yshouldihaveatitle

[racingmiku-deactivated20180707]

This is the Money Bean. Reblog and he might share his wealth.

[allthepowersofhell]

“I’m not scared to be seen, I’ll make no apologies” - This is Me

For Trans Day of Visabilty here’s some Iconic™️ photos of the last year🏳️‍🌈

[profeminist]

Source

Want more info? Here ya go: 

This Biology Teacher Disproved Transphobia With Science 

ALSO:

Sex redefined

“The idea of two sexes is simplistic. Biologists now think there is a wider spectrum than that.”

More on anti-trans arguments as bad science

[eternal-nova-deactivated2018011]

I LOVE THIS

[polysixxxx]

Reblog cuz I didn’t even know some of this shit.

[deadmugen]

the world is way too weird for that shit

[pymparticles]

Scientists have discovered the animal kingdom first female penis.

They have also discovered a new way to make me say “Well, goddamn”.

[queencitysavior-blog]

“Contrary to popular belief, the presence or absence of certain sex organs isn’t the determining factor when deciding which animal of a species is female and which is male.”

“Contrary to popular belief, the presence or absence of certain sex organs isn’t the determining factor when deciding which animal of a species is female and which is male.”

“Contrary to popular belief, the presence or absence of certain sex organs isn’t the determining factor when deciding which animal of a species is female and which is male.”

YO CISSEXISTS WHO LIKE SCIENCE SO MUCH. CHECK THIS OUT.

[ayellowbirds]

“In fact, biologists don’t use sex chromosomes either. They actually rely on the size of an animal’s gametes — sperm in males and oocytes in females. As the rule goes, females are the sex that contribute the largest gametes, whereas males are the sex that contribute the smallest gametes and therefore expend the least amount of energy on producing these cells. So, in this particular instance of sex-role reversal, the convention still applies: the female in these species of insect produces the largest gametes — egg cells. She simply also happens to sport a penis that she introduces into the male’s vagina during copulation.“

Now, for some more on this:

The technical term for the female sex organ in Neotrogla insects is “gynosome” (near as i can tell, this is etymologically derived from something meaning “female body”). It’s a complicated and fascinating thing that is actually pretty controversial, because just calling it a “female penis” is arguably even more a matter of humans assigning limited concepts to nature that is far more varied than we give it credit. You could say it’s like calling an elephant’s trunk a “face hand”; it serves similar functions but evolved in a different way and in terms of appearance and actual function is drastically different.

But in the end, it’s the concept of a penis in the first place that is a problem. A textbook-typical human “clitoris” is made of the same tissues and has most of the same basic structure as a human “penis”, though a lot of it is internal; testes and ova are just gonads with different names and theoretically different contents (because some people are born with what looks to be one thing and turns out to be another). Depending how you define a “penis”, this isn’t even the first-known example of a species where the “females” have them.

Spotted hyenas as an entire species (and in some cases, individual black or brown bears) show a division where the females—the ones with the larger gametes, which in this case receive the smaller gametes and bear young from fertilization to birth—have external sex organs that are outwardly identical to those of the male. The clitoris and vulva developed into something indistinguishable from a penis, including becoming erect; the reproductive tract and urethra extend through this organ and the hyena urinates and gives birth through it (the latter usually resulting in some significant tearing and a high mortality rate on the first birth. Evolution doesn’t always mean ‘this thing works perfectly now that it’s evolved’).

Most male birds don’t have a penis; they just mash their cloaca against the female until the important stuff transfers over—as far as i know (might be mistaken?), birds that do have dicks evolved them later on, and they tend to be disturbing, twisty, spiky things with little structural similarity to mammalian ones. This doesn’t get into reptiles, amphibians, fish, etc. Or how human penises/clitorises are weirdly different from nearly all other mammals, we don’t even have a bone in there.

so, yeah. I’m of the opinion that the biggest problem with saying that boys have penises is that a penis is a really tricky thing to define and even in humans they vary too widely to easily define—and then we start getting into cave-dwelling insects, spotted hyenas, and bears, oh my.

[transgenderteensurvivalguide]

What to expect in dealing with the TSA

AIT Screening Process: When you enter the imaging portal, the TSA officer presses a button designating a gender (male/female) based on how you present yourself. The machine has software that looks at the anatomy of men and women differently. The equipment conducts a scan and indicates areas on the body warranting further inspection if necessary. If there is an alarm, TSA officers are trained to clear the alarm, not the individual. Additional screening is conducted to determine whether a prohibited item is present.

The TSA Notification Card: Individuals with Disabilities and Medical Conditions can be used to notify the TSA agent that you are transgender. Pat-Down: If you cannot or choose not to be screened by advanced imaging technology or a walk-through metal detector, you will undergo a pat-down procedure instead. You may also undergo a pat-down procedure if you alarm the screening equipment and/or at random. If a pat-down is performed, it will be conducted by an officer of the same gender as you present yourself. Screening can be conducted in a private screening area with a witness or companion of the traveler’s choosing. Please see additional guidance for prostheses (breast forms, packers). You may request private screening or ask to speak with a supervisor at any time during the screening process. Requesting a Pat-Down: You may request to receive a pat-down instead of AIT screening. You may request to have a pat-down in private and be accompanied by a companion of your choice. You may bring your carry-on baggage to the private screening area and may request a chair to sit if needed. You will not be asked to remove or lift any article of clothing to reveal sensitive body areas.

[qt3-14-deactivated20201002]

This will come in handy when I’m boarding my flight in summer!

[anarcholesbianism]

The Tucking Masterpost (Please signal boost!)(TW for discussion and some images of genitals)

Hi! Are you a CAMAB transfeminine person who’s sick of only ever seeing resources for CAFAB trans people on your dash? Are you just coming out to yourself and struggling with Peak Dysphoria? Are you a CAFAB trans person who wants to support the people above? Then here’s a post for you!

This is a post about tucking!

Wait Erika, what the fuck is a tuck?

Glad you asked! For those who don’t know, tucking is a technique for achieving a flat groin area. It’s a time-honored tool of CAMAB trans feminine people but, unfortunately, the tradition doesn’t seem to have been communicated very effectively to the current generation. 

So what’s the point of tucking?

Tucking has lots of awesome benefits! These include:

Being able to wear pants & shorts marketed to women more comfortably

Seeing yourself with a flat front often reduces dysphoria (it did for me!)

Referring to the previous bullet, it is one of the easiest ways to lessen your dysphoria when you’re still closeted, since you can wear a tuck under your normal pants/shorts and no one has to know

It can help us reduce some of the risk of being outed in public

Oh neat. How do I tuck?

The basics of tucking goes like this:

Push the testicles up into the inguinal canals

Pull the rest of the junk between the legs

Secure the arrangement with very tight underwear (or some other method)

Wait wait wait… What the hell is an inguinal canal?

Alright, so…. this is gonna require some body exploration on your part if you can stomach it. Basically, the inguinal canals are little tunnels in your pelvis above the testicles. If you push your testicles directly up into your body from their resting position, they should slide pretty neatly into the inguinal canals.

Yeah… this is what the TW was mostly for. Sorry, but the visual is helpful.

Ok…. So how do I secure it all in place?

Ok so first thing’s first: do not use duct tape. A lot of tutorials online (particularly ones for and by drag queens) recommend using duct tape, but that shit hurts and it’s super unnecessary!

Instead you need two things:

A tight pair of panties (preferably more, so you can do this frequently without wearing the same undies every day)

Control briefs

…. Control briefs?

I know, I know, so many new words tonight! Ever heard Spanx products? They’re mainly marketed to cis women for “tummy control”, but they have another awesome use as well - tucking! Here’s an example at Target.com (you should be able to find them at any store that sells women’s underwear, but if you’re afraid to go buy them in the store that pair is pretty cheap and you can order it online if you’re in the U.S.)

If you get the right size of control briefs (I would recommend buying a size down) they should fit very snugly over your junk. To hold your tuck in place, simply hold it between your legs, pull up your undies all the way, and pull the control briefs over them. Assuming you’ve pulled everything up as much as possible and kept everything tucked between your legs correctly, you should now have a snug and smooth tuck! Congrats!!!!!!

But wait, I can’t get that stuff! What do I do???????

Hey, that’s ok! Couple of ideas here:

Get a pair of tights (possibly old ones from a friend) and cut off everything but the stretchy part at the top. Congrats! Those are basically control briefs (albeit kinda messy ones)

Contact me and I’ll try to get you a pair of those control briefs from Target (if you live outside the US im sure we can find another website)

Ok…. So is there anything I should worry about with the tuck?

Unfortunately, yeah - mainly discomfort. Here’s a few ways discomfort occurs when tucking and how to avoid it:

After a few hours of tucking (varies depending on how active you are) things are probably gonna start to feel a little out of place. Part of the prevention here is practicing lots to get as tight a tuck as possible. Other than that, it’s something you’ll have to get kind of used to dealing with - I usually excuse myself to the bathroom when a tuck becomes too uncomfortable and fix it in the stall.

After even more hours you’re going to feel a pretty general aching. Much as people who bind shouldn’t do that for too long, you shouldn’t tuck for too long at once. Usually 4-8 hours (again, depending upon activity level as well as experience) is gonna be all you can stand before getting some longer lasting aching. I don’t know if there’s any long-term harm that can occur from tucking too long, but it’s best if you’re not the first to find out.

Generally I find that more & longer pubic hair can cause discomfort and generally make your tuck less effective. Definitely look into shaving down there, or at least trimming up a little bit if you don’t already (I’m not going to go into details about pubic shaving but send me a message if you need help in that department).

Congrats! You now know how to tuck! Go get those cute white capris you saw at Macy’s the other day and ROCK that shit!

If you have any questions or need additional help, feel free to send me an ask. If you have any additional suggestions to add to this post, please go ahead and reblog it with comment or send me a message about it!

Wikihow also has a good article on the topic to check out for some more visuals! (Make sure to skip to the “Tuck without Tape” section)

Please, make this post as popular as possible. CAFAB trans folks all have so much info about binding, but so many CAMAB trans feminine folk don’t know about tucking and could use the info!

[qt3-14-deactivated20201002]

I reblogged another tucking post a while ago, but this one is much more detailed!

[whatmountains]

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

[naidje-deactivated]

@euryale-dreams

[joyeuse-noelle]

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

[euryale-dreams-deactivated20201]

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

[whatmountains]

oh wow this is so helpful & good info

[blackthorn-and-iron-deactivated]

Everyone who cares about transfem people please reblog this

[thetolerantleft-deactivated2017]

this was really fucking helpful

[decorkiki]

A Visual #Fashion Guide For Women - Necklines, Skirt Types & More!

Come and Shop with us at www.GoGetGlam.com 

[rebloggedtutorials]

Omg thank you

[dinoshade]

for my femmes

[desperadore]

alternative depression tips for when you read the ‘depression tips’ post and laugh hollowly, bc only in your fondest dreams could you manage to do any of those things

dry shampoo and face wipes are your friend. if you can brush your teeth you’ll feel maybe 2% less disgusting. wash your hands.

smelling nice is gr9, rubbing moisturiser in is Exhausting. perfume, scented candles and linen sprays are way quicker.

try to change your clothes at least every other day. wear sweats or pjs as often as you physically can.

you don’t need to put on underwear if you’re not leaving the house (that goes double for bras and binders)

drink any water that hasn’t been sitting out on your desk for a week. dust doesn’t taste good. stay hydrated. I fill one of those 2 litre bottles in the morning and keep it with me so I don’t have to get up and walk to the sink.

re: cleaning, try and keep one room vaguely clean. if everywhere else is a shit hole that’s fine, but you can go sit in your one tidy space and chill for a bit. it’s fine if that’s the bathroom or just the corner of your bedroom where there’s no crap on the floor. find a tiny space that isn’t horrifying and sit in it.

music helps.

eat a thing. +5 points if it has a fresh fruit or vegetable in it. take out is acceptable if it comes with veggies.

if your creativity curled up and died a long time ago try and find something that at least reminds you what it was like to feel inspired. watch a film, look at some art (probably not your own), read a thing. if that makes you feel worse, just?? don’t think about it??

grounding yourself is actually really helpful. open the window and breathe for 2 minutes. lay down on the floor and feel your whole body (unless you don’t want to in which case: lay down and don’t feel anything except the floor) 

human interaction is Good. text a family member you don’t hate if you have one. message a friend. reply to someone’s personal post with ‘SAME’. make your own personal post asking the void for validation. stare out the window at people and remind yourself that life exists outside of the black space inside your head. whatever works.

pets are amazing, agreed. watch some funny animal vines if you don’t have one.

[thatoneniggawiththedreads]

My bummy ass seriously needed this 2 fucking days ago

[evilsalmon-deactivated20180820]

This shit is a million times more helpful and realistic than the normal posts.

[well-welly-well-belly-belle]

This is the sort of shit that gets me through depression. This is so fucking relatable and useful and applicable.

[babyanimalgifs]

Daisy is definitely not impressed by this.

via 1158pm

[bleeeky]

I was wondering if you could talk any more about voice training! The link you posted that was more intense is super helpful, but how did you go about implementing it? And how much did you go about changing your speech patterns? I'm new here, so I'm just trying to gather as much info as I can!

Yeah of course!So the first step is to figure out where these muscles are that you need to use to manipulate your voice. These muscles attach from near your Adam’s apple to underneath your ear (see pictures in article) Now to target them, try swallowing and feel how your adams apple goes up and then back down (feel it with your hands and then again without). Then swallow again, but this time try to slow the decent of your Adam’s apple. If you can do that, then the muscles you are using are the same muscles you need to target to change the resonance of your voice. You can feel those muscles tighten up. Another way to target these muscles is by gurgling water. Now once you target these muscles, the next step is to try speaking while you are tightening those muscles. Imagine pulling your Adam’s apple upwards (for pitch) and backwards (for resonance). This feels really weird at first, but the more you practice, the more those muscles will get used to it and eventually change your normal speaking voice. Hope that helps! :)

Here’s the article again if you need it: http://lena.kiev.ua/voice/

[advicefortranskids]

natural voice change (fixed)

a big thanks to @divinelygrotesque for finding these links

Lower

Boom Your Voice - youtube video

How to deepen your voice naturally – reddit thread

How to talk with a deeper voice - wikihow

How to deepen your voice (pre-t) – reddit thread

Voice masculinization - article

Vocal androgyny in speech and singing - article

This Phone App Helps Transgender Users Change The Pitch And Tone Of Their Voices - buzzfeed article

Higher

Voice Feminization - article

Pitch, range, resonance, depth - blogspot article

How to develop a female voice - article (cisnormative language)

Feminine voice techniques - article

[whatmountains]

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

[naidje-deactivated]

@euryale-dreams

[joyeuse-noelle]

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

[euryale-dreams-deactivated20201]

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

[whatmountains]

oh wow this is so helpful & good info

[blackthorn-and-iron-deactivated]

Everyone who cares about transfem people please reblog this

[thetolerantleft-deactivated2017]

this was really fucking helpful

[whatmountains]

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

[naidje-deactivated]

@euryale-dreams

[joyeuse-noelle]

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

[euryale-dreams-deactivated20201]

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

[whatmountains]

oh wow this is so helpful & good info

[blackthorn-and-iron-deactivated]

Everyone who cares about transfem people please reblog this

[thetolerantleft-deactivated2017]

this was really fucking helpful

[whatmountains]

TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

4. Bicalutamide: This is an anti-androgen that has almost none of the side-effects of spironolactone or finasteride. The girls I know who are on it are evangelical about it.

[naidje-deactivated]

@euryale-dreams

[joyeuse-noelle]

Are there HRT medications that don’t increase blood clot risk? I’m already at risk because of my blood pressure, and my doctor won’t prescribe HRT that increases clot risk while I’m on the medication - and I may never not be on the medication.

[euryale-dreams-deactivated20201]

Absolutely.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.

Edit: Fixed a minor, but embarrassing, error.

[whatmountains]

oh wow this is so helpful & good info

[blackthorn-and-iron-deactivated]

Everyone who cares about transfem people please reblog this

[thetolerantleft-deactivated2017]

this was really fucking helpful

[missjessicabrewer]

Debunking a Ridiculous Myth

According to some, the girl on the left (me) belongs in the men’s room, while the man on the right belongs in the ladies room.

Ridiculous right?

Now, while the image is meant to shock and illustrate the problem, that isn’t even the crux of the issue. Assume I was forced into the men’s room and Buck here (man on the right) was forced into the ladies room. Guess who is more vulnerable and at risk? It isn’t your little daughter, it’s me. For me to enter a men’s room that tells everyone in there I’m transgender. Transgender women are ridiculed, assaulted, beaten and murdered for simply having the audacity to walk down the street in broad daylight.

Your daughter, sister, wife or mother is safer in the bathroom with a transgender woman than you’d like to believe. There is no other group of people more sensitive to the harsh realities of violence against woman than transgender women. We were once treated as men. We got to talk over other people in meetings, we got raises and promotions for being one of the guys, we got to walk the street at night relatively free from fear, we never had to measure the length of our clothes to make sure they met a dress code, and we never had to carry pepper spray or attend a self defense class just because of who we were. If I saw a cis man assaulting your child in the women’s room, you would have to pull me off of trying to smash his face in.

Lastly this talk of creepy cis men using the cloak of transgender rights as a basis for entering the women’s room to assault or creep on women?

1. Rapists, pedophiles and creepy men don’t need an excuse. 2. You really think stopping people who look like me from going into the women’s room but allowing people who look like Buck on the right to go in there doesn’t give men an excuse? Trust me, a creepy guy has a LOT harder a task looking like me than they do like him. You really think “I’m a transgender woman” is a better excuse than “I’m a transgender man?”

Stop the hate. Let us pee.

[ironinkpen]

my sense of humor:

suggesting “kill them” as punishment for an extremely disproportionate crime  (”he stole my eraser” “kill him”)

staring at an object that has fallen over for a prolonged amount of time and with inordinate disappointment

*points at a garbage can* “that’s me”

zooming really far into someone’s face on snapchat

*something minorly inconveniencing happens* “@god what did I ever do to you”

“what are you doing” “my best”

shortening words that are already shorter versions of other words (ex: thank, congrat, welc)

“Bees?”