have become horribly politicized in our culture, evident in the way that people blatantly blame testosterone for nearly all instances of male aggression and violence, or the way that women who become legitimately angry or upset often have their opinions dismissed as mere symptoms of their body chemistry. Such hormonal folklore has strongly influenced medicine, as evidenced by the countless shoddy, pseudoscientific studies claiming to verify popular assumptions about testosterone and estrogen. Of course, such overt politicization has created a significant backlash of people who now play down the role of hormones in human behavior, who argue that most of their presumed effects (making men overly aggressive and women overly emotional) are better explained by socialization—after all, young boys are encouraged to be aggressive and discouraged from showing emotions, and vice versa for girls.
Having experienced both female and male hormones firsthand, I feel it’s my duty to spoil this nature-versus-nurture debate by offering the following description and interpretation of my personal experiences “transitioning” from testosterone to estrogen and progesterone. But before I begin, there are two important points that must be made prior to any discussion regarding hormones. First, contrary to popular belief, hormones do not simply act like unilateral on/off switches controlling female/feminine or male/masculine development. All people have both androgens (which include testosterone) and estrogens in their systems, although the balance is tipped more toward the former in men and the latter in women. Not only are there different types of androgens and estrogens, but these hormones require different steroid receptors to function, are metabolized by numerous enzymes that can shift the balance by converting one hormone to another, and function by regulating the levels of scores of “downstream genes,” which are more directly responsible for producing specific hormonal effects. Because of all these variables, there’s an extensive amount of natural variation built into the way individual people experience and process specific hormones.
The second issue to keep in mind is the difficulty in distinguishing “real” hormone effects from their perceived or presumed effects. For example, shortly after I began hormone therapy, I had a strong craving for eggs. I immediately attributed this to the hormones until other trans women told me that they never had similar cravings. So perhaps that was an effect of the hormones only I had. Or maybe I was going through an “egg phase” that just so happened to coincide with the start of my hormone therapy. Hence, the problem: Not only can hormones affect individuals differently, but we sometimes attribute coincidences to them and project our own expectations onto them.
For these reasons, I will limit my discussion here to those hormonal changes I have experienced that have been corroborated by other trans women I have spoken with. Also, rather than get into the more physical effects of hormones (i.e., muscle/fat distribution, hair growth, etc.) which are not in dispute, I will focus primarily on the “psychological” changes—in my emotions, senses, and sexuality—that I experienced early on when I began taking estrogen along with an anti-androgen, which suppresses endogenous testosterone levels, to shift my hormonal balance into the range that most adult women experience.
People often say that female hormones make women “more emotional” than men, but in my view such claims are an oversimplification. How would I describe the changes I went through, then? In retrospect, when testosterone was the predominant sex hormone in my body, it was as though a thick curtain were draped over my emotions. It deadened their intensity, made all of my feelings pale and vague as if they were ghosts that would haunt me. But on estrogen, I find that I have all of the same emotions that I did back then, only now they come in crystal clear. In other words, it is not the actual emotions, but rather their intensity that has changed—the highs are way higher and the lows are way lower. Another way of saying it is that I feel my emotions more now; they are in the foreground rather than the background of my mind.
The anecdote that perhaps best captures this change occurred about two months after I started hormone therapy. My wife, Dani, and I had an argument and at one point I started to cry—something that was not all that uncommon for me when I was hormonally male. What was different was that after about a minute or so, I began to laugh while simultaneously continuing to cry. When Dani asked me why I was laughing, I replied, “I can’t turn it off.” Back when I was hormonally male, I felt as though I was always capable of stopping the cry, of holding it all in, if I really wanted to. Now, I find it nearly impossible to hold back the tears once I start crying. I’ve learned instead to just go with it, to let myself experience the cry, and it feels a lot more cathartic as a result.
In general, even though my emotions are much more intense these days, I certainly do not feel as though they get in the way of my logic or reasoning, or that they single-handedly control my every thought or decision. I remain perfectly capable of acting on rational thought rather than following my feelings. However, what I can no longer do (at least to the extent that I used to) is completely ignore my emotions, repress them, or entirely shut them out of my mind.
The change in the intensity of my emotions is paralleled in my sense of touch as well. I cannot say for sure that my sense of touch has improved—that I am able to feel things that I couldn’t before—but it surely plays a greater role in how I experience the world. Whenever I am interested in something, whether it’s a book, a piece of artwork, an article of clothing, or an object or material of any kind, I feel compelled to touch it, to handle it, as though my understanding of it would be incomplete without the tactile knowledge of how it physically feels to me. In contrast, when hormonally male, I generally felt satisfied with simply seeing an object of interest.
Unlike my emotions and sense of touch, which seem to have primarily increased in intensity, my sense of smell has definitely increased in sensitivity. That is to say, I now can smell things that I was previously unable to detect. Though it sounds like a cliché, during the first spring after my transition I was blown away by how flowers smelled to me. While I’d always found them very fragrant, I suddenly smelled all of these subtle notes and perfumes that I had never been aware of before. I also had similar experiences with the aroma of certain foods. Perhaps the most interesting facet of this change for me has been sensing new smells in people. I find that men now sometimes have a really strong, somewhat sweet smell to them that I had never been privy to before. But it is not simply that I have gained the ability to pick up on male odors or “pheromones,” because I also now detect new smells with women. During my transition, I noticed that when I would kiss Dani or nuzzle my nose into her neck, it felt as though fireworks were going off in my brain. I was barraged with amazingly sweet, soothing, and sensual smells that not only sexually stimulated me, but also made me feel closer to her, as if I were connected to her in a way that I hadn’t been before. Indeed, the increase in my senses of smell and touch, and the way I feel more “in touch” with my emotions, has led me to feel more in tune with the world, and with other people.
Without a doubt, the most profound change that has come with my hormonal transition has been in my sexuality. In fact, the very first change that I noticed—which came during my first few weeks on estrogen/anti-androgens—was a sharp decrease in my sex drive. I noticed this for the first time at the end of a really busy week, after working many hours and being out late most nights. It suddenly occurred to me, only after the fact, that I had neither had sex nor masturbated during the entire week. While this may not seem impressive to some readers, for me, at the time, it was completely unheard-of. I could barely go a day, let alone two days, without some form of release (in fact, for much of my adult male life, masturbating was an activity that I typically indulged in one to three times a day). While my sex drive may have decreased, this surely does not mean that I have lost interest in sex entirely. I still intensely enjoy masturbation and sex, it’s just that I crave it about three to four times a week rather than one to three times a day.
While the quantity of my sexual experiences has decreased significantly, the quality of those experiences has increased exponentially. Indeed, I called this chapter “Boygasms and Girlgasms” because, for me, the differences in how my body responds to sexual stimuli—how I “get off,” if you will—has been the most dramatic (and in many ways most enjoyable) hormonal change that I’ve experienced. I began to notice these changes within the first few weeks of starting hormone therapy. Even before I lost the ability to maintain erections, I found that what used to excite me—that back-and-forth stroking action that males typically prefer—really wasn’t doing the trick anymore. I just felt like I needed something more. So I started experimenting with Dani’s vibrators. When I had tried them in the past, they always felt like too much stimulation, but now they suddenly felt absolutely incredible. And back when I was hormonally male, sexual stimulation would cause me to climb rather rapidly toward the peak of orgasm; if I wanted the experience to last longer, I had to keep pulling back just before I hit that precipice. But now I found that I could go way beyond what used to be the point of orgasm, writhing for fifteen minutes in a sexual state that was far more intense than I had ever experienced before. Now, my orgasms are way more in the female rather than male range: They typically take longer to achieve (but are well worth the wait), each one has a different flavor and intensity, they are less centralized and more diffuse throughout my body, and they are often multiple.
Not surprisingly, changes in my senses have also greatly influenced my sexuality. Not only am I more sexually excited by the scent of my partner, but the increase in my tactile senses make my whole body feel alive—electric—during sex. Nowhere is this more obvious than in my nipples, which seem to have a direct connection to my groin. It also has become apparent to me that I am less visual with regard to my sexuality. I don’t think that I recognized this at first, probably because it is harder to notice the gradual loss of a sensation than the appearance of a new one. I only realized it about a year later, when I began taking progesterone for ten days out of the month to simulate the endogenous expression of progesterone in most women. The first thing I noticed upon taking progesterone is that my sex drive, particularly in response to visual input, sharply increased. In fact, the visual effects of progesterone very much reminded me of how I responded to visual stimuli when I was hormonally male.
Upon hearing my experience, I am sure that some people—particularly those who favor social, rather than biological, explanations of gender difference—will be somewhat disappointed at the predictable nature of my transformation. Some may even assume that I am buying into female stereotypes when I describe myself becoming a more weepy, touchy-feely, flower-adoring, less sexually aggressive person. Not only are similar experiences regularly described by other trans women, but trans men typically give reciprocal accounts: They almost universally describe an increase in their sex drives (which become more responsive to visual inputs), male-type orgasms (more centralized, quicker to achieve), a decrease in their sense of smell, and more difficulty crying and discerning their emotions.1
On the other hand, those who are eager to have popular presumptions about hormones confirmed will probably be just as disappointed to hear what has not noticeably changed during my hormonal transition: my sexual orientation; the “types” of women I am attracted to; my tastes in music, movies, or hobbies; my politics; my sense of humor; my levels of aggression, competitiveness, nurturing, creativity, intelligence; and my ability to read maps or do math. While it would be irresponsible for me to say that these human traits are entirely hormone-independent (as it is possible that fetal hormones potentially play some role in predisposing us to such traits), they clearly are not controlled by adult hormone levels to the extent that many people argue or assume.
While transsexual accounts of hormones are largely in agreement with one another, I also find it illuminating to examine the more subtle differences between our individual experiences. For example, I have heard several trans men describe how they started to consume porn voraciously upon taking testosterone. While my sexuality was definitely more visual when I was hormonally male, and I certainly enjoyed looking at porn on occasion, I still always preferred erotic stories and fantasies to pictures of naked bodies. Similarly, I have heard some trans men say that they almost never cry since taking testosterone, whereas I used to cry somewhat often (although not nearly as often as I do now) when I was hormonally male. Some trans men have also described becoming more aggressive or competitive since taking testosterone (although many others describe themselves as becoming more calm).2 However, when I was hormonally male, I typically found myself to be the least aggressive or competitive guy in any room that I entered. This is not to say that I was passive, as I have always been motivated and eager to succeed at any task I have taken on. Rather, I have never really felt any desire to have my success come at the expense of others.
Thus, it is clear that typical male levels of testosterone, in and of itself, are insufficient to produce many of these stereotypically male behaviors, most likely because of the variability that exists from person to person in the way this hormone is processed and experienced. While a part of me is tempted to attribute my apparent imperviousness to testosterone to the fact that I am trans—that on some level, I was never fully or completely male—I also realize that many cissexual people are exceptions in this regard as well. I know plenty of non-trans men who are not particularly into porn, who are not very aggressive, and/or who often cry. I have also met women who have high sex drives, who enjoy porn, and/or who are just as aggressive and competitive as the average alpha male. Thus, there seems to be more variation among women and among men than there is between the averages of these two groups.
Acknowledging this variation is absolutely crucial in order for us to finally move beyond overly simplistic (and binary) biologyversus-socialization debates regarding gender. After all, there are very real biological differences between hormones: Testosterone will probably make any given person cry less frequently and have a higher sex drive than estrogen will. However, if one were to argue that this biological difference represents an essential gender difference—one that holds true for all women and all men—they would be incorrect. After all, there are some men who cry more than certain women, and some women who have higher sex drives than certain men. Perhaps what is most telling is that, as a society, we regulate these hormonally influenced behaviors in a way that seems to exaggerate their natural effects. We actively discourage boys from crying, even though testosterone itself should reduce the chance of this happening. And we encourage men to act on their sex drives (by praising them as “studs”) while discouraging women from doing the same (by dismissing them “sluts”), despite the fact that most women will end up having a lower sex drive than most men anyway.
While many gender theorists have focused their efforts on attempting to demonstrate that this sort of socialization produces gender differences, it seems to me more accurate to say that in many cases socialization acts to exaggerate biological gender differences that already exist. In other words, it coaxes those of us who are exceptional (e.g., men who cry often or women with high sex drives) to hide or curb those tendencies, rather than simply falling where we may on the spectrum of gender diversity. By attempting to play down or erase the existence of such exceptions, socialization distorts biological gender difference to create the impression that essential differences exist between women and men. Thus, the primary role of socialization is not to produce gender difference de novo, but to create the illusion that female and male are mutually exclusive, “opposite” sexes.
Recognizing the distinction between biological and essential gender differences has enormous ramifications for the future of gender activism. Since there is natural variation in our drives and the way we experience the world, attempts to minimize gender differences (i.e., insisting that people strive to be unisex or androgynous) are rather pointless; we should instead learn to embrace all forms of gender diversity, whether typical (feminine women and masculine men) or exceptional (masculine women and feminine men). Further, since some attributes that are considered feminine (e.g., being more in tune with one’s emotions) or masculine (e.g., being preoccupied with sex) are clearly affected by our hormones, attempts by some gender theorists to frame femininity and masculinity as being entirely artificial or performative seem misplaced. Rather than focus on how femininity and masculinity are produced (an issue that has unfortunately dominated the field of gender studies of late), we should instead turn our attention to the ways these gender traits are interpreted.
The issue of interpretation becomes obvious when considering transsexuals. For example, one cannot help but notice how much more empowering trans male descriptions of hormonal transition tend to sound compared to those of trans women. Trans men experience an increase in their sex drive, become less emotional, and their bodies become harder and stronger—all of these changes having positive connotations in our society. In contrast, I have experienced a decrease in my sex drive and become more emotional, softer, and weaker—all traits that are viewed negatively. The reason for these differing connotations is obvious: In our culture, femininity and femaleness are not appreciated nor valued to the extent that masculinity and maleness are. And while embracing my own femaleness and femininity during my transition was personally empowering and rewarding, I nevertheless felt overwhelmed by all of the negative connotations and inferior meanings that other people began to project onto me. These meanings were not only projected onto my female body, but onto the hormones themselves: from the warning label on my progesterone prescription that read, “May cause drowsiness or dizziness” and “Avoid operating heavy machinery,” to the men who have hinted that my female hormones were responsible for the fact that I disagreed with their opinion, and the women who sneered, “Why would you ever want to do that?” upon finding out that I have chosen to cycle my hormones.
Once we start thinking about gender as being socially exaggerated (rather than socially constructed), we can finally tackle the issue of sexism in our society without having to dismiss or undermine biological sex in the process. While biological gender differences are very real, most of the connotations, values, and assumptions we associate with female and male biology are not.