mood

Reblog if you’re a little internet friend who finds this funny

If you're a trans girl who likes trans girls, please reblog this <3

Gender Troublemakers (1993), dir. Mirha-Soleil Ross and Xanthra MacKay

it fucking sucks how you can do all the therapy and self healing in the world and you still have to wake up living under a capitalist death cult that's killed community and crushes your soul

congrats you want to live and be happy

bad news the world doesn't want that for you

I'll still love fully and crawl to hope until my body gives out anyway I guess

Completely inactionable fetishes are so funny to me. "I wanna be a robot girl and I want you to install a virus on me." Like okay good luck with that.

You simply lack the vision required for such things.

couldn’t stop thinking about this post

gotta lie down every time I remember this recording and the post about it

babe are you okay i saw you were reblogging “No Children (live at the bottom of the hill)” again?

All shall be well someday

I NEED TO LOOK MORE FEM SO I CAN LOOK MORE MASC

HUH?

I NEED TO LOOK MORE FEM SO I CAN LOOK MORE MASC

no this is literally what im talking abt

I NEED TO LOOK MORE FEM SO I CAN LOOK MORE MASC

HUH?

I NEED TO LOOK MORE FEM SO I CAN LOOK MORE MASC

whats cool about being trans is my parents are totally right. i did kill their beautiful son. im the thing that animates his corpse in an ever more convincing parody of a happy girl. i devoured him from the inside out and now there is nothing left of him and he is dead dead dead and there is only me, with my hollow eyes and dark eyeliner and long hair, and my big smile. my limp, effeminate gestures belie the marionetting of the boy they loved. my fagginess is his death. already his body becomes a fitter home for my parasitism in full; the tits, the hips, the thighs. sorry about your kid. thanks for the biomass <3

being pinned down by my wrists by transfem who calls me a good puppy and teases me relentlessly would cure my depression ❤️

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.

anyone else

"its okay to voice train! its okay to wear makeup! its okay to-" okay we fucking know. cis people are pressuring us to at all fucking points in life. whats next its okay to be skinny to pass? its okay to get facial feminisation surgery. as if the expectations on us arent to conform or die

do whatever you want to feel more comfortable in your identity but the concept of femininity and passing as a trans woman is still rooted in white supremacy and ableism. saying "its okay" to do those is fucking obvious since thats what were by and large forced into, even when a lot of us cannot fit those boundaries. youre not fucking special because you got lucky or "you put in the work", or that youre just "better" at being trans than everyone else

I was gunna put this in the tags but it’s a lot. When i first started going through the process of getting a diagnosis, i was labelled with ODD. I immediately took issue with this, it seemed like an unfair diagnosis based entirely on the session the psychiatrist had with my parents (which mostly consisted of “my child is being really difficult on purpose”), and Hoo Boy when i tell you ODD immediately strips you of your ability to call out anyone on anything, that would be an understatement. I couldn’t even disagree or bring up my concerns about the validity of MY OWN DIAGNOSIS without it being labelled as oppositional defiance. Whenever i displayed any negative emotion the “treatments” did so much more harm than good. When you label someone as ‘defiant’ (ugh), when that word is put on their medical record, that person is never allowed to complain about anything again. Knowing that POC are disproportionately affected with this diagnosis makes me feel sick, i can only imagine what’s being swept under the rug as someone just being “defiant to authority”, not even just in the medical field but as justification for police brutality and mass incarceration. When i say medical racism kills people, this is what i mean.

this is so fucking important. reblog.