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joannechocolat · 2 years ago

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On Power, and on Powering Through, and Why They’re Really Not the Same

I don’t pay much attention to personal attacks in reviews. It comes as the flipside of success; an attempt by the critic to puncture what they see as too much success. But I still remember one review, just after the film of Chocolat, when two of my novels happened to be in the Top 5 at the same time, in which a (male) newspaper critic referred to me dismissively as a premenopausal woman writer. I was a little taken aback. Clearly, it was meant to disparage, but I was only 35, ten years away from the perimenopause. What exactly did he mean? It wasn’t a comment about the book (which I doubt he had even read). The obvious misogyny aside, it seemed to express resentment, not of my books, but of me, myself, my right to take up space in his world. That word – premenopausal – was at the same time a comment on my age, my looks, my value, and a strong suggestion that someone like me shouldn’t be this successful, shouldn’t be writing bestsellers, shouldn’t be so – visible.

I don’t recall the name of the man, or the paper for which he was writing. He was far from being the only journalist who felt I didn’t deserve success. I shrugged off the unpleasant comment, but he’d meant it to hurt, and it did. I still wonder why he – and his editor - thought that was appropriate. I also wonder why, 20 years on, women are still dealing with this kind of thing. It’s still not enough for a woman to be successful in her chosen field. Whatever her achievements, you can be pretty sure that at some point, some man in his 50s or 60s – maybe an Oxbridge graduate, author of an unpublished novel or two - will offer his opinion on her desirability, either in the national Press, or most likely nowadays, by means of social media. The subtext is clear: women who don’t conform to societal values of what a woman should be are asking for this kind of treatment; especially those who dare to achieve more than their detractors.

10 years after that nasty review, I finally began the journey into perimenopause. No-one told me it was happening. No-one in the media was talking about it at the time. Even my doctor never thought to mention that my symptoms – the insomnia, headaches, mood swings, anxiety, depression, sleep paralysis, hair loss, brown patches on my skin – might have a single origin. I began to feel I was losing my mind: as if I were starting to disappear. I started to doubt my own senses. I blamed it all on the stress from my job. My mother had powered through menopause – or so she led me to believe – and made no secret of her contempt for modern women who complained, or treated the symptoms as anything more than a minor inconvenience.

And so I did the same. I powered through; and when at last I began to experience the classic symptoms of menopause - irregular bleeding, hot flushes, exhaustion, night sweats so bad that I would awake in sheets that were wringing wet – it did not occur to me to seek help. After over a year of this, I finally went to my doctor, who took a few tests, cheerfully announced I was menopausal, and when I inquired after HRT, advised me to power through – that phrase again - and let Mother Nature take her course. The internet was slightly more helpful. I took up running, lost weight, cut down on alcohol, downed supplements and sleeping pills and vitamin D, and felt a little better. Then, breast cancer came to call, and by the time my treatment was done, the symptoms had more or less disappeared, or at least had been superseded by the symptoms of chemo. I congratulated myself at having powered through cancer as well as surviving menopause.

But two years later, I feel old. I look that way, too. I’ve aged ten years. Some of that’s the cancer, of course. I was quite open about my treatment when I was powering through it – partly in order to pre-empt any questions about my hair loss or any of the all-too visible effects of three courses of chemo. Not that it stopped the comments, though. Even at my lowest ebb, a sector of social media made it clear that my only concern should be to look young and feminine to anonymous men on Twitter.

Right now, I don’t feel either. My hair has gone grey and very thin. My skin, too, seems thinner; both physically and mentally. At a recent publishing event, several acquaintances failed to recognize me; others just looked through me as if I had become invisible. Invisibility would be a relief; I find myself dressing for camouflage. I tend to wear baggy black outfits. I got my OBE last week. Photographs in the Press show me talking to Prince William. I’m wearing a boxy black trouser suit, flat shoes and a red fedora. I think I look nice. Not glamorous, but comfortable; quirky; unpretentious.

On a thread of largely supportive messages, one Twitter user pops up to say: Jesus, who’d accept an honour looking like that middle-aged disaster? @Joannechocolat thought she’d make an impact? She needs a stylist. If you look in the dictionary for the definition of “dowdy”, it features this photo.

It’s not the same man who belittled me over 20 years ago. But the sentiment hasn’t changed. Regardless of your achievements, as a woman, you’ll always be judged on your age and fuckability. I ought to be used to this by now. But somehow, that comment got to me. Going through menopause isn’t just a series of physical symptoms. It’s how other people make you feel; old, unattractive, and strangely ashamed.

I think of the Glass Delusion, a mental disorder common between the 14th and 17th centuries, characterized by the belief that the sufferer was made of glass. King Charles VI of France famously suffered from this delusion, and so did Princess Alexandra Amélie, daughter of Ludwig 1st of Bavaria. The condition affected mostly high-profile individuals; writers, royals, intellectuals. The physician to Philip II of Spain writes of an unnamed royal who believed he was a glass vase, which made him terribly fragile, and able to disappear at will. It seems to have been a reaction to feelings of social anxiety, fear of change and the unknown, a feeling both of vulnerability and invisibility.

I can relate. Since the menopause, I’ve felt increasingly broken. I don’t believe I’m a glass vase, and yet I know what it feels like to want to be wrapped in a protective duvet all day. I’ve started buying cushions. I feel both transparent, and under the lens, as if the light might consume me. On social media, I’ve learnt to block the people who make mean comments. To make myself invisible. To hide myself in plain sight. I power through, but sometimes I think: why do women power through? And who told them that powering through meant suffering in silence?

Fortunately, some things have changed since I went through the menopause. Over the past few years, we’ve seen more people talking about their experiences. Menopause is likely to affect half the population. We should be talking about it. If men experienced half these symptoms, you bet they’d be discussing it. Because power isn’t silence. You’d think that, as writer, I would have worked that out sooner. Words are power. Sharing is strength. Communication breaks down barriers. And sometimes, power means speaking up for those less able to speak for themselves.

I look at myself in the mirror. I see my mother’s mouth; my father’s eyes. I see the woman I used to be; the woman I will one day become. I see the woman my husband loves, a woman he still finds attractive. A woman with a grown-up child who makes her proud every single day. A menopausal woman. A cancer survivor. A woman who writes books that make other people sit up and think. A woman who doesn’t need the approval of some man she’s never met to be happy. She can be happy now. I can. And finally, I understand. Powering through isn’t about learning to be invisible. It isn’t about acceptance, or shame, or letting Nature take its course, or lying about feeling broken. It’s looking beyond your reflection. It’s seeing yourself, not through the lens of other people’s expectations, but as yourself. The sum of everything you’ve been; of everyone who loves you. Of claiming your right to be more than glass, or your reflection in it. The right to be valued. The right to shine, regardless of age or reproductive status. Men seldom question their own right to these things. But women have to fight for them. That’s why it’s so exhausting.

This morning, instead of putting on my usual baggy black sweatshirt, I chose a bright yellow pullover. I looked at myself in the mirror. It’s not a great colour on me now, but it feels like dressing in sunshine. My husband came into the bathroom. You look –

My husband rarely gives compliments. I can’t remember the last time he commented on how I was dressed. I wondered what he was going to say. Dowdy, perhaps? Inappropriate? Like a menopausal woman in dire need of a stylist?

At last, he said: When you smile like that, you look like a friendly assassin.

A friendly assassin. I’ll take that.

Shining like the sun. That’s me.

#menopause #cancer

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macrotiis · 11 months ago

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I wanna rant a little bit about that last post coz like I have feelings about it.

Reproductive rights are a huge part of feminism, but it's really important that it ISNT "sex-based oppression" bc tying birthing ability to the universal experience of womanhood is actually REALLY FUCKING MISOGYNIST. Like you're rly gonna say that women incapable of having children experience less oppression than those who can?

The bioessentialist idea of "sex-based" oppression is heavily weighed on the idea of a cis woman capable of giving birth to children as the definition of woman as a sex & gender. It is a damaging social construct that harms all who are socially classed as women in some way, regardless of actual gender or actual sex.

Like you realise already that definition of womanhood excludes a huge amount of women? And that it is so untrue to these women's actual experiences of misogyny?

It misses how misogyny treats infertile women regardless of sex as being "broken" because they are unable to fit the social role of womanhood.

It's also just like incorrect to the wider experience of misogyny of women who can have children at certain points in their lives, bc girls & women aren't capable throughout their entire life of having children. But young girls still experience misogyny up until puberty & past that, & misogyny doesn't go away after menopause, in fact menopausal women are treated as undesirable or used goods because they aren't typically capable of having children anymore.

The bottom line to all this is that, there is no one single universal experience of womanhood as a social role beyond just being a woman & you cannot exclude trans women from the experience of misogyny. Misogyny isn't "sex-based", bc sex is socially constructed in a way that does exclude a lot of women.

I rly beg fellow transmasc's & trans men to go out & spend time with trans women, talk to them about misogyny & their experiences with misogyny.

You wouldn't have these weird ass ideas about misogyny if you branched out more & tried to relate to trans women & their experiences with misogyny. It would fix a lot of the misconceptions folks have about radfems, TERFs & transmisogyny. Ppl get too caught up on this idea that TERFs hate trans women for their supposed relation to men & maleness, which is actually deeply untrue because really the crux of TERF ideology & most transmisogyny IS misogyny. It's rooted deeply in trans women not neatly fitting into the box of cis perisex white abled womanhood, it's about trans women being the wrong kind of woman, which IS the universal experience of misogyny & womanhood that all women & those socially classed as women face.

The sooner you stop treating transmisogyny & TERFism as a symptom of hating men & actually about hating women, the better your understanding of these ideologies & the better your understanding of where trans women fit in social roles of womanhood AND of your own place as a trans man.

You should rly be open to relating to & talking with ppl about any experience of misogyny that is outside your own, be that from trans women, women of colour, disabled women, intersex women, ect, because there are facets of misogyny you haven't experienced that are important to talk about & recognize.

#like this rly is why i HAAAATE most transandrophobia talking points #bc its so fundementally flawed in its understanding of transmisogyny & misogyny in relation to transness #anyway ill shut up now lest i be called a transandrophobe or self hating transmasc lmao

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im-not-an-object-ok · 1 year ago

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For three months this year, I bled nearly every day. My doctor doesn’t know why. Google doesn’t know why. The condition is simply called “postmenopausal bleeding,” and medicine’s best guess as to the cause is that the postmenopausal hormone-replacement therapy I started last November suddenly made my endometrium, the lining of the uterus, “unstable.” All scientific knowledge added up to “If it’s still happening in six months, get back in touch.” (I’m still bleeding intermittently, and I don’t know why.) This is the kind of massive medical shrug that anyone with female anatomy has probably encountered.

Despite major advances for women over the past 100 years—the invention of the contraceptive pill, greater access to safe abortions—much of female biology is still woefully underserved by science. There are reasons for this, most notably the historical exclusion of women from medical and pharmaceutical trials, partly because our awkward hormone cycles were thought to skew results. There’s also the fact that some scientists still project findings from research on men onto women, seeming not to realize that women aren’t just small men: Women are different down to the cellular level, meaning that many of our immune responses, experiences of pain, and symptoms (including, for instance, those that accompany a heart attack) may be different from men’s. Are you having a nasty, unexpected side effect from your medication? That could be because most drugs were developed with male bodies in mind. A 2020 review of 86 common medications, including antidepressants, cardiovascular drugs, and painkillers, found that women were likely routinely overmedicated and suffered adverse reactions nearly twice as often as men.

The lagging science is particularly apparent when it comes to periods and female hormones more generally—the subject of the anthropologist Kate Clancy’s new book, Period, a scientific and cultural history that purports to tell the “real story of menstruation.” Clancy’s book makes clear that a lack of data is to blame for many of the ills that women and girls face concerning their reproductive health, like doctors’ failure to diagnose painful conditions such as endometriosis.

My severe endometriosis was discovered only when I was 41, accidentally. For decades, I had been given prescription-strength painkillers, and my doctor never seemed to wonder whether the amount of pain I was in was abnormal. When I published an essay about my menopausal depression in 2018, a deluge of women wrote to tell me that when they were going through something similar, their doctors had told them they were imagining their brain fog or panic attacks, or had put them on antidepressants that didn’t work because many depression drugs are inadequate to treat the symptoms of fluctuating estrogen.

#feminism #save #menstruation #Medical misogyny #Period positivity #When I went to type in menstruation 'menstruation tw' was the 1st result

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befemininenow · 1 year ago

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A quick, basic guide towards Hormone Replacement Therapy (HRT) and its changes for transgender women and other identities

Note: This guide is primarily for transgender women/girls who are looking for gender affirming therapy and resources. However, if any transgender men, non-binary, and other gender identities are reading this, please share this post as you may end up helping someone who is considering transitioning into a woman (or girl). Note that this guide may be uncomfortable to some as I will discuss about topics like gender dysphoria or use a few words that may feel triggering, but never in a transphobic manner. I am trans myself and considering gender affirming therapy. However, my knowledge about this topic is still limited, so please bare with any mistakes that I may end up writing throughout this guide. You are more than welcome to write additional information provided it helps with this guide. Links to sources will be provided at the end of the guide. Use them for more detailed and more accurate information.

Do not use this HRT guide or resources to fulfill some “sissy task” or fetish, nor to harm or discredit trans people.

So, you have tried on the clothing, practiced voice training, applied makeup, etc. You have tried everything you can to “feminize” yourself. But no matter how you look on the outside and feel on the inside, you still see someone different looking at you in the mirror and feel distress to the point where you lose sleep. As much as you hate admitting it, you probably have gender dysphoria. If you’re at this stage, it’s time you start finding gender affirming therapy. The problem is, where do you start?

Diagnosing Gender Dysphoria and recognizing its signs

As I have stated in one of the guides I reblogged in the past, it is not necessary to have gender dysphoria to be transgender. However, many transgender people deal with this distress and it can detrimental to their overall health. For instance, if you’re dressed as a girl and feel like a girl, but you see someone in “drag” looking back or focus on signs of “masculinity”, you will definitely feel uncomfortable and have feelings of “impostor syndrome”.

Some signs of gender dysphoria include, but not limited to, hiding any facial and body hair, dislike towards your “assigned parts”, dysphoric when presenting as a male (or other assigned gender different from preferred identity), etc. If you have more than two of these signs and recognize them, you most likely have gender dysphoria and should start looking for help ASAP. Untreated gender dysphoria can escalate towards more detrimental consequences, such as neglect, isolation, depression, anxiety, and even $ui(ide. If you’re suffering from the latter symptom and are not under any form of care, please stop reading this article and call your nearest lifeline center now!

That being said, if you’re experiencing some signs of gender dysphoria even after socially transitioning and desire to feminize your body, the best solution will be taking hormone replacement therapy.

What is Hormone Replacement Therapy (aka HRT)?

Hormone Replacement Therapy, short for HRT (this, is a type of medical solution given to patients who lack sufficient estrogen or testosterone levels due to a hormonal imbalance caused by menopause or due to surgeries such as a hysterectomy. [1] HRT is also provided to transgender individuals as a way to help their physical body adapt to their gender identity. Known as feminizing hormone therapy, the transitioning person will develop secondary sex characteristics typical of cisgender females with the help of various types of medication. [8] Gender specialists typically (but not always) use gender dysphoria as a main reason to provide the patient with gender affirming therapy.

Why do transgender people take HRT?

The point of HRT is that it helps transgender people develop physical traits that are more in line with their gender identity when the right hormones take place in the body. In the case of transgender females, taking HRT will feminize their physical characteristics into that of of their cisgender female relatives. Not only does transitioning decrease the trigger of gender dysphoria, but it also boosts the mental health of trans people as they become more comfortable with their body aligning into their gender identity. In fact, a study done by a team of researchers based on Stanford University School of Medicine found that the earlier trans people commence their transition, the less likely they are to develop characteristics of their assigned birth gender since their puberty cycles become more active during adolescence. Those who commence transition into adulthood are more likely to fall into bad habits, mental issues, and social isolation. The researchers concluded after finishing of survey of over 20,000 participants that the best treatment towards gender dysphoria is to take HRT as some of the participants felt their livelihood vastly improve once they received hormone therapy. To summarize, HRT is the only effective solution for trans people to finally feel comfortable with their bodies once they develop their gender identity’s characteristics.

The different types of HRT medication

Once you’re deemed eligible to receive gender-affirming therapy, you will definitely want to celebrate your new milestone. Now it’s time to identify the different forms of medication you may be provided for your transition.

Pills: This one is the most common type that is prescribed for transgender people due to its affordable cost and ease to make. However, taking oral medication requires you to take daily as the feminizing effects are slower and less evenly-distributed.

Injections: This one is the most effective form since the hormone medication goes directly to the bloodstream and rarely comes with the side effects of hormone pills. However, it is more expensive to produce and purchase, as well as being the most difficult to ingest as it involves piercing your skin with a needle.

Patches: By far the most convenient and very effective method of hormone medication as it fluctuates less in hormone distribution and evens it out throughout the body. You are only required to change patches every 3 to 4 days. Unfortunately, HRT patches aren’t convenient if you have experienced irritation with patches in the past. Consult your physician if HRT patches are right for you.

Here are the types of feminizing hormones you will be provided by your physician and/or medical provider. Each one is crucial to your transition:

Estradiol: Used among cisgender women for causes such menopause and hysterectomy, it is also used among transgender women/girls to promote physical changes on their appearance. This results in their bodies to develop a feminine appearance in line with cisgender women. Depending on their hormone levels, trans women usually take 2mg of Estradiol to take effect of their feminization.

Anti-androgen: This medication is a testosterone blocker and is very helpful to one’s transition if their hormone levels indicate a high level of testosterone. Although it doesn’t completely deplete all of your testosterone, anti-androgens help neutralize your levels to an acceptable rate. Estradiol cannot be effective without balancing your hormone levels. Spironolactone is the most common form of anti-androgen.

Progesterone: This medication is used in later stages of transition. Once your therapist and/or physician see your estrogen levels reach a certain level, progesterone is added as an estrogen booster. This will promote other feminizing changes, such as increasing breast volume, tissue softening, and allegedly, mental changes. This medication, however, is controversial since modern endocrinologists have found the alleged effects of progesterone being almost ineffective. In part, this is due to advancement of medicine and better access to effective solutions. Despite this, several physicians still prescribe progesterone to transgender women/girls as an option.

DHT blockers: For those who produce more testosterone to the point where it converts into a stronger androgen called dihydrotestosterone (DHT), these medications are necessary. There are two types of DHT blockers used: Finasteride and Dutasteride. Both medications are vital for your transition as they block excess androgen, reduce scalp hair loss, and may thin out facial and body hair. Check with your insurance provider as this medication may not be covered by them.

Cause and effect of HRT

This is where many people want to know the effects of feminizing therapy among trans women and trans girls. Keep in mind that a transition is that: a timeline of several changes that occur within a period of time. Most trans women/girls take about a year to notice any change in their appearance, but it wouldn’t be until 2 to 3 years until they notice a drastic change on their timeline.

The following changes are what trans women and trans girls physically experience during transition:

Skin: Your skin would start to soften a bit within 3 to 6 months, but its maximum effect varies by individual. Your skin will glow and oil will reduce while color tone may even change to that of a cisgender girl.

Legs and feet: Muscles will start to atrophy while body fat will be more retained. Your legs will start to slender while your foot size may shrink due to the thinning of the cartilage. This process takes around 3 to 6 months to take effect.

Hair: Scalp hair will start becoming voluminous while body hair will start to thin out and fall off. Process takes 6 to 12 months. Facial hair may thin, but will still retain even after months on HRT. Electrolysis will be required if you desire to eliminate any remaining facial and body hair.

Arms and hands: Upper arms start atrophying about 3 to 6 months and hands and arms thin out to a more feminine shape. Nails become more brittle while arm hair may even fall off.

Breasts: Areolas and nipple area start expanding while bust starts to enlarge. Process usually takes at least a year to see any effect and maximum growth can take up to 5 years.

Genital area: Penile length and testicles shrink and atrophy within 6 months and infertility may occur even sooner.

Body fat: Estrogen will increase the amount of body fat you will store and will be noticeable in the thighs, back area, and waist.

Height: This factor may vary on the individual. Based on a few testimonies, trans women usually lose an inch or two (~5cm) from their pre-transitioning height. This is due to the thinning of the feet’s sole and possibly the arching of the back. This process takes up to even 2 years before it becomes noticeable.

Body odor: Your body odor starts to change after a few months under HRT. Your body odor starts smelling sweeter and more metallic, similar to a cisgender woman.

Here are areas where transition may not change your physical appearance and traits:

Voice: Despite popular belief, HRT does not alter the voice at all. While you may experience a slight change in pitch, hormones do not feminize the voice of trans women in the same manner hormones masculinize the voice of trans men. The best solution is to take voice feminizing therapy through exercises. Voice feminizing surgery is also a consideration, but has its own risks.

Bone structure: Unless HRT is taken at a younger age, preferably during puberty, there is no way to change your skeletal system without costly and risky surgeries. Hip surgeries exist to expand the narrow hip area while HRT may promote a shrinking height as pointed earlier. Unfortunately, there is no effective surgery to reduce broad shoulder length.

Remaining body hair: While HRT may reduce the amount of body hair, it does not eliminate facial hair and some body hair may remain after thinning. Electrolysis is required if you desire to permanently eliminate any type of body hair and is costly and time-consuming.

Other changes where HRT may provoke a change is also present in the way we think. Here are some of the mental changes we may experience under HRT:

Emotions: You become more sensitive to feelings and are more prone to cry under certain circumstances. For instance, you may take a small compliment either to heart or feel offended while a dramatic scene in a movie may feel very heartbreaking.

Sleep: It becomes much easier for you to fall asleep while waking up becomes more energetic. This is due to a boost of melatonin present in estrogen. Sleep depravation is surprisingly common among trans girls and trans women prior to transition.

Mood swings: There will be occasions where you may experience nausea and even feelings similar to hot flashes.

Smell: You become more sensible to smell and some odors become either very pleasant or very intolerant.

Sexuality: This one is more controversial. There have been cases where HRT affects one’s sexuality, not just by sexual orientation/attraction, but by function. For instance, you may find your interests shift into that of a heterosexual cisgender woman while your expressions become more receptive. You may not even find any changes at all under HRT. Many argue that it’s not HRT that affects your sexuality, but rather by accepting your inner, true feelings and detecting gender envy.

Social changes during transition (non-HRT related, but very important)

This process is a very challenging stage for transgender people of all identities and is one that prevents many from ever coming out. As someone who is still in this stage, I sympathize with many of you. As unfortunate as it sounds, here are some of the challenges you may end up facing as a trans woman or trans girl:

Acceptance: This is perhaps, the most difficult stage of one’s coming out. You’re not just coming out of the closet to your family members, but to friends, neighbors, co-workers, colleagues, etc. Do not be surprised if anybody from this list does not accept you. We’re currently living in a time where transphobia is being heavily promoted among social circles who attempt to persuade the neutral or uninformed into believing false stereotypes of trans people. The best you can do should you face an unaccepting member is to cut them off until they are ready to accept you.

Legal document changes: This varies depending on the country or region you live. Although name changes are usually allowed, gender or sex markers are much more difficult to change. You can live in a place like Washington State where changing your marker from M to F can be a breeze while states like Oklahoma bar you from changing your marker at all. [3] Some countries like the UK can take years to change your marker while some countries of Asia do not allow any sex marker change unless you submit documents verifying a sex change (i.e. SRS). [4]

Appearance and adaptation: Adapting yourself as a trans woman in today’s world can have variable results. While some areas such as San Francisco are accepting of anyone LGBTQ+, transphobia still exists in those areas. Whether it’s the bathroom or even outside your home, you always want to make sure you are safe from any transphobic attack. One effective way to prevent that is by “passing”, which is the process of presenting yourself as your internal gender as close as possible. Many trans women make the effort to feminize their appearance through clothing, movements, voice training, makeup, and even interests. Not only does it help trans women appear more feminine outside, but it also gives them a sense of gender euphoria, a feeling of happiness and peace where they see and feel like themselves. If you know anyone supportive of your transition, especially a woman, don’t be afraid to ask for any tips on how to present yourself, how to apply the right blush, and other things that may benefit with your social change.

Surgeries to consider

After a certain amount of time, there is a chance you want to improve the look of your body to a certain degree. As powerful as HRT can be, it won’t remove the thing down there nor would it blow your chest to a D-cup unless your female family members are bustier than that. Whether its to help your gender and/or body dysphoria, whatever options you choose should make you feel great. It’s recommended you have at least 24 months under HRT before commencing these surgeries. Here are the options for feminizing surgery:

Breast augmentation: Let’s face it: we’re never going to get a nice pair of boobs unless our genes defy it or if our mom or female cousins also have big breasts. Many cisgender women also have that trigger of not having a desirable size on their chest. Breast augmentation is an option for those who want to increase their size without resorting to placebos or who are tired of wearing breast forms all the time.

Hip and butt enlargement: Most trans women have an inverted triangle body shape. Because of that, their hip area is not as wide as they desire to be. In some cases, you may not even have a large bum and want to grow bigger. Hip enlargement is available for those who desire a curvier look and the results are very pleasant. However, you can only stretch the hip area to a limit. As for the bum, there are surgeries that help enlarge and feminize the appearance. The most popular is the Brazilian Butt Lift (BBL). If you’re going that route, I highly recommend looking for a professional surgeon as many BBLs tend to look botched after a certain period.

Lip Filler: This surgery is made to enhance your lips to a more feminine appearance. Although HRT may alter your lip shape, it won’t make you look like Kylie Jenner either. This is done through a form of injections and will help your appearance look more feminine. This is recommended for those who only want to feminize their lips and are not interested in the following procedure.

Facial Feminization Surgery (FFS): This is one of the most common surgeries done when undergoing transition. It not only involves lip enhancement, but also involves reshaping the jawline, removing most of the brow ridge, slight enlargement of the eye area, reducing Adam’s apple, and nose reduction. This surgery can be very painful and requires extensive care for about two weeks before showing signs of healing. The benefits will outweigh the cons, however, if your aim is to feminize your appearance.

Sexual Reassignment Surgery (SRS) or Gender Reassignment Surgery (GRS): This is by far, the most notable surgery when it comes to feminizing transition. SRS/GRS is a process that involves reconstructing the trans woman’s penile area into a functioning neovagina. SRS/GRS is a life-changing surgery for trans women and in many cases can alleviate genital dysphoria. It can also improve sex life and makes it easier for trans girls to fit into garments and clothes without the need of gaffs and tucks. However, it is not without its drawbacks. Not only is SRS/GRS a difficult surgery to perform, but it’s also a very costly surgery to pay for and recover from. The amount of time it takes for a trans woman’s new organ to fully heal can take up to a year and involves constant dilation therapies that are painful and time-consuming. If not done right, it can even be life threatening. Although many trans women are comfortable living with a male organ, some states and countries do not allow you to change your gender/sex marker without performing this surgery.

Electrolysis (aka. Hair removal): Unlike the previous surgeries, electrolysis does not require you to be under HRT. This is a type of surgery that you can get even before starting transition. Electrolysis is highly recommended if you are planning to eliminate any excessive or thick body hair or if you’re planning to remove facial hair.

Where to find HRT

There are many ways someone can find HRT to commence their transition. However, many resources are currently being threatened by politicians, zealots, and transphobes around the world. It is very important you find the proper help as some spots that promise “HRT” are either placebos or medication that may even harm you! For those living in the US, here are some of the resources I found for those looking for HRT:

Planned Parenthood: This is the most accessible spot to receive gender affirming therapy and may even be free if your healthcare provider is compatible. Almost anyone is eligible and very safe compared to other resources. There are a few cons, however. Not every state has these centers and some are either too far away or may not even provide HRT at all. Sometimes, those that do provide HRT may not have enough medication to provide and are placed on a waiting list. The best solution I can give is to either contact your closest Planned Parenthood for available HRT medication or look up at this link below to see where you can receive the nearest help: https://www.plannedparenthood.org/get-care/our-services/transgender-hormone-therapy.

Online providers: For those that live outside of public health centers, online providers for HRT is another solution. The most popular sources are Plume and Folx. Each plan provides you a checkup of lab tests, gender evaluation, and access to clinical care. Some have their advantages and cons that make them different. While Plume offers letters of references to doctors and physicians, Folx offers quarterly lab checkups that are crucial to your feminizing transition. The big drawback is that both are not covered by healthcare providers and require you to pay a monthly free of 100 US dollars. They are also not available at every state.

DIY: Although I don’t recommend DIY HRT, this is a route many trans girls and trans women often take due to a lack of resources around their area, as well as the attack on HRT therapy on states such as Florida. It is very important you connect with a close circle knowledgeable in obtaining safe HRT alternatives. There are many blogs here on Tumblr that sell you hormones, but they are questionable due to their varying levels of estrogen that may either be incompatible with your body or may even affect you. If someone approaches you with a message selling you HRT, whether it’s here or on any social site, avoid them at all costs, especially those whose blog’s main target are “sissies, traps, femboys, transvestites, etc.” You may end up buying ashwagandha in high doses, which is not only a testosterone booster, but can even cause irreversible harm if taken for too long.

Resources and support

As much as I would love to be a help, not everyone has the same outcome when it comes to transition. Some of us have circumstances that prevent us from transitioning, such as lack of medical resources, unsupportive peers such as family, persecution and/or lack of protection, economic problems, health issues, questioning, etc. This is where a few solutions can be provided to you.

In the US (and Canada to some extent), Trans Lifeline is a beneficial resource for those who are in need of support, especially in these harsh times. Trans Lifeline is a non-profit run by trans people and aims as a safer alternative to other resources who are more likely to invalidate or even oust gender identities to authorities. If you would like to know more about Trans Lifeline, click on this link here. If you or someone else you know is trans are in deep need, call/save this number: US Hotline (877) 565-8860. Canada Hotline (877) 330-6366⁣.

For those outside the US, if you live in a situation where your life may be in danger for being trans or any identity under the trans umbrella, check out Rainbow Railroad as they are a non-profit whose main objective is to provide safe sheltering for anyone who identifies as LGBTQ+. Although they are based in the US and Canada, they have presence in various parts of the world and can help you relocate to a safer spot, as well as provide resources to put you on track. Click on this link if you would like to learn about Rainbow Railroad or share it to someone in need

Conclusion

I hope this guide gave you an idea of what MTF hormone therapy is and what to expect of its effects. HRT is a very helpful method for transitioning people when done effectively through medical help and emotional support. Even if you’re not looking to transition under HRT or may not even be trans yourself, it’s very important we have at least a clear knowledge of what trans people are going through and what we can do to help without subjecting them to prejudice. Please give a like and/or reblog as you may never know if one basic guide like this can be a great help for someone in need. If you’re looking to research more about transgender hormone therapy and resources, I left a few links on the sources below as they are much more insightful than what I provided. If you have any questions, find blogs and sites specialized in transgender help such as Trans Lifeline or even blogs such as Reddit’s r/asktransgender. Thank you!

Sources:

https://www.nhsinform.scot/tests-and-treatments/medicines-and-medical-aids/types-of-medicine/hormone-replacement-therapy-hrt

https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaii-alaska-indiana-kentuck/patients/health-care-services/hrt-hormone-therapy-for-trans-and-non-binary-patients?gclid=EAIaIQobChMI5eSPucLUgAMV_izUAR1uYAEyEAAYAiAAEgIuoPD_BwE

https://www.lgbtmap.org/equality-maps

https://med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html

https://ourworldindata.org/grapher/right-to-change-legal-gender-equaldex

https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map

https://transcare.ucsf.edu/article/information-estrogen-hormone-therapy

https://www.folxhealth.com/gender-affirming-care

https://www.mayoclinic.org/tests-procedures/feminizing-hormone-therapy/about/pac-20385096

https://www.rainbowrailroad.org/

https://translifeline.org/

https://transcare.ucsf.edu/transition-roadmap

#transgender #feminine #trans hrt #guide #helpful #mtf hrt #trans #trans girl #gender affirming #be informed #trans rights #lgbtq #lgbtq pride #here to stay #trans pride #ally

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nychthemeron-rants · 6 months ago

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Butch Chilchuck AU Pt2

(Pt. 1)

As I mentioned in my previous post, the only real difference in this AU is that Chilchuck is a butch woman who uses he/him pronouns instead of a man.

No one in the main party knew he was a woman because he couldn’t be bothered to correct their assumptions about his gender when he’s busy trying to be treated as an adult.

He revealed that he was a woman after the bicorn when Marcille accuses him of keeping more secrets. “Its not a secret but I guess I should clarify that I'm a woman since I don't think any of you have caught on yet.” type thing. Cue everyone's shock, especially Marcille.

Since there's been at least one woman in the party who's been uncomfortable with Chilchuck bathing with other women (because they think he’s a man), and he's doesn't give enough of a shit to argue, he’s been bathing with the men instead (because again, he simply doesn’t give a shit)

Senshi thought he was trans (though I'm not sure he knows about trans people as like an actual identity, he just saw him bathing with the men and being treated as male and ran with it. Thats Chil's business after all.)

Laios just thought half-foots had internal “equipment” until it was needed. Wanted to ask about it but even he has the social grace to not question co-workers about that.

Shuro fully suspected Chilchuck was a woman but was too awkward to say anything

Namari knew almost immediately and has been the only one in the party to fully understand whats up with Chilchuck because she was respectful and understanding. (Plus they're drinking buddies)

Falin thought he was a man but also didn't really give a shit when he tried bathing with the other women. It was the marriage seeker who threw a fit before Marcille.

Post reveal, Marcille is just pissed he didn't say anything so she didn't have to go through this adventure up until Izutsumi joined the party feeling like the only woman.

Laios asks if he needs to change anything about how he treats him in the same vein as asking if he should call him Sir when he revealed his age

Senshi is just trying to process how wrong he was about literally all of his assumptions about Chil, as he is a middle aged woman and not a little boy. Feels embarrassed about his misunderstandings, no judgement towards Chil.

Marcille has questions post reveal. She gives me the vibe of a sheltered cis woman who has never questioned what makes her a woman, so when she’s presented with a woman who is more comfortable with mostly masculine presentation, uses “male” pronouns, and has even voluntarily removed his breasts as a woman, she is confused. She initially struggles to understand how a woman can be so against femininity and still be a woman. Chil, while reluctant to answer questions about his personal life, explains that he isn’t against femininity but simply feels more comfortable presenting more masculinely. And that he simply can’t be fucking asked to correct people when they guess wrong. He also ends up helping Marcille understand that gender isn’t expression and connect to her womanhood in a new way that isn’t necessarily linked to her femininity.

Laios does ask why he had facial/ body hair as a tall man and dwarf. Chil gets annoyed about him basically asking about his medical history but answers that he has PCOS and is also menopausal.

This causes Senshi to get annoyed that he didn’t mention this earlier as those conditions can lead to different nutritional needs (I.E. PCOS diet to manage symptoms or extra calcium and vitamins after menopause.)

Senshi and Laios start getting weird around Chil, no longer worrying about him being a kid, and are instead trying to be respectful of the fact he’s a woman (such as being less touchy, trying to give him privacy when changing as if they hadn’t bathed together before, etc.) Chil gets annoyed because while he appreciates the lack of touchiness and the added privacy, he’s pissed that they’re acting different after discovering he’s a woman and overthinking how they interact with him. They also start fucking up his pronouns because they’re ingrained in “women = she/her” mindset and feel like they need to “correct” themselves.

Izutsumi doesn't care and fails to see how Chilchuck being a woman instead of a man changes anything. Chil really really appreciates this.

Chil has to sit them down and explain that LITERALLY NOTHING has changed. They get better after this. (Senshi decides to go ahead with making sure he adjusts Chil’s meals to his needs.)

Post canon, Chil and his family goes to a dinner at the castle, and he shows up in a dress because A.) he wanted to match his wife and B.) kinda wanted to fuck with his friends. He succeeded as everyone was very taken aback by the sight of Chilchuck in a dress and “actually dressed as a woman for once” (a comment that annoys Chil because he is always dressed like a woman because he is always a woman who is dressed.)

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lexirosewrites · 1 month ago

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Some slick sunday thoughts, general omegaverse ideas I hold in my head

I think it'd b a fun bit of world flavor (lol) if an omega is capable of producing breast milk during their heat or an alpha partners rut, this evolved as a means for the alpha or male beta partner tending to the omega to b able to b beside their omega without having to constantly leave for food should a heat or rut happen by surprise, omega heat milk is just one more fun bodily secretion during tht special horny time, the social idea eventually becomes tht if an omega doesn't produce heat milk w a particular partner during a shared heat or rut than its a doomed match

I also think the days leading up to an alphas rut there'd b symptoms: abdominal cramps, increased emotional response usually irritable or sadness (rut depression is a srs problem tht doesn't get enough societal or cultural attention) a general body ache tht is joined by a fever as the time for rut draws near, an alphas vision actually becomes sharper especially in the dark, bursts of strength unusual to the individual, a need to prepare a den for their hypothetical or very real rut partners (my opinion is tht alphas create a den & omegas judge the den & if it's deemed sufficient the omega will build a nest within the den) their skin begins to become rather itchy as sensory input increases, & an Alpha will engage in territory marking behaviors (scenting partners, not being comfortable with other alphas in their space, etc)

I've also decided that omegas have a heat every 3 months or so, & alpha ruts follow a similar pattern, I think I've said somewhere tht beta women & omega women experience a monthly period while male omegas experience a period after every heat should they not conceive

An omega doesn't experience a heat at all during pregnancy, I think omega pregnancy would b the same as the 9 month pregnancy we know in reality but tht they'd b like cats in tht they can b pregnant by multiple fathers within one pregnancy, so they'd b carrying multiples but each pup might have a different biological father

Beta women typically only carry single fetuses while omegas typically carry multiple fetuses, it's not unheard of for an omega to only carry a single baby tho, also the birth process might b different for omegas than beta women

I imagine labor would end up being faster for omegas in terms of dilation & tht the after birth would require little medical intervention so many omega mothers tend to choose a home birth as a consequence especially since I think a stressed omega would want to b surrounded by familiar scents & I can't think of anything more stressful than childbirth, I think that there r hospitals & private doctors who specialize in home births bc of this, beta women and older omegas tend to have statistically more birth complications so the norm is tht these groups give birth in hospitals

Also, an omega will probably go thru menopause later in life I think 🤔 I know you wrote out a very well thought out response to someone once upon time abt omegaverse & menopause as well as geriatric pregnancy but it was long before u started Monday wrap up so don't stress abt it lol

My final thought: an alpha might b able to command an omega but an omega can resist with a hiss tht causes temporary full body paralysis in the offending party

ooooh yeah i love all of this!

my brain instantly starting thinking about how if an alpha is due for a rut soon, perhaps a compatible omega who is close to them could start having breast/nipple tenderness too in anticipation?

so even if the two have never been heat/rut partners, the omega’s body will prepare for one. i can only imagine the amount of realizations that happen when an alpha/omega pair of friends suddenly realize biology has decided they should fuck🤭

#slick sunday #omegaverse #a/b/o #my asks

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sreehari28 · 1 year ago

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youtube

What do you know about menopause in men? | Male Andropause *The preferred term is old age androgen deficiency (ADAM). Androgen deficiency in the aging male (ADAM), also known as andropause, * Decrease in the level of active testosterone (male hormone) in the blood with age. It leads to changes in the circulatory system and the nervous system, and thus a group of several symptoms.. We mention them If you have any combination of these symptoms, I advise you to visit your general or specialist doctor..Symptoms may include the following: 1/ Changes in the circulatory system and the nervous system, such as a feeling of hot internal heat, sweating, insomnia, and nervousness. 2 / Changes in mood such as anxiety, lack of sleep, constant fatigue, and poor memory.

#ماذا تعرف عن سن اليأس عند الرجال #Male Andropause #male menopause symptoms #what is andropause #what is male menopause #menopause and andropause #symptoms of andropause male menopause #andropause symptoms and treatment #male menopause #أعراض سن اليأس الذكور #سن اليأس عند الرجال #andropause symptoms #best robotic surgeon #andropause treatment #دكتور أحمد العنزي #ما هو سن الياس للرجل #what is andropause and its symptoms #Youtube

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sreepadamangaraj · 2 years ago

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youtube

Let's learn about what is Male Andropause with doctor Ahmad Alenezi -Male menopause can cause physical, sexual, and psychological problems. They typically worsen as you get older.

#symptoms of andropause male menopause #andropause symptoms and treatment #male menopause #Youtube

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covid-safer-hotties · 16 days ago

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Also preserved in our archive

by Lydia Wilkins

“Come back to me when you start wanting children,” my gynecologist said. I had asked about the implications on fertility, thanks to my Poly-Cystic Ovarian Syndrome (PCOS) diagnosis — and was dismissed once again. It enveloped me with such despair.

For over two years I was shunted between varying medical offices, from primary care to an STI clinic. Among many disabling symptoms, I was experiencing hair loss and excessive hair growth along my jawline since my SARS-C0V-2 infection. After developing Long COVID in March 2022, doctors considered me a “medical curiosity” and tested me endlessly, leading to wrong diagnosis after wrong diagnosis. I was prescribed medication after medication, but nothing seemed to help.

Eventually, I added another diagnosis to my chart when I was diagnosed with PCOS by a gynecologist. The hormonal condition is lifelong, presenting with symptoms such as excessive hair, hair loss, fatigue, and irregular periods. The World Health Organization recognizes PCOS as a leading cause of infertility; you are also at risk of other conditions such as diabetes. The gynecologist additionally said there was a possibility that I have endometriosis, in which tissue from the uterus grows in places where it should not be. Endometriosis is recognized for extreme levels of life-impacting pain and is also associated with infertility.

The impact of Long COVID on sexual health is still not fully known, but there are serious signs of sexual and reproductive health being impacted. To be a disabled woman who has to advocate for herself, with the research, in the face of medical indifference is beyond exhausting. At every stage, I have correctly diagnosed myself, while specialists would play “catch-up.”

Why are medical experts and public health officials not sounding the alarm, to warn the public about the impact of Long COVID on fertility?

Like COVID-19 which leaves inflammation in its wake, PCOS is also thought to be an inflammation-related condition. PCOS is primarily a hormonal condition that impacts an estimated one in ten women and may put you at higher risk of severe COVID-19, according to research. PCOS can also make it more difficult to get pregnant, or, like endometriosis, increase complications during pregnancy.

I still have so many questions, such as if there is anything I could do now to mitigate the chronic nature of PCOS. Yet, doctors continually fob off these questions, shrouding me in a patronizing expectation of “having to wait until you start having children,” as if once I am interested in children, I will gain admission to an elite secret club of better care.

The UK campaigning group Long COVID Kids has documented the wider impact of Long COVID on reproductive health — such as changes to menstruation and triggering menopause. The same post also points to a study of the negative impact on ovarian function, along with other triggered conditions such as ovarian cysts.

A Patient-Led Research Collaborative review also found that women with Long Covid had increased rates of reproductive health issues — including, but not limited to, endometriosis, infertility, ovarian cysts, and other conditions. The review also mentioned another condition I am waiting to be tested for, after two years of misdiagnosis — POTS (postural orthostatic tachycardia syndrome). Why are these conditions not considered in tandem with each other, to save time and needless testing that causes nothing but distress?

We also know that COVID-19 tends to disrupt menstruation, as well as “fertility potential.” COVID-19 impacts male fertility, too, reducing sperm counts even after mild infections and causing erectile dysfunction. Some people with Long COVID are opting out of having children altogether, because of the strain of delivery and childbearing to the body, or because of the inability to raise or financially support a child.

Before catching COVID-19, I was bouncy, energetic, and socially confident. I had never had any notable health issues; now, my hair falls out in clumps, enough that my hairdresser has adapted to hide the thinning hairline. Excessive hair growth dominates my jawline and eyebrows. There’s also acne, dark spots of skin, and tense bloating warranting “she’s pregnant!” commentary from friends, family, and colleagues. There are few resources on how to cope with such an overwhelming diagnosis and aftermath.

I have been disabled from birth — but attempting to access reproductive healthcare with Long COVID has been a rough learning experience. Thanks to a litany of traumatic experiences when seeking relief from Long COVID, I am now obliged to take a chaperone with me to all medical appointments. Medical professionals speak to my chaperone as if they are the patient — “what can I do to help?”

We are told we have to trust medical professionals — but that trust is a privilege not afforded to disabled people in healthcare settings.

I, in turn, am the “sweetheart” spoken at with “the voice.” Disabled people everywhere know it — slow and childlike, patronizing and loud. I am not afforded dignity or privacy as a result. Other professionals have asked for free disability education instead of discussing my symptoms; it’s an inappropriate presumption, as well as beyond bitterly distressing.

My care was also marked by desexualization, or being reduced to the presumed state of a child. Doctors assumed, “she’s disabled — so she won’t be interested in any of that,” as Lucy Webster documented in her book, The View From Down Here.

Disabled women learn to suppress our anger to achieve any kind of diagnostic result, never “speaking to” the weighted horror. We have dreams, too — but they are tempered by societal commentary, both inside and outside a medical setting. I used to dream of an ordinary life, maybe a life of growing old with a partner, a house, a family in some way. Now, I realize it would be a privilege to not be questioned about these wants or to not be subject to constant commentary.

Women have long been advocating for better reproductive healthcare in the Western world; PCOS has long been misunderstood, with treatment often merely consisting of being told, “just lose weight.” A lack of curiosity has written off reproductive healthcare as only “a woman’s issue” for far too long.

More research on the emerging connection between reproductive health and Long COVID is needed, as is a deliberate culture shift in any caring profession. That can only start with education aimed at ending ingrained stigma. Health is a collective concept — and if we forget that, the pandemic has taught us nothing.

#long covid #covid is airborne #mask up #covid #public health #wear a mask #pandemic #covid 19 #wear a respirator #still coviding #coronavirus #sars cov 2

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