Interview offered by Dr. Juan Carlos Casado Morente to Mrs. Concha Montes for ‘Marbella en la Onda’ of Onda Cero Marbella
Transcript of the interview
Dr. Casado welcome
Thank you very much Concha.
The transition process a transgender woman goes through is difficult, long, complicated … clinically, emotionally and socially. In addition to hormonal treatment, sex reassignment surgery, the feminization of their face; This seems to me a last step that is to give a more feminine tone to her voice. This book that you present on Friday is focused precisely on the health professionals involved but also on the transgender woman herself and on groups and associations.
Indeed, not necessarily the voice – increasing the vocal tone – is the last thing that transgender women do, but the book is a desire, a challenge that we set ourselves a few years ago. Until now there was nothing in Spanish literature, we needed to give an answer to transgender women who came to our office and asked us how they could increase their vocal tone, how could they have a sharper voice, more in keeping with their outward appearance.
From time to time, I deduce, because much has also advanced in the acceptance, as it could not be otherwise, social of these people, has also advanced a lot in terms of numbers, to people who submit to that vocal feminization. Not doctor?
Indeed, as it has been visualized, we have more experience, more calls, more visits … think one thing, when I was trained in this type of surgery, the voice feminization surgery with a technique called Wendler’s Glotoplasty, I trained in Helsinki, Finland. And in Finland, to give you an idea, approximately a patient, a surgery, monthly, approximately twelve patients a year. This is now super-surpassed, now we are here in Marbella, we are intervening two or three patients a month.
Spanish, foreigners ..?
Well the vast majority are not Spanish, are usually from Europe, there are many girls from Europe, Poland, Italy, England, some Spanish, very few Andalusians.
I have a disciple who trained here with me in Marbella, who is doing the same thing in Colombia, in Barranquilla, so the American, South American, North American, and Central American girls tend to go to Colombia more, because of a distance and ease for them.
Because, doctor, it’s curious, or I find it. The taking of estrogen, what is the female sex hormone, does not naturally soften the vocal tone, you have to operate, right?
Indeed, that is the kit of the question and we do not know why, on the contrary, yes, that is, a transgender man takes male hormones, takes testosterone and his voice becomes more deep. However, a transgender woman takes estrogen, specifically the 17 Beta Estradiol, or anti-androgens and the voice does not change anything at all, hence the need to give a response to these women.
The intervention, the voice feminization surgery, is a complex, difficult operation, has a complicated post-operative?
It is a technically complex operation because you have to work in a very small place, which is the space that there is in the vocal cords, specifically in the anterior commissure, that is, our work space is approximately 6 millimeters. But one very important thing is, not only surgery, because our method is surgery associated with post-operative speech therapy. The laborious thing is not only the surgery, but the post-operative, fundamentally because they have to be 15 days of absolute voice rest, do you think that is easy? 15 days without speaking anything?
Well, in my case, no, but we are talking about a greater effort. Finally doctor, on Friday during the presentation of the book a young transgender woman is going to talk about her experience with you, she has lent publicly to do it, it is the best way to make transgender visible and also to face the issue of the voice feminization, right?
She is a girl that I am very grateful for, normally they do not want to visualize themselves on a personal topic, but she said that if I presented the book that she came to Marbella, she does not live in Marbella or live in Andalusia, but here she will be with us, God willing, Friday.
And let’s finish with a very brief example. A transgender girl, young thirty and a few years old, before the operation. Do we hear, doctor? … .. And this would be the result after the operation done by you. …… Very happy not doctor?
Yes, notice that the post-operative voice and the post-speech speech is not the same text, we did it on Skype. This is a girl who lives in America, and the revisions were made by Skype, that’s why she did not read the text and she told us in her testimony.
A testimony of life, a testimony of happiness. Doctor Juan Carlos Casado, ENT specialist in feminization of voice, also a vanguard in our country. Thank you and good afternoon.
Thanks Concha, see you next time.