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.
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.
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.
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.
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.
oh wow this is so helpful & good info
Everyone who cares about transfem people please reblog this
this was really fucking helpful
I know a lot of trans women dont have acess to information like this and its very helpful.
OutWeek Magazine was the seminal lesbian and gay publication during the peak era of AIDS activism in the late 80s and early 90s.
Founded by Gabriel Rotello and Kendall Morrison, it employed a staff of about 30 people in Manhattan during its tumultuous two-year existence.
OutWeek redefined the role of the activist gay press, not only by reporting the news but also by frequently making news itself. Its aggressive coverage, incisive commentary and in-depth investigative articles on gay rights, politics, AIDS, the arts and popular culture made it a must-read publication far beyond the usual scope of gay magazines.
Several of the most contentious controversies of that era were sparked by OutWeek. The magazine pioneered the use of the word ‘queer,’ which was highly controversial at the time. It was closely associated with the AIDS activist group ACT UP, and several of its staffers and contributors helped to co-found the group Queer Nation.
Many of OutWeek’s editors were committed to sharply challenging the then-pervasive culture of the closet, and a sideline of that commitment – the advocacy of ‘outing’ prominent gay and lesbian celebrities – began in Michelangelo Signorile’s “Gossip Watch” column and was one of many things that made OutWeek a household name and a lightning rod.
OutWeek was committed to an inclusive vision of queer life, and was the first major national publication to bill itself as a ‘lesbian and gay’ magazine.
this is a really exciting resource! especially if you’ve ever wished you could get a better view into gay/queer/lgbt activist culture in the early ’90s, you gotta check this out
Chinese emperor Ai of Han, fell in love with a minor official, a man named Dong Xian, and bestowed upon him great political power and a magnificent palace. Legend has it that one day while the two men were sleeping in the same bed, the emperor was roused from his sleep by pressing business. Dong Xian had fallen asleep across the emperor’s robe, but rather than awaken his peaceful lover, the Emperor cut his robe free at the sleeve. Thus “the passion of the cut sleeve” became a euphemism for same-sex love in China. — R.G.L.
get you a dude who will fuck up his own clothing for you
NO OKAY THIS IS REALLY COOL SO SHUT UP AND LISTEN KIDS. Ancient China was super chill about homosexuality okay. Like we have gay emperors and feudal lords, lesbian princesses who were girlfriends with their serving maids, gay ass poets who wrote lots of poems about that one courtesan who played the guzheng so well.
In fact homosexuality was so okay that in Shiji, which is basically the Bible of Ancient Chinese history, there is an entire section dedicated to the gay lovers of emperors. What’s the best part? All the laws and criticism about homosexuality in Ancient China were all about shit like prostitution and rape. These laws were outlawing homosexual stuff were all very specific.
For example, there were laws banning male prostitution, but no laws against homosexuality. These laws were passed to stop the spread of prostitution and laws targeting prostitution in general were pretty common in Chinese history. There were also really strict laws about male rape. Rape was punishable by death, regardless of the gender of the victim. Rape a girl, you die. Rape a guy, you die. Have sex with a minor, you die regardless of whether it was consensual. The lightest sentence you could get was slavery where you were bound to the army.
Also scholars wrote essays criticising the boyfriends of emperors, saying that they distracted the emperor from work blah blah blah but THEY ALSO DID THE SAME FOR THE CONCUBINES. That’s right – the issue wasn’t homosexuality but rather the hormones of the emperor. They didn’t care about the gender of the emperor’s favourite lover but rather the fact that the emperor was too horny to get shit done.
“But WAIT, Modern China is a hardass about homosexuality!!!! How do you explain that!”
Yes. That. That’s because of the late Qing years where Western influences entered the country and brought their gross ass homophobic attitudes with them. And the Qing government was so anxious to seem modern and be seen as equals to their Western counterparts. So they adopted Western ways and discarded their previous attitudes about homosexuality. Hence you have Modern China.
So the next time someone tries to tell you that being LGBT is wrong because it goes against traditional Chinese values, tell them to go fuck themselves with 3000 years of Chinese queerness.
Starting yesterday, Illinois has become the second state in the country to ban the “gay panic defense,” in which murderers can justify violence by citing their shock at learning a victim was LGBTQ.
The tactic is often used by those who hurt their gay or transgender partners or love interests, or by those who lash out violently against a person who expresses interest in them. According to the AP, “There are variations, but it generally goes like this: A person doesn’t realize someone is gay or transgender and engages in a flirtation, then discovers that person’s sexual orientation [or gender identity] and that discovery triggers a passionate involuntary response such as murder.”
Activists for LGBTQ rights often point to the 1998 case of Matthew Shepard, a 21-year-old college student who was beaten to death by two men, one of whom claimed the victim had made sexual advances toward him.
The activists say they hope the law, which was approved by Illinois lawmakers in May and signed by Gov. Bruce Rauner in August, will provide momentum toward passing similar measures in other states.
“This new law ensures LGBTQ people are not blamed for the violence perpetrated against them simply because of who they are,” Brian C. Johnson, CEO of Equality Illinois, said in a statement shortly after Rauner signed the law.
California is the only other state where this is illegal, and the American Bar Association called for it to be banned several years ago. Here’s hoping Illinois sparks a movement of similar laws around the country.
@asshai wanted a pride flag icon of Ackmena, the bartender from the Star Wars Holiday Special, because she has just been made canon again in a short story from A Certain Point of View that mentions her having a wife and, listen,
nothing is funnier than the sentence “Bea Arthur’s character from the Star Wars Holiday Special is a lesbian” just being something you can SAY, AND BE ENTIRELY CORRECT, CANONICALLY
I did one with the regular rainbow pride flag too just to have options. thanks everyone.
The United Nations proposed a law condemning nations who sentence people in the LGBT community, among other minorities, to death.
And the U.S. voted against it.
They refused to condemn countries who SENTENCE THE LGBT COMMUNITY TO DEATH!
The United Nations isn’t one of those gray areas. All of the laws and legislations are intentionally black and white. In this case, you either condemn killing the LGBT community for the sake of being gay/trans/etc. Or you don’t.
There’s no middle ground. There’s no interpretation. There’s no reading into it.
On October 3rd, 2017, the United States refused to condemn sentencing the LGBT Community to death. Which can only mean that they’re in favor of sentencing the LGBT Community to death.
myblog 