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Aleksa Lundberg, Swedish Transgender Actress, Mourns Forced Sterilization

Transgender Sterilization

First Posted: 11/02/11 11:30 AM ET Updated: 11/03/11 08:26 PM ET


By Ann Tornkvist

STOCKHOLM, Sweden -- Aleksa Lundberg remembers being four years old and standing by the kindergarten's wading pool. The teachers began separating the children into groups for an autumnal walk through the nearby woods, ushering boys to one side, girls to another. Lundberg remembers being unsure which side to choose.

"I knew that I was expected to join the boys, but equally I knew that I wanted to join the girls," Lundberg says.

As Lundberg moved to join the girls' side, a teacher with a tight, graying perm framing a face contorted in anger grabbed Lundberg by the wrist and "half led, half pulled" her to the group of boys, telling her firmly that this was where Lundberg belonged.

"It was my first experience of an 'authority' telling me what I could do, what I should be, and it led to what is my first memory of an anxiety attack," says Lundberg, now a popular 29-year-old actress who completed the transition from male to female when she was 18. "The silhouettes of the boys standing around me transformed into jail bars in front of my eyes."

More than two decades later, Lundberg is a dramatic voice in a larger struggle against authority -- the Swedish legal requirement that people who want to officially change their sex with the government must be be sterilized first. The law also forbids the freezing of sperm or eggs before corrective surgery, which effectively means transgender Swedes are barred from having biological children.

"Compulsory sterilization" has been quietly practiced for decades in countries typically cast as progressive on LGBT rights: France, the Netherlands, Australia, and a number of U.S. states still require it. Italy and Germany have just recently overturned similar legislation.

Although Swedish leaders have been talking for months about repealing the sterilization law that Prime Minister Fredrik Reinfeldt called a "dark chapter in Swedish history," it remains on the books. The conservative Christian Democrats have doggedly opposed the repeal, arguing that sex reassignment surgery is a threat to traditional social roles. Transgender advocates like Lundburg say they are fed up with being the last of the LGBTs to win their rights.

"It infuriates me that a group of people think they have a right to tell another group of people what they can and cannot do," Lundberg says.

*****

When she began the intensive process of changing her sex from male to female over a decade ago, Lundberg didn't give much thought to the fact that she would have to be sterilized. She was 17. But before the Swedish government would certify Lundberg as a woman, she was required to undergo a full surgical removal of her male sex organs.

Human rights groups say Lundberg has been robbed of a fundamental human ability: procreation.

"I believed I had to give up every vestige of being male to complete the process. I cried and shouted for joy when that final piece of paper dropped in the mailbox telling me that I was now legally a woman," she says.

With her fair complexion and light hair growth, Lundberg has suffered none of the stubble some other male-to-female patients endure when taking the hormone estrogen which reduces facial hair growth. A bob of glossy blonde hair crowns her tall, slim figure.

Only in recent years did she come to see the infertility requirement as a violation of her rights.

"We are not even allowed to freeze sperm. I am today fully incapable of having my own children," says Lundberg, who has not ruled out adoption if she meets the right man to start a family with.

"I was hoping as an actress to not have to talk about this topic," she says. "It became a political issue for me when I have been expected to hide the darker notes of my voice to give the appearance of being 'a normal woman,' when it became clear that it wasn't granted that every individual be allowed to be herself," says Lundberg. "That's when I decided I couldn't remain silent."

After years of hiding the fact that she had been born male, Lundberg first opened up about it four years ago. She has since launched a one-woman show called "Infestus," which chronicles her experiences as a young boy, her sex change in her late teens, and life as a grown woman. It has played all over Sweden to acclaim.

Meanwhile support for transgender reproductive rights has begun to foment within Sweden's ruling government coalition, and last year all seven of the country's main parties expressed support for repealing the sterilization legislation, in place since 1972.

But in practice, the conservative Christian Democrats oppose a repeal. Although their party is a minority in parliament, the Christian Democrats underpin the centre-right government coalition. Their spokesperson Annika Eclund, describes the party line as "looking out for children's interests" in a time when medical advances allow new reproductive techniques.

"There are limits to how much we should experiment with how life is created," she says. "Every day I meet people who are seeking their identity and their background, asking where they come from," she says. "Men don't give birth to babies. A daddy can't at the same time be a mummy. Just because you can, does that mean that you should?"

About 50 sex changes are registered every year in Sweden, which has a population of around 9 million. Treatment is part of state-funded health care.

The infertility requirement has meant that some patients chose to wait to have corrective surgery so they can have a family. "I know at least one man in Sweden who lives fully as a man but has kept his womb because he wanted children and it's very problematic for him to still legally be defined as a woman," says Ulrika Westerlund, president of the Swedish Federation for Lesbian, Gay, Bisexual and Transgender Rights (RFSL).

"It is a violation of human rights to force a person to have surgery that they do not need or want in order to have your gender legally recognized," she says.

Although technically the Christian Democrats have ministerial control over the Social Welfare Department, which shapes policies on families and health care, a motion to repeal the law can be presented directly to parliament. A liberal member, Barbro Westerholm, told media in July she was in favor of the idea, and observers say it looks unlikely that the party's center-right allies would support keeping the law if asked to vote. Given the number of left wing opposition members, any Christian Democrat attempt to block a repeal would be futile.

"It isn't something we are particularly happy about," says the Christian Democrat spokesperson for LGBT issues, Annika Eclund, "but it allows us to vote no in parliament and show our supporters that we are faithful to our principles."

Par Wiktorsson, president of the organizing committee for this year's Stockholm Pride Festival, said the current law is reminiscent of eugenics programs that Swedish academics and doctors began to pursue in the 1930s and actually continued to practice until 1976.

"Supporters of the law don't want the sterilization referred to as 'forcible,' but they didn't want to call it that in the past either," he says. "But for transgendereds, the state has always stood behind this demand with the threat of [withholding medical] treatment. It is shameful that we have forcible sterilization in the year 2011," he adds.

*****

A few days remain before parliament reopens and Stockholm is experiencing a last minute burst of summer. Lundberg squints up at the sun. She is on a rare break off work. In the two years after graduating from university she has performed steadily. In addition to her one-woman show, this year she had a supporting role in the adaptation of Ingmar Bergman's 1968 film "Hour of the Wolf" on the lauded stage of the capital's Royal Dramatic Theatre.

For Lundberg, the transition was not straightforward. At first, she told her parents and younger siblings that she was gay. "It allowed me, I felt, to act more femininely, which my hockey playing, traditional father had a hard time accepting."

It took another year until she informed them she was going ahead with sex reassignment. "It was particularly hard for my 14-year-old brother who felt he was losing an important male role model," she says.

But her family remained supportive.

For the peace and quiet she needed during the sex change, Lundberg moved home to her grandmother, and eventually into her own apartment. Today, Lundberg refuses tell people what her name was as a boy. "I don't want to give the impression that I was one person then and another one now," she says.

She is optimistic about Sweden’s current political climate, though the issue has yet to be taken up by parliament in the current session.

"It was news to me that the Christian Democrats may be excluded from the decision making process," reacts Aleksa Lundberg excitedly. "As I understand it, the young members want to modernize, so it's the old farts putting up resistance."

RSFL president Westerlund agrees.

"Despite everything, I feel quite hopeful that the law will be repealed. We have worked very hard to bring media attention to the issue." she says. "There are a lot of people in government who identify themselves as liberal and I think they feel uncomfortable with being associated with a law that requires sterilization."

Despite her successes, Lundberg is quick to add one observation: "I knew I would, and I have lost jobs by being open about my sex change."

Facts on sex reassignment surgery:

For male-to-female surgery, the testicles are removed while the skin of the penis is recast into labia, and a vagina is constructed. The sensitive tip of the penis is used to build a clitoris. Patients take the hormone estrogen, which lessens hair growth and can contribute to breast growth.

For full female-to-male surgery, the womb and ovaries are taken away, the vagina closed and the labia removed. A full penis cannot be constructed but taking the hormone testosterone can enlarge the clitoris into a 'mini penis,' at the same time as the patient experiences more hair growth.

GlobalPost will be publishing stories from its special report, "The Rainbow Struggle: A global battle over gay rights" weekly in partnership with The Huffington Post between Oct. 3 and Nov. 30. Upcoming stories originate in South Africa, Turkey, Spain, China, Sweden and Argentina.

CORRECTION: An earlier version of this story reported that hormone replacement therapy raises the voice. This is incorrect.
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By Ann Tornkvist STOCKHOLM, Sweden -- Aleksa Lundberg remembers being four years old and standing by the kindergarten's wading pool. The teachers began separating the children into groups fo...
By Ann Tornkvist STOCKHOLM, Sweden -- Aleksa Lundberg remembers being four years old and standing by the kindergarten's wading pool. The teachers began separating the children into groups fo...
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Bellla
Trans & Proud
10:27 AM on 11/27/2011
Forced sterilization for transfolk is silly and a waste of time, especially when you consider that getting our SRS renders us sterile anyway!
I see no hope for transfolk fertility until stem cell research allows me to grow a womb, ovaries, fallopian tubes and a cervix as well as having available medical tech to have them installed properly!
I am post op, and the Dr. did a great job, but even if he could have made me fertile at 50+, I'm just too old for carrying babies!
Besides merely being able to bear a child is not the sole definition of femininity!
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Karissa36
Saving lost boys and fighting pirates.
04:14 PM on 11/14/2011
Is this a eugenics law, or just a limitation of coverage under the national health insurance program? Meaning is it really ILLEGAL for sperm and eggs to be frozen, and then a pregnancy attempted later, or does the government just refuse to pay for it? Is the purpose of the law to prevent future high medical costs associated with possibly complicated fertility and pregnancy treatment? I really don't understand this at all from a eugenics perspective, but perhaps originally they were concerned about medical costs and birth defects from hormone treatment. Doesn't make much sense now with the ability to freeze eggs and sperm.

The author seems to be suggesting that a legal sex change should be permitted regardless of what surgery, if any, a person has had. I really don't see any problem with this.
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tidalwave4455
10:09 AM on 11/07/2011
Decades ago American women had to leave the country to have an abortion. Couldn't Swedish LGBT go to America, Denmark, etc. and have their eggs/sperm frozen? Later they use them as they wish. Certainly Sweden wouldn't force the person to have an abortion.
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92102
Friends Don't Let Friends Watch FOX News
10:53 PM on 11/04/2011
This one is a tough call. I'm not a fan of forced sterilization, but if you change your sex surgically shouldn't you change it completely - inside and out?
11:40 PM on 11/04/2011
"Shouldn't you" is what I don't like about your comment. You should go to college, you should get married, you shouldn't pierce your tongue-- how about you SHOULD do what you want, so long as it doesn't hurt other people's body/property. It makes no sense to sterilize people who don't want to be sterilized, regardless of your own perception of what makes a person "completely" sex-changed. This isn't a tough call for me at all. And Sweden, tsk-tsk.
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92102
Friends Don't Let Friends Watch FOX News
12:23 AM on 11/05/2011
Perhaps "shouldn't" is the wrong word. However, I have difficulty understanding why one would have sexual reassignment surgery that is incomplete mechanically inside and out. That being said, I do not dispute one's right to do what one wishes with their own body, but if a f to m adds a penis, but keeps her uterus and other reproductive parts or if a m to f removes his penis, but keeps his testes, it would seem they have not transitioned to the other sex, but instead just added accessories. Either way, I agree that it is not the business of the state to get involved.
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Brant Kelsey
05:29 AM on 11/05/2011
Not a tough call at all: And should be only the call of Aleska. Surely not any governing Agency.
Prior to the procedure, had there been Sperm preserved, I presume cryogenics, then this should have been employed as she sees fit. No close call.......this is best as a non-call.......
09:04 PM on 11/04/2011
"Transgender" is a myth created by medical capitalists. Don't get all crazy on me, I'm not for mistreatment of those claiming to be transgender, I'm sympathetic.

The thought of these confused people dreaming about and saving for the chance to pay the medical establishment a fortune so that they'll feel "comfortable" in a new doctor created body is ludicrous. The human experience involves a lot of anxiety about a lot of things. The best we can do is make the best of the difficult circumstances we face.

Being an effeminate male or butch female should be totally acceptable.
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Heather Haze
05:00 AM on 11/05/2011
You may be "sympathetic" but you're also grossly misinformed. Transgender people aren't just fanciful or confused. Gender identity is a deeply ingrained thing. It is developed early in the brain and doesn't tend to change in a person's lifetime. Gender is a spectrum. If you're an effeminate male, or butch female, then that's what you are. But the people who go through transition aren't just "dreaming" about a new body, they KNOW their internal gender doesn't match their physical forms. There are those who can live with that, and there are those who can't. Gender identity disorder is well-researched and documented, with specific standards of diagnosis and treatment available. There's absolutely no reason that treatment should not be given to all who need it, and it should be covered like any other essential treatment. It is not "cosmetic" and it is not elective. For some, it really is a life or death matter.
07:12 AM on 11/05/2011
Transgender sexual reassignment treatment is not "given" to anyone, it's a mammoth amount of money, a sickening manifestation of medical capitalism.

These poor patients don't "know" anything about their gender not matching their forms. That's all just psycho gobbledygook. I would hope they come to accept and even celebrate their contrary sexual identity feelings, instead of fantasizing about how a doctor's very expensive knife can make it all better. It's downright gross.

As for me being uniformed, quite the opposite. I've dealt with gender/sexual orientation issues my entire life.
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VagabondBull
Independent. Atheist. Sometimes misanthrope.
04:38 AM on 11/06/2011
Thankfully you don't have any influence because just about every physician, social worker, psychologist and psychiatrist disagrees with you about transgender people being "confused." Gender identity dysphoria is a medical diagnosis recognized by the American Medical Association. The recommended plan of care is set forth in the guidelines published by the World Professional Alliance for Transgender Health (WPATH); an international organization of physicians and therapists who have dedicated their lives to the treatment of this condition that is often misunderstood by most of the population.

Gender dysphoria is not something recently created by "medical capitalists" but something that has been recognized in almost every culture throughout history. The native Americans call them "two-spirited" and see them as wise and mystical people. The kathoey in Thailand and Laos, the Hijra in Hindi cultures, the Muxe in Latin America, the Mukhannathun in early Islamic cultures, the Gallae in ancient Turkey, the Salzikrum in Mesopotamia, the Mahu in Polynesia, and the Fa'afafine in Samoa to name a few.

Transgender people have been documented in thousands of years of history in every culture that has existed. There is also almost 100 years of research on the subject, limited it may be, since around the time Penicillin was discovered.

The ideal treatment would be something along the lines of gene therapy or a brain transplant but at this point in medical innovation the best we can do is hormone therapy and gender reassignment surgery.

Your statements show you are anything but "sympathetic."
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101flyboy
08:23 PM on 11/04/2011
I really wonder what goes through the head of someone who essentially is completely biased towards an entire group of people on the basis of a condition they have. Like, I can understand judging a person on the basis of character. Personality. Behavior. But because they're transgendered and want to be able to live the same life and have the same rights as everyone else? How callous and heartless people can be. Sickening and sad.
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Heather Haze
05:00 AM on 11/05/2011
You are so right. Well said.
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KaraC
Trans lesbian, atheist and humanist
12:19 PM on 12/08/2011
F&F, well said flyboy!
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KaraC
Trans lesbian, atheist and humanist
07:00 PM on 11/04/2011
This is particularly odd because Sweden is generally very socially accepting. Let's hope this situation is soon changed so that trans people can store their gametes prior to surgery.
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101flyboy
08:19 PM on 11/04/2011
Yes.............towards homosexuality. Sadly, transgenderism is a totally different ballgame in the eyes of a lot of people accepting towards homosexuality, let alone those who aren't. We can only hope this law is reversed ASAP.
Bellla
Trans & Proud
10:35 AM on 11/27/2011
Yes here in America the gays have kicked us transfolk to the curb again and again in their efforts to obtain rights for themselves. I still occasionally meet transphobic gay people!
06:47 PM on 11/04/2011
Or.......couldn't she come to America and have an embryo implanted in her now?
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VagabondBull
Independent. Atheist. Sometimes misanthrope.
04:49 AM on 11/06/2011
Unfortunately no. The gender reassignment process cannot provide anything like a uterus or the reproductive organs needed to carry a child. With hormone treatments it is possible for a transgender woman to lactate however.

For male-to-female gender reassignment surgery a neovagina, clitoris, and labia (minora and majora) are created with a 90%+ rate of being able to achieve climax postoperatively. Unfortunately all reproductive abilities are no longer able to function after the surgery.

This is just a country playing around with eugenics the way those brown shirted people we fought in WW2 did.
06:47 PM on 11/04/2011
She should've had kids kids before he/she had it cut off............or do they forbid you a sex change if you've already fathered a child?
06:08 AM on 11/07/2011
They don't cut it off, and why do you presume it's the right time to raise a child? You really think a parent should raise a kid while trying to suppress an issue that causes 50% of sufferers to commit suicide?
10:35 PM on 11/07/2011
Well, did she/he know the "rules" before having the surgery? I'm merely trying to point out that if he wanted to have kids before becoming a she and he knew he couldn't preserve his sperm before the operation, it's a bit LATE to be complaining after the fact..............

And my apopligies for not knowing/understanding the "mechanics" of the operation, thereby being a bit callous in using the phrase "cut it off." I'm sorry......so, how is it done? Do they just unzip it? Tuck it inside?

I still have to dispute the headline of "FORCED Sterilization." Had HE not had the surgery, he would still be able to have kids................or are you telling me that they perform the operation and then.....SURPRISE!!! NOW that you've had it, we're going to strap you down and remove the necessary part for procreation!!!! Nooo..the article said "didn't give it much thought.............." And I don't hear a lot of women complaining that they can't become fathers...............
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Brant Kelsey
05:51 PM on 11/04/2011
This is in direct response to Florida1966

I think that you and your fellow Floridians are better suited, intellectually and emotionally to deal with far more simple tasks, like say "hanging chads".....but really you are wholly incapable of dealing with more challenging endeavors like "Chads that were once hung........
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wvprogressive2011
Transwoman, Eco-Socialist
12:24 PM on 11/04/2011
The comments for this article proves the transgender community is at least ten years behind the rest of the LGBTQs. So many backwards, simple people.
12:34 AM on 11/04/2011
Transgender is a new word, in the Bible 2000 years ago it was 'Eunuchs'.

For religious people:

These are the words of the Lord: 

The eunuchs who keep my Sabbaths, who choose to do my will and hold fast to my covenant Will receive from me something better than sons and daughters, a memorial and a name in my own house and within my walls. I shall give them everlasting renown, an imperishable name.

Impressive huh? Xxo
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Brant Kelsey
12:46 AM on 11/04/2011
More than impressive absolutely perfect. Fannned&Faved..........keep up the work.......back at ya..............Brant
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Florida1966
Why are you reading my micro-bio?
08:40 AM on 11/04/2011
the Bible was referring to people who understand and deny their sexual urges in favor of a life spent focused on being chaste and Godly. The eunuchs were living the transgender or gay lifestyle, they instead focused in a different direction and will be rewarded for the sacrifice.
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Heather Haze
09:32 AM on 11/04/2011
What makes you think a "transgender lifestyle" can't be chaste and Godly? Being transgender has almost nothing to do with sex. They are no more or less apt to live purely and spiritually than you or anyone else. It seems you suffer from some misconceptions. Most transgender individuals just want to live normal lives.
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Brant Kelsey
04:55 PM on 11/04/2011
Citations warranted..............
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Brant Kelsey
12:25 AM on 11/04/2011
I kind of look at as doing a remodel on my home: It will be the change I need to make me more comfortable: It, as most valuable change, i will require money, time, and inconvenience for awhile. But when I'm done people on the street will hardly recognize anything at all has been done
06:10 AM on 11/07/2011
Not true. You've bought into the pop culture idea of "men in dresses", when many, maybe even most trans women blend quite well.
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Brant Kelsey
01:07 PM on 11/07/2011
Presumes facts not in evidence: It may have been a poor metaphor: But surely doesn't reflect that I've bought into anything. Particularly the "pop culture idea of men in dresses." What presupposes the need, compulsion, desire, or path for one to reach peace and fulfillment as is envisioned or felt within the Person is as varied as the individuals who need make them: It is not my Province, your province and surely not the State. to meddle in such matters. And if you should happen to read other posts I've made on the matter I think you will find a bit more clarity: When I first came to this topic, to this thread, it was controlled by puritanical tr00lisms, and all the meager contemptuous remarks they could muster. I hung here to take each on one by one: Until the tenor of the thread became more civilized. We go as we go in this world, it can be a difficult path under the most serene of settings: Bigotry, racism, sexism........and economic racism and puritanism; coupled with reactionary thoughtless judgment: are not my cup of tea. I would always prefer the role of the iconoclast: I am curious to know, particularly in the face of some pedantic rant: whether the author of same has real understanding: or is just reciting some learned shibboleth. No Paradigm purchase here the stores are all closed..........Brant
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sloyd
Return to original Republicanism to save America
11:36 PM on 11/03/2011
The tolerance of Progressive ideology on a persons right to bear children, I am happy to see stories like this one being told.
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Freddie27
Liberal Gay Jewish Atheist
11:16 AM on 11/05/2011
Ah yes, a right winger shows their famous desire for "small government".
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sloyd
Return to original Republicanism to save America
06:44 PM on 11/05/2011
How is showing my happiness to seeing stories coming to light about the atrocities of Progressive ideology on child bearing showing a desire for small government. I am for smaller government, but I do not see the connection to that and the statement that I made on this thread that you responded to. With that logic I could add a retort of, "Ah yes, a Progressive shows their support for "eugenics".
tccat4
We all have a right to our opinion, like it or not
09:49 PM on 11/03/2011
In less the surgical procedures have changed a transgenered person cant have a biological children so why the cost of sterilization?

So why is this even in the news?
GOODDOC1
"civil war" is an oxymoron
10:19 PM on 11/03/2011
Actually, a female-to-male surgery would render that woman incapable of being impregnated because she has no ovaries. They remove her testicles during the surgery, so she has no sperm left. Now they prevent her from having her sperm frozen, so she can never have progeny through in vitro fertilization.
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Brant Kelsey
12:10 AM on 11/04/2011
I would like to live in a world where, it was the 99% who asked that very same question.
Why is this even in the News?