#testosterone and women
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This article is from last year but since I posted about detransitioners earlier this week I think this is relevant
Testosterone Therapy in a Transgender Male Patient as a cause of Acute Ischemic Stroke (P2-5.011)
Christina Tan, Lauren Kim Sing, Ron Danziger, Alex Aw, Chae Kim, Stephen Avila, Vilakshan Alambyan, Angud Mehdi, Michael Gezalian, Maranatha Ayodele, and Shahed ToossiAuthors Info & Affiliations
April 25, 2023 issue
Objective:
To share an intriguing case of a young transgender male patient receiving testosterone therapy who developed locked-in syndrome due to an acute ischemic stroke and to highlight potential risk factors for stroke in the LGBTQI+ community
Background:
There are many studies identifying risk factors for stroke in racially and ethnically diverse populations. However, there is little existing data for stroke risk factors in the LGBTQI+ community. Prior research has shown testosterone therapy in cis-gender men with initially low levels of testosterone increases the risk of stroke, especially in the first 2 years of use1. While testosterone therapy has been shown to increase the risk of venous thrombosis, its role in arterial thrombosis is unclear2. A proposed mechanism for thrombosis with testosterone replacement includes erythrocytosis, but the potential contribution of an independent pro-coagulant effect is yet to be determined3.
Design/Methods:
Literature review and case report.
Results:
An otherwise healthy 23-year-old transgender male on one year of testosterone therapy presented in an obtunded state. Examination revealed complete quadriplegia with sparing of vertical eye movements, consistent with locked-in syndrome. Imaging revealed complete occlusion of the basilar artery with distal reconstitution at the superior cerebellar arteries, and a large bilateral ischemic infarct of the pons. Computed tomography angiography did not demonstrate other large vessel disease or structural vascular abnormalities. Unfortunately, the patient was out of the time window for any acute stroke interventions. A hypercoagulable workup was performed but results were unrevealing and hematocrit was normal. Further investigation with transthoracic echocardiogram, transesophageal echocardiogram, and telemetry were negative for thrombus, patent foramen ovale, and atrial fibrillation.
Conclusions:
Acute ischemic stroke may be an under recognized complication of testosterone therapy in transgender males independent of degree of erythrocytosis. Further research is needed to establish a safety profile of testosterone therapy in this understudied population.
Disclosure: Dr. Tan has nothing to disclose. Mrs. Kim Sing has nothing to disclose. Dr. Danziger has nothing to disclose. Mr. AW has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Alambyan has stock in Teleflex. Dr. Alambyan has stock in Natera. Dr. Alambyan has stock in Labcorp. Dr. Alambyan has stock in Veracyte. Dr. Alambyan has stock in Vicarious Surgical. Dr. Alambyan has stock in Unity Biotechnology. Dr. Alambyan has stock in Scynexis. Dr. Alambyan has stock in Stryker. Dr. Alambyan has stock in Eli Lilly. Dr. Alambyan has stock in DaVita. Dr. Alambyan has stock in Invitae. Dr. Alambyan has stock in Pfizer. Dr. Alambyan has stock in Bristol-Myers Squibb. Dr. Alambyan has stock in Johnson and Johnson. Dr. Alambyan has stock in Merck. Dr. Alambyan has stock in Medtronic. Dr. Alambyan has stock in AbbVie. The institution of Dr. Alambyan has received research support from Albert Einstein Healthcare Network. Dr. Mehdi has nothing to disclose. Dr. Gezalian has nothing to disclose. Dr. Ayodele has nothing to disclose. Dr. Toossi has nothing to disclose.
#testosterone and women#Acute ischemic stroke#locked-in syndrome#potential risk factors for stroke in the LGBTQI+ community#testosterone therapy has been shown to increase the risk of venous thrombosis#The patient was a 23-year-old transgender male
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All the shit going on is already upsetting enough but it rly is devastating to keep seeing posts bashing trans men for asking to be included in conversations about reproductive healthcare, trans safety and hrt right now, at a time where solidarity and community is so fucking important
And unironic posts along the lines of "don't forget to include trans men in your no-dating-men practice".
And a post about how trans men aren't safe to date either because they're rapists too with replies full of this
Gender essentialism will doom us all. The fascists don't even need to "divide and conquer" anymore because y'all are just doing that shit for them for free.
#transandrophobia#malgendering#gender essentialism will doom us all#transmascs asking for solidarity and inclusion is not an attack on trans women or an attempt to silence them#and god forbid a transmasc express fear over having to approach doped up gym bros to access the “well established cis testosterone market”#in a time where hatecrimes against us and our murders are brushed under the table and the perpetrators constantly escape consequences
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how do transmascs not want to kill themselves all the time honestly
#i experience transphobia and hardship in my daily life#and then i go home and go on my computer and learn that i dont experience any of that actually#im just pretending. and i shouldnt talk about it because im just a fake trans#who wishes his experiences could even measure up to a crumb of what real trans people (women) have to go through#ok cool.#testosterone is a controlled substance did you know that. my state is actively making it harder for people my age to access hrt#but i guess since im transmasc i dont actually have to worry about any of that! im fine!#i didnt have a 3 month time limit before it would be illegal for me to access hrt! im transmasc im too privileged to worry about that!#transphobia#transandrophobia
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I find it a bit strange how it's okay and normal to say trans men have 'afab privilege' but if you say trans women have 'amab privilege', that's bad and wrong and incorrect and also maybe you should kill yourself. strange stuff
somehow trans men were 'socialised female' and therefore can 'get away with being women' but trans women were not 'socialised male' and can't 'get away with being men' cos there's something inherently feminine, inherently queer about them.
though, i spent my whole life being called gay, getting asked if i was a butch lesbian, getting asked if i was a tranny, cos i wore pants [girls!] instead of skirts, cos i wore shirts [girls!] instead of blouses, cos i wouldn't wear dresses and would prefer [girls!] formal wear that weren't dresses, cos i liked bionicle instead of dolls, cos i played video games, cos i swore, cos i liked heavier music, cos my favourite colour wasn't pink, cos i wore caps. i would not say i fit into girlhood at all, actually.
but this masculinity was inherent to me, it still is, i couldn't and can not change it (despite trying, very hard, to my detriment) so i ALWAYS stuck out as being 'too masculine' for other girls. and then i come into queer spaces and i'm 'too masculine' for other queer people - but that's besides the point, currently.
so, currently, when i see people say 'trans women aren't "socialised male," that's not real, they always stick out as "other"' and then turn around and say 'trans men have afab privilege, they can be women to get away with things, they fit into girlhood so well' I can't help but become incredibly fucking frustrated. this is not true and actually it's something we have in common! neither of us were socialised 'correctly' cos we're both trans and raised amongst peers who were not trans!
everything from masculine girls to trans men do not fit into 'girlhood' cos masculinity is not what girlhood is meant to be. this shouldn't be hard to grasp. this is why the 'socialised' concept is bullshit cos it's founded on whatever was forced upon you as a kid and if you don't fit that standard you will not be socialised that way due to, in large part, being fucking ostracised from everyone else. and that doesn't mean there won't be things to unlearn, i know very many trans men who were very feminine for a long time and the opposite for trans women, but someone who clearly cannot fit what's being pushed onto them is going to come off as 'strange' and 'uncanny' to the people who can fit into what's pushed onto them.
but the way people talk about this really highlights to me that yous don't want to consider us trans in the first place - transness is for trans women and not for trans men, socialisation concepts are fake when it comes to trans women but real when it comes to trans men cos they're not really trans, 'amab privilege' would get you branded a TERF or radfem saying it to a trans woman but it's fine to say trans men, trans men have 'afab privilege' cos we're not trans, we're just women. you know until we get a little too rowdy and then we're not trans, we're just men.
maybe i'm just jaded and bitter. idk
#transandrophobia#hopefully this makes sense i need to go put my testosterone on and i'm hungry. lol#i also think a lot of you think trans men speaking up for themselves means that trans women will get less now. which is not true#i ALSOOOOO think a lot of you think there is things that are inherent to 'boyhood' and 'girlhood' despite not believing in 'socialisation'#like you still deeply believe there's a right and wrong way - inherently - to be a boy or girl#when it's actually just all made up#but that's another essay for another time
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stop associating testosterone with only men and estrogen with only women. thanks.
#gender essentialism 2.0 basically#women on t men on e i love you#nonbinary people on hrt i love you#ri speaks#trans#queer#nonbinary#transsexual#hrt#nonbinary hrt#testosterone hrt#estrogen hrt#hrt testosterone#hrt estrogen#hormone replacement therapy#transgender#t4t#antibinary#abinary#100
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I wish women did not feel so strongly about the fact men, on average, are physically stronger than them. I feel like women have such negative feelings about this that it drives them to ridiculousness. Listen, I get it. I get it, I get it, I get it. The fact men are stronger is frightening. It’s scary to know that if a man decided to physically attack you then you are probably fucked. The USWNT, women who have spent years honing their skills on the field, lost to teenage boys who—when compared to the women—were basically just beginning to develop their talents. I understand how demeaning that can feel to every woman who hears this fact. I can imagine how demeaning it was for the USWNT. I’m sure every woman has been in a situation, playful or threatening, where they have tested their strength against a man and lost miserably. I’ve seen videos where women hit and slapped men with genuine rage and fury and the man barely even flinched. I understand how embarrassing and scary it can be to come to terms with the strength disparity between men and women, but you simply must come to terms with it. Far too many women have taken to pretending that it's not there—this is not a good approach.
Women choose to pretend it's not there because acknowledging that it's there makes them feel inferior. I ask women to remember that this world was built with the ideals of men in mind and to cater to their specific strengths. Men value strength and violence so of course the world is going to seem like those two things are all that’s valued in it. It's no coincidence that many male heroes are physically strong/easily able to cause harm—such as Naruto or John Wick or the Avengers. Of course it feels shitty, as a woman who inhabits this world, to have to acknowledge that your biology generally prevents you from being able to have the ‘can beat anyone in a fight’ type of strength that gets constantly praised.
However, I implore women to consider that men being physically stronger than them is no more of a significant fact than women being able to give birth while men cannot. Women also have biological advantages over men but when was the last time you saw a man calling himself inferior because of them? Imagine if the world was built with female advantages in mind. Imagine a world where the ability to give birth was seen as some sort of pinnacle of human worth. I mean, the ability to give birth is crazy. You are literally creating a whole new life. The female body is capable of providing the necessary tools to bring about a whole new person. Every brain that has thought of something life changing and every hand that has built something new was brought into existence by a woman’s reproductive system. Every single person that has ever so much as breathed was brought to life by a woman, but men never think women are superior for this fact.
Oh, but women couldn’t get pregnant without men, right? No. IVF exists. But even without it, the correct thing to say would be that women cannot get pregnant without sperm. A woman can get artificially inseminated. She never has to go out and find a man to have sex with. Is that not an advantage? Because, I mean, what can a man do if he wants to have a child but no woman is willing to give him one? Hire a surrogate? That comes with a list of complications, is far more intimate than artificial insemination, and is incredibly expensive. How is that not a disadvantage of being male? You may be thinking that you, as a woman, never want to become pregnant, but that is not the point! The point is that it's arbitrary to look at biological advantages as anything other than completely neutral.
Women also survive famine better and live longer than men. Imagine a world where women held this over men’s heads? But we don’t live in that world. In this world, I’m certain a man would say that they die sooner because of being braver, taking more risks, and doing dangerous jobs. However, if it were women putting themselves in danger and dying as a result, men would not be quick to call us brave; they'd call us the opposite. Idiotic. Foolhardy. Too stupid to take the necessary precautions to keep ourselves alive.
It is just so painful to see women lamenting over the physical disparity between men and women. Let it go. Consider being neutral on the subject of biological advantage. Consider that male strength isn't something to pretend doesn't exist and isn’t something that proves women are inferior.
I understand that acknowledging vulnerability is against the survival Instinct—I get it—but come on. How can we let this get to a point where we’re saying it’s okay for males to enter female sports and beat the absolute crap out of/wipe the floor with women? Them being stronger is neutral! It does not mean anything! But it’s fact. Pretending it’s not only serves to put women in a losing position. Pretending it’s not only serves to make women into a laughing stock. Men will gladly collect medals that belong to women—they’ve been doing that forever. If there was no reason for male and female leagues then there wouldn’t be any. You cannot deny your way into something being true. I also wish it were true that the average woman was evenly matched against the average man, but it’s simply not reality. In the same way that it’s not reality that the average woman is taller than the average man.
I am begging women to think neutrally about this topic instead of being in such deep turmoil over it that they open the door for men to walk all over us.
#I'm so tired of the talking point of#'oh you want males and females seperate? You must think women are inferior and men are better'#No that's not what I'm saying#I am simply acknowledging that testosterone is a literal drug that gives men crazy strength#In the same way I don't think adults are superior to children but I acknowledge puberty does crazy things to the body#No I'm not comparing women to children so go away with that mess#I know this piss on the poor website too well to not put that disclaimer
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Occasionally I’ll accidentally check the reblogs on my trans comics and be met with some of the stupidest pseudoscience known to man
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I'm going to be real, I've been on testosterone for multiple years and my levels have been very consistently high and whatnot, and yet I haven't gotten to the point where my testosterone "makes" me act in possessive, creepy ways toward women. Not even the women who are drop-dead gorgeous to me!
And that's because it's not about testosterone. It's about the way you choose to interact with women. When you devalue them already, no amount of testosterone is going to influence you further.
#feminism#misogyny#misogyny tw#'he cant help it - it's the testosterone!' is not the save people think it is#weirdly enough i think the women in my life started coming to me even more after starting testosterone#as in i earned a level of trust in them that they started opening up a whole lot about their frustrations and feelings and experiences#and it hits weird as a guy sometimes like i have dual thoughts on it in some senses but like#it really isn't hard to earn their trust when... you prove you're trustworthy#i'll see a GORGEOUS woman and think 'oh wow' and go about my life like. it isn't hard.#i know women already know this but also... i've got the Testosterone Experience. the Qualifications (lighthearted)
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saw this on instagram and figured i’d repost here. be careful everyone.
#transpolling#transgender#queer#lgbt#lgbtq#trans people#trans community#hrt#hormones#gender affirming care#diy hrt#transmasc#transfem#nonbinary#trans man#trans women#gender#gender identity#testosterone#estrogen#gay#lesbian
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JK Row-Row straight up said “I can excuse a child-rapist being allowed to compete in the olympics, but I draw the line at letting a cis woman that doesn’t fit into my hyper-specific idea of what a woman should be compete!!!”
#funhouse vent#fuck jkr#anti jkr#what a stupid mean person she is#she does not give a damn about women or girls#she saw a woman who had high testosterone and didn’t look ‘traditionally feminine’ and took it upon herself to assign that woman a gender#imane khelif#also like. I’m still not over the fact that Angela just like. whined about being hit hard like???? GIRL IT IS BOXING???#YOU ARE A BOXER???? THE POINT OF THE FUCKING SPORT IS TO HIT THE OTHER PERSON HARDER THAN THEY CAN HIT YOU???
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i know it’s bitchy and kinda unfair but id be lying if i said it didnt irritate the hell out of me as a trans woman seeing tme lesbians treat the idea of lesbians being with trans men and still identifying as lesbians as some kind of forbidden lost knowledge of magical hybridities and perspectives, rather than the common standard female4female bioessentialist and transphobic set of norms they often are. like ive never seen lesbians get shit for this irl, meanwhile trans women and lesbians who stand with us are routinely excised and alienated from spaces for ‘enabling poor behavior’, ‘taking too much space’ and ‘dangerous proximity to maleness’, but now i gotta listen to you go on about how you’re reclaiming maleness femalely safely? something’s not adding up…
#Wow! You’re a genderfucked lesbi-man? That’s awesome! Did you stand up for the last trans woman accused of talking over delicate females.#It’s very cool how your gender‚ which you self describe as a testosteronized fake woman‚ is wholly unique and emerged from a lesbian vacuum#But can I ask how many trans women are in your local scene? And how long do they stay before they inevitably leave? aha#sasha speaks
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So many people (including jkr) are calling imane Khelif a biological male/TIM when as far as I can find out she’s a intersex woman
#unless someone’s hiding something#whether she should be allowed to compete against non intersex women who have lower testosterone levels idk#because it is an unfair advantage even if she is a woman
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"Hey, there are risks to DIY HRT that need to be discussed and addressed" is NOT fearmongering.
"DIY HRT is always dangerous and you will have bad things happen to you!" Is fearmongering. Making sure trans people have INFORMED consent about MEDICAL PROCEDURES is not!!
DIY is amazing, it saved my life and is my preferred method, but I'm a white trans guy in America with a normal hormone balance. I do not fit everyone's experiences, and it's important to talk about even the shitty risky stuff so trans people who want this can partake in it SAFELY and be PROPERLY EDUCATED.
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Currently doing organic chemistry research and i SWEAR there are like 4 guys for every 1 girl on our chemistry department’s research floor. Where are my women in stem
#a lot of testosterone. need more women#I also know only one female pi#everyone else is a MAN. unacceptable#meanwhile me walking through the research floor w my silly pink ipad and silly pink iphone and silly pink water bottle.#mini skirt and sweater. dark lip gloss on. curls out. perfume applied. moisturizer on every inch of my skin. it’s fine#p
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Can’t say what I’m going through
I smile a lot but it’s what I have to do to live…
Pain!
#mtf trans#trans man#trans pride#transgender#transgirl#mtf nsft#mtf girl#mtf positivity#mtf pride#mtf women#mtf hrt#mtf sub#hrt testosterone#trans hrt#hrt update
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Trans solidarity is being a trans man whose vocal range is finally under a trans woman's low range 🩷
#trans#transgender#lgbt#lgbtq#ftm#mtf#nonbinary#my range will never be at laura jane grace's though </3#(mostly because her style is so fucking cool and i don't have the confidence to do that and keep my voice safe)#love when a trans person embraces their voice however that looks (voice training/no voice training ect)#women with low voices rule the world and i hope all women with lower ranges are happy and love themselves <<3#your voice is lovable and beautiful and your voice deserves to be heard in whatever capacity you deem fit <3#i never voice trained which is why i waited for testosterone to do that#but voice training is an art y'all and i think people who do that are wizards and artisans
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