Change Your World-NOT your Body

Monday, August 20, 2012

Transition, Trust and the Medical Community

A trans female who had been injecting testosterone for six years and who had no plans of having top surgery found a lump in one of her testosterone soused breast. She sought help from the medical community only to have medical professionals confused by her female breast and male legal status let her and her life threatening condition fall straight through the cracks. Clearly this is a tragedy, no one should EVER be denied medical help, no matter their circumstance! But the trans patient presents as well as courts a medical conundrum. 

The trans patient presents a problem to the medical community because in truth, transition is a lie. One CANNOT change sex, one merely changes appearance via hormones/surgeries and legal sex status. Therefore it is understandable that within the medical community that deals in biological truths based in scientific facts, there can be serious confusion between what they see in those biological facts and bought and paid for legal lies. It is unfortunate, but it is also understandable.

The trans patient courts medical troubles because their biology doesnt match their legal status. Their physical appearance alone would present some issues, but it is the change of sex on paper that REALLY creates the problem. The supposed cure for GID is changing the patients external appearance to how they would like themselves to be perceived by others, which transition tries to achieve. There is no reason to change anything else, such as pronouns, names, legal sex etc. These needless superficial changes only add to what can only be viewed as a medical jumble fuck.

But herein lies the real trouble with the trans patient and the medical community, the problem of trust! All of us when seeking medical help trust doctors have our best interests in mind, we trust that whatever is wrong they are going to heal us, with both medical expertise and compassion. But how can the trans person trust in a medical community that doles out drug treatments with no long term studies, treatments that can and do cause cancer, and whom literally mutilate selected healthy body parts? When medical ethics lapse (first do no harm) as they do with treating the trans patient, it is not only foolish for the trans person to trust medical professionals, it is down right ignorant!

The trans female in question, along with the cancer, also suffered from kidney failure and rheumatoid arthritis. Whether testosterone injections for six straight years created those medical issues or exacerbated them, we dont know. What we do know for sure is testosterone does cause breast cancer, and should not be given to any trans female who hasnt had her breast removed BEFORE beginning testosterone treatment! This trans female had no plans of ever having her breast surgically removed "I accept my body as I was born", clearly a lie, given she's been on testosterone for sex years. It was foolish for her to put any trust or expectation of help in the medical community when this same community put her on a drug regimen contrived to give her cancer! The medical community is responsible for creating the trans person, they cannot then be expected to help those in perpetual state transition.

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15 comments:

  1. The medical establishment often fails anyone whose body doesn't fit the norm, not just trans people. I haven't been able to get an answer as to why my cycle stopped when I was 18.

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  2. I don't know how you managed to twist that story to fit your agenda, but somehow you did.

    This case was about prejudice. Both men and women can get breast cancer, There shouldn't have been a problem, just the doctor was a prejudice douche.

    I would also like to see your evidence that testosterone causes breast cancer.

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  3. According to the article, "Jay Kallio, 56, transitioned from female to male at the age of 50. He has had hormone therapy but has not had surgical treatment."

    I feel so sorry for this poor person, and I think the doctor was inept and a moron. This is a sad situation no matter how we look at it. This is how I see the reality of the situation. We are seeing more of these stories. This individual started "transitioning" at age fifty. Was it wise to prescribe testosterone for six years to a fifty year old woman? There are some health concerns for healthy young women on long term testosterone. This individual kept her breasts at the same time she was taking testosterone for six years. Excess testosterone can be converted into estrogen. An article entitled, "Aromatase Explains Why Testosterone Increases Breast Cancer Rate" explains the role of aromatase http://cebp.aacrjournals.org/content/18/6/1942.full

    "In a study of breast cancer survivors, those women with testosterone levels in the top third had more than a seven-times greater chance of recurrence than women with levels in the bottom third."

    http://www.msnbc.msn.com/id/9267063/ns/health-diet_and_nutrition/t/how-hormones-can-affect-breast-cancer-risk/

    Here is another link.

    http://breast-cancer-research.com/content/14/1/R32/

    "Premenopausal concentrations of testosterone and free testosterone are associated with breast cancer risk."

    "The risk of breast cancer is greater if levels of hormones estrogen or testosterone are higher in post-menopausal women, researchers from Brigham and Women's Hospital reported in Breast Cancer Research, an open-access BioMed Central journal. The researchers examined six different growth and sex hormones and discovered that higher levels raised breast cancer risk by 16% for each one."

    http://www.medicalnewstoday.com/articles/236403.php


    This is from the Susan G. Komen website. THIS IS THE EXPERT ON BREAST CANCER.

    "Of the androgens that have been studied in relation to breast cancer risk, the most data are available for testosterone. Studies show higher blood levels of testosterone may increase the risk of breast cancer in postmenopausal women. And, although findings are limited, there is some evidence that higher blood levels of testosterone may also increase breast cancer risk in premenopausal women."

    Introduction: Androgens (such as testosterone) are natural hormones. They are important in sexual development in both men and women. In women, androgens are produced in small amounts by the ovaries and the adrenal glands. Similar to higher blood estrogen levels, higher amounts of androgens in the blood may be linked to an increased risk of breast cancer in women."

    http://ww5.komen.org/Table7Bloodandrogenlevelsandbreastcancerrisk.html

    I'm sure no one knows why this person developed breast cancer, and the idiotic doctor should be sued.

    "Both men and women can get breast cancer."

    This is absolutely true, but genetic females have different biological risks. Female bodies are different than male bodies.

    Wishing this person all the best...FTMs still need breasts exams and pap smears if they still have a uterus.

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  4. I'm so sorry for this person, and I think the doctor was a moron. Didn't the article say this woman started transitioning at age fifty and took testosterone for about six years? She kept her breasts, but was on testosterone for six years. Was this a wise decision? Transmen who get their breast removed have a lower risk because there is less breast tissue left, but taking testosterone for years and not having the breasts removed might not be wise. It's just not testosterone. It's estrogen too. Some testosterone is converted into estrogen.

    Susan G. Koman the expert on breast cancer

    "Introduction: Androgens (such as testosterone) are natural hormones. They are important in sexual development in both men and women. In women, androgens are produced in small amounts by the ovaries and the adrenal glands. Similar to higher blood estrogen levels, higher amounts of androgens in the blood may be linked to an increased risk of breast cancer in women.

    Testosterone

    Of the androgens that have been studied in relation to breast cancer risk, the most data are available for testosterone. Studies show higher blood levels of testosterone may increase the risk of breast cancer in postmenopausal women. And, although findings are limited, there is some evidence that higher blood levels of testosterone may also increase breast cancer risk in premenopausal women."

    http://ww5.komen.org/Table7Bloodandrogenlevelsandbreastcancerrisk.html

    Risk factor table

    http://ww5.komen.org/BreastCancer/BreastCancerRiskFactorsTable.html

    moderate increase with both estrogen and testosterone

    No one knows why this poor person got breast cancer. I only hope this person is well...dumb ass doctor should be sued


    "This case was about prejudice. Both men and women can get breast cancer."

    Yes, this is true, but look at the table from the Koman website. Being female puts a person at greater risk.

    Transmen need breast exams and pelvics if they still have their uterus.

    I apologize for using the pronoun her. I don't mean to disrespect anyone. It's all so sad.

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  5. An increased risk doesn't mean "causes"
    I can list off a million things that increase risk of cancer, smoking, drinking alcohol for starters, Sun beds can increase risk of cancer but can also be prescribed as treatment.

    But we don't say these things "cause" cancer, they increase the risk, using the word "cause" implies you WILL get cancer if you Drink and smoke, bullshit.

    Dirt is careful to phrase things in such a way that she makes transition sound like a death sentence, It is her goal to scare people away from transition.
    She is also trying to turn people away from asking their medical community, saying they will give you bad advice, that they are monsters that only want your money and will butcher you to get it, ludicrous if you have actually been through it, you would know that they do everything to stir you away from transition.
    She wants people with real problems to ignore the medical and psychiatric community so they have nowhere else to turn, they will suffer mentally for the benefit of Dirt's twisted agenda.


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  6. My heart goes out to this individual, and I wish this person the best.

    "Dirt is careful to phrase things in such a way that she makes transition sound like a death sentence, It is her goal to scare people away from transition.
    She is also trying to turn people away from asking their medical community, saying they will give you bad advice, that they are monsters that only want your money and will butcher you to get it, ludicrous if you have actually been through it, you would know that they do everything to stir you away from transition.
    She wants people with real problems to ignore the medical and psychiatric community so they have nowhere else to turn, they will suffer mentally for the benefit of Dirt's twisted agenda."

    Well, let's see what we have here.

    **"Jazz was born with Gender Identity Disorder, and diagnosed at age 3."

    http://www.transkidspurplerainbow.org/who-we-are/

    I wish someone could explain to me how a three year old kid is diagnosed with Gender Identity Disorder.

    **“Chris started last year as “Grace” and “she”. I had thoughts over the years that he may be transgender as he always dressed in boys clothes and “acted” like a boy. BUT I as most people figured he was just a “tomboy.” I really thought thought that he might be transgender when at around 7 years old. He said “Mom, I am supposed to be a boy would you care if I had sex change surgery when I was older?” "

    http://www.transkidspurplerainbow.org/transyouth-stories/meet-chris/

    Seven year old kids are talking about sex change surgery.

    **Below is a link about a five year old transgender child. This is a little girl who was born a female child. Now, the parents are already calling this little girl "he".

    http://www.washingtonpost.com/local/transgender-at-five/2012/05/19/gIQABfFkbU_story.html

    **There are clinics in the U.S. and Europe that give puberty suppressing drugs to pre-teen children. These are twelve, thirteen, and fourteen year old children.

    **In the link to the article that Dirt posted, a fifty year old woman who still had her breasts was given testosterone for years. I'm assuming this individual still has her breasts because the article stated, "...56, transitioned from female to male at the age of 50. He has had hormone therapy but has not had surgical treatment."

    Whether it's three year old kids being diagnosed with gender identity disorder, twelve year old children on puberty suppressing drugs, or fifty year women on testosterone, it does appear to me that transgender has gone a tad overboard. Doctors do seem eager to write prescriptions for puberty suppressing drugs and testosterone. When anyone questions any of this, he or she is automatically branded transphobic.

    As to this person in the article, no one can say for sure why she developed cancer. To me, the doctor should have been more diligent and listened.

    There is another touchy issue that no one wants to address. I know this individual identifies as male, but "his" body still is female. I hate to say this because I know it's a delicate subject. Because they identify as male, transmen might be reluctant to even get breast exams or pap smears. I'm a butch lesbian and I don't like pap smears, gynaecological exams etc at all. It's very uncomfortable for me, but I know I need them because I have a FEMALE body. I cannot escape this fact no matter how hard I try.

    Again, I hope this individual in the article is safe and well.

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  7. This confuses me, does the trans mans treating doctor have no idea that biological males can get breast cancer too?

    Sounds like ignorance to me.

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  8. How on earth does the age suggest to you that doctors are diagnosing people with gender identity disorder without good cause?

    Did it ever occur to you that they might have gender identity disorder?
    It is easy to point to something and say duuuurp I don't understand this, therefor my position is correct, like some creationist, but it is bullshit. Also I have no problem with people questioning anything, but dirt isn't questioning, she is asserting.

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  9. "This confuses me, does the trans mans treating doctor have no idea that biological males can get breast cancer too?"

    Where is the biological male that people are alluding to, and why are we talking about biological males? I do admit that this doctor probably didn't do everything he or she should have. In all honesty, neither I nor anyone else not directly involved with this case knows for sure. Of course, biological males can get breast cancer too, but aren't females more at risk? Genetic females are NOT biological males. If a genetic female who is possibly post menopausal at age fifty still has her breasts then takes testosterone for years, is this wise? There are side effects in healthy young people taking testosterone. How many humans are as healthy at age fifty compared to how their overall health was at age twenty? This individual was fifty at the start of "transitioning", and didn't she still have her breasts.

    How on earth does the age suggest to you that doctors are diagnosing people with gender identity disorder without good cause?

    FACT:

    Compared to twenty or thirty year ago, people are being diagnosed with "gender identity disorder" at much earlier ages. Twenty years ago, these were just little tomboy girls, or boys who were a bit too effiminate. Now, they have a psychiatric diagnosis, and many are on their way to "transitioning" with puberty suppressing drugs.

    I have a hard time believing that the diagnosis of gender identity disorder in three year old children isn't problematic. Have people gone totally insane? I have a hard time believing that seven year old children really understand what sex change surgery means. Now, let's discuss puberty suppressing drugs. These drugs are given to pre-teens. This is something being DONE to children, and they probably don't even understand what is happening to them.
    "Chris started last year as “Grace” and “she”. I had thoughts over the years that he may be transgender as he always dressed in boys clothes and “acted” like a boy. BUT I as most people figured he was just a “tomboy.” I really thought thought that he might be transgender when at around 7 years old. He said “Mom, I am supposed to be a boy would you care if I had sex change surgery when I was older?” "


    http://www.transkidspurplerainbow.org/transyouth-stories/meet-chris/

    Biological females are talking about having their breasts removed before they develop breasts. How in holy hell can we say that seven year old females fully understand what sex change surgery means?

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  10. "Did it ever occur to you that they might have gender identity disorder?"

    My response:

    (1.) If it's clear that we have a little genetic female child born a girl child not intersex, doesn't it just re-inforce "gender identity disorder" when parents already call this five or six year old female child called "he"?
    (2.) While there might be children who do suffer from "gender identity disorder", is it possible that this diagnosis is often overused or inappropriately placed on young children?
    (3.)Could this diagnosis be culturally influenced and shaped by family beliefs and views? How can we completely separate culture from this diagnosis? It's not possible. Moreover, how is it possible, especially in small children, to distinguish between "gender identity disorder" and parental views, shame, or disgust at having an effeminate boy or tomboy girl. At such an early age, how can we clearly distinguish between parental views of what is proper behavior and actual "gender identity disorder"? I don't care what anyone says, the diagnosis of "gender identity disorder" in five year old children is so problematic that it actually frightens me. When seven year old girls are already talking about sex change surgery, it is so Orwellian that I shudder.
    (4.) Unlike xrays, MRIs, blood tests etc., is "gender identity disorder" something that we can pick up and examine? Can it be quantified?
    (5.) Doesn't "transitioning" involve puberty suppressing drugs, cross gender hormones, and surgery? Since when has surgery become completely safe, or when have drugs been completely safe?
    (6.) As to "transitioning" (puberty suppressing drugs, cross gender hormones, surgery), can we say with all certainty that no one lives to regret "transitioning"?
    (7.) Does psychiatry have a stellar, flawless human rights record? Examine the entire historical record. From lobotomies to the forced institutionalization of gay men, lesbians, and political dissidents, psychiatry's checkered past is littered with some rather bazaar and horrific "cures" that people at a specific period in time were convinced worked. Because it's subjective, when we sit down and think about it, psychiatry could be more wide open for abuse than other medical specialties.
    (8.) As to FTMs or biological females "transitioning", what happens if we are wrong?

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  11. My response continued...

    (9.)Unless we can say with all certainty that no woman ever lives to regret "transitioning", isn't this just another form of the mutilation of the female body?
    (10.)Unless we can say with all certainty that cultural beliefs and family pressure play no part whatsoever in female "transitioning" (testosterone, surgery on breasts and genitals), isn't this just another form of the mutilation of the female body?
    (11.)From Chinese foot binding, to breast ironing, to female genital mutilation, has there ever been a time in recorded history in which the mutilation of the female body in one form or another has not existed?
    (12.)When I was five years old, I played with toy trucks, wore boy clothes, and climbed trees. In many respects, I was no different than the five year old "transgender" girl in the Washington Post video, or any of the little biological trans females at Trans Kids Purple Rainbow. My parents called me a tomboy, but never called me "he". So, here is my question. Was I a tomboy, or did I suffer from "gender identity disorder". Because my parents didn't drag me to a therapist or psychiatrist, were they negligent parents? In all honesty, thinking back to my childhood, I didn't feel as if I had a mental condition or psychiatric diagnosis. I didn't like playing with dolls. This was all I knew at the time.

    Sorry, but I do have problems with five year old girls being slapped with a label of "transgender", and already being addressed as "he" or "him". Some of us refuse to go along with this insanity.

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  12. "BUYING TIME" OR THE DE-SEXING OF CHILDREN

    As long as Homo spaiens have walked upon the earth, puberty has been a normal stage in human development. It seems that transgender has now turned that on its head. As I understand it, puberty suppressing drugs have been around for some time,
    but they are used for precocious or early adolescence and for a few other medical conditions. The use of puberty suppressind drugs for "gender dysphoria" is a new phenomenon.

    "While the medication is approved by the Food and Drug Administration for children who start puberty prematurely, it is currently unapproved for transgender adolescents."

    (June 2012 http://www.dailymail.co.uk/femail/article-2160030/The-doctors-defying-FDA-prescribing-transgender-kids-puberty-supressing-drugs-help-change-lives.html#ixzz24CVmO4o3)

    Of course, they can be discontinued and normal puberty will resume, but how many children stay on puberty suppressing drugs until cross gender hormones are prescribed, and how often is this decision influenced by parental views and pressures? After all, these are still children. As I understand it, if cross gender hormones are given immediately after puberty suppressing drugs, there is an issue of future fertility being compromised.

    It's believed that going through puberty will be traumatic for gender non-conforming children. For example, developing breasts would cause great discomfort for gender non-conforming girls or tomboys, and developing masculine characteristics would cause great discomfort for transgender males. One of the main reasons for puberty suppressing drugs is that they make later "transitioning" much easier. That is, there are fewer female or male characteristics to surgically remove later. The kids essentially are little sexless beings. It's been observed that transgender biological males who take puberty suppressing drugs followed by cross gender hormones, then sex reassignment surgery at eighteen (sixteen in some countries) make strikingly beautiful women in that they have little if any male characteristics unlike older transwomen who might have Adam's apples, masculine appearing faces, or other characteristics. Genetic females who are given puberty suppressing drugs have little breast tissue to surgically remove later. This is because they were essentially sexless until the cross gender hormones kick in.

    If cross gender hormones are given immediately after puberty suppressing drugs, there is an issue of fertility. The longer the treatment, the higher the dosage, the greater the affect on fertility.

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  13. "Buying Time" ... the latest trans talking point

    The rationale is that these puberty suppressing drugs "buy time" in that they give these kids time to decide what they want. At any rate, this is the current trans talking point. As to the latest trans talking point called "buying time", I pose these questions

    (1.) How much time are we talking about? Is it six months time, one year, five years, or ten years? This assumes that the time to firmly come to a decision and to feel comfortable with oneself is the same for all kids. I was a tomboy when I was young and I'm sure I exhibited the same type of behaviors that most of these gender non-comforming genetic females have done at one time or another. Indeed, I was as rough and tumble of a tomboy that my old block has ever seen. I was frightened when I started puberty, and I HATED my breasts when I was a teenager. It took about ten years before I began to fully love and appreciate my body. After about ten years, I'm glad I was allowed to develop, and I'm happy my body wasn't chemically or surgically altered.

    (2.) Moreover, it assumes that parental influence plays no role whatsoever in a child's decision. I urge the reader to carefully watch the Washington Post video of the five year old "transgender" biological female whose parents already call "he". Doesn't this just re-inforced gender identity disorder? So, we have a little biological female who is already being called "he", and with puberty suppressing drugs "he" looks around and sees that "he" isn't developing breasts like girls do. I can understand why this child might feel that she is really "he".

    (3.) These are still children, and do they really understand what is happening to them? I seriously doubt if they do.

    Perhaps puberty suppressing drugs should be given to ALL adolescents because there is NO human alive who hasn't experienced some level of discomfort, rebellion, and angst during puberty. Wouldn't it be such a relief for ALL parents just to shut off the flood of hormones during adolescents? There are serious ethical questions involved in essentially de-sexing humans, and shutting down a normal part of human development, but what the heck.


    If cross gender hormones are given immediately after puberty suppressing drugs, there is an issue of future fertility being compromised. When puberty suppressing drugs are followed by cross gender hormones then surgery, aren't we basically de-sexing human beings? This is a new phenomenon in human history.

    ReplyDelete
  14. "Buying Time" or the chemical castration of children continued...

    http://harvardmagazine.com/2008/09/the-teen-brain.html

    "Human and animal studies, Jensen and Urion note, have shown that the brain grows and changes continually in young people—and that it is only about 80 percent developed in adolescents. The largest part, the cortex, is divided into lobes that mature from back to front. The last section to connect is the frontal lobe, responsible for cognitive processes such as reasoning, planning, and judgment. Normally this mental merger is not completed until somewhere between ages 25 and 30—much later than these two neurologists were taught in medical school."

    In key ways, the brain doesn’t look like that of an adult until the early 20s.

    http://www.nimh.nih.gov/health/publications/the-teen-brain-still-under-construction/complete-index.shtml

    FACT: THE PRE-FRONTAL CORTEX TAKES LONGER TO MATURE

    "Maturation of the Prefrontal Cortex

    The prefrontal cortex, the part of the frontal lobes lying just behind the forehead, is often referred to as the “CEO of the brain.” This brain region is responsible for cognitive analysis and abstract thought, and the moderation of “correct” behavior in social situations. The prefrontal cortex takes in information from all of the senses and orchestrates thoughts and actions to achieve specific goals.

    The prefrontal cortex is one of the last regions of the brain to reach maturation. This delay may help to explain why some adolescents act the way they do.

    The so-called “executive functions” of the human prefrontal cortex include:

    •Focusing attention
    •Organizing thoughts and problem solving
    •Foreseeing and weighing possible consequences of behavior
    •Considering the future and making predictions
    •Forming strategies and planning
    •Ability to balance short-term rewards with long term goals
    •Shifting/adjusting behavior when situations change
    •Impulse control and delaying gratification
    •Modulation of intense emotions
    •Inhibiting inappropriate behavior and initiating appropriate behavior
    •Simultaneously considering multiple streams of information when faced with complex and challenging information

    "This brain region gives an individual the capacity to exercise “good judgment” when presented with difficult life situations. Brain research indicating that brain development is not complete until near the age of 25, refers specifically to the development of the prefrontal cortex."

    http://www.hhs.gov/opa/familylife/tech_assistance/etraining/adolescent_brain/Development/prefrontal_cortex/


    QUESTION:

    If the brain is only about 80% developed in adolescents AND THE PRE-FRONTAL CORTEX (JUDGMENT CENTER OF THE BRAIN) ISN'T COMPLETELY MATURE UNTIL THE EARLY TWENTIES, then how can people honestly say that teenagers are capable of making rational decisions about their health?

    It definitely seems to me that children have no idea what is happening to them when they are given puberty suppressing drugs. Doesn't this basically amount to the chemical castration of children? Of course, I know that puberty suppressing drugs can be stopped and normal puberty will eventually return, but how many kids stay on puberty suppressing drugs, and how are these children influenced by the family and parents? For example, in both the Washington Post article and Advocate article young biological females were already being called "he" by their parents. This was before they even hit puberty. Common sense and logic tells us that this just re-inforces "gender identity disorder".

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  15. Hi I am wondering about the medical side-effects if a female were to take testosterone. I found your blog today while searching where you talk about some health risks. Actually what scared me is posts I found like this one. http://ordinaryjordan.tumblr.com/post/20985301301/my-experience-on-t-so-far I'm talking about the extreme change in mood, blood pressure and sexual function. Is this a common thing to happen so soon? Does it only happen if too much is taken? Other posts in the "testosterone side effects" tag are talking about possible allergic reactions and a racing heart.

    I have looked online for professional info but it's hard to know what to trust. Some places say no significant health risks were proven. But there's got to be a reason why most doctors won't allow people to "transition" eg. take the opposite sex hormones. If it's safe then why do you need to seek out a special doctor to prescribe it? Common sense just tells me the female body isn't built to handle male hormones. And some sites are clearly written for people who are already dead set on doing this. They talk about the possible health risk as if it's no big deal and you can worry about it later. I feel like something should be done to make the facts available and not sugarcoated.

    -somebody worried about someone they love

    ReplyDelete

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