skamfrance28

[surrealsunday]

Will you just let them be alone for one second Jared??

[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

[surrealsunday]

Mood Tattoo

Eliott Demaury is a promising surgical intern. One of the best if not the best. And he plans to live up to his reputation while proving the words surgeon and compassion can go hand in hand. There’s one thing – one person – standing in his way. Lucas Lallemant. Just as talented if not more – though Eliott would only admit as much under some form of torture. Lucas is the epitome of everything Eliott refuses to be: cold, egotistical, callous. Eliott won’t let it get to him – won’t let Lucas get to him. Eliott has decided to trust his gut. He knows what he wants, and he knows what he doesn’t.

Rated: Explicit

*Fic is complete - will update weekly*

CHAPTER 1

[dreamydemaury]

Getting ready to devour 200k + of Eliott POV because @surrealsunday is a queen who knew exactly what I needed

[monmecc]

Me right now all excited for the Mood Tattoo fic..

[lifesweetshort]

Happy 18th birthday to my favorite hedgehog Lucas Lallemant ♥️

[themandarin]

Happy Birthday Lucas Lallemant (July 11, 2002)

[butternaan]

im your idiot scene when!!!!!!!!

[surrealsunday]

JAIMEEEE

Hello friends and welcome to harassment Julie @ariavds style. You guys don’t even know what I put up with 😂. 

Ok - tiny med au snippet for you all....

💚💚💚💚

“Why do you care whether I eat or not anyways?” Lucas turns back to Eliott, a renewed look of annoyance on his face. It’s somehow comforting. “What does it matter to you?”

“It doesn’t,” Eliott responds defensively – too defensively. “I just –” He struggles to explain himself. How does he explain when he’s not even sure why he cares? “I just don’t understand how you think you’re going to be any competition for me as a surgeon, when you choose total crap to eat and even then, barely eat anything.”

Lucas’s eyes harden. “I take care of my body, if that’s what you mean.” It really, really hadn’t been. “I don’t need to choke on lettuce to prove that. You wanna worry about someone’s stamina, worry about your own.”

Eliott’s eyes narrow, glaring at Lucas’s profile as he turns to face away. “I’d rather not think about your stamina, thanks,” he snaps. “And for the record, I’ve never had any complaints.”

Lucas expels an amused sound through his nose. “Right.”

[emerald-studies]

George Floyd - change.org

George Floyd - amnesty.org

George Floyd - colorofchange.org

Get The Officers Charged

Charge All Four Officers

Breonna Taylor - moveon.org

Breonna Taylor - colorofchange.org

Breonna Taylor - justiceforbreonna.org

Breonna Taylor - change.org

Breonna Taylor - thepetitionsite.com

Ahmaud Arbery - change.org

Ahmaud Arbery - change.org 2

Ahmaud Arbery - change.org 3

Justice for Oluwatoyin Salau

Pass The Georgia Hate Crime Bill

Defund MPD

Life Sentence For Police Brutality

Regis Korchinski - change.org

Tete Gulley - change.org

Tony McDade - change.org

Tony McDade - actionnetwork.org

Tony McDade - thepetitionsite.com

Joao Pedro - change.org

Julius Jones - change.org

Belly Mujinga - change.org

Willie Simmons - change.org

Hands Up Act - change.org

National Action Against Police Brutality

Kyjuanzi Harris - change.org

Alejandro Vargas Martinez - change.org

Censorship Of Police Brutality In France

Sean Reed - change.org

Sean Reed - change.org 2

Kendrick Johnson - change.org

Tamir Rice - change.org

Tamir Rice - change.org 2

Fire Racist Criminal From The NYPD

Jamee Johnson - organizefor.org

Darius Stewart - change.org

Darius Stewart - moveon.org

Abolish Prison Labor

Free Siyanda - change.org

Chrystul Kizer - change.org

Chrystul Kizer - change.org 2

Andile Mchunu (Bobo) - change.org

Eric Riddick - change.org

Amiya Braxton - change.org

Emerald Black - change.org

Elijah Nichols - change.org

Zinedine Karabo Gioia - change.org

Angel Bumpass - change.org

Sheku Bayoh - change.org

Angel DeCarlo - change.org

Sandra Bland - change.org

Sherrie Walker - change.org

Darrien Hunt - change.org

Cornelius Fredericks - change.org

Elijah McClain - change.org

James Scurlock - change.org

Darren Rainey- change.org

http://www.pb-resources.com/

https://blacklivesmatters.carrd.co/

Do something!

[janployshompoos]

#HOLD ON (insp)

[xiaojayss]

Happy birthday Maxence!🌻💛

[sublimelibra]

i hate to be that annoying bitch but....i’m still waiting for that deleted i’m ur idiot scene soooo

[aimeegbbs]

“They are your friends. We’re a fucking family!” SKAM FRANCE OG GENERATION (2018-2020)

[sunshineyou]

srodulv happy end ❤️

[kesdebues]

Elu + lights is a yes

[lolalecomt]

female director and writer ???? now I might be interested in keep watching