Post APP7NOIynMSf4jaWfY by elilla@transmom.love
(DIR) More posts by elilla@transmom.love
(DIR) Post #APP7NMzRgVF2zrRPaC by elilla@transmom.love
2022-03-16T18:26:27Z
0 likes, 1 repeats
@forever@fedi.nullob.si yup, which is quite easy since by reading e.g. the relevant wikipedia articles you will know more about dosages, risks etc. than basically every endocrinologist I ever seen. (except the antifa endo, obvs <3) let alone if you do your homework on https://transfemscience.org/, r/estrogel, pubmed digging etc.this isn't because endocrinology college doesn't teach anything, or medical education isn't valuable. endocrinologists could be so much better at this than me or random depressed closeted teenager. the reason they so consistently fail our very low bar is that they don't care, so they don't even try.an actual example: all endos I know think 80pg/mL is a good level for an adult transfeminine person.more actual examples: - no doctor I asked knew about the relative levels of risk of oral ethinyl estradiol vs. transdermal bioidentical hemihydrate. - two doctors I asked hadn't even heard of the existence of bicalutamide - no doctor I've ever asked ever knew anything, or responded to any worries about, ~quality~ of tissue feminisation, as opposed to some arbitrary blood serum level goal. the breasts I have right now? I was flat out told by an endocrinologist this is impossible for trans women and if I want that I would need BA. - "if cypro is a progestin then what happens if I take P4, do they interact in any way, is it redundant?" (sound of crickets) (tumbleweed rolls by) dr: "anyway doesn't matter, come back in 6 months" - when I did my surgery, no doctor I consulted had any idea about DHT spikes with low T. (I know a person who's dealing with that issue right now, without even a surgery; no their doctor didn't know to prescribe them finasteride or duta, come on type "DHT antagonist" on google it'll lead you to 5α blockers, congratulations you're doing better medical care than this person's trained endo.) - doctor who prescribed me cypro didn't think of asking me for a family history of thrombosis (yes) or genetic test for thrombosis risk (also yes). then he was scared that 110pg E2 was too high and "dangerous". I asked what are the risks, just out of dark curiosity. "thrombosis."and the most egregious of all: - I know a doctor who prescribed 50mg/day of cyproterone to a young trans girl just starting HRT. no this wasn't a typo. 50mg. the kicker? the girl in question *didn't want AAs*. she had a phenotype that was very fem at the outset, no facial hair no T scent round girl face etc., to the point where she wondered if she might be intersex or otherwise have naturally low T levels, something the doctor didn't bother to test. the doctor never heard of E2 monotherapy, and moreover couldn't be convinced otherwise.(luckily this doctor is retired now, saving us the pain in the ass that would be trying to sue her or w/e before she gave somebody meningitis or an embolism.)again this isn't advanced science, it's not that doctors are incapable it's that they trust the authority of whatever one-paragraph guidelines for transexual mental disorder they got from the past millenium, and don't bother trying to learn more. any random person who reads the fucking wikipedia on cypro could tell that doc could be killing this girl. poor girl was traumatised and can't go to endos anymore, and who would blame her? if I can know this a doctor could understand it at levels I can't even dream, but it's the converse of the ideology that self-medication is more dangerous. see, they think self-medication is inherently dangerous because they don't trust you to be able to inform yourself, because you don't have medical school, you don't have a detailed model of the human body or years of residence, so you can't be trusted to read a list of side effects and interactions. but by the same token, they also overwhelmingly don't trust *themselves* to inform themselves, because they're out of medical school now, they forgot all those exam questions; they were granted this static set of validated knowledge that is the only real evidence-based medicine they'll ever have, any new knowledge has to come from some higher authority, e.g. association of cisgender straight man patriarch's guidelines for transsexual perverts from the eighties.it was the same deal during the AIDS genocide, incidentally; we were forced to do the doctors' job for them back then, and we are again right now.when taking medicine stay safe! don't do dangerous things like medicating yourself without informing yourself of risks first.also don't do much more dangerous things either, like letting an uncaring doctor running on autopilot mess with your body without informing yourself of risks first.
(DIR) Post #APP7NNjAwTozHgpvrU by heresmyhotelkey@kinky.business
2022-03-21T06:01:09Z
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@elilla does this apply mostly to Europe or have you heard of this elsewhere? This is making me nervous about starting eventually 😬
(DIR) Post #APP7NOIynMSf4jaWfY by elilla@transmom.love
2022-03-21T07:00:34Z
0 likes, 1 repeats
@heresmyhotelkey I would bet about everywhere, if you find a clinic that is openly supportive of queer and trans causes, advertise it etc. there's a good chance they did their research. otherwise chances are they didn't.but your local trans community will act as a safety net and give you guidance (including the all-important question: which are the nicer doctors?), and people online can help too. you know that saying of always checking a second opinion with doctors? I think that often helps, and if you're a marginalised category also check a third opinion from people who support your community (orgs etc.)most of hrt is actually pretty safe, not more dangerous than cis girls on pregnancy. there's a few risks though, and it pays off to be aware of them. it's not hard either, read the manual that comes with the meds, it's listed there.
(DIR) Post #APP7NOZzm64XvVY7Bw by elilla@transmom.love
2022-03-16T18:40:28Z
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- I get my blood tests with reference levels for men. so everything that is good shows off as a great risk, and everything that is problematic shows off as ok. I complained about this, they never changed it. - I still get offered cypro even though I cut off my balls. - my hormone sheet comes from a certain clinic with the wrong unit for T (pg/dL rather than ng/dL; you can easily verify it was intended to be ng from the reference levels). every sheet I got I made notice of this. I got them to recognise it was wrong, but never to fix it. - two different doctors told me that transdermal estradiol often doesn't work very well, then they go for pills as a second alternative, while worried about the liver. all of them think the most effective place to do transdermal is the inner arm, followed by thighs. - I know a girl who doesn't get E2 from E2 pills; her E2 levels stay lower than even cis male average. rather she gets E1—I mean she gets ridiculously high E1, way more than the ratio most people get on pills. I read about cases like this on r/DrWillPowers so when this girl told me a single 2mg pill of estradiol gets her physically sick, I immediatly thought, what about the E1? her doctors couldn't explain what was happening and doubted her report; they didn't even try testing other hormones. (luckily she got access to the One Good Lab in Berlin, and they tested it and yup, super high E1.) (also she transitions well on it.)
(DIR) Post #APP7NQ9Tve3Inr9y8u by elilla@transmom.love
2022-03-16T18:42:51Z
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(correcting my rant: girl in question does well on 2mg oral E2, which skyrockets her E1; it's 4mg oral E2, a past attempt to make her E2 needle budge, which got her sick.)