Rising Sine @risingsine - Tumblr Blog

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

blkwlw

I know a lot of trans women dont have acess to information like this and its very helpful.

pangur-and-grim

honestly, open warning to anyone who sits beside me on a plane: I’m eating your ass immediately if we crash. I don’t have any religious hang ups. if we’re lost in the Andes in need of rescue, and I start to get a little hungry, I’m eating you. sorry.

pangur-and-grim

oh.

well thanks for letting me know, I’ll rewrite the card I hand out on flights

risingsine

#sorry #not sorry

bogleech

Hey so I still see people utterly baffled by how religious fundies (still a majority in America and moreso its senate) react on certain issues so uhhh is it actually not common knowledge what the antichrist is all about? You guys know his defining characteristic is ending war, right? That he’s foretold to unite the world under his leadership by preaching global peace and solving basically every single problem in the world? So you know when you try to talk to these people about equality and togetherness they literally believe that’s what makes you an agent of the devil right???

parfstar

im sorry what. so. ok im assuming they think that this is all like. to gain trust and then take over or something? because.

bogleech

Yes, he’s called the “antichrist” because he’s an imposter Jesus and the majority of the world will love him when he ends all class divides and erases all borders, creating one world government with him at the top. That’s the “new world order” they’re terrified of. But they think he’ll oppress true Christian believers who see through his ruse, which is why they’re constantly looking for signs that they’re being discriminated against and panic when they lose any control over government. This is why they fear diversity, immigration, socialized anything. The less religious right are pretty clearly still running on the same logic; they might drop some of the spiritual lore but this is where they get the idea that all progressivism leads to the “real” fascism. Some believe the antichrist isn’t a literal person either but just that entire set of beliefs, so everyone protesting against war and trying to feed the hungry is a *collective* antichrist.

bogleech

So from the notes it turns out people are MUCH less familiar with all this than I suspected and that’s honestly kind of alarming, guys, you should really really pay attention to things that affect so much of this country. No these are absolutely not obscure or fringe beliefs, these are MAINSTREAM with megachurches, Trump voters, the GOP and a vast proportion of the wealthy. Alex Jones and multiple Fox News hosts openly believe word for word what I described here.

And yeah as several people pointed out it isn’t even explicitly in the bible, but something some radicals pieced together in maybe only the last century. My uncles all believe it to the letter and they all believe it’s what the Bible is “supposed” to be communicating.

A lot of people are also confused as to why they would believe the peace and unity are villainous things and what the difference even is then between the “antichrist” and actual Jesus, which brings me to another thing I realize some folks CRITICALLY overlook about American Christianity, which is that they do not believe in good or bad deeds. They believe the same deed can be right or wrong strictly according to whether or not it’s performed by a believer with God’s stamp of approval. Like, they KNOW the Satanic Church and Witch Covens do community service or donate to cancer research and they are not confused, surprised, bitter or embarrassed by that at all. It’s exactly what they’re taught to expect. They believe the forces of Satan do primarily “good” things so people will think he’s just as good or better than God. So if a pastor heals a sick child with a prayer then that’s good, but if a “witch” heals the same sick child with “magic” (not something I believe exists, but they do) then that’s a false miracle from the devil and the child was better off dying because now everyone involved is a sinner who deserves hell. They’re taught to view you as a ridiculous fool if you don’t grasp this difference, and every single argument you might make is a part of the satanic trickery.

After all, they think our entire existence on this Earth is an insignificant speck in the grand scheme of things. The suffering in the world isn’t a bug to them, but a feature that God set up to test everyone’s worthiness, teach them lessons and filter out the faithless, so they actively do not believe it’s always morally right in itself to help people or save lives. Rather, certain people are just intended to suffer and die and it can be MORE wrong to help them.

bogleech

Sorry to put this big ass thing on your dashboards again but I’m downright awestruck by the notes. There’s 15,500 of them at the time of this reblog and almost zero disagreement, just hundreds of people expressing absolute terror that they didn’t realize they were living under the thumb of a doomsday cult, and I’m really really sorry for that because I really did not expect to be the bearer of that news to so many. If you haven’t looked at the notes for yourself though, they’re pretty eye opening even to me, especially the next most common type of response on it:

….And something I’ve heard before but still neglected to mention:

…..so that’s all pretty nightmarish confirmation of how pervasive this mindset is around here, but you know, if the majority of reactions to this information have been either “what the fuck are you talking about?” or “yeah I WAS taught this and I’m better now,” maybe that’s a sign that it’s slowly but consistently fading with every generation?

I actually wasn’t raised religious AT ALL, and it was still impossible for me to not hear this shit constantly in the 80′s and 90′s from basically everyone outside my immediate family. It’d even crop up on television and radio stations that weren’t even supposed to be christian-oriented. Just boom, there’s an evangelist suddenly talking about how Only God is Allowed to End War and Satan Takes the Form of Kindness, like these were just normal banal perspectives to toss in between a relationship advice segment and the latest movie reviews. I’m really proud of every person saying they escaped from that indoctrination and actually feel much better and more hopeful about the whole thing. It might not be fixed completely in our lifetimes but clearly it is fixable.

bauliya

I was going full wait this can’t be real but uhhh this article provides a good summary of this phenomenon

How fundamentalist Christians who believe in the apocalyptic myth of “the rapture” could be shaping Trump’s agenda — and American life

bogleech

Relevant again

ragnell

Back when I realized this, in an argument with a fundamentalist-raised friend about whether the Joker could go to heaven, of all things, it hit me that their whole moral philosophy is broken. This type of fanatic does not have an actual ethical backbone. They don’t have real morality. They have an argument from a very nebulous authority. They think that morality comes from god, and that things can only be moral or ethical if they align with god’s will which is what’s in the book. Why is the book ethical? Because it’s inspired by god. How do they know it’s inspired by god? Well, you’re asking that because you’re immoral and trying to knock them off the right path.

Basically, when asked "Is morality loved by God because it is moral, or is it moral because it is loved by the God?“ they are stuck on the second and pointing out any problems with either means you’re trying to send them to Hell.

And while it’s true a good damned many of them WANT to see you go to Hell for disagreeing, there’s also a bunch that are simply unable to face the world without this philosophy because it’s all they know. If they question the veracity of the Bible, then it means they don’t have an authority to look to, they need to rely on their own personal ethics and it’s like taking the wrong block out of a Jenga tower. Their whole identity and framework of behavior can come falling down. Total eclipse of the soul. An existential crisis.

Pretty sure this sort of thing is why they (Not the christians, but some other group of people who just couldn’t handle these sorts of questions) killed Socrates, but I’m not an expert on that.

Point is, they are mistaken on a fundamental question about morality and you can’t argue with them, you can only offer a welcoming place when the tower comes down on it’s own.

bogleech

Hey so I still see people utterly baffled by how religious fundies (still a majority in America and moreso its senate) react on certain issues so uhhh is it actually not common knowledge what the antichrist is all about? You guys know his defining characteristic is ending war, right? That he’s foretold to unite the world under his leadership by preaching global peace and solving basically every single problem in the world? So you know when you try to talk to these people about equality and togetherness they literally believe that’s what makes you an agent of the devil right???

parfstar

im sorry what. so. ok im assuming they think that this is all like. to gain trust and then take over or something? because.

bogleech

Yes, he’s called the “antichrist” because he’s an imposter Jesus and the majority of the world will love him when he ends all class divides and erases all borders, creating one world government with him at the top. That’s the “new world order” they’re terrified of. But they think he’ll oppress true Christian believers who see through his ruse, which is why they’re constantly looking for signs that they’re being discriminated against and panic when they lose any control over government. This is why they fear diversity, immigration, socialized anything. The less religious right are pretty clearly still running on the same logic; they might drop some of the spiritual lore but this is where they get the idea that all progressivism leads to the “real” fascism. Some believe the antichrist isn’t a literal person either but just that entire set of beliefs, so everyone protesting against war and trying to feed the hungry is a *collective* antichrist.

bogleech

So from the notes it turns out people are MUCH less familiar with all this than I suspected and that’s honestly kind of alarming, guys, you should really really pay attention to things that affect so much of this country. No these are absolutely not obscure or fringe beliefs, these are MAINSTREAM with megachurches, Trump voters, the GOP and a vast proportion of the wealthy. Alex Jones and multiple Fox News hosts openly believe word for word what I described here.

And yeah as several people pointed out it isn’t even explicitly in the bible, but something some radicals pieced together in maybe only the last century. My uncles all believe it to the letter and they all believe it’s what the Bible is “supposed” to be communicating.

A lot of people are also confused as to why they would believe the peace and unity are villainous things and what the difference even is then between the “antichrist” and actual Jesus, which brings me to another thing I realize some folks CRITICALLY overlook about American Christianity, which is that they do not believe in good or bad deeds. They believe the same deed can be right or wrong strictly according to whether or not it’s performed by a believer with God’s stamp of approval. Like, they KNOW the Satanic Church and Witch Covens do community service or donate to cancer research and they are not confused, surprised, bitter or embarrassed by that at all. It’s exactly what they’re taught to expect. They believe the forces of Satan do primarily “good” things so people will think he’s just as good or better than God. So if a pastor heals a sick child with a prayer then that’s good, but if a “witch” heals the same sick child with “magic” (not something I believe exists, but they do) then that’s a false miracle from the devil and the child was better off dying because now everyone involved is a sinner who deserves hell. They’re taught to view you as a ridiculous fool if you don’t grasp this difference, and every single argument you might make is a part of the satanic trickery.

After all, they think our entire existence on this Earth is an insignificant speck in the grand scheme of things. The suffering in the world isn’t a bug to them, but a feature that God set up to test everyone’s worthiness, teach them lessons and filter out the faithless, so they actively do not believe it’s always morally right in itself to help people or save lives. Rather, certain people are just intended to suffer and die and it can be MORE wrong to help them.

bogleech

Sorry to put this big ass thing on your dashboards again but I’m downright awestruck by the notes. There’s 15,500 of them at the time of this reblog and almost zero disagreement, just hundreds of people expressing absolute terror that they didn’t realize they were living under the thumb of a doomsday cult, and I’m really really sorry for that because I really did not expect to be the bearer of that news to so many. If you haven’t looked at the notes for yourself though, they’re pretty eye opening even to me, especially the next most common type of response on it:

….And something I’ve heard before but still neglected to mention:

…..so that’s all pretty nightmarish confirmation of how pervasive this mindset is around here, but you know, if the majority of reactions to this information have been either “what the fuck are you talking about?” or “yeah I WAS taught this and I’m better now,” maybe that’s a sign that it’s slowly but consistently fading with every generation?

I actually wasn’t raised religious AT ALL, and it was still impossible for me to not hear this shit constantly in the 80′s and 90′s from basically everyone outside my immediate family. It’d even crop up on television and radio stations that weren’t even supposed to be christian-oriented. Just boom, there’s an evangelist suddenly talking about how Only God is Allowed to End War and Satan Takes the Form of Kindness, like these were just normal banal perspectives to toss in between a relationship advice segment and the latest movie reviews. I’m really proud of every person saying they escaped from that indoctrination and actually feel much better and more hopeful about the whole thing. It might not be fixed completely in our lifetimes but clearly it is fixable.

bauliya

I was going full wait this can’t be real but uhhh this article provides a good summary of this phenomenon

How fundamentalist Christians who believe in the apocalyptic myth of “the rapture” could be shaping Trump’s agenda — and American life

bogleech

Relevant again

ragnell

Back when I realized this, in an argument with a fundamentalist-raised friend about whether the Joker could go to heaven, of all things, it hit me that their whole moral philosophy is broken. This type of fanatic does not have an actual ethical backbone. They don’t have real morality. They have an argument from a very nebulous authority. They think that morality comes from god, and that things can only be moral or ethical if they align with god’s will which is what’s in the book. Why is the book ethical? Because it’s inspired by god. How do they know it’s inspired by god? Well, you’re asking that because you’re immoral and trying to knock them off the right path.

Basically, when asked "Is morality loved by God because it is moral, or is it moral because it is loved by the God?“ they are stuck on the second and pointing out any problems with either means you’re trying to send them to Hell.

And while it’s true a good damned many of them WANT to see you go to Hell for disagreeing, there’s also a bunch that are simply unable to face the world without this philosophy because it’s all they know. If they question the veracity of the Bible, then it means they don’t have an authority to look to, they need to rely on their own personal ethics and it’s like taking the wrong block out of a Jenga tower. Their whole identity and framework of behavior can come falling down. Total eclipse of the soul. An existential crisis.

Pretty sure this sort of thing is why they (Not the christians, but some other group of people who just couldn’t handle these sorts of questions) killed Socrates, but I’m not an expert on that.

Point is, they are mistaken on a fundamental question about morality and you can’t argue with them, you can only offer a welcoming place when the tower comes down on it’s own.

theconcealedweapon

risingsine

And this is why Zuck got rid of the factcheckers.

rangertycho

130 days until summer

heavyheavycream

feedist kinktober 27 : boozy belly

this was one of the first things i wrote about em. i'm not the best at writing dialogues so i hope it's not to clunky, enjoy!

chronocrump

yotsuba makes an important decision

manga-and-stuff

glumshoe

I like haunted houses in theory BUT I have no idea how to react when the actors speak to you. They ask me a question and I just… answer it…

The scariest part of a haunted house is the unscripted social interaction.

glumshoe

Scary nurse in a creepy voice: “Do you have an appointment to see the doctor?”

Me: “Uh. Do you accept walk-ins?”

glumshoe

Scary farmer: “I like to kill people!”

My friend, brightly: “I like to die!”

puerto-nic0

Zombie : “AARRRGH”

Me : “Do you get dental insurance?”

Zombie : “TEETH!!”

schmergo

This happened to me.

Scary prison dude: HELLO

Me: Nice to meet you!

Him: (pause) No it’s noooooot

batsalmighty

My worst horror house experience was when I couldn’t find the (rather obvious) exit and the guy chasing me with a chainsaw stopped, sighed and pointed me to the exit, saying “please scream as loud as you can when you run out there” and just left. I disappointed the horror house chainsaw dude and I will never get over that

tired-wolfe

Guy: They are all my friends.. (motioning to hanging corpses; then grabs a noose) Will you be my friend? Me: Sure totally, you made me a friendship necklace? Oh my god your so sweet? Guy: … Yes.. Please, let me.. I cant I cant just go (laughing). – Got to walk a second time through– Same guy: My friends -wailing- Me: I came back I just really wanted to be friends so bad Guy: (laughing more) Please, Im not allowed to laugh.

hoardofhyperfixations

I went to a Haunted House and literally befriended every actor there.

Specifically, I remember;

There were zombies walking around in the waiting room. I said “Hi!” and he gave me a high five. Every time he passed from then on, I got a high five.

Near the end, there were these twin little girls. “Come play with us.” They said. “Okay!” I said. “Forever.” They said. “Oh, sorry, can’t do that. I’m busy.”

I could hear them giggling.

imanicepersoniswear

Guy playing Freddie Kruger: Remember, you are all my children!

Me: thanks dad

A small chorus of teenagers: thanks dad

under-the-arch

I went to a haunted corn maze once. Someone ran at me with a chainsaw. I just stared at him. He hung his head and walked away. I left.

thefingerfuckingfemalefury

The Real Horror Is The People We Dissapointed Along The Way

sun-flowers-sam-deactivated2019

IM CRYING

lizard-business

My friends and I were in a really dark part of a haunted house and couldn’t find the exit, so the guy who had just jumped out at us had to say “to your left” in his same scary voice he’d used to scream and we were like “thanks!”

And then after a few moments of patting blindly at the wall he says again in the same ominous voice “your other left”