A quote from a #trans woman, one that resonated with me deeply recently.
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@Natasha_Jay
"There is currently no evidence regarding the optimum HRT monitoring strategy"
So, in laypersons terms, does this mean "when women hit the age where if they were cattle, they'd be sent to meatworks to die, that's when the medical industry who provide at best sub optimal information re: womens health, turn their backs on us completely?"@gusseting
I was thinking along similar lines!Post-menopausal or trans women, you want to keep high estrogen levels because you might feel good on them? Can't have that ...!!
There's a fear of letting women run "supraphysiologic"
levels but the science around risks mainly dates from an era decades before bio-identical estradiol administered transdermally or injected. -
A quote from a #trans woman, one that resonated with me deeply recently. Deep enough that I thought I'd share here -
"I know I post selfies on here frequently, and it might seem like I do it because im narcissistic. However the truth is that I avoided cameras for most of my life because I hated how I looked and now I love seeing the happiness on my face."
A few from a flying visit to London
οΈ over Easter ... me at 57 btw.@Natasha_Jay So real. Both you and the quote.
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@Natasha_Jay So real. Both you and the quote.
@bzzzwa
Even a move from avoiding a camera to taking selfies says a personal change happens that's far far more than a faux smile. I liked this quote a lot. -
@bzzzwa
Even a move from avoiding a camera to taking selfies says a personal change happens that's far far more than a faux smile. I liked this quote a lot.@Natasha_Jay I started to smile at the woman in the mirror. I avoided mirrors before.
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A quote from a #trans woman, one that resonated with me deeply recently. Deep enough that I thought I'd share here -
"I know I post selfies on here frequently, and it might seem like I do it because im narcissistic. However the truth is that I avoided cameras for most of my life because I hated how I looked and now I love seeing the happiness on my face."
A few from a flying visit to London
οΈ over Easter ... me at 57 btw.@Natasha_Jay ... and looking great!
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Shamelessly boosting my selfies while reading an article on endocrinology of women with premature ovarian insufficiency (POI) ... which is pretty anologous to trans endocrinology, but at least they openly admit for POI "There is currently no evidence regarding the optimum HRT monitoring strategy". Interestingly they reference trans feminine guide estrogen levels, which they say are "empirically set".
Reading between the lines empirically set is code for 'scientific guesswork, possibly a bunch of old cobblers'
@Natasha_Jay@tech.lgbt ..when you are out and posting pictures there also might be some serious misunderstanding sometimes like this. Commenter on a trans girl I know: Forget about being a man, you'll never look like a man in this world, and you are too female for this!
Not the type of acknowledgement she was after but when we discussed this she attacked the table with her forehead. ββ
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@Natasha_Jay I started to smile at the woman in the mirror. I avoided mirrors before.
@bzzzwa
I like looking in mirrors now.Okay, I see padding round the middle that obscure my hips a bit more than I'd like ... hardly unusual for a middle aged woman though
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@bzzzwa
I like looking in mirrors now.Okay, I see padding round the middle that obscure my hips a bit more than I'd like ... hardly unusual for a middle aged woman though
βοΈ@Natasha_Jay Of course!!
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Shamelessly boosting my selfies while reading an article on endocrinology of women with premature ovarian insufficiency (POI) ... which is pretty anologous to trans endocrinology, but at least they openly admit for POI "There is currently no evidence regarding the optimum HRT monitoring strategy". Interestingly they reference trans feminine guide estrogen levels, which they say are "empirically set".
Reading between the lines empirically set is code for 'scientific guesswork, possibly a bunch of old cobblers'
If an endocrinolist or GP can tell me why estrogen levels for trans women are set at an 'empirical' (ie basically made up) follicular phase 350-700 pnmol or 100-200 pg/mL that doesn't reference scientific papers from ~2005 before we were on bio-identical estrogen and transdermal / injection bases administrations ... I might actually listen, you know? But I'm waiting.
Risks -
VTE risk = now low, possibly cis levels.
Breast cancer = very low, we get mammograms too.
Liver = very low or non-existent. Annual screening is easy.The more you know, the more you realise your endo or GP doesn't.
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A quote from a #trans woman, one that resonated with me deeply recently. Deep enough that I thought I'd share here -
"I know I post selfies on here frequently, and it might seem like I do it because im narcissistic. However the truth is that I avoided cameras for most of my life because I hated how I looked and now I love seeing the happiness on my face."
A few from a flying visit to London
οΈ over Easter ... me at 57 btw.truth. I used to always avoid looking in the mirror, only to check if I was ok to go out. Now I look in the mirror to confirm I really did make this journey and each time I do look in the mirror is to confirm that I am never going back. Every time I look in the mirror, I remember the decades of not moving foward with this and to see this brings great relief. The dark walls of the closet are long gone, but I never forget the years of pain not coming out. There were many times since I can remember that I was seconds away from coming out and am grateful I finally had a safe time to do so. Looking in the mirror and a selfie is a powerful moment to reflect the change.
edit: also 57 too
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If an endocrinolist or GP can tell me why estrogen levels for trans women are set at an 'empirical' (ie basically made up) follicular phase 350-700 pnmol or 100-200 pg/mL that doesn't reference scientific papers from ~2005 before we were on bio-identical estrogen and transdermal / injection bases administrations ... I might actually listen, you know? But I'm waiting.
Risks -
VTE risk = now low, possibly cis levels.
Breast cancer = very low, we get mammograms too.
Liver = very low or non-existent. Annual screening is easy.The more you know, the more you realise your endo or GP doesn't.
I have opinions about 100-200pg/mL17Ξ²-estradoil...that's the bare minimum for survival! Lower than that, I have real health problems that has made many expensive ER visits. The stories I have from low estradiol are many...
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I have opinions about 100-200pg/mL17Ξ²-estradoil...that's the bare minimum for survival! Lower than that, I have real health problems that has made many expensive ER visits. The stories I have from low estradiol are many...
@dianea
I recently heard from a GP that the NGS in Ireland stop estrogen for trans women at age 60, and I have no words for those π€¬. Even the UK NHS agree it's lifelong.Equally I think menopausal cis women should be allowed to try higher estrogen levels if not contra indicated. Same kind of patriarchal gatekeeping you start to realise.
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@dianea
I recently heard from a GP that the NGS in Ireland stop estrogen for trans women at age 60, and I have no words for those π€¬. Even the UK NHS agree it's lifelong.Equally I think menopausal cis women should be allowed to try higher estrogen levels if not contra indicated. Same kind of patriarchal gatekeeping you start to realise.
that's why I am prepared for the next several lifetimes if needed. I had nightmares of the world's estradiol supply stopped and I was too late helping others in time of need.
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@dianea
I recently heard from a GP that the NGS in Ireland stop estrogen for trans women at age 60, and I have no words for those π€¬. Even the UK NHS agree it's lifelong.Equally I think menopausal cis women should be allowed to try higher estrogen levels if not contra indicated. Same kind of patriarchal gatekeeping you start to realise.
@Natasha_Jay @dianea urgh, zero estrogen at all is just wrong.
It kind of annoys me that my wife got upped just by asking from patches and a pump a day to patches, 3 pumps and prog without even a blood test. Shows how much bs our gatekeeped dosages are.
