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I've only worn a dress about 12 times in my whole life. 'I started my periods at 13 and felt it shouldn't be happening.' At the age of 19 he was told by his then-boyfriend to watch a TV programme about being transgender but it wasn’t until he was 33 that he got the right help to transition towards becoming a man. PA 'DIFFERENT': Jay says he always wanted to be a boy Jay said: 'On reflection, I have known since I was five that I was different from the other girls. I just thought I was a boy. 'It was [when I was 19] that I thought I might be transgender, but I hid in the closet.

Jay began his transition with testosterone injections back in March 2009 – and he’ll keep getting the jabs for the rest of his life. PA HAPPY: Now Jay finally feels comfortable in his own skin He said: 'I was finally fixing myself to how I should be and matching up my brain and body. 'Starting my testosterone injections was one of the most amazing days of my life, knowing I was soon going to be happy in myself. 'My periods stopped within 12 weeks, my voice started to break and body hair began growing – along with my confidence. 'I felt nervous and excited to have all of my surgery, I couldn't believe it was actually happening, getting the right bits in the right places. 'I felt I was in a grey area before, but now everything is black and white.' Related Articles • • •.

“The first time I had sex after becoming a 'virgin' again was amazing” Jay Murray 'When I was 22, I came out as a lesbian and dated a few women. 'I liked women so thought I could fit in that bracket, but still something was not right.'

Two-stage technique 2. One-stage technique The two-stage radial forearm free flap technique involves urethral prefabrication prior to the main step (phalloplasty) for 6 months. This is suitable for those who have small size of forearm. ​ (Picture 2: Radial Forearm Free Flap) The one-stage radial forearm free flap involves reconstruction of the neo penis and neo urethra in one stage under microsurgery technique.

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PA STRUGGLE: Jay Murray didn't begin transitioning until he was 33 Jay Murray, who was born female, feels like he lost his virginity for a second time after having a penis constructed from his arm. The 41-year-old always thought something about him was 'different' but now he finally feels complete after having his DD boobs removed, a hysterectomy to cut out his womb and a phalloplasty. Surgeons used skin from his forearm to make the penis and replaced missing skin on his forearm from his waist. PA NEW BEGINNING: Jay began testosterone injections back in March 2009 Jay revealed: 'It was a big decision because once you start there's no going back so I really made sure I was ready. 'Suddenly I had something in my pants and had to buy supportive underpants.

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One flap technique The surgical technique involves a two-step operation; the first step includes oophorectomy-hysterectomy (O&H), vaginectomy, urethral lengthening, urethral lengthening and urethral tube preparation (urethral prefabrication). The neophallus (penis) is reconstructed as the pedicle flap with sensory nerves and urethral anastomosis (connection) in the second step. The duration between first and second step is approximately 6-12 months. Double flaps technique (Two flaps technique); patients also need O&H, vaginectomy and urethral lengthening 3-6 months prior to the step of neo penis reconstruction. The redial forearm free flap is used for the neo urethra under the microsurgery technique, nerves and urethral re-connection are performed. The ALT flap is wrapped around the radial forearm urethral at one-stage operation. (Picture 1: ALT-Pedicle Flap) Radial forearm free flap technique, we provide two options 1.