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.

why is this like high key lynchian like it could’ve been a scene from mulholland drive

Caspar coloring timelapse

it's come to my attention that a lot of people don't know about bluemaxima's flashpoint and genuinely think they'll never be able to play their favorite 00s internet games ever again so i just want to remind everyone that flashpoint is a huge internet flash game preservation project that allows you to play just about any internet flash game/animation despite the death of flash. if they've got it in their database (and they probably do) you can play it. go forth and drink in the 00s nostalgia

even if you think there's no way they'll have the game u want. they probably do anyway. when i first downloaded flashpoint i thought for sure theres no way they will have the obscure flash game i played for hours as a kid that was only even available on the internet for like 2 months in 2006. but you know what. they had it. seriously, download flashpoint

I like the early game spore animals. They’re just little loafs.

ヽ༼ຈل͜ຈ༽ﾉ

Rocket Tattoos

I’m the new master of the league you dumb

-

bringing this back because this is the funniest part of a 38 minute video that got copyright striked and took down this girls entire channel

you want to help stop tumblr from murdering itself? here's how!

i encourage you to reblog this so we can get as many people leaving feedback as humanly possible. we need to let staff know this is an utterly terrible idea

by the way, tumblr has turned off asks on all of their staff blogs, so this is the only way to tell tumblr how you feel

here it is again because uh. seems relevant.

my instagram explore page loves showing me those like erotic dark romance novel tiktoks and i really have to wonder: why do all these straight women desperately want to fuck a mafia boss

Okay, let's try and break this down.

Sexual fantasies are, by their very nature, transgressive. Yes, even the fluffy, romantic ones. As long as general culture remains negative about sex and sexuality in any form that isn't cishet procreative sex within the confines of matrimony with the woman not as an equal actor but an object sex is performed onto, this is going to remain true.

And the thing about fantasies is that our brains like to take the things we crave the most and mix them up with our fears, anxieties, pain, and trauma into a melange of, sometimes, truly epic levels of fuckery.

But here's the secret - things we fantasize about, from the most wholesome to the bizarre to seriously fucked up? They are very, very often NOT what we literally want.

Being into dubcon or noncon doesn't mean you actually want to be raped or rape. Being into monsters doesn't make you a zoophile. And fantasizing about violent, obsessive men doesn't mean you wouldn't run as far the fuck away from a man like that the second one of them set their sights on you.

If you're really interested in the subject, I recommend reading My Secret Garden by Nancy Friday, a compilation of anonymously submitted women's sexual fantasies. And, as it turns out, women fantasize about a lot of really violent, uncomfortable, and just plain screwed up stuff.

And, for most of them, even when they don't actively realize it, it's about reclamation. Of fear, of trauma, of loss of power. It's about THEMSELVES and how THEY feel. As weird as it's gonna sound, the men featured in those fantasies don't really matter, they're just a vessel, a manifestation of the extreme version of what you're dealing with and/or crave. A safe, cathartic way to experience something profoundly unsafe, unwise, and terrifying.

For women fantasizing about criminals, villains, monsters, and anti-heroes, it's very often about the idea that someone like that - intense, violent, with single-minded focus, and immense power - would love her, want her, always put her first, go against all his instincts/training for you without a second thought and be a clear and present danger to everyone but warmth and safety for her and only her, and burn the world itself down for hurting her in even the slightest of ways. It's a sexual version of the fantasy of having a pet tiger, one that would never, ever attack you or hurt you in any way.

And just like the people who want to boop the forbidden snoot, the women fantasizing about their fantasy Mafia Boss Lover are very well aware of the fact that 1) men like that don't actually exist, 2) the criminal world of their fantasy has all but nothing to do with reality, and 3) that the thing they're actually fantasizing about is being loved, wanted, and safe... just in a REALLY intense, exaggerated way. And, let's not mince words, there's also often a more or less strong D/s dynamics at play in the scenario, too.

Now, you can choose to be judgy bitches about it (goodness knows plenty of you in the replies, comments, and tags are), in which case I would suggest you examine why you're feeling such a profound need to shame women for enjoying themselves in their own little world, or you can apply the YKINMKATO mantra and understand that straight women, living in the constant state of preyhood, sometimes consciously or subconsciously reclaim power over that situation through transgressive sexual fantasies.

Also, fuck this idea that queer people only fantasize about healthy and wholesome relationships, romantic, sexual, or otherwise, as if at least half of Tumblr isn't simping for, oh, for example, Hannibal fucking Lecter. Do you have ANY idea how many Mafia and Thug BL content there is out there?! FFS, Tom of Finland, a WWII veteran who fought against Nazis, drew art of exaggeratedly masculine men in Nazi uniforms in pornographic situations as a way to dissociate himself from those traumas and fascists themselves as far back as the 1950s!

So yeah. Less judgement, and more taking some responsibility for curating your online experience if seeing someone's kink truly offends you this much.

"Booping the forbidden snoot" is a good way of putting it

prev tags, text ver. below the cut

I'm going to try to explain this without sounding completely deranged but like, okay: IMO, there are two kinds of fantasies. let's call them horses and unicorns.

a horse fantasy is something that is theoretically possible. I do not currently own a horse, and the reality of owning a horse would involve boring stuff like paying for its food and mucking out its stall, but it is something I could do in real life. like, horses exist and can be owned by humans. lots of fantasies can fall into this category: traveling to a foreign country, living in a cute house with just you and a cat, winning a marathon, basically anything that is technically achievable even if it would be difficult to do so in real life.

a unicorn fantasy is something that is definitely (or almost definitely) impossible. I do not currently own a unicorn, and there is no version of reality where I could own a unicorn, because unicorns are not real. the actual logistical issues that might arise from owning a unicorn, like paying for its food or mucking out its stall, are completely immaterial because it's not something that could ever actually happen. and like, it's in my brain! I control it! I can imagine a unicorn that only eats marshmallows and shits potpourri if I want to!

I think the disconnect comes in when people assume that a unicorn fantasy is actually a horse fantasy. to use the tiger example from upthread: you can own a tiger. you can't have a completely domesticated tiger that would never hurt you, not even by accident. so saying "I want a pet tiger" is a unicorn fantasy, because everything necessary for that fantasy to work (it being completely domesticated and incapable of harming you) are not things you can have in real life.

now, serial killers/war criminals/normal criminals/etc. are all things that exist. and there are definitely people in relationships with them in real life! so it's tempting to assume that something like "I want to fuck a serial killer" is a horse fantasy: something you would want to do, and could do, if given the opportunity.

but for the vast majority of people, that's not the fantasy. the rest of the fantasy ("he's a serial killer, BUT he only kills bad people and he's nice to me and is both able and willing to protect me from literally anything and has sex exactly the way I want to because he magically knows what I want because, again, this is happening in my brain") is what makes it a unicorn.

...huh. My thanks to @bemusedlybespectacled​ for putting NAMES to those things, “horse fantasy” and “unicorn fantasy”; because I’ve come across those concepts before, but never with WORDS for them. I hope that those terms become commonly understood, so then people can have discussions about them without having to spend an hour ahead of time just making sure that everyone’s talking about the same thing.

Im hooked tf up & plugged tf in to my heavy dutie mobile jerk off rig today🔥🔥 lets hope i dont crush it into the bank again🤑🎰 well ill try not to get wired up/fucked hard on syko drogas again🚱 Ha haaa!!😂

hey! hi! I don't know how well tumblr takes to game announcements (especially ones for ~3 decade old PCs), but…

a couple nights ago I released WordHopper, a little arcade-like word game for pentium-era PCs running DOS (or Windows 9x, though ymmv).

it's $2 (minimum $1), and can be purchased here! there's also a demo you can try out in DOSBox, on real hardware, or online (NOTE: click the dosbox window as soon as possible to avoid a loud, short sound- I don't know how to fix that, sorry!)

thank you!

women should lift weights because it prevents osteoporosis in old age and makes you a more capable person in everyday life please shut up about butts and waists and hourglasses i'm going to fucking kill

;___;♡♡♡♡

genuine question from someone who would rather chew their arm off than go to a public gym, and also doesnt have a lot of money: how do you safely get into strength training? are there youtube channels, apps (android), etc anyone recommends that makes it approachable and don't lean into diet culture / body shaming?

also the biggest thing that keeps me from working out is that I already have joint and spinal issues and moving the wrong way can fuck up a knee or a shoulder or my spine for days. I really don't want to injure myself, and have unwittingly done so before. resources that are extremely clear on exactly how to move and offer gentler / alternative ways to move for people with limited range are vital.

Okay, so this may not technically be strength training, but muscles are dumber than bricks and cannot tell the difference between your own bodyweight and actual weights.

So, may I recommend:

He runs a YouTube channel where he goes over how to work your way up to more complex exercises (for instance, his pull-ups videos start with using a door jamb and moving your weight back and forth) so it's good for easing yourself into things.

You also don't have to fork out for expensive weights and such if you don't want to/can't. Substitute with stuff you either already have at home or can get from the supermarket and build up the weight you can exercise with. 500 gram cans of butter beans then 750 gram bottles of pasta sauce. 1 litre drink bottle then your 1.5 litre milk bottle. 3 litre bulk-buy bottle of laundry detergent. Etc. One of my dogs weighs 13 kilos and I pick her up on the regular (to her delight). One weighs 16 kg and I pick him up too (to his consternation and mild disapproval). You don't have to fit out some fancy home gym before you can start strength training.

I second Hybrid Calisthenics, that's the program I use. It's run by one guy who's taken it upon himself to make exercising more accessible and it's completely free! Each exercise has different variations based on your ability and each variation is further divided into different levels of difficulty so you can work up to where you want to be. If you can't do a single push up for example then this program will help you work up to the point where you can, and if you're a master of push ups then there are more advanced body weight exercises you can tackle so you can keep moving forward in your training without stagnating. The routine offers a full body workout with absolutely no equipment required for the beginning levels. The only reason you would need to buy anything is if you want to work up to a full pull up, at which point you would need actual pull up rings

Here's his actual website which I feel is easier to navigate than the YouTube channel on its own and organizes things in a way that's easy to understand. He explains everything you need to know about the routine and each individual exercise has both a text description and a video tutorial

This one shall do nicely.

35 miles, happy 24 hours.

24 miles, 19 hours and ticking.

It's ok, take your time

Hog swill

Might take a minute.

Back on track, 20 miles ~20 hours, might need a medic.

Buddy???

Found the portal, expect my corpse to arrive in 17-20 hours.

What

What the hell

source

come on man

"I am Ultimecia. Time shall compress - All existence denied"