blkwlw:

tankaunt:

blackthorn-and-iron:

8deadsuns:

euryale-dreams:

joyeuse-noelle:

naidje:

8deadsuns:

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.

@euryale-dreams

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.

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.

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.

(via cock-holliday)

featheredpheonix:

ALT

Incredibly disappointing behavior made all the more cynical by it happening just after Pride Month

I guess we need a new trans charity.

(via athelind)

kirbyofthestars:

kirbyofthestars:

Hey while we’re on the topic there are glitches on this website old enough to graduate middle school and the search function hasn’t worked in over a decade and tags are still broken on mobile and completely innocuous tags are still blacklisted and wiped clean for being “potentially NSFW” and the search function is disabled from dashboard view-only blogs and jumping to individual blogs via reblogs has been made actively difficult on purpose and you won’t ban r.adfems and you won’t ban nazis or antivaxxers and you won’t do jack about harassment but you’ll ban black and queer and especially transfem bloggers for breathing funny and you’ll whip out unforeseen moderation tools to unperson someone’s blog for pointing out potential transphobic sympathies among this site’s admins and you’ll have the gall to call yourself The Queerest Site On The Net to advertise in spite of all this and you’ll advertise incessantly and obnoxiously to the point of being overly personable and borderline guilt-trippy without putting any funds or effort or anything into fixing any of the above

BEYOND FUCKING PARODY.

(via cock-holliday)

breelandwalker:

patricia-von-arundel:

thefingerfuckingfemalefury:

juicetrump2:

YES GOOD :D

Especially aimed at Florida, but available to anyone!

Publishing company will offer free Black history e-books, especially in Florida

A Chicago-based publishing house will offer free e-books focused on Black history after the College Board revised its Advanced Placement Afr

The Hill

And if you want to help them out and have some extra cash, you can make a donation to help them continue their work:

Haymarket Books

Haymarket Books is a radical, independent, nonprofit book publisher based in Chicago.

haymarketbooks.org

Every reblog and donation is another slap to DeSantis.

If you can, it’s time to warm up that pitching arm.

(via i-am-an-adult-i-swear)

bitter69uk:

bitter69uk:

worn-smooth:

Tumblr is settling with NYC’s human rights agency over alleged porn ban bias

The ban allegedly affected LGBTQ users disproportionately.

The Verge

Gee, Tumblr would probably really hate it if you shared and spread this damning article … To the surprise of absolutely none of Tumblr’s LGBTQ users, it turns out the independent NYC human rights agency Commission on Human Rights (CCHR) found that Tumblr’s ham-fisted adult content ban in December 2018 disproportionately targeted LGBTQ users. The CCHR’s investigation revealed Tumbler’s moderation algorithms is demonstrably biased against queer content. As part of the settlement, Tumblr was obligated to review their prejudicial anti-gay moderation policies. Even more mortifyingly, they’ve also had to hire an expert on sexual orientation and gender identity (SOGI) issues and provide unconscious bias training to their moderators. I frankly doubt Tumblr has learned a thing from this humbling experience. Just recently the Tumblr algorithm flagged three ancient posts of mine as violating their terms. All three “offenders” were vintage homoerotic beefcake images (softcore by modern standards) roughly 50 – 65-years-old by Bruce of Los Angeles, Bob Mizer and Tom of Finland. (These are of course pioneering queer artists who routinely faced censorship and imprisonment in the fifties and sixties. Plus ca change!). They’ve been visible on my page - corrupting viewers -  for years at this point. I appealed all three immediately. Only the Tom of Finland one was approved. The other two are now hidden. So, they haven’t learned much. Apparently, Tumblr – who loves to declare how hip, youthful, inclusive and progressive their values are - wants to restore trust with their queer users. I’d recommend we remember their hypocrisy when Pride rolls around and Tumblr splashes rainbow flags everywhere and attempts to pink wash their image.

In honour of Pride Month, this is worth a reblog! Don’t buy into Tumblr’s hypocritical “pink washing.” 

(via cock-holliday)

klapollo:

the way sesame street, a pbs puppet show for literal babies, is pressing on with pride content despite vitriolic monsters descending on every post to insinuate they’re pedophiles or demons while some of the biggest companies on the planet who could swim in olympic swimming pools of money like scrooge mcduck on steroids buckle and cave just emphasizes how completely and utterly pathetic these corporations are. they’d butcher a baby if it meant saving a penny.

zillyblog:

minakittengaming:

bananahomo:

memewhore:

I reblogged this last month, tagged it, and said “might as well see if it works.” I used this video as a reference to find all the forms that i needed (which is A LOT, especially if you’re a dependent) and sent them through the mail, not really allowing myself to hope.

dude.

$2,714 of medical debt from my top surgery - gone. im shaking this was such a weight on me for 2 years and it fucking worked. what the fuck.

This is huge. Sharing for my US friendos.

Hospitals like to hide these policies under a lot of successive links in obscure places, so if you don’t see anything right away, keep looking! Get friends to help! Make it a scavenger hunt. A game where you’re assassins sent to slit capitalism’s throat

(via finnglas)

prideprejudce:

this is probably the best take I’ve heard so far on the debate of people being told that they aren’t having enough ‘compassion’ for billionaires making bad decisions and paying the obvious consequences for it

(via anais-ninja-bitch)

sevenyeargap:

instead of mourning some stupid billionaires, please consider donating to sos mediterranée, sea watch, and sos humanity, three NGOs assisting asylum seekers in the mediterranean sea

Mourn? Pfff, I’m celebrating.

(via i-am-an-adult-i-swear)