Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia

Introduction: Mak nyahs are locally known male-to-female transgenders in Malaysia. In Western countries, medicalization of transgenderism allows strictly selected patients to undergo sex reassignment surgery. However, a standardized treatment system is not yet available in Malaysia. A number of mak...

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Main Authors:	Draman, Samsul, Suofeiya, Maliya, Nasarruddin, Muhammad Syaffiq, Zainal, Nur Hamizah, Azeman, Abdul Hakim, Mohd Rus, Razman
Format:	Article
Language:	English English English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2019
Subjects:	HN Social history and conditions. Social problems. Social reform HS Societies secret benevolent etc RC Internal medicine RD Surgery RZ Other systems of medicine
Online Access:	http://irep.iium.edu.my/71503/ http://irep.iium.edu.my/71503/ http://irep.iium.edu.my/71503/1/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery.pdf http://irep.iium.edu.my/71503/7/71503_Mak%20nyahs%20and%20sex%20reassignment%20surgery_scopus.pdf http://irep.iium.edu.my/71503/13/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery%20-%20A%20Qualitative%20Study%20from%20Pahang%2C%20Malaysia_WOS.pdf

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recordtype	eprints
spelling	iium-715032019-08-01T01:50:00Z http://irep.iium.edu.my/71503/ Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia Draman, Samsul Suofeiya, Maliya Nasarruddin, Muhammad Syaffiq Zainal, Nur Hamizah Azeman, Abdul Hakim Mohd Rus, Razman HN Social history and conditions. Social problems. Social reform HS Societies secret benevolent etc RC Internal medicine RD Surgery RZ Other systems of medicine Introduction: Mak nyahs are locally known male-to-female transgenders in Malaysia. In Western countries, medicalization of transgenderism allows strictly selected patients to undergo sex reassignment surgery. However, a standardized treatment system is not yet available in Malaysia. A number of mak nyahs underwent sex reassignment surgery at their own will. This study aimed to explore mak nyahs’ knowledge and perception on sex reassignment surgery. Materials and Methods: A qualitative research was carried out from 13th July 2016 till 31st August 2016 among 8 adult mak nyahs in Kuantan, Pahang. Snowball sampling was used. Participants who gave verbal consent were interviewed individually and in focus groups. Data obtained was transcribed and used as the primary data source. Results: All informants were Malays and Muslims. They generally had some knowledge about the standard procedures and risks in sex reassignment surgery. All informants expressed their desire to have the surgery, but chose not to. Reasons discouraging them from having the surgery were: i) religion, ii) forbiddance from family, iii) fear of regret, iv) death from surgery, and v) the lack of necessity. Factors driving them to have the surgery: i) more income from sex work, ii) pressure from sex clients, iii) securing a stable relationship, iv) self-satisfaction, and v) hope for a better future. Conclusion: Religion seemed to be the main reason refraining them from undertaking the surgery. Counselling mak nyahs should include the advantages and disadvantages of sexual reassignment surgery. Islamic religious preaching is very important to help reduce high risk behaviours, as well as teaching mak nyahs to cope with challenges in adult life. Further research is necessary to show association between religious knowledge and successful rehabilitation of the mak nyahs’ community. Kulliyyah of Medicine, International Islamic University Malaysia 2019-04-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/71503/1/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery.pdf application/pdf en http://irep.iium.edu.my/71503/7/71503_Mak%20nyahs%20and%20sex%20reassignment%20surgery_scopus.pdf application/pdf en http://irep.iium.edu.my/71503/13/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery%20-%20A%20Qualitative%20Study%20from%20Pahang%2C%20Malaysia_WOS.pdf Draman, Samsul and Suofeiya, Maliya and Nasarruddin, Muhammad Syaffiq and Zainal, Nur Hamizah and Azeman, Abdul Hakim and Mohd Rus, Razman (2019) Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia. The International Medical Journal Malaysia, 18 (1). pp. 21-34. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_18_no_1/Pages-from-IMJMVol18No1-021-034.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	HN Social history and conditions. Social problems. Social reform HS Societies secret benevolent etc RC Internal medicine RD Surgery RZ Other systems of medicine
spellingShingle	HN Social history and conditions. Social problems. Social reform HS Societies secret benevolent etc RC Internal medicine RD Surgery RZ Other systems of medicine Draman, Samsul Suofeiya, Maliya Nasarruddin, Muhammad Syaffiq Zainal, Nur Hamizah Azeman, Abdul Hakim Mohd Rus, Razman Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
description	Introduction: Mak nyahs are locally known male-to-female transgenders in Malaysia. In Western countries, medicalization of transgenderism allows strictly selected patients to undergo sex reassignment surgery. However, a standardized treatment system is not yet available in Malaysia. A number of mak nyahs underwent sex reassignment surgery at their own will. This study aimed to explore mak nyahs’ knowledge and perception on sex reassignment surgery. Materials and Methods: A qualitative research was carried out from 13th July 2016 till 31st August 2016 among 8 adult mak nyahs in Kuantan, Pahang. Snowball sampling was used. Participants who gave verbal consent were interviewed individually and in focus groups. Data obtained was transcribed and used as the primary data source. Results: All informants were Malays and Muslims. They generally had some knowledge about the standard procedures and risks in sex reassignment surgery. All informants expressed their desire to have the surgery, but chose not to. Reasons discouraging them from having the surgery were: i) religion, ii) forbiddance from family, iii) fear of regret, iv) death from surgery, and v) the lack of necessity. Factors driving them to have the surgery: i) more income from sex work, ii) pressure from sex clients, iii) securing a stable relationship, iv) self-satisfaction, and v) hope for a better future. Conclusion: Religion seemed to be the main reason refraining them from undertaking the surgery. Counselling mak nyahs should include the advantages and disadvantages of sexual reassignment surgery. Islamic religious preaching is very important to help reduce high risk behaviours, as well as teaching mak nyahs to cope with challenges in adult life. Further research is necessary to show association between religious knowledge and successful rehabilitation of the mak nyahs’ community.
format	Article
author	Draman, Samsul Suofeiya, Maliya Nasarruddin, Muhammad Syaffiq Zainal, Nur Hamizah Azeman, Abdul Hakim Mohd Rus, Razman
author_facet	Draman, Samsul Suofeiya, Maliya Nasarruddin, Muhammad Syaffiq Zainal, Nur Hamizah Azeman, Abdul Hakim Mohd Rus, Razman
author_sort	Draman, Samsul
title	Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
title_short	Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
title_full	Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
title_fullStr	Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
title_full_unstemmed	Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia
title_sort	mak nyahs and sex reassignment surgery: a qualitative study from pahang, malaysia
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2019
url	http://irep.iium.edu.my/71503/ http://irep.iium.edu.my/71503/ http://irep.iium.edu.my/71503/1/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery.pdf http://irep.iium.edu.my/71503/7/71503_Mak%20nyahs%20and%20sex%20reassignment%20surgery_scopus.pdf http://irep.iium.edu.my/71503/13/71503_Mak%20Nyahs%20and%20Sex%20Reassignment%20Surgery%20-%20A%20Qualitative%20Study%20from%20Pahang%2C%20Malaysia_WOS.pdf
first_indexed	2023-09-18T21:41:23Z
last_indexed	2023-09-18T21:41:23Z
_version_	1777413163256381440

Mak nyahs and sex reassignment surgery: a qualitative study from Pahang, Malaysia

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