François Miville-Deschênes is a Quebec comic strip artist, scriptwriter and illustrator, best known for the Reconquests series.

François Miville-Deschênes is a Quebec comic strip artist, scriptwriter and illustrator, best known for the Reconquests series.

there's 2 girls inside me

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TRANS WOMEN: HERE'S SOME SHIT YOUR DOCTOR WONT TELL YOU ABOUT HRT

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.

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Here’s a Mega folder with a handful of junk for you trans girls to watch

https://mega.nz/folder/g14TWJaL#u5hER7DzOJbdJbAR0mhtBQ

///TGIRL FEATURE FILMS (alphabetical order)

Adam (2019) it’s about a cis boy who’s mistaken for a trans boy and rolls with it. Big cast of trans characters including a tgirl played by a tgirl who everyone wants to fuck. Directed by a trans dude. Highly legit. If you’re still hung up on pre release speculation based on the novel then you’re the most annoying person alive.

Assassination Nation (2018) The first half is Euphoria and the second half is The Purge. ONE OF THE BEST TGIRL MOVIES OF ALL TIME.

Bit (2019) Lesbian girl power vampire movie where the main character is a tgirl played by a tgirl. It’s solid. I find it frustrating that they hint at her being trans without explicitly acknowledging it (and she’s passing as fuck, so it’s easy to not notice), but I know that’s what some of y'all want.

Boy Meets Girl (2014) Cis dude for trans girl love story. Pretty normie, but also you see her fully naked (gock out) at the end.

Funeral Parade of Roses (1969) Extremely 60s. Cool as hell.

Lady Daddy (2010) South Korean romcom about a trans girl played by a cis girl who tries unconvincingly to back pass when she finds out she has a kid. Very cute.

Lingua Franca (2019) written directed and starring Isabel Sandoval. An undocumented trans woman immigrant in New York deals with a cis dude partner being a cis dude. Which is also the plot of The Garden Left Behind (2019).

Myra Breckinridge (1970) Raquel Welch is a trans woman and her goal is the destruction of the last vestigial traces of traditional manhood! It’s Fight Club! It’s Hackers! It’s divisive, but it’s probably my favorite movie!

So Pretty (2019) Literally the first scripted feature length (non pornographic tho it does have cock) film to feature two trans women played by trans women kissing eachother.

Something Must Break (2014) THE OTHER BEST TGIRL MOVIE OF ALL TIME. Drugs. Crimes. Gock. Slow motion pissing. Slow motion park Fucking. Genuinely the most beautiful sex scene I’ve seen in any movie. And she makes it to the end still alive and more sure of herself and at peace than ever.

Tangerine (2015) Groundbreaking and also a bunch of the secondary characters are real life pornstars (which I think is neat).

///TGIRL DOCUMENTARIES

Bambi (2013) about a trans girl showgirl in 50s/60s paris

Paris is Burning (1990) basically it’s Pose.

Shinjuku Boys (1995) Trans dudes working in a tokyo club that caters to tboy chasing cis girls. There’s at least one trans girl in the mix too.

///FORCED FEMINIZATION

A Reflection of Fear (1972) They raised her as a girl and it made her do murders! It drags in places, but the girl in it is so ethereal and it has ageplay vibes and daddy issues.

Memory Run (1996) A very fun direct to video scifi action flick about fighting fascism by blowing up your pre transition self with a rocket launcher + it’s based on a novel written by a trans woman.

She-Man A Story of Fixation (1967) Notable for being such a cliche sissy maid fantasy while also coming out so early + it was Bob Clark’s first film lol.

Sleepaway Camp (1983) A more famous version of Reflection of Fear.

Surrender Dorothy (1998) A MUST WATCH. I personally bought it on a physical DVD and made an ISO of it for you because I was unsatisfied with the quality of the only copy that seemed to exist online.

I was gonna include The Skin I Live In, but I didn’t already have it on my hard drive and it was taking too long to torrent. It’s on fmovies anyways.

///SHORT FILMS

Happy Birthday Marsha (2018) It’s about Marsha P. Johnson.

I don’t Know (1971) I’m obsessed with the trans girl in this one she just keeps popping up in all kinds of early 70s stuff. Directed by Penelope Spheeris (who is the sister of the cis gf in it).

Mesmeralda (2019) AN ABSOLUTE BANGER HOLY FUCK THE VIBES ARE OFF THE CHARTS PLS WATCH THIS

Pat Rocco’s Changes (1970) It’s that same girl again!

Queens at Heart (1967) I can’t get over that hairdresser girl thinking she’s back passing. Most adorably weak boymode ever.

Shangri-La (2021) Another Isabel Sandoval joint.

The Yellow Wallpaper (2021) Freshly post op girl with a supportive boyfriend goes unhinged.

Undress Me (2012) Jana Bringlöv Ekspong did a few short films. Give janabringlove a google after watching this.

///JUST LIKE BTW

Some of these would be tough to find elsewhere, but most of the movies are also watchable on fmovies and/or can be torrented in higher quality.

After you’ve worked your way through the folder then just start doing Google searches for trans films. Look at IMDB keywords and letterboxd lists. There are so many more out there. These are just like my personal picks.

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happy tgirl tummy tuesday sunday

rbs okay 💜

happy pride

dont forget ur recommended 1,000mg daily intake of calcium 🥛🦴