Decently endowed trans woman here, I don't feel dysphoric about it most of the time, but something that does make me a little uncomfortable is that I can still shoot ropes after 3 years of estrogen and progesterone. I just finished my first month of spiro, and still, huge loads. I know this sounds like a stupid thing to be mad at, but it does bring me a lot of dysphoria to know that my penis is still functioning very well despite all that I've done to prevent it from doing so. Anyone else feel the same? Any advice? Thanks

I'm going to get t through a telehealth thing, so I'll need to inject myself, does anyone have links to turtorials that explain the basics or can explain them to me? I'm sure they'll tell me how but I'd like something more in depth that I can go back to.

As the title says, I'm kind of curious if any of you guys have had anything like this after starting HRT. One of my close family members say he thinks I'm much more sick and tired after starting HRT. He say he's supportive, but he's expressed worry over the HRT I'm on so much that part of me wonders if it is just his way of being transphobic?

It grinds my gears whenever it comes up. I felt bad for the first month of HRT, but I don't think I've felt continuously worse. But they're saying I seem more sick and much more angry emotionally? I don't understand it, I don't really feel like I'm either.

Hello everyone :)

I've been wondering about the impacts that transitioning + sexual lifestyle choices might be impacting my fertility. Just off the bat, I want to point out that I don't mind being infertile, in some ways it's actually preferable for me.

So, the main things that I do are:

• hrt. I've been on HRT for going on 4 years now (though I've gone through several extended periods where depression has stopped me from being super consistent on taking my meds)

• tucking. I was tucking on and off for the first two years, and then almost every day for a year or so. I'm doing it less frequently now because of ...

• chastity. My gf and I are starting to keep me in chastity more often. I'm pretty much keeping it on so long as I'm awake, and I'm not sure if keeping my balls squeezed like that is going to impact fertility.

• moderate ball busting. In tandem with chastity, we've started incorporating ball busting into the bdsm lifestyle. If I break rules during the day I have to get x number of hits to the balls. I also do just enjoy getting hit there casually during sex as well.

I know that all of these can have some impact on fertility, but I'm not sure what degree they would all have in combination. If anyone else has some experience or expertise in the area I'd love to get some feedback.

Thanks a bunch 🥰

So hiya! I am 25 MTF and a few months now away from finally starting HRT. I am super excited to finally start getting the body I want, only... I might not??

I want to gain weight, like a lot of weight. I weigh 85kg now, and I want to get to 135kg, maybe more even. Basically become a BBW because that is what I find most pretty and want for myself!

If I do this tho, I will not be able to get the bottom surgery I want with Dr. Bank at Suporn Clinic in Thailand since you need to be below a certain BMI to get chosen. I am still a student, and it will take a long time to save up for this surgery, and there is still a big lottery with whether or not one gets chosen among all the other transfems applying for it. I have bottom dypshoria, nothing terrible, I just wish I had a vagina, but the thought of having to stay thin, maybe having to loose even more weight for many more years just to be able to apply really makes me depressed, like I still can't get the body I want even after starting hrt.

Would it maybe be better to just not care about whether or not I get surgery and instead just be happy? I am not defined by what's down there, and think I would rather just be huge, soft and huggable. So many thoughts and feelings, and ofc I know the decicion lies with me in the end, but has anyone else been in this situation, or something similar?

xoxo -T

hi! I’m a trans person who has had a past with binding on and off for 4 years. recently I’ve noticed that I have pain in my back and shoulders when binding. I wear my binder for less than 4 hours a day. Sometimes even less than 2. I wear a size up from what I should actually wear. Yet I still have this pain that usually comes right as I start binding. Does anyone have any tips, advice, or knowledge of what this could be? I’m sorta lost. I am in the process of getting on T and have yet to start the process of finding a surgeon for top surgery. Any help is appreciated!!

Hi

I’ve been on T for 3,5 years and my levels are in the normal. Last time I checked (26th August) was because I experienced pink discharge and pelvic pain after sex and a very small amount of penetration sex. Now its 1 month later and no penetration sex for more than a month, but I began to bleed fresh blood (pink or bright red) yesterday - not enough to stain my boxers, but enough to show up when wiping - alongside pelvic pain or a feeling of soreness/tenderness. It’s not a feeling of direct period or period pain, but it’s definitely pain in my uterus. Today it’s actual blood exiting my body, but still fresh (bright red). Doesn’t give me actual vibes of period blood. But I feel my uterus is tender and almost subtly throbbing, not cramping not full on period pain, but noticeable tenderness.

I’ve been on the phone with a gynaecologist and it’s in the works for me to get an assessment and everything. She kept on asking me about dryness, which I just do NOT experience down there, with or without sexual context. I’m just worried and bothered and I don’t like to not know what’s going on. I’ve been researching vaginal atrophy, but I’m a not a healthcare professional.

Does anyone recognise any of this??

Sorry for the rant 🥺

Is there a list of insurance providers and the trans/gender-affirming healthcare they provide? Who is the most comprehensive and what is the plan code?

Hello

I am asking a very important question - is there a way to obtain a prescription that is endless. Not for a strict amount of time because I am traumatized of doctors trying to microdose trans people, gatekeeping, refusal to refill testosterone, etc. All this environment feels so constraining and that my transition is under conditions and in risk to be stopped any time. I also hate blood tests - they've always been extremely painful for me and I don't find them necessary more than once a year as I have a stable T dose that works perfectly for my and I am healthy and feel great. I don't want to be forced to poke needles into me every few months and to be in constant control of doctors. Yes, I do care about my health but this system is opressive. So I am asking - are there countries/states where trans people are not FORCED to have constant endocrynologist appointments and have the decision of free will to go or not and just have a prescription for an unlimited amount of time?

Ps I asked a question, short and exact. I don't want to hear insults or mean behavior. I just want an answer to my question and that's it.

Hey all! I've been looking into starting hrt and while I've been doing some research I'm having a hard time really finding information. Does anyone know of any places I could try looking in the central florida area?

Hey! I was wondering if anyone else had an experience like this. I'm three months on HRT and my E level has gone up like I expected, but so has my T?

Background Information:

• Current Medication: Oral Estradiol Tablets (Progynova)
• Current Dosage: 4 mg daily
• Reason for Switching: To reduce the risk of side effects

Questions:

1. Gel Dosage:
   • What would be the equivalent dose of estradiol gel to match my current oral dosage of 4 mg daily?
2. Effectiveness:
   • Will the gel provide a more consistent level of estradiol in my bloodstream compared to the tablets?
3. Bioavailability:
   • Since estradiol gel bypasses the liver, should I expect the gel to deliver more effective estrogen levels with a lower dose?
4. Long-Term Use:
   • Is the gel considered safer or more beneficial for long-term use compared to oral tablets?

i am 17 and have been on testosterone for over 2 years now. starting toward the end of last summer i began noticing unusual discharge in my underwear. it ranges anywhere from grey to yellow, can be either very thick and mucus-like or extremely thin and liquidy, and has a fairly strong odor. outside of the discharge i have no other symptoms and nothing changed (that i know of) that could have potentially caused it. i got tested for yeast infections and stis in the winter and none came back positive but i was given a week of antibiotics meant for yeast infections. the antibiotics worked for a couple weeks but my issue has since returned. im not sure if i should be concerned or if this is something other people on t have experienced? advice?

We are excited to announce the TOGETHR study, a national study addressing HIV prevention for transgender men and transmasculine people. The study is completely digital and online. Eligible participants will receive at-home HIV testing and info about PrEP in addition to compensation for your time.  

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heyyy I am 33 y/o and have been doing monotherapy injections for just about 2 years... I have been feeling like changes have been stalling for a while even though t is suppressed and I have my e up, while I do notice softening in my skin and I have developed boobs I was wondering what might be going on to cause feminization to stall/pleatue? I did talk to my dr today and he did say he was going to ask other specialist of they might have any ideas on what might be missing. Anyways tysm for reading and any thought you can share. I really appreciate any help you can offer.

Hello! Just an intro, 32 y/o MTF trans woman. I have been living full-time as a woman since I was 17. 17 was also when I got my orchiectomy. Because of a supply line issue, I cannot get my estradiol patches from my usual source until the end of July. It is now the beginning of July, and I am completely out of patches. Being that I'm post orchi, is it safe for me to go almost a month without hormones? I'm not worried about remasculinizing, I just don't want to have any serious health problems. Minor mood swings and hot flashes I can deal with. Would love to hear of anybody who's experienced this, or the opinion of a medical professional. Thank you. ;) <3

Hey all. I am sorry this is long. But i am stressed if my tes dose is high, and about my cardiovascular health. Also, there IS jargon in this post :(

First things first, I am AFAB and have started transitioning approximately 6 months ago. I am fairly old (27y), and a main reason I have been contemplating starting TRT was that I am a massive hypochondriac sometimes. I am seeing an endocrinologist and he had me do blood work ( CBC, CRP, LDL/LDH, liver enzymes ,Hormones, vitamin D3, thyroid ultrasound, and Dexa scan for osteoporosis.). After the tests came back he said that my tests were near perfect, exept for slightly elevated blood pressure (130 /65 ), iron difficiency anemia, and low vitamin D. I started on supplements and a dose of 250 mg of tes enthanate every 4 weeks. I talked to him about my concerns and he says there is no main reason to worry as long as i stay healthy and get checked up.

He tested my liver enzymes and hormones 3 months ago and my t was kinda low, and enzymes identical to last time. My blood pressure( 114, 56 ) and anemia improved, i feel better than ever but he told me to keep my injection schedule every 3 weeks instead of 4, same dose 250 mg tes enthanate every 3 weeks. Do you think it is a high dose? And is there any reason i should be concerned about my cardiovascular health ? I have history of high blood pressure and health disease in my family.

I am also stressed for the next CBC blood tests in October.

Note * i excersice 5 times a week NOW, but I used to be tired all the time due to my anemia. if anyone cares about cardiovascular health my LDL was 110 and HDL 57 with triglycerides 83.

Hello. I (mtf) intend to start HRT soon, and I am concerned about whether my choice of blocker will affect the changes I want to see (mainly breast growth and suppression of body hair). Are there known to be major differences in these effects between spironolactone, bicalutamide, and finasteride?

iso trans friendly psychiatrist in Kansas City, MO

I’m 20 year old trans masculine been on hormones a little over two years and pre op any surgery’s I’ve just started getting period like cramps They started yesterday closer to the evening and now it’s the next day and still experiencing the same pain was wondering if it is safe to take midol medication for period cramps or if I should be worried for health issues

Does anyone know how to prevent pressure acne (acne mechanica) while tucking?

idk if this belongs here but I’m so sick of it I need help 😥 Does anyone have any solutions to the overly sensitive/painful clitoris problem? bc it seems no matter what underwear I buy, they always rub and it always makes me so uncomfortable. Fellow ftm men on T who experienced clit growth, what do you do to prevent the friction from happening?? it’s genuinely painful at this point 😭😭

**VERY LONG BUT PLEASE READ**

Hello,

I feel like the title of this post is too vague but I wasn't sure exactly what to put. Please read this as I am genuinely interested in hearing what you all have to say.

I'm a nurse in Iowa City, Iowa, and we have a pretty decent size transgender community of patients that we see. My question is about the use of legal vs preferred names in the chart and how that personally affects a transgender patient.

We use Epic, and as far as I know, we have to use a patient's legal name on the medical record. We very frequently will update records with a new legal name of the patient's preference once that is officially legal. What does exist in Epic is the ability to use "preferred names" in certain areas of documentation and correspondence.

Let's take for example a patient named Stephen Smith, transgender female who prefers the name Stephanie. The way that I have *my* communication set up is that if I reply to a patient through MyChart, it will automatically use their preferred name as the greeting if there is one listed, if not, then it defaults to the patient's legal first name. So any of *my* correspondence to the patient addresses the patient as Stephanie. Honestly, I don't really care what somebody prefers to go by, if that is what they prefer to be called, I'll call them that (unless it is profane or offensive).

What really gets to what I am wondering about is, when I open a telephone encounter in Epic, the way that our organization has it set up is that it automatically inserts the patient's Medical Record Number and name into the note: MRN: 12345678, Stephen Smith. This bothers me for two reasons.

The first reason is admittedly selfish on my part: my name gets attached to that note and I would hate for Stephanie to think that RonaldSwanson1977, RN, is a hateful person who would use a dead name or otherwise misgender a patient.

The second part of that is, what are your feelings on this practice? I understand everyone might have differing opinions of this, since we're all different people. How would you prefer your name to appear in a note? The easiest way to include the legal name plus a preferred name is Stephen Smith "Stephanie". There would also be an for Stephen "Stephanie" Smith. I'm not sure how this would work exactly but also just Stephanie Smith (though I'm not sure if our team would be ok omitting the legal name in any documentation).

Also, for you, my transgender friends, is this something that you encounter where you receive healthcare? Is this something that you just live with, knowing its all part of the process?

Genuinely interested in hearing as many opinions as I can so I can address these issues with whoever I need to, to at least do my part to improve the care and treatment of transgender patients in *my* community.

Google says it might be from fluctuating hormones or stress or something but I'm honestly scared that it is mpb or something like that I don't know I'm having a bit of a freak out sorry. I'm 21 next year. If the worries weren't bad enough though the sensation is maddening and I don't know what to do I plan to set up an appointment with the dermatologist soon but I'm worried since it's more or less isolated to that one spot and other than maybe some scratches from me scratching and some minor soreness I can't really see a difference there or anywhere else I don't know

So I'm 20, I started hrt relatively late in my 19th year, for the last couple months I've been experiencing pain in my hips that feels like growing pains but I can't be sure. It ranges from non-existent to minor to noticeably painful but bearable. It doesn't usually last too long and I spend more time without it than with it. I've also noticed that putting my legs together or crossing one over the other helps feel like something is stretching which helps it go away or at least prevents actually feeling the discomfort until it goes away.

When it's around it makes walking pretty uncomfortable but I think that helps too. And on that note I do feel like the way that I walk has changed slightly

But there's this feeling of tightness as if something needs to move like I need to stretch or something but I can't stretch it away. And yesterday as I woke up from bed there was a loud pop fom my hip area that didn't hurt but was really loud and it came with relief of the feeling of tension in the area that I had at the time. Idk

I don't actually know how long they've been this way but I'm 20 and if you only had my knees to go off you might think I'm in my late 80s.

I don't know why they're like this. Maybe it's a result of me not taking good care of myself when I was a kid I struggled with personal hygiene a lot and often wouldn't moisturize I read it a lot now but it's not like I can go back and change the past.

I don't really know if there's anything I can do now though and it's so frustrating because I'm having positive changes elsewhere but idk if HRT could even do anything about this practically makes me want to claw the skin in those places off and I don't know what to do

I'm been in hrt since the 8th of July 2022 and I don't know

My daughter is choosing to boymode for her first year at college. I got her compression shirts because her growing chest is obvious under t shirts but I’m wondering, if she’s in a compression shirt all day, is that going to affect her breast development negatively?

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