Ex-Transgender Teen Recounts ‘Horrifying’ Experience of Transition, Surgery

Her “brutal” transition from female to male was anything but the romanticized “gender journey” that transgender activists and medical professionals had portrayed, she told The Epoch Times.

“It’s a little creepy to call it that,” she said.

Cole, who is now 18, feels more like she’s just awoken from “a nightmare,” and she’s disappointed with the medical and school system that fast-tracked her to gender transition surgery.

“I was convinced that it would make me happy, that it would make me whole as a person,” she said.

Although she feels “let down” by most of the adults in her life, she doesn’t blame her parents for following the advice of school staff and medical professionals, who “affirmed” her desire for social transitioning, puberty blockers, cross-sex hormones, and surgery.

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Most of the medical professionals did nothing to question or dissuade her or her parents, she said.

“They effectively guilted my parents into allowing them to do this. They gave them the whole, ‘Either, you’ll have a dead daughter or a live son,’ thing. They cited suicide rates,” she said. “There is just so much complacency on the part of educators—all the adults basically. I’m really upset over it. I feel a little bit angry. I wasn’t really allowed to just grow.”

Her parents, though skeptical, trusted the medical professionals and eventually consented to their daughter’s desire for medical interventions, including surgery, which was covered by their health insurance policy.

Today, Cole is one of a growing number of young “detransitioners” who reject current trends in transgender ideology and oppose the “gender-affirming” model of care being pushed by progressive lawmakers at state and federal levels.

“I think that is really dangerous for families across the U.S. It can tear families apart,” said Cole, who is expected to testify against the bill again this week.

Cole has been harassed on social media and received a couple of death threats from trans activists since she announced her detransition and took a stand against “gender-affirming” policies.

“There is really a high comorbidity rate between gender dysphoria and autism,” she said.

Though “very feminine” as a young child, Cole was “a bit of a tomboy,” as she grew older.

“I just really hated dresses, skirts, and things of that sort,” she said.

Children’s TV shows had left her with the message “girls are less significant,” because they often depict characters who are more girly or feminine as “stupid, airheaded, and like just get in the way of things,” she said. “And that kind of imprinted on me.”

However, her real fear of femininity and early disdain for womanhood began years ago on social media and LGBT websites, she said.

“I had started puberty fairly young, about 9 years old, and I started to struggle with growing into a woman,” she said.

She started her first social media account at 11 on Instagram, and with nearly unrestricted access to the internet, she was exposed to inappropriate content, including pornography and “sexting” in online communities.

On Instagram, she was first approached by boys who identified as gay and bisexual through the platform’s messaging feature, but eventually began spending more time on recommended websites for 12- to 19-year-old “trans” teens.

“There was one particular page that stood out to me. It was a bunch of adolescents who identified as FTM [female to male]. It seemed like they were very closely knit, a very supportive community, and that just kind of spoke to me because I’ve always struggled with making friendships and feeling excluded. I’ve never really fit in with other kids my age,” she said.

Cole seldom interacted with the transgender community in real life, but she noticed from online discussions with trans teens that many of them had deep emotional scars and mental health issues.

“Pretty much every transgender person I’ve ever met, especially around my age, either has really bad family issues or they’ve been sexually abused or assaulted at a very young age, and it’s really concerning that nobody really talks about that association,” she said.

At 11, Cole also didn’t understand she wasn’t supposed to look like the sexualized images of scantily clad women she saw online.

Cole went to a gender specialist, who referred her to an endocrinologist. When the endocrinologist refused to prescribe blockers or hormones, citing concerns about how they could affect Cole’s cognitive development, he became the first and last doctor to ever deny her “gender-affirming” care.

“It was very easy to just find another endocrinologist who would ‘affirm’ me,” she said.

After two appointments, a second endocrinologist approved both puberty blockers and testosterone.

Cole was 13 when she began physically transitioning. The puberty blocker injections reduced the estrogen in her body, and about a month later, she started injecting herself with testosterone, a process medical professionals call hormone therapy.

“They put me on blockers first,” she said. “I would get hot flashes. They were pretty bad. They would happen kind of sporadically, and it would get to the point where it would feel really itchy. I couldn’t even wear pants or sweaters in the winter. It’s like an artificial menopause.”

Once on testosterone, Cole’s voice “dropped pretty low” and her breasts got smaller and lost their shape over time, she said.

Cole stayed on puberty blockers for about 18 months and testosterone for about three years.

“I never even told teachers my preferred name or anything up until high school, but I was presenting in men’s clothes and shorter haircuts,” she said.

A few months after she was prescribed testosterone, Cole was groped by a boy in the middle of her eighth-grade history class, which was so chaotic that no one noticed—including her teacher, she said. The incident sealed her decision to wear binders to flatten and conceal her breasts.

“I had a relatively small chest, but it still did a bit of damage to me. My ribs are a little deformed because of them. The way they work—it’s not like the breasts just disappear—they push the breast into the ribcage,” she said.

Cole recalls her binder sticking to her skin in the hot Central Valley California weather and her chest feeling constricted.

“It was just the most uncomfortable thing,” she said.

She used the men’s bathroom, but always feared she might be sexually assaulted.

However, she didn’t change in the boys’ locker room because she was afraid of being seen with her binder and “that somebody would make a comment on it, and target [her] for it,” she said.

Most of the students, except those who had known her as a younger child, knew her as a male, but a boy in her phys ed class eventually noticed her feminine features.

“There was one time during P.E. when we were swimming. I took my shirt off. I was wearing a binder, and somebody pointed out my body shape. That was another thing that made me want to get rid of my breasts,” Cole said. “He said something along the lines of, ‘I don’t know what it is, but you’re looking kind of feminine,’ and that kind of hurt me.”

In hindsight, she said, “it kind of felt like propaganda—the words they use like ‘gender-affirming care’ and things of that sort,” she said. “It does feel like I was sold a product.”

Cole recalls looking around the room and noticing about half of the other kids appeared they were a few years younger than her.

“Looking back on it now is a little horrifying. It’s a little weird considering ... they were already considering surgery,” she said.

But at the time, seeing other kids and knowing she wasn’t alone solidified Cole’s decision to go ahead with the most widely performed type of double mastectomy called a “double incision with nipple grafts” in June 2020. She was 15.

The surgery involved removing breast tissue and contouring the chest to make it look more masculine.

“They take off the nipple and reattach it in a more masculine position, and there are a few side effects associated with it,” Cole said.

Not only is there a loss of sensation from cutting away the breast tissue, but repositioning the nipple requires severing the duct that supplies breastmilk to the nipple, she said.

The surgery left Cole with deep muscle soreness for which she was prescribed an opioid-based medication, but because the pain from the resulting digestion problems was worse than the pain in her chest, she stopped taking the pills.

“I was actually disabled for a while. I had a really limited range of motion, especially in my arms and upper body. There were a lot of things I couldn’t do. I couldn’t even leave the house for a few weeks,” she said. “I remember that being really upsetting.”

The most devastating part of the recovery process has been ongoing post-op issues with her nipples, she said.

“It’s been two years, and I’m still having some really bad skin issues,” she said. “The way the skin heals over the grafts ... is just awful. It’s really quite disgusting.”

Cole said she had trouble contacting her surgeon afterward, and although she was supposed to have a follow-up appointment with him, she ended up having a call with two nurses who were in the operating room instead.

She also worries the puberty blockers might have affected her brain development as her first endocrinologist had warned, but her greatest regret is how the surgery has permanently affected her as a woman.

“For a while, it made me wonder, ‘Is this really a woman’s worth? If I don’t do this, does that make me not as good as these other women?’” she said.

But eventually, Cole bought some feminine clothing and makeup, which she only wore in the privacy of her room. “I guess subconsciously I started to realize what I was losing. I started to miss presenting more femininely, like being pretty,” she said.

Over time, she grew increasingly more disillusioned with the idea of living as a man.

“I realized I wasn’t really up for a lot of the responsibilities that come with it,” she said. “There were times when I felt like I wasn’t good enough as a girl, but maybe I’m not good enough as a boy either, and maybe I just can’t be good enough to be either, so I don’t really know what I am.”

Over the next few months, the isolation of the lockdowns and school closures took their toll on Cole’s state of mind. She was depressed and fell into an emotional tailspin.

During the second semester of her junior year, Cole’s grades plummeted, and her parents decided to put her into an online-only school program.

“It was sort of like a homeschooling program, except I would have to go to the district office at least once per week for testing purposes,” she said. “My school performance actually got a lot worse, because now I was truly isolated.”

But Cole admits that having less social interaction gave her time for more introspection.

“I am a woman,” she said.

Despite her transition, Cole said she has always been mainly attracted to masculine men and had only ever been “marginally attracted” to women. She is “straight,” she said, and knows now that her gender confusion as a child was based on insecurity and her fear of being a woman.

Cole has enjoyed “cultivating” a new feminine look for herself, but says she still isn’t really into makeup and doesn’t have time for it most days.

“I’m almost always in a dress or a skirt because, honestly, it’s really comfy,” she said.

She’s learned to accept her body the way it is, she said, and doesn’t want to go through the process of reconstructive surgery or get breast implants.

“There are multiple options for reconstruction, but I honestly don’t think it’s worth it,” she said. “I will never get the function back no matter what I do, so there’s not really a point in doing it.”

“I want to prevent more cases like mine from happening,” she said.

She wonders why educators have become complicit in the “gender-affirming” process.

“The problem is they’re not really pushing back on this whole trans thing. When I told the high school to change my name, and my email, and their records, there was really no pushback or anything,” she said.

Cole urged children who may be thinking about gender-transition surgery “not to get caught up in the whole romanticization” of what it might be like to be the opposite gender and suggested they consider that there may be “other reasons” underlying gender dysphoria, including autism or other mental health issues.

“I very much suggest waiting, because the brain doesn’t stop developing for most people until about their mid-20s, if not a bit later, and teenagers are known for making rash decisions. It sucks hearing that, especially as a kid, but it’s the truth,” she said. “There is a reason why you can’t buy cigarettes or alcohol or vote or rent a car under a certain age.”