the automatist's undoing

polyglot butch boyfriend. 24, any pronouns.

[widogasted]

I USE TM9A SPOILERS AND M9A SPOILERS!!! BLOCK AS NEEDED MWAH

[gaybichon]

not even funny how true this is for me

[segamascott]

[thelambliesdown1974]

everyone on the block hates me because I have to take my pet loose sheet of aluminum siding on a walk every day at 3am

[rabbiteclair]

auto immune disorders happen when the immune system ignores regulatory factors and begins attacking healthy bodily tissues, due to what scientists refer to as "sheer love of the game"

[fatliberation]

HAPPY PRIDE TO MY QUEER FAT BADDIES!!!1!!!!!! FREDDIE LOVES YOU 💖🌈🍑💕🏳️‍🌈💖

[dogpuppy]

[sailermoon]

this is how new yorkers @ mamdani

[sailermoon]

[userfish]

this pride month we’re all going to be radically pro transgender. or else.

[userfish]

hey so this means radically pro ALL transgender. don’t put limitations on this. all trans people are radically accepted here.

[itsjunetime]

clowngirl getting an orchiectomy and the surgeon just keeps removing ball after ball after ball after ball after

[estrogenesis-vaporeongelion]

clown nurse standing by solemnly adding each successive ball to the ones she's already juggling

[guerrillatech]

[glasswhistles]

MLK was a star trek fan

[lieutenant-sappho]

[souvenirs]

[spitfaggot]

happy birthday, gilbert baker. (june 2, 1951 — march 31, 2017)

[kingcatnine]

talking about something i hate to someone who agrees with me: this is awful. not even fit for dogs.

talking about something i hate to someone who enjoys it: I'm sure it's good to people who like it

[wolfythewitch]

Prev | Part 5 | Next

[unionizedwizard]

i mean typically this is like

>research shows testosterone HRT is not a contraceptive so you still need to use protection!

>ok. do you know if it has literally any effect on fertility whatsoever?

>lol no

>ok. so hypothetically how would a trans man on HRT know if he's pregnant?

>well silly girl :) you just check your period :) if you missed your period you might be pregnant! duh!

>ok. testosterone HRT stops your period after, like, 3 months though

>[windows error sounds] well then you can usually feel your breasts get heavier and more tender :)

>ok. what about people who don't have mammary glands anymore? how would that even work?

>listen i don't know. why don't you have a pregnancy test?

>those tests work by detecting a specific hormone. does HRT interfere with this hormone by either making it undetectable or stopping its production entirely or anything? how do i know the test itself is reliable?

>have you tried the morning after pill?

>the morning after pill is also hormone-based. how do i know it's reliable? does taking testosterone HRT have any impact on its efficiency? could it potentially cause an adverse reaction? could a trans man with updated ID documents even access it in the first place since the pharmacy only delivers it to people they think, at a glance, could be pregnant?

etc etc

[unionizedwizard]

like i dont know . i keep thinking of that doctor i saw three times at the goddamn hospital and to whom i explained the concept of taking hrt (prescribed) (controlled) (medical setting) three times and i still don't think he actually understood. "but you look different!" bingo doc that's what it does! "but ... can it actually change your body? :o" bingo doc ! that's what an """hormone"""" does . that's like its whole thing actually. that's what , it does ,

it's like the people at work (transcription) (remote office work) (linguistics) (spelling) (grammar) (writing) (language) (grammar) being confused at the concept of "pronouns". "what do you mean by "pronouns"?" cindy my belovedest ! i think the problem might not actually be that you don't know about The Transsexuals? i think you might actually just be worryingly bad at your job. you know? the job which is "know about grammar"? that job? the grammar job? the job that is about knowing grammar rules? that job? the one that you have? cindy? cindy. cindy look at me. CINDY,

[sleepybutches]

Testosterone likely affects your fertility but we do not know to what extent. There aren't enough studies on it and they're not going to get government funding anytime soon for research in this area. The current recommendation is to preserve your fertility via freezing your eggs before going on testosterone, if you might or definitely want biological kids in the future.

Pregnancy tests still work if you are on testosterone. They measure beta hCG hormone which is produced by the placenta when pregnant. Testosterone and beta hCG do not interact.

The morning after pill still works if you are on testosterone. It is progesterone-based, not estrogen-based, so it will not interact with the testosterone. Other progesterone-only birth control methods, like IUDs and progesterone-only pills, can also prevent pregnancy in someone on testosterone, along with other methods like condoms, vasectomy, and tubal ligation (getting your tubes tied).

Your doctors suck. They should be able to either reason through this in front of you in the patient room by thinking about their education on hormones, or at least consult with colleagues before your next visit if they're not sure.

[transcyberism]

the last bullet point is a particular sticking point because a lot of general practitioners or non-endocrinologists straight up do not fully understand hormones on the level that is required to intuitively understand why HRT changes your whole body. Many people, sadly including doctors, think that perisex-AFAB and perisex-AMAB are simply Two Different Types Of Human Body and not actually essentially the same type of body running on different firmware (which is the developmental biological reality).

When they deal with hormones, they're mostly only dealing with those used to treat a deficiency or imbalance, like insulin for diabetes, or HRT for cis people who have low/absent hormones for other reasons. As a result, they only understand the effects of those hormones in the context they're used to seeing them - T allows a cis man with low testosterone as a result of previous treatment for testicular cancer to have "normal" levels and for their bodies to do the things that Men's Bodies™ are "supposed" to do. They see it as replacing a missing piece.

But when you give T to someone who was AFAB whose body is not Supposed To™ produce it, that model doesn't work. They don't see trans/intersex-affirming hormones as "missing" the way they see hormones for dyadic-cis patients (due to this model being inherently dyadic/cis-normative). So when those hormones activate DNA that the vast majority of people have regardless of AGAB, and it causes vocal cord changes and hair growth and fat distribution changes and muscle hypertrophy, and that occurs in someone who is not "supposed" to have those features because they don't have That Type Of Body, that freaks the doctors out, because that's not how they're taught that medicine works.

They are not taught to operate in the model of maximizing patient autonomy or even to simply prioritize understanding basic biology, they are taught To Cure Disease. If they don't see your condition as a cureable disease - or they don't see it as one that's their job to cure, because they think you ought to be seeing a psychiatrist instead - they will not understand how your medicine works. This is the fundamental problem with how the modern healthcare system operates. To them, hormone replacement therapy exists to replace something missing, not to add this "new" functionality that they don't normally associate with a given sex assignment (even though it's not new, because it was in our DNA the whole time). Only doctors who are actually familiar with the entire developmental and pubertal process (so endocrinologists plus particularly knowledgeable pediatricians) usually understand that sex hormones function on that level.

This is a takeaway you should hang onto when you think of doctors in general, btw. A lot of them are not trying first and foremost to improve the patient's well-being or improve their autonomy, they are trying To Cure Disease.

[manuciruja]

awww the like button turns into a rainbow when you press it! that's so cute...hey staff what's with all the trans women you keep nuking?

[banchie]

i've been phasing the phrase 'google it' out of my vocabulary and going back to 'look it up'. fuck you youve lost your generic trademark privileges