At Last, Medical Care for Trans Men at First Clinic in Asia

— Kanattsanan “Mukk” Dokput was 27 when he sank the first needle full of black market testosterone into his thigh.

He chose a dose recommended by veterans of DIY hormone therapy. The needle was too short to reach muscle; his entire thigh swelled painfully.

That first injection came after a nine-year obsession sparked by a documentary on sex reassignment surgery. “This is what I’m gonna do,” he told himself when the program ended.

Mukk’s mom was the first to learn of his plan. “Couldn’t you just be a tomboy?” she asked, using the Thai label for women who adopt a masculine appearance.

Yes, Mukk replied,“But I won’t be happy for the rest of my life.” Mukk, now 32, was born female but showed masculine tendencies from an early age. His mother had to chase him around their home to slip on the skirt worn by girls in kindergarten. He cried all day until he could take it off.

Many more injections would follow. For the first year, Mukk struggled with the mechanics of getting male hormones into his body. By the second, third and fourth, he’d become an expert. But at times his self-administered treatment left him light-headed, among other side effects. Late last year, he began suffering chronic fatigue.

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