Binding and Packing

Trans men and non-binary people assigned female at birth often want a flat chest, and therefore often bind their breasts. There are special vests or ‘binders’ that are designed to tie the breasts and distribute the pressure evenly over the skin. Some trans people with breasts may use other methods to bind, such as athletic tape or ace bandages, but this is not good for the skin as the breasts are stretched by pushing them flat. This increases the chance of skin damage, breathing difficulty, back pain and larger scars​ if chest reconstruction surgery is later sought (Monstrey et al. 2008; Peitzmeier et al. 2017). Binding methods using specialised binders or vests are therefore more advisable than binding using “homemade” methods. It is strongly advised not to tie off the breasts on a constant basis, for a prolonged period of time, or at night. It is advised that healthcare providers discuss ​the risks and benefits thoroughly with trans patients.

Trans men and non-binary people assigned female at birth can also use a pants filling or ‘packer’. This is a kind of penis prosthesis and can be worn with or without a holder or special underpants. There are also packers with which you can pee standing up. Another type of penis-looking prosthetic or a strap-on dildo can be used during sex. Additionally, there are stand-to-pee devices that are not used for packing but only for using the restroom. Again, the need for any of these devices completely depends on the person. It is advised that healthcare providers are well aware of these products and are able to explain these to their clients. You may even choose to have samples available given that many of these products are only available online, making it more difficult for trans persons to decide what might work best for them.

Tucking

‘Tucking’ is a technique whereby the penis is concealed so that it is less visible. The penis is hereby tucked away to the rear, so that it is not visible at the front of the body. Sometimes the testicles are also pushed backwards or pushed forward against the lower abdomen. Fixing is possible with sports tape or a special slip. It is important to do this in a safe way. Tucking can have an effect on fertility: both the quantity and quality of the sperm, since the testicles are placed close to the body and sperm is ideally kept less warm than the body temperature. There is also a risk of skin infections: the area between the legs is usually a hot and humid place that sweats a lot, which can lead to fungal infections. Tucking can also cause pain in the scrotum. It is therefore advisable to keep the skin cool and dry and not to use it too often, and for healthcare providers to discuss the risks and benefits thoroughly with trans patients.

There are also many possibilities to create a more feminine look with clothing. For example, there is women’s underwear in sizes that may be suitable for them, or swimwear made from lycra to ensure that the penis is as comfortable as possible. Trans women and non-binary people assigned male at birth can also use breast prostheses, wigs, and other items.