this post was submitted on 01 Aug 2024
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For context, I've been on the fence about going on HRT.

During my therapy session today, I was talking about some of the fears I have about going on HRT. Up until now, I've been trying to ease myself into transitioning because I do have my doubts and I don't want to rush into the wrong decision.

I've been "crossdressing" (what does one call this if they think they're trans?) on and off for a while now, and I've been in therapy about dysphoria for a few months now, but HRT is still a big decision that I didn't want to influence myself toward if I didn't need it. I didn't go by female pronouns, didn't experiment with names, hesitated to call myself trans until I soul searched a bit more and knew. I think that's partially due to fear of being ostracized by my family or affected by the horrible legislation attempting to go around in America right now, or really just rushing into something big like that in general.

Lately, I've been leaning toward wanting to go on HRT. I've been searching for clinics to freeze my sperm and I've found a couple of sources for HRT, just to have everything sorted if I decide to start transitioning. Today, when I was going over my fears with my therapist, I just blurted out

"Fuck, if I had gone on HRT when I was 18 then I would just be a woman by now. Dammit."

Right after I said that, I realized exactly what I had said and what emotions I was actually expressing. I think it took me forever to admit it but I definitely want HRT. I want to be a woman. I'm scared still, in many ways, but I think this is the path for me and I want to embrace all the joys and struggles which come alongside transitioning. So that said, I'd like to ask any of you girls on HRT, what were some unexpected trials and happy moments during the process?

I turn 23 this December, and it would be amazing if I could start HRT before then. It's doable, I have to hunt down some good sperm banks first because I still want biological kids someday. My main fear right now (and I do apologize to you non-American Lemmy users that are sick of hearing about this) is this damnable upcoming election. I don't believe that team Trump will go down quietly if Harris wins, but it would ease my mind greatly if I knew I didn't have to navigate my transition with a 2nd Trump administration breathing down my neck. How are you other American girls dealing with that? I'm almost at the point where I say fuck it all and live my life. So close.....

but do I want to paint a target on myself?

Idk. Thanks for reading my thought spew, it helps to get it out in writing sometimes.

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[–] [email protected] 0 points 3 months ago (1 children)

The major problem with HRT is that once you're on it, you need it or else you'll get bone issues and premature menopause. Unstable political landscapes mean that the health of many trans people can be seriously impacted by laws changing access to drugs. Being hooked on drugs makes you dependent on fragile healthcare systems that Trumpists have already demonstrated that they are willing to fuck with (look at Roe).

I understand the sentiment, and I can't begin to imagine what it's like living in the hellscape y'all find yourselves in, but I really need to stop you there. This is dangerous misinformation to be spreading, for several reasons. First off, many people go on HRT to get specific effects and then stop taking it. It's not physically addictive, you can't be "hooked" on it. Yes there can be health effects, like bone density issues, but those generally only affect those who can't make their own testosterone anymore thanks to surgeries. As for early menopause, I honestly cannot fathom what you mean by this? If you're talking about the associated side-effects, well yes, those are caused by testosterone being more prominent in the mix once estrogen production drops off. But those are things we've mostly all already experienced during puberty.

Secondly, no one needs to rely on fragile health systems for their HRT. It's both safe and easy to do HRT DIY. Just look at the "war on drugs" utter failure to control substances in any meaningful way.

This all feels like scare-mongering honestly. I think you really need to take a step back and assess before offering advice to people who are just starting to figure out their transition.

[–] [email protected] 0 points 3 months ago (1 children)

Thanks for the info. To be clear, I am also still figuring out my transition. Transitioning is a process that never ends and eats your whole life. It’s the decision to become who you want to be. It’s an expression of the fundamental right to define yourself.

My understanding is that I’m not spreading misinformation. My understanding is that some of what you are saying is misinformation. I would like to get to the bottom of this, which is why I’m engaging and trying to do it respectfully.

Bone density issues and menopause go hand in hand, and are caused by a drop in estrogen levels during menopause. The solution? Take estrogen pills (the original HRT). Testosterone doesn’t factor into this picture. Source: https://www.endocrine.org/patient-engagement/endocrine-library/menopause-and-bone-loss

Your information does not match up with anything I can find from real medical sources. I find it to be dangerous misinformation because it downplays real issues and dangers of recent and barely-proven medical technologies that are only 50-70 years old depending on how you measure.

Please be careful and evaluate your understanding before spreading misinformation. I know we all want a magical and flawless transition route via the promise of high-tech modern medicine. This is a bias that needs to be confronted to make sure we only encourage people to take actions based on reality.

[–] [email protected] 0 points 3 months ago

Okay, now I'm gonna give you the benefit of the doubt here that you aren't a troll. Stopping HRT is in no way analogous with menopause for anyone whose body can still produce testosterone. You will not have bone density issues unless you have had surgery, because your original testosterone levels re-assert themselves. As for the side-effects of menopause (and let's please not forget that the main effect, the end of the menstrual cycle, does not affect us) like hair thinning/loss and facial hair growth, what would you suggest causes them other than testosterone having more of a chance to bind to sex hormone receptors? No, I will not find you the medical evidence, and if you ask for it then you definitely are a troll.

Transitioning is a process that never ends and eats your whole life.

I know we all want a magical and flawless transition route via the promise of high-tech modern medicine.

My transition was not magical or flawless, and I would not change a thing about that. In fact, I achieved my one transition goal. It was to want to kill myself less.