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Amazing, confident, charming, charismatic, mentally strong, responsible and positive. These are the characteristics of all open minded people. How do they manage to be so cool and successful?

What is their secret? What makes them different from others and is it possible to become one of them? An open minded woman will probably never fully grow up. She always has that childish piece of her individual inside. She looks at everything with a bit naive yet extremely dreaming look and it lets her recognize and enjoy the beauty of this amazing world. The reason is that open minded people do everything to avoid boredom that removes our childish spirit out of our characters.

Our parents, siblings and partners always try to teach us how to live. She would rather make efforts to become a singer even if her parents dislike this passion. Open minded people mostly listen to the deepest feelings of their sensitive, childish heart when they should make an extremely important decision, especially if it comes to friendships, family and love.

Open minded people never wait for inspiration. They create their best ideas in the least expected moments. Whatever they do and wherever they are, they can always get an inspiration from totally everything they see.

While it seems to be an ordinary cup of tea, a creative woman can see the deep ocean in a round world and it may encourage her for some new creation. Open minded people always dream a lot. It helps them think differently so they can make the most unpredictable conclusions in usual situations.

People of this type tend to get bored quite often. It happens so because they hate to do what others say. Try to avoid doing things that you find boring and follow your passion instead, if you want to become an open minded person.

These people treat their own work strangely. As a rule, when they finish their creation, they simply hate it and often become a bit upset with that. They always know what to do and no boundaries can prevent them from doing it. These people perfectly combine pride and shyness in their wonderful characters. The other amazing and even a bit weird thing that make open minded people unique is a habit of working too much than needed. Generally, open minded women are workaholics.

Nothing else matters for her except the task she is trying to accomplish. They say, a muse comes whenever she wants. Extraordinary society members are able to see and catch inspiration whenever it comes. Creative people tend to work spontaneously.

Read also — The Color Psychology in the Workplace: How to Use it Properly. They never encounter any problems at all. Most open minded people have problems with exact sciences at school. Open minded people are perfect observers by nature. Those things inspire them and become their muse.

Totally everything they see can lead to some beautiful creation. Falling in love with work is all about open minded people. When they create something, they act with amazing devotion and strong desire.

This woman does her best and even more to reach her own goals. The thing is that she chooses an interesting job only. Therefore, she rarely has difficult or boring tasks.

All artists, movie stars, dancers and other creative people have one common trait. Each of them tries to express themselves in a new unique way. They always invent something but they are rarely contented with their unusual inventions. Open minded people has a useful skill to see the other side of the coin in any situation.

These individuals can easily look at everything from different points of view and it lets them see the way out of even the most difficult problem. Every time an ordinary woman starts crying, an open minded one tries to focus on the bright side of situation so she stays calm and confident.

These things make open minded people different from others and give them so many advantages. They always do what they want even if no one supports them at first. They are not afraid to prove their opinion no matter how hard it is. They always want to bring something new in this world and the humanity grows and develops thanks to these creative people.

What other special traits of open minded people do you know?


Dating With an Open Mind | HuffPost Life

Puberty blockers can be used to suppress natal hormones, so lower doses of hormone replacement therapy need to be used. They can be used in place of spironolactone. They can also be used in trans men to stop menstruation prior to, or during the start of, testosterone therapy. GnRH agonists should not be used if a person is allergic to it or is pregnant or breast feeding.

The biggest concern is over their potential long-term effects on bone density. A sex hormone, either estrogen or testosterone, is required for maintaining and developing bone density. Other health conditions which may affect your ability to take puberty blockers includes: Puberty blockers are, unfortunately, quite expensive.

Insurance companies are not likely to cover the cost of treatment either…. Puberty blockers are given primarily as an injection or an implant, though nasal sprays exist. Injections can range from once a day to once every three months. In theory implants can last up to a year but there is anecdotal evidence that they can last longer.

It should be noted that when a puberty blocker is started there may be a spurt of puberty. The effects will go away — just hang in there for a bit. Depends on your physician and your financial resources.

There is very little standardization so far. It started in the Netherlands, where a lot of trans youth protocols were pioneered. Many physicians and organizations do follow that age requirement, though there is a growing awareness that starting puberty at age 16 is unnecessarily stressful.

A person could go from Tanner stage 2 directly to hormones. Or a person could go from Tanner stage 2 to puberty blockers to hormones. What about biological kids and fertility? This is a huge question for parents of trans youth. In order to have your own biological children, you must go through all of natal puberty, all the way to Tanner stage 5. Trans youth can and likely do choose to go through natal puberty solely for the purpose of biological children, but I have heard that it is immensely stressful.

This research, to my knowledge, is being done primarily with children with cancer. If you have started hormone therapy then you may or may not be able to have children. There are many, many factors your physician would consider, including: Long-term hormone therapy can cause sterility. Having biological children while on hormones is not a good idea e.

To become pregnant, or to cause a pregnancy, you would need to go off hormones for a significant period of time. The reversible effects of hormone therapy would begin to reverse and could aggravate gender dysphoria. Please remember also that children do not have to be genetically related to their parents.

A trans person could be parent to a cis partner who carries the child. A couple could employ a donor mother who carries the child. Adoption and fostering are hugely valuable.

There are so, so many kids who need loving parents. There are so many more options than biology. Eat well and exercise.

Develop good coping strategies and a network of friends and allies. If you have the option of therapy, use it. Know that, worst comes to worst, at 18 you will be a legal adult you can make your own medical decisions. Keep talking with them. Start by talking with an adult you trust — a teacher, therapist, or physician. Consider reaching out to your local diversity center for help. If you need to, physically remove yourself from the unsafe situation. Lastly, consider seeking legal advice. There may be grounds for calling child protective services if they are denying you medically-necessary care.

Certainly surgery is what the average cisgender person thinks of when they think of transition. That depends on your anatomy. For people who are feminizing e. Depends on the surgery, surgeon, and the laws where you live.

Some countries or clinics require you to work within their system. Others allow you to surgeon-shop, or even require you to do your own foot work. A surgeon may also request letters from your primary care provider verifying your health history, current health status, and readiness. Make sure you consult with your surgeon early so you get all your paperwork in order! They are less likely to cover any other surgeries.

Your best bet is to ask beforehand. One discreet way of asking might be to ask to see a list of covered procedures. Your physician may also be able to advocate for you, arguing that the surgery is medically necessary and thus not cosmetic. Definitely keep your primary care provider in the loop and ask them for help if you run into trouble. Cost may go up if you have complications, or down if you have a very simple case.

For accurate numbers your best bet is to surgeon shop and ask! Want some really rough estimates? I am so sorry! Besides saving pennies, a private or medical loan may be possible. Some surgeons allow payment plans too. And some people are now fundraising for their surgeries through the internet. Any of those might be an option for you.

Be as healthy as you can before surgery. Eating well can make sure that you have the nutrients your body needs to recover. Not using tobacco speeds up your healing time. Avoid other drugs too, as your physician advises. Having a stable weight can maintain your good results. Control any health conditions you have e. Choosing your surgeon carefully is also very important. Look at their results, ask to speak with people who have had the surgery.

Lastly, follow all pre- and post-operative instructions. Every surgeon has their own criteria. However, being overweight or obese, using tobacco, and the presence of certain health conditions may lead a surgeon to conclude that surgery is too risky for you.

Health conditions may include uncontrolled diabetes, cardiovascular or respiratory problems. Bottom surgery, both metoidioplasty and phalloplasty, can give very very good results. Surgeons do not simply cut out whole clusters of nerves. Bottom surgery is complex, and care is taken to preserve as much sexual tissue as possible. The vast majority of people who have had bottom surgery have as much of a sex life as they want, and are happy with their results.

Orgasm itself may feel different too, as some trans people have reported. For vaginoplasties, extra lubrication may be needed but penetration is often possible. For metoidioplasties, erection is possible as is penetration though some creativity in angles may be required.

For phalloplasty, a penile implant allows for erection. However, all surgeries do cause some nerve damage. Care is taken to try to avoid the worst, but it is possible that some sensation will be damaged. Your surgeon should go over all the risks of the surgery with you beforehand. Scars are going to happen, and the degree of scars will depend on your surgeon, your body, and the complications you have. More complications will likely mean more scars. And everyone scars differently.

Some scar very easily. The single more important thing you can do is to follow all post-operative instructions! Call your surgeon if you see signs of infection. And ask your surgeon or physician about over-the-counter scar-reduction products before you use them. Some very wide scars can be reduced surgically. The thing everyone is waiting for is bioengineered genitals and gonads. In the short-term, there is focus on improving the current techniques.

Lubrication for vaginoplasties, a phalloplasty with fewer stages, and improvements in urethroplasty are all areas of interest. Thailand is popular for trans women, Serbia for trans men.

Not all surgeons will even take patients from outside the country e. Choose your surgeon even more carefully when looking outside your country. Listen to the community and former patients. Ask to hear experiences and see results. Choose carefully and well. With an orchiectomy, anti-androgens are usually no longer needed.

Some may choose to stay on anti-androgens at a lower dose. Estrogen doses may also be lowered after an orchiectomy. While everyone has their own, deeply personal reasons for choosing one surgery over another, there are some potential common threads, including:.

Most commonly an orchie is performed for testicular or prostate cancer. It used to be thought that an orchiectomy could affect vaginoplasty results. The scrotum can shrink after an orchid, so there might be less tissue to use in surgery. What you do want to do, though, is talk with your various surgeons and physicians. There are different ways to do orchiectomy. I have heard surgeons comment that some methods are better for future vaginoplasty than others.

You may also choose a surgeon who does both orchiectomy and vaginoplasty to do your orchiectomy. Can you tell me more about the surgery? Does it require full anesthesia? How long would I be in the hospital? What kind of recovery time am I looking at? All of those factors will vary depending on the surgeon. Here are some generalities to give you an idea. Orchiectomy can be done under full anesthesia, or only under a light sedation.

You will likely be able to leave the hospital the same day. Some surgeons ask that you stay in the area for 3 days after. You may be able to return to work in days. As with all surgeries, there will be some preparation required. Many medications, including estrogen, aspirin, and other blood thinners will have to be stopped for a certain period before the surgery.

Orchiectomies are relatively low-risk for surgery. The major risks are infection, excessive bleeding, and bad reactions to medications given in the hospital. Your surgeon should go over all possible risks of surgery with you before you give your consent to surgery.

Sex hormones help to maintain bone density, among other things. Without testes, your sex hormone levels will be below that of a post-menopausal cis woman. To help prevent osteoporosis you may need to be on hormone replacement for the rest of your life.

Different physicians have different philosophies about life-long HRT, though, so your mileage will vary. Removal of the testes greatly reduces any chance of testicular cancer. The drop in testosterone may also help prevent prostate cancer. In any case, with that drop in testosterone your prostate will shrink. There may be sexual side effects, similar to the effects of anti-androgens.

Sex drive may go down, and your sexuality may feel different. Erections may be more difficult. Also remember that removing the testicles makes you permanently sterile. Unless you have sperm stored or have children already, you will be unable to have genetic children. I am not a surgeon. I pulled a lot of my information from various websites, including the websites of surgeons. Resources and references include….

There are functional benefits in addition to helping reduce dysphoria. A mastectomy just removes breast tissue. It does not create a masculine chest. A breast reduction removes some breast tissue, but leaves the feminine breast shape intact.

Neither of these would produce a masculine chest. Gynecomastia development of breast tissue in cis men may be treated similarly, but the techniques may differ. Liposuction only would not be enough for many trans men, as it removes fat only but not breast tissue.

Generally speaking, the keyhole method helps to save nipple sensitivity and reduce scarring, but can only be done on a limited number of people and may not produce the most aesthetic result. The double incision method, on the other hand, can be done on many more people and allows customization of the nipple position.

For many, double incision or anchor are the only choice. In addition, each surgeon has their own tweaks to each basic procedure — so do ask them detailed questions!

Full anesthesia is definitely involved in top surgery. Most can return home the same day. These are tubes that go into your tissue to help drain away excess liquid into a little container that gets emptied. Initial recovery time may be about a week.

It will take longer for the cuts to fully heal. They may be red for a few months after. You may also have areas that are numb after surgery. Sensation may or may not return over the next few years nerves grow slowly!

You may need to continue to wear a binder for the first week to month to assist healing. While healing, your movement may be restricted. You will also need to refrain from lifting objects above a certain weight for a period of time. Your surgeon will advise you on the specifics, and you should follow their recommendations!

The usual risks with surgery apply here: Your aesthetic result may also not please you — the nipples may not be placed quite right, or there may be puckering or sagginess in odd places. With the double-incision method there is the risk that the nipple grafts will not hold.

The tissue may die. That tissue can never be recovered, but other tissue can be used to make nipples and the skin surrounding them can be colored medical tattooing to look like areolae. You will have scars from top surgery. The keyhole method results in a much smaller scar, but it will still be there.

How much you scar will be unique to you. You can guess based on past scarring, but there is always the risk that these scars will be particularly noticeable. They may be raised or discolored. Be prepared for the possibility. Scar revision surgeries may be possible. My recommended scar strategy? Maybe involving a bear or a daring rescue!

Because top surgery does not remove gonads, it has relatively few long-term health effects compared to other trans-related surgeries. As with all surgery, it can be immensely helpful for combating gender dysphoria and may improve your mental health. Top surgery does not remove all the breast tissue.

In fact, some surgeons use breast tissue to form a masculine shape. There is breast tissue even up into the armpits. Please continue screenings as your physician suggests, especially if you are at higher risk. I am not a surgeon, nor an expert on surgeries! Check out some of these other resources and surgeon websites for more information:.

Vaginoplasty specifically refers to the creation or modification of a vagina. Labiaplasty is the creation or modification of the labia. They are sometimes done in the same surgery.

Sometimes they are separate surgeries. There are two basic kinds: Penile inversion takes skin from the penis and uses it to create the vagina. The skin of the scrotum is used to create outer labia. The nerves and part of the head of the penis are used to make the clitoris.

Colon graft is not as common, but still practiced today outside the United States. This uses tissue from the colon to line the vagina. Many of the other techniques involved are the same.

Colon tissue provides copious lubrication, but may also have odor or unusual color. Vaginoplasty is major surgery. It absolutely requires full anesthesia. Surgery length depends on the type of surgery and your surgeon.

Expect to be in the hospital for several days, and staying in the area for at least a week. Full recovery will take months. You may be able to return to a desk job in two weeks. You may be able to return to more strenuous activity in eight weeks. This depends on your surgeon of course. As I said, this is major surgery. Your surgeon and their staff will instruct and assist you in specific aftercare: Your surgeon will give you thorough instructions.

A dilator is a plastic or glass rod that is inserted into the vagina to hold it open and stretch out the tissue, keeping it open. Some dilators even come in pretty colors! You can think of it like a new piercing — a new piercing will close up without something in it to keep it open. Unlike a piercing, a dilator is not used constantly. Dilation needs to be done multiple times a day at first. Over time you will be able to go down to once a day.

If by any chance you lose depth, dilation may be a possible way to regain it. But it takes time, and please do consult your physician. Surgery can also be performed to increase depth. Penetrative sex can help keep the vagina open, but not as well as a dilator.

As with any major surgery, vaginoplasty carries risks that could affect your long-term health. In addition to the risks of anesthesia, vaginoplasty carries the following health risks:. How deep will my vagina be? How sensitive with the clitoris be? Will I be able to orgasm? Will I be able to have sex? Vaginas made via vaginoplasty are generally about as deep as a cis vagina: Modern vaginoplasty techniques are designed to keep sensitivity, so your clitoris will likely be sensitive if all goes well.

Orgasm and penetrative sex are usually achievable. Keep in mind that not all cis women can orgasm, so it makes sense that not all trans women can orgasm. Enjoy your experiences, whether they involve orgasm or penetration or not! And surgeons are reporting satisfactory depth for people using the penile inversion technique. A skin graft from elsewhere in the body might be necessary for depth, but surgeons are reporting success without it.

Again, it does depend on the surgeon and the technique. Gentleness and avoidance of sharp objects is advised. Cis women vary enormously. Believe it or not, the vagina of a post-op women does lubricate. The fluid itself is thought to be a result of glands like the prostate which remain. If your lubrication is still too little for comfort, speak with your physician. Aside from the risks of surgery, the biggest effect to long-term health is the removal of the testes.

For those risks, check out the section on orchiectomy. Trans women after vaginoplasty do NOT need a pap smear. A pap smear is a test where a sample of cervical cells are taken. Those cells are stained and looked at under the microscope to look for cancer. A vaginoplasty will not give you a cervix.

You are not at risk for cervical cancer and do not need to be screened for it. Since you would now have a vagina, there is some maintenance that vaginas tend to need. Vaginas are dynamic systems. Your smell, taste and sense of touch may change at different times.

What you eat, the underwear you wear, and the products you use can all affect your vagina. Avoid heavily scented products. Plain cotton underwear is likely your best starting place. Get to know your vagina and labia so that you can alert a physician if something changes. Signs that you may need to consult a physician include: Just like cis women, you will be at higher risk for urinary infections than when you had a penis.

If you have frequent infections, talk with a physician about medications that can help prevent infections. You will still be vulnerable to sexually transmitted infections. Because the post-op vagina is relatively easy to tear, make sure to use barriers when having sex to prevent infections like HIV. Like any skin, it can develop skin cancers. Alert your physician if you see a discoloration or bump that is growing, changing, or simply not going away.

Depending on what your physician says, you may still need prostate screenings. Because the prostate remains, there is still a theoretical risk of prostate cancer. So if you enjoy prostate stimulation, try it that way!

You will need to learn to pee all over again. The shower is a great place to practice, but expect to have some… interesting urinary experiences. Also note that your urethra will be shorter after vaginoplasty, so you may be more prone to urinary tract infections.

I do not know of any absolute contraindications. Even if you do not have a penis, tissue from other areas can be used to create a vagina. However, some surgeons may have their own requirements like being a certain BMI. There are conditions, like diabetes, heart disease, or infection that need to be controlled before surgery can be attempted. Your mileage will vary. It depends on your body, how you take care of yourself pre and post-op, and your surgeon.

Remember to do your own research — this is just a starting point! Talk with other women about their experiences as you make your decision. For some trans men the very fact that he has ovaries, uretus, cervix and vagina is a source of dysphoria.

Reasons are of course very personal. Reasons also vary depending on which surgery is involved, but some men have cited the following:. They can be done for conditions as benign as polycystic ovarian syndrome or fibroids, or for conditions as potentially deadly as cancer.

Hysterectomies and oophorectomies are far more common than vaginectomies. However, vaginectomies can be done for cis women for vaginal cancer. Yes, vaginal cancer exists. It gets even easier if you have a condition like fibroids where surgery is recommended in cis women.

Ask your primary care provider for ways you can get the surgery covered. Also note that while many surgeons do perform these, it might be difficult to find one who will treat you in a way that affirms your gender. Be ready to call in others to support you. Some of them, definitely. As your potential surgeon.

The biggest variation is in where and how the cuts are made to remove the organs. But hysterectomies and oophorectomies vary. The oldest technique for those is the abdominal incision — a horizontal or vertical cut is made on the abdomen.

This technique is the most traumatic for the body, leaves a scar, and has a longer recovery time. Two other techniques for hysterectomy and oophorectomy have emerged fairly recently. Laparoscopic surgery is where multiple small cuts are made, and the surgery is performed through those cuts with long tubes with cameras and grasping ends. Lastly, sometimes a hysterectomy can be performed through the vagina, leaving no outward scar at all.

A second opinion is important here too. Be aware that not all surgeons use all techniques. Some simply have more experience with one over the other. They may well say or be thinking: Can you tell me more about the surgeries? Do they require full anesthesia? They absolutely will be done under general anesthesia would you really want to be conscious through that? Recovery time will vary depending on what you have done, and how it is performed.

Risks are mostly the ones associated with any major surgery, including infection, a bad reaction to anesthesia, and the risk of a blood clot. If you use your vagina for sex, surgery may change some of your sexual responses.

Some cis women report pain with intercourse after a hysterectomy, for example. If you had an oophorectomy, your own biggest source of sex hormones will be gone. This makes it super important to stay on a sex hormone to prevent osteoporosis. Removal of your ovaries makes you permanently infertile. If having genetic children is important to you, either have them before an oophorectomy or store your eggs.

Would these surgeries affect my future ability to have a metoidoplasty or phalloplasty? Some or all of these surgeries may even be the first step in a meta or phallo! As far as I know, only the health conditions which would prevent anyone from having any surgery.

That includes obesity, heart disease, lung disease, and end stage liver disease. As always, communicate with your primary health care provider. He or she will be best able to help you figure out whether a hysterectomy, oophorectomy, or vaginectomy is right for you. Facial feminization surgery FFS is broad term used to refer to many plastic surgeries which modify the face, head and scalp with the aim of feminization.

Many thanks to him and his staff for their great work. If you want to get into the nitty gritty on each of these surgeries, I highly recommend you pick up a copy of his book. The difference between male and female humans is not just in our body fat distribution, pelvis shape and general fuzziness. The presence or absence of testosterone influences our skull shape too, so much so that many adult human skulls can be identified as male or female.

Some of the more obvious features of a male skull include a brow ridge and wide jaw. Facial feminization surgeries correct some of these effects of testosterone. The 1 goal cited for FFS is the ability to be recognized as female. Alleviation of dysphoria is also a reason. Because FFS corrects the masculinization by testosterone, those who did not go through natal puberty likely will not need or want FFS.

Will it all be under general anesthesia? How long might my hospital stay be? Generally speaking, most of these procedures are done under general anesthesia. Some can be done in an outpatient setting e. That means you typically have more than one procedure done at a time. That clustering helps produce better results and is less risky because you only go under anesthesia once. The length of your recovery and hospital stay depend on which procedures you have.

Most can return to work within a few days, but it may be up to two weeks depending on your procedure. Compared with genital surgeries, the risks in FFS are much less. Still, keep in mind that all surgeries carry risk. These include infection, dead tissue, blood clots, and bad reactions to anesthesia.

Because FFS affects the face, there is always a risk of an unsatisfactory result. Do your research and choose your surgeon wisely. Another risk is that of numbness or sensory problems. Temporary numbness is common after surgery, even a year afterward in the case of scalp advancement.

Permanent numbness is a very rare event. Make sure your primary care provider knows what surgeries you had, just to be on the safe side. Surgeons who do FFS are usually very good at hiding scars. One of the most common scars is a small scar along the hairline from a scalp advance — that can be covered by hair transplants at the time of surgery, and it will fade over time.

FFS can be expensive. There are also very few FFS surgeons in the world, so your options are limited. Just the usual prohibitions for surgery. Some surgeons may also have their own requirements, like non-smoking status or normal BMI. The metoidioplasty is one of two potential genital surgeries for trans men.

It takes advantage of the fact that trans men already have a penis: With testosterone, the clitoris grows. A metoidioplasty removes tissue around the clitoris. In addition, the urethra can also be routed through the neopenis. At the same time the vagina can also be removed, and a scrotum made from the labia. A metoidioplasty does not remove the cervix, uterus, or ovaries. That would be a different surgery. However some surgeons will perform a hysterectomy at the same time as a metoidioplasty.

All in all, a metoidioplasty preserves the tissues that are already there. It shuffles them around into a masculine shape. Not everybody will have everything done, and there are many options. Different surgeons will include different specific stages to a metoidioplasty. But the core of a metoidioplasty is clitoral release. The clitoris is freed from its surrounding tissues so it can hang the way a penis hangs.

The biggest difference centers around urethral lengthening. Since the urethra is only so long, other tissue is used to lengthen it. This is also called conscious sedation. Full recovery time also varies. One surgeon advises bed rest for 24 hours, plus either days off work with no heavy lifting for weeks.

Again — this depends on your surgery. And pain can persist for a long time. The penis itself can end up twisted torqued , which is repairable by surgery.

The length may also be less than was hoped. Urethral lengthening caries its own risks, including urethral narrowing or blockage, and urethral fistula. Narrowing, blockage, and fistula can be repaired surgically. The stream of urine may also spray or be not what you expect. The same applies to the urethral lengthening.

Vaginectomy removes your risk for vaginal cancer. Different people have different results, and different surgeons have different results too. Some surgeons report cm 1. Being creative with positions and having a flexible partner with a normal or low BMI are both helpful. If being able to penetrate a partner is the most important thing for you, then you might want to consider a phalloplasty. What is involved in phalloplasty? What are my options?

And what different techniques are there? Phalloplasty is one of the most complex genital surgeries, with a lot of different varieties. Phalloplasty is anywhere from 1 to 4 surgeries, and often includes these procedures:. Different surgeons do these parts at different stages. Pedicles have their original nerves and blood supply, so some say they have less erogenous sensation. Pedicles do have less visible scarring than free flap.

Sensation is often intact because of this microsurgery. The tissue is usually from the forearm, back, or inner thigh. Scarring can potentially be an issue.

Both techniques provide erogenous and non-erogenous sensation. Both can be used for penetrative sex and for urinating while standing. Phalloplasty is an intense surgery. All phalloplasties require full anesthesia. Pedicle generally requires less surgery time than free flap. Return to work is often from weeks depending on the surgery, your recovery, and how strenuous your work is.

For multiple stage phalloplasties, the first stage is often the longest and additional stages take less time and are less expensive. And rarely some or all of the tissue can become infected or even die. Penile implants occasionally have complications. They can slowly erode through the penis or become infected. Pedicle techniques have less scarring than free flap. Free flap techniques cause large scars where tissue was taken from. Often, the entire forearm of one arm is scarred. The appearance of the scar will fade with time.

The clitoris can be buried at the base of the penis or tucked just underneath the penis. Either way, it can and does provide erogenous sensation. We have used it for the past 5 years with amazing results in both M-F and F-M transitions.

It almost cuts medical transition time in half due to lack of competing chemistry in the body. It is also a nose spray which is preferred by many over a pill or shot. Androcur or Spiro both are off label uses, using a known side effect of the drug for benefit. Suprefact is on label used for precisely this use. Hey — thanks for pointing that out!

I think there is a movement within medicine to try to use drugs like buserelin for transition. The biggest factor is definitely cost. Would love to chat and compare notes on differences in care between the US and UK, and different medications. Say a Trans man starts puberty blockers at age 10 Tanners stage 2 but at age decides it isnt right and decides to stop and revert back to female.

Will ovaries and breasts develop normally and she be able to bear children or has irreversible damage likely occured?

Yes, I can help with that question. If puberty blockers are stopped then puberty will resume. The person in question would develop breasts and menstruate just like any other woman. No irreversible damage will occur.

Puberty blockers are also used for young people with precocious puberty. Puberty blockers help them delay puberty until a more average age. To me that seems to read if you have used blockers, gone through the normal period of puberty and then stop blockers, you wont be able to have kids because the ovaries havent developed properly. What your saying is that if you use blockers, then stop them, ovaries will then develop normally and you can have kids.

I realise these GnRH blockers are different then the Testosterone blockers MtF use but after a couple of years use, they will cause irreversible damage to the testies. Puberty blockers pause the process of natal puberty. You can go straight from the blockers onto cross-sex hormones.

But blockers can also be used for a short time without cross-sex hormones. A person can and they do! While on blockers their puberty is paused. They have the possibility of fertility. People who had precocious puberty, who were on puberty blockers to delay their puberty, are still potentially fertile after all.

Infertility can result from the use of anti-androgens, but infertility is not guaranteed. And I just want to remind you that I am not a medical professional. As always, I recommend you consult a physician if this is at all a personal medical question.

Yes totally aware you arent a medical professional nor trying to be, appreciated. But you have clearly good knowledge thanks. Maybe you can explain this more in-depth. When possible, as always, I recommend consulting your physician. The biggest concern that flows through my head with birth control is making sure that estrogen-related risks DVT! Usually what I hear about for birth control for folks taking T is an IUD — lasts forever and no new hormones added to their system.

Even IUDs with hormones e. Which, sidenote, more and more insurance plans are covering transition, hooray! I would really appreciate more info on vaginectomy. Meltzer talking a little bit about it. I also have an appointment next month with Dr. Deutsch at the Center of Excellence for Transgender Health, to talk about life without sex hormones. I just double-checked the SOC, but it states on page that the current recommendation is for hormones for 12 months prior to genital surgery whether vaginoplasty, metoidioplasty, or phalloplasty.

I will absolutely be covering vaginectomy! Deutsch is a lovely person. I hope you have a very informative visit with her. Listen to what Dr. Be patient, and be willing to play around with various supporting devices. You may find you need to use more erotica or a pump to help you along. If erections are important to you, be sure to let your physician know when you go on feminizing hormones. Your physician is the best person to ask, in truth.

But in general — the dose of feminizing hormones prescribed is usually balanced to have maximum feminization with minimal side effects based on current research. Very handy collection of information! You make many excellent points.

Let me address them one by one…. I had thought I had addressed the age question. Going back in and adding that now. Thanks for putting this page together, I am going to share this with trans people I know that can benefit from the information here. Do any or many MTF women continue with testosterone after transition? Are there any risks in doing so? For several good reasons see below I would like to continue with testosterone instead of using estrogen. I have no personal nor family history of any major issues i.

Prevention is easier than treatment, so why add any risks post-orchiectomy? Breast implants and body hair removal are the only major physical changes I need. I also want to keep my natural speaking and singing voices, both which I know how to control and sound feminine when I want. My natural body shape is already feminine the ratio of foreams, chest, waist, hips and thighs , and I would prefer to maintain my strength and fitness. I started seeing my first endocrinologist after my second therapy session.

He started me on a very low dosage without Spiro. Neither of my three sisters have more than an A cup. Now, twenty years later I have settled into a 38 B and am very happy that I transitioned. Have you tried looking at this list of surgeons? Regarding documents, in Ontario it is possible to change gender on your birth certificate with a letter from a physician stating it is necessary and once that is done, you can change other provincial documents.

In February , the federal Ministry of Citizenship and Immigration quietly announced that people would be allowed to self-identify i. So no surgery required, just physician letter? Thanks for the non-US perspective. In doing research to answer some of the questions, I discovered my family has been in Nova Scotia since — before Canada was Canada. I know here in the States it varies by state. California my home state allows changed birth certificates without surgery last I heard I am not a lawyer.

There is both a change to the development of the body and of the brain. With the unisex child, the body makes only a partial change with varying results.

With the Transgendered child, it is believed that the chemical change in the mind is also only a partial transition, which is why some Transgendered people can carry both male and female chromosomes.

It is also why you can begin life as a Unisex person who has almost made a complete transition to male, but only identify as female and vice versa. Also, gender and sexuality are not tied together. You can be Transgendered or Unisex and still consider yourself gay, lesbian, bisexual, pansexual, or asexual. There is a better clearly defined difference between bisexual and pansexual. They are looking for after school help Monday through Friday, 4: The ideal person is trustworthy, energetic, enthusiastic, punctual, and reliable.

If you like arts and crafts, this is a bonus. We have a wonderful returning family in Brooklyn Heights with 3 kids 5, 9, and 12 looking for their new afterschool SmartSitter.

They have really fun and active kids who all have very different interests and personalities. They are looking for someone equally active, fun, and engaging who can keep up with them and their busy schedules. They are a really lovely family who we have helped a few times over many years. The position will begin at the end of October. Someone really active, energetic, and attentive who can handle three different personalities, particularly someone who can be firmer with the oldest. Someone who is proactive and a self-starter who doesn't need or want to be micro-managed and has really adept time management and is organized.

A really confident and comfortable person who is outgoing enough to set up playdates with other parents and caregivers and can make decisions on their own if necessary. Someone creative or someone who likes sports and being outside is a plus. We are also looking for someone who can commit at least a year if not more. This person would be an extension of the parents and they want to empower their sitter to make the right decisions.

The core schedule is Monday to Friday, from PM. On these days that you start early, you will have a mid-day break from 8: They ask that you work full days during school holidays and one weekend a month 8am-8pm. There is almost always another adult and so you wouldn't be with all four kids at once.

Candidates for this position should have significant prior experience working in a full-time capacity, and a true commitment to the child-care profession. The family is looking for a candidate who is educated, professional, responsible, and self-motivated.

It's important that you show an interest in not only keeping the children safe and busy, but also helping them learn and grow. From the parents, "While our position definitely requires a more flexible and capable candidate, we feel that we also offer a job that is interesting and challenging for the right candidate. Nannies have the ability to really function as professionals, and make independent decisions.

This is a great job for a nanny who may be looking to travel, work alongside additional staff, and not have every day be the same! The core schedule is: You would then have a mid-day break from 8: Flexibility to work full-day when kids are out of school.

One weekend a month, 8 AM - 8 PM The family is looking for someone who is flexible and willing to travel. We have a lovely new family in Gowanus looking for a Tuesday and Friday afternoon sitter.

They have a really fun and super smart 3-year-old boy. They are ideally looking for someone super engaging who can challenge him and keep him growing developmentally. The position will begin as soon as they find the right fit. Someone with experience with this age group. Someone creative, loving, and gentle. Someone who can bond with the boy and be a true right hand for the family. He thrives when someone challenges him and is super engaging.

CPR certification is required and the family is willing to reimburse for this cost! Someone who can bring some structure and direction is helpful. Someone who can cook for the kids is helpful. Someone who can guide them in a certain direction regarding their responsibilities.

Make sure they put their bowls in the dishwasher and get them to pick up their clothes and clean up their room. Do this in a way that is friendly and not bossy. If you have tutoring experience, there could be hours of tutoring incorporated each week, in reading, history, math, or Spanish. They are both studying Spanish in which but they never seem to have Spanish homework. The family is flexible on the exact days and can also be flexible week to week if needed.

How would you like to work with a curious 6-year-old boy who loves legos, watching scooby-doo thrillers, and baking cakes and cookies? This position is ongoing on Mondays, 3: School pick up in on the LES and then you can uber to the family's home in Williamsburg.

Engage him in activities and help with homework. He needs some support with focusing. He does really well when he can focus. He has a lot of homework.

In your application, please include your preferred guaranteed income and general availability and flexibility. The ideal SmartSitter is someone who is able to harness the kids' energy towards positivity and keep them engaged. The family is looking for someone who can provide interaction, refereeing, and guidance for the boys. Ideally, the sitter would be ready to make a multiyear commitment to the family, and they are open to an initial commitment of one year or longer.

Monday through Friday, This super sweet SmartFamily is looking for some long-term, part-time help with their month son, who has chronic kidney disease.

They are looking for someone who can commit to helping out one day a week, for around five hours a day around 11AM-4PM, most likely. Mom is flexible on the day, it's the sitter's choice of Tuesday, Wednesday, or Thursday.

Commitment is KEY with this family, as there are a lot of special circumstances to explain, as well as the family not wanted to expose their baby to multiple people. Please include your preferred availability when you apply! The ideal sitter for this family will be reliable and trustworthy, someone that feels comfortable around a baby with ongoing health concerns.

Any previous medical experience is a plus! More importantly, the ability to commit for at least 6 months is very important to this family, as they need to limit the baby's exposure to new people. The family would love somebody with a calm energy, who is able to keep up with a fast-walker, and come up with educational games to play!

A lovely Astoria family is looking for an afternoon sitter Monday to Thursday with their 4-year-old girl. They are looking for someone fun and engaging who has a flair for the performing arts just like the girl! The position will begin as soon as they find the right fit; they are flexible with this time. Someone who is really engaging and has a performative side.

A responsible and confident who can help her through the transition from having her fully in afterschool to having a caregiver following having always been with dad who returned to work. This lovely family is looking to work with a SmartSitter on Wednesday and Thursday afternoons, 1: They have two boys, age 12 and The family is looking for someone who is reliable, patient, and ideally someone who has experience working with children with special needs.

The kids aren't aggressive, however it's helpful to have a sense of different types of communication. Someone who is willing to sit with the year-old and give him the one on one time and do exercises with him is much appreciated. He'll be there helping the SmartSitter cook and giving him attention.

This lovely family has a 5-year-old girl and a 4-month-old baby girl. They are looking to work with a SmartSitter mornings, 9 AM - 2: They believe in co-parenting, co-sleeping, and baby-wearing.

The family is looking to work with someone who has a lot of infant experience and who is comfortable baby wearing during naps and most of the time.

The baby is not on a bottle yet, hopefully by January she'll take some solids on a spoon and maybe a mushy banana. The family is looking to work with someone who is an excellent communicator. If you have a second language, this is a plus. Someone who is present and aware of attachment parenting and understands the baby wearing is important, and who will not be on their cell phone. Mom is an educator as well.

Rotating every other week: Wednesday through Friday, 9 AM - 2: We have worked with this lovely UWS family for years. Mom is a SAHM and this is truly a joint effort splitting up afternoon responsibilities with her and the three kids. Please indicate your preference in your application. The family is looking to work with someone who's comfortable splitting up responsibilities with mom and working with her, splitting up dinner or homework help, etc..

The family is looking for someone who is proactive, will notice if you can help get dinner started or jump in and help with homework or jump in and help with encouraging the kids to clean up.

If you're not sure how you can help, always feel free to ask, "Is there something I can do to help? The family is looking for someone who is kind, nice, patient, fun, playful and enjoys an occasional dance party or board game. They are looking for someone who can help keep the kids on track it's shower time, it's time to brush your teeth etc.

Mom has asthma and it's important that you don't smoke or wear fragrances. It's helpful if you are the kind of person who remains calm and even keeled in the face of any conflict with the kids, and maintain a positive approach. The core schedule is as follows: The family is looking to work with someone who has a lot of energy. There's lots of walking around, so it's important you feel comfortable walking.

The 1 most important quality is that you have genuine enthusiasm for the kids and that you truly love working with kids. The family is looking for someone who is responsible, timely, safety conscious, energetic, and fun.

It's important that you are willing to play with them and let them feel liked by you. It's helpful for you to be able to help with homework, especially with the 5th grade homework which is getting more difficult. Help the little one grow. Challenge him, talk to him, interact, do projects, do something fun and creative, help him practice piano and violin, do arts and crafts and acting, play in the park, meet him at his high energy level, and be able to keep up with him.

Be a role model to him. This sweet Flatbush family has a 5-month-old baby girl and they're looking for extra help Monday through Thursday, 3 PM - 7: The family is looking for someone who is calm, easygoing, patient, and will hold her.

It's important that you are a non-smoker. Monday through Thursday, 3 PM - 7: This loveliest West Village family is looking to bring on a part time babysitter to work with their family and 1. Mom and dad are home some of the time, and the family is very warm and inclusive and is ready with open arm to welcome their new SmartSitter to the fold. Mom is a dancer and travels for work occasionally, and if the sitter were able to travel with them that would be a plus!

The family is hoping for three top SmartSitters to form a childcare team for their son! If you are open to working alternative shifts please note your availability in your application!

The family will start with phone interviews, followed by in person interviews. Someone super reliable, punctual, and loving. Someone who really wants to be a part of their family and join their team to help take care of their son. Someone communicative and friendly who can connect with the parents and the kids. Someone comfortable with mom being around and working in tandem with a parent.

From the parents, "We'd like someone experienced with all ages. We are looking for someone long-term that will get to become a part of the family and who will really want to bond with him. We are a warm, casual, but detail oriented family. We hope to keep our son engaged and active as much as possible - a lot of creative, imaginative and educational play as well as reading and playing outside. This lovely Prospect Heights family is looking to work with a SmartSitter Monday through Friday, 4 PM - 7 PM flex , with their year-old boy who loooooves math and their 7-year-old girl who was voted "class clown" the last two years running at school and is very proud of it!

The family is looking for someone who is reliable, flexible, and someone who enjoys working with high energy kids. Someone who is safety conscious is important. If you have a sense of humor, this would really appreciated!

If you have a conflict one or two days during the week, the family may be able to be flexible if it's a regular day each week. Please include this in your application. If you are currently a graduate student, the family values candidates who are studying or planning to start graduate school. The family is looking to work with someone who has experience with this age group and who is responsible, energetic, and fun.

They are looking to work with someone who shares interests with their little one. Please include your preference in your application. The after school position is with the kids and the afternoon routing and the full-time position includes household management tasks.

Strong executive functioning skills are key. It's important to keep track of details make sure the lunches are correct, that every detail for each kid is prepared for the next day, etc. There's a lot going on and it's important to keep up. It's important to understand and be aware that the kid are all very different and there's no one formula that works for all of them.

Driving is a requirement. The family has an extra car available. It's okay if you prefer to drive your car in which case the parents will reimburse you for gas. It's important you really love working with kids. The kids are young enough and they still like to be engaged in games, cooking, and art projects. Mom will write out the full schedule at first.

It's helpful for you to read the schedule closely, get the hand of things, know what to do after a couple weeks, and then own it moving forward. They are looking to work with a SmartSitters on Wednesday and Thursday afternoons and evenings starting asap.

Please apply today if you're interested! The family is looking to work with someone who is very loving and warm. It's helpful for someone who has a light touch regarding behavior correction. If someone is interrupting, say something like, "Hold on a sec, you're interrupting.

If there is pre-bed goofing around and the girls are running around before, tease, play along, up the game, and then if needed say something like, "Okay, now it's really time. It's helpful for someone to be psychologically astute and who loves working with children and will feel energized by the work.

This super lovely Ditmas Park family has a 6-year-old girl and 2-year-old boy. They are looking to work with a SmartSitter Monday through Thursday afternoon, a standing weekly date night, and potentially an occasional Friday availability pending. The family is looking for someone who loves children and someone who will really enjoy the position. It's important that you are a good communicator and straight forward. Mom appreciates directness in communication.

Someone who wants to share anecdotes from the day with mom. Mom loves hearing any and all anecdotes. If you speak Spanish, this is a plus but not a requirement. Monday through Thursday, 2: They have two sweet and creative girls, age 3 and 6.

Apply today if you're interested! The family is looking for someone who is energetic and engaging with them and who can play the mental Jiu Jitsu needed to keep them in line. The enjoy people who are artistic and creatively driven who can dance and play with them. Monday through Friday, 2: We have a new Morningside Heights opportunity with a 7-month-old girl!

They would also love their new person to have some flexibility to assist for full days if the girl is sick or daycare is closed. The SmartSitter would pick her up from daycare and have fun with her until mom or dad come home. They would assist with her laundry on occasion and keeping things generally tidy around the house. Someone experienced with infants and is CPR certified.

Someone reliable, timely, and warm. Someone very mature and responsible who can spend fun afternoons with the girl and engage her in age appropriate activities and help with her developmental milestones. Flexibility to assist for full days if the girl is sick or daycare is closed. We have a lovely returning Park Slope family looking for help Tuesday through Thursday, from 2: They have two creative and fun girl.

The position will begin at the end of October, with some flexibility. Someone creative and fun. A big sister and confidente. Someone really active and intuitive who can have a good time with the girls and connect with them. The core schedule is Tuesday through Thursday, from 2: Flexibility to assist additionally is a plus! We have a really lovely family in Tribeca looking for a new afterschool sitter. The core schedule is Monday to Friday, from 3: They are looking for someone communicative, mature, engaging, understanding, and open to their thoughtful and socially emotion parenting style.

The position would be begin as soon as possible, with interviews taking place immediately! Someone very mature, engaging, and communicative. A thoughtful and socially emotional person who communicates clearly as well. They are super honest and thoughtful with him and hope their new person will match their style. They really appreciate people who chat through their emotions and prefer to converse and talk through situations rather than distraction.

They also strive to keep things age appropriate as he is maturing so far beyond his age and are so mindful of how they talk about certain issues. A true team player and comfortable working alongside mom who is super present. Someone understanding and confident who can be a true support system for the family and who can jump in when needed. A thoughtful and calm presence at time is a plus, too! Someone active and really energetic to match his level is great.

He really wants to have a present and engaged companion. A sitter who can also balance the calm with the active energy. Musical sitters are a plus! They are a vegetarian and ask that sitters bring their own snack and meals, but please do not include meat.

This is a very sweet and lovely Chelsea family with a bright and creative year-old girl. The family is looking to work with a SmartSitter afternoons regularly flex days Monday through Thursday as a role model to her. The family is looking to work with someone who is dependable, someone who is creative and who has a sense of humor.

They are looking to work with someone who is sensitive and is a good listener. Ideally it is someone who can commit for years. To this end, the family is flexible regarding a higher rate or weekly guarantee if this helps elongate a commitment.

It's helpful for someone to have experience with children this age. If you have tutoring experience, specifically in writing or math, this is a plus. The girl has a phone. There is no phone use on the job. The position is flex afternoons, amongst Monday through Thursday. Monday is an ideal day if possible.

The time frame is 3: We have a wonderful new opportunity on the UWS with twin 7-year-old boys. The family is looking for help Monday to Friday with the afternoon routine starting as soon as possible. They will help with household tasks at home before pick up and then get the boys and have a grand ole time after school! Mom and dad both have very inflexible jobs, so reliability and commitment are super important for them. The position will begin as soon as possible. The sitter should be very enthusiastic and active, plus be a strong communicator and super reliable.

Someone who can act as a role model for energetic young boys! A person that is driven, but can create a fun atmosphere. The sitter must be CPR certified and willing to get annual flu shot. They should be creative in thinking of fun activities to do with the boys and must be willing to evolve with the job, as the kids get older and their needs change. Reliability is very important to the family since the parents work very inflexible jobs. They are relying on the sitter to always be available to work the listed hours.

The sitter should have occasional ability to stay later if needed, or come in early when on days where there is no school, or if one of the boys is home sick from school.

Advance notice of vacation time will be given, and in a month period, it will be at least 3 full weeks of paid vacation. We have a really cool family looking for an afterschool sitter for their 9-year-old girl. They are looking for someone fun and responsible to help with the afternoon routine and build a connection with the girl! The position will begin in November, with interviews taking place in the weeks to come.

Someone active and engaging who is mature and responsible. Someone who can be timely and reliable. A fun and interesting sitter who can really connect with the girl. Monday to Friday, from PM. Flexibility to stay later on occasion, sometimes with a bit last minute notice, and helping with school holidays.

The are looking for a lovely, fun, and engaging sitter to help with their two kids, 6 and 1, and working alongside mom from time to time. The SmartSitter will be in charge of the full care primarily for the kids, helping with drop off and pick up from school and activities, preparing meals for them, keeping them engaged and on their schedule, and assisting with the evening routine on occasion.

The schedule will be given one week in advance, and typically shift due to mom and dad's schedules. The position will begin as soon as they find the right fit! Someone with tons of energy, creativity, and humor. Someone who is quick on their feet and good at following direction. They have a lot of structure and are looking for someone who can follow this schedule and keep things moving along in the structure.

Someone who has experience with these age groups! They are a really lovely family and like to keep a low profile, so discretion and understanding from those working with them is paramount.

Flexibility and understanding is a plus, too, as the schedule would be changing, but with notice. That said, they are very kind and open with their communication, and appreciate this in their new person. They are happy to guaranteed the income to their new person. The are looking for a lovely, fun, and engaging sitter to help with their two kids, 6 and 1 primarily with the youngest. The SmartSitter will be in charge of the full care primarily for the boy, taking him to activities, getting them ready for the day, making meals for him, keeping him engaged and on their schedule, and helping with the girl if she is off from school.

The family is looking to work with someone with an energetic spirit who is tidy, a lot of fun and yet very responsible and mature. They are ideally looking for a commitment for a couple of years if possible, even if it's a one year up front commitment.

They are looking for someone who will teach nice manners, be attentive, caring, and loving, proactive, and aware of their surroundings. It's important that you are not on your phone at all and that you focus on the children and the tasks at hand playing, doing an educational activity, cleaning up, etc. They are looking for someone who will teach right from wrong and someone who is discerning and mature. Mom and dad are home some of the time, and the family is very warm and inclusive and is ready with open arm to welcome their new SmartSitters to the fold.

The family is searching for three top SmartSitters to form a childcare team for their son! Who wants to spend two afternoons a week with an adorable 1-year-old and his French Bulldog brother?!

The boy is too cute for words and super sweet! They are looking for someone fun and affectionate to help out while mom is in and out running errands or working. The position will start as soon as possible! They are looking for someone affectionate, intelligent, and energetic who loves babies. The core schedule is typically 2: Someone flexible to expand the daytime hours is a plus!

Please note your full availability in the application. This lovely and busy Irvington, NY, family has three kids, a 6-year-old boy, 4-year-old girl, and 2-year-old boy. The family is looking for someone who is really organized and likes putting things back things in their place. Tidy up the kids' rooms and it's important that you don't mind helping with laundry. The family is looking for someone who is really fun this will help the kids listen to you in the early morning.

They are looking for someone who is energetic and creative. It's important that you know how to swim the family has a pool. It's important that you are comfortable driving with the kids. The family will provide a car. It's important that you love animals and dogs specifically. The family is looking for someone who will be ready to hit the ground running, who is confident. Mom won't oversee or micromanage, so it's important that you have the drive to know if you're not doing laundry say on Tuesdays and Thursdays, that you proactively know it's a good day to go through the kids' clothes.

We have a wonderful new family in Tribeca looking for a part-time babysitter. They have two kids, 3 and 6, who are really active and sweet. They are looking to make the switch from their long-term full-time nanny after many years, so the transition is a new one!

The position will begin as soon as possible, with interviews taking place immediately. A fun and engaging sitter who is looking to join their team. Someone detail oriented and proactive. Someone who can manage the two different personalities and keep them engaged separately from time to time so they can focus on their own projects.

Someone active and ready to run around with the kids. Someone comfortable with dad being home who works from home often. This lovely UWS family has two girls, 2. They're looking for help Monday through Friday, 3: Once per month, the family may ask if you can stay a little later with advanced notice. The start date is mid-October, with interviews beginning immediately. Plus a monthly metrocard! The family is looking to work with someone who is mature and experienced, loving, fun, warm, loving, and flexible not rigid.

They are looking for someone who is reliable and punctual. If mom or dad is lucky enough to arrive home a little early, they will probably want to take over the primary caregiving responsibilities upon arrival i. Overall someone fun and engaging who is team player and super communicative is paramount! Monday through Friday, 3: Once the schedule is solidified, the family will compensate for the whole time guaranteed, though it may end earlier occasionally. Someone with extensive newborn experience who is CPR certified and is up to date on their Tdap and flu vaccinations is required.

A loving and warm approach is ideal for them as well. Someone with quite a bit newborn experience who is CPR certified. A passion for working for babies is a huge plus. Vaccinations like Tdap and the flu vaccine is paramount. Helping with the occasional date night is super helpful. They have a wonderful year-old boy and 6-year-old boy and girl twins.

The family is looking for someone who is kind, loving, and fun. They are also looking for someone who can lend the mother a helping hand.

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