#vaginal atrophy treatment

[fidicuswomen]

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Signs and Symptoms of Vaginitis Treatment Cure Medicine Surgery | Gynaecology Women | Dr. Bharadwaz

Discover the key signs and symptoms of vaginitis in this informative video. Learn about common indicators such as unusual vaginal discharge, itching, irritation, burning, pain during urination or intercourse, and abnormal odor. Understand what these symptoms could mean and how to identify when it’s time to seek medical attention. Stay informed and take control of your health with trusted insights. Watch now to learn more about managing and preventing vaginitis effectively.

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[drvidushimehta]

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What is Stress Urinary Incontinence?

Stress urinary incontinence (SUI) occurs when the muscles supporting the bladder and urethra weaken, leading to leakage during physical exertion. Common causes of SUI include:

Childbirth

Aging

Obesity

Hormonal changes during menopause

While this condition can be distressing, new treatment options, including laser therapy, offer promising results.

How Does Laser Treatment for Stress Urinary Incontinence Work?

Laser therapy for SUI uses advanced technology to stimulate collagen production and tighten the tissues around the vaginal area. This strengthens the pelvic floor muscles and supports the bladder, reducing or eliminating leakage.

Key Benefits of Laser Treatment for Stress Urinary Incontinence

Non-invasive: No surgery or incisions are required, making it a safer option.

Painless: The procedure is typically pain-free, with minimal discomfort.

Quick recovery: Patients can resume their normal activities shortly after treatment.

Improved quality of life: Laser treatment significantly reduces urine leakage, enhancing confidence and comfort.

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Who Can Benefit from Laser Treatment?

Laser treatment is ideal for women who:

Have mild to moderate stress urinary incontinence

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If you're struggling with stress urinary incontinence, consider laser treatment for stress urinary incontinence in Indore. It’s a safe, effective, and non-invasive way to regain control of your bladder and improve your quality of life. Consult with a specialist today to learn more about this revolutionary treatment.

[parintha]

Vulvitis Treatment Vaginal Atrophy

Vulvitis treatment focuses on relieving inflammation and discomfort in the external genital area. It typically involves identifying and addressing the underlying cause, such as infections, irritants, or allergies. Common approaches include topical creams, soothing baths, proper hygiene practices, and avoiding triggers. In some cases, medications like antifungals, antibiotics, or corticosteroids may be prescribed to manage symptoms and promote healing. Consulting a healthcare professional is essential for accurate diagnosis and tailored treatment. Read fulll information on Parintha.com about white discharge kyu hota hai?

[nothorses]

hi sorry to bother u about this, i searched around transmasc subreddits for an answer to this and while i saw a few people joking about getting dry cramps, nobody seems to know what this is. and i vaguely remember seeing a post by you mentioning "mystery cramps" in a post also about vaginal atrophy, but I didnt pay attention to the post much at the time bc at that point i wasnt experiencing atrophy or mystery cramps.

but now I'm a bit over a year on T, (my periods stopped only about 4 months ago though, because i was on a much lower dose than most for a lot longer time than most. that ~4 months ago time frame lines up with upping my dose from 0.2 to 0.3ml. i'm on 0.4ml tho now as of about 3 weeks ago) and suddenly i'm getting "mystery cramps" sometimes, it seems to happen especially the night before my T-shot day, (but i cant say that with certainty—i know i'm having them right now and my shot day is tomorrow morning, and i think thats been the case, but i dont know for sure) and they feel exactly like period cramps. to the point where i feel super paranoid that maybe i've been injecting improperly and the testosterone isnt absorbing right and my period is actually coming back. (something i often have nightmares about)

i searched your blog again for that post and did find it, (the one about estradiol cream treating it) but the wording of it is a little unclear and i wanted to just clarify that this is the same thing youre talking about? or if what im experiencing is different than the "mystery cramps" you meant and i should see a doctor

I am for sure not a doctor, and I think you should see one either way!

My personal understanding of the "mystery cramps" is that it's a part of "vaginal atrophy" that some, but not all trans folks who go on T experience, and it usually doesn't start until a couple of years on T ( which is also, to my knowledge, based on more standard doses as opposed to "low-dose" T).

Mine started about two years in, and was happening occasionally at first- always at night, and often the day before my T shot- then progressed to several nights a week over time. Nowadays I tend to experience cramping almost every time I so much as miss one dose of estradiol. Ibuprofen and Midol are the only OTC pain relievers that seem to do the trick, and the cramping will keep me up through the entire night untreated. It also tends to come in fairly predictable waves (spaced maybe 15-30 minutes apart) and right before I started estradiol, I remember getting some light spotting as well.

iirc, I talked to my PCP when it was just starting up, and their response was along the lines of "that's weird, let's keep an eye on it". I moved and didn't have a PCP for a while, so when the spotting started, I went to a walk-in urgent care clinic and talked to them. They gave me a referral for an ultrasound, and encouraged me to go to a "women's health" clinic that had long history of specializing in trans care as well. When I talked to the folks at that clinic, they encouraged me to go through with the ultrasound (I didn't), and prescribed estradiol cream because I asked them to and they didn't see a reason not to try it.

If you think it's possible this is what's going on with you, I would really encourage you to talk to a doctor, specifically bring up research around this issue and estradiol cream as a treatment option, and ask them if there's a reason not to try it just to see if it does anything for you. If nothing else, estradiol cream also treats vaginal dryness, tightness, and inflammation (other symptoms of "vaginal atrophy"), so it might be worth a shot for those reasons anyway!

And don't do what I did; if they want you to do an ultrasound or whatever else, go with it, and rule out other possibilities. Listen to medical advice from medical professionals who know your medical history and who you trust are listening to you & know what they're talking about.

[butchpeace]

Pelvic Floor Health for Detrans Women

A disclaimer before we start: I am not a doctor, a PT, or an expert of any kind, I just noticed there was a lack of information about pelvic floor health in the detrans (and trans) communities and I wanted to compile the information that I’ve gained. If there are any issues or you have any wisdom to share, please DM me! I plan to add to this post and edit it over time as I learn more.

95% of females who have been on testosterone report pelvic health issues, which can include urinary leakage or retention, bladder pain, difficulty emptying the bladder, general pelvic pain, pain with sex, vaginal dryness, vaginal atrophy, vaginismus, anal issues, and more. (Source)

Here’s a discussion with a pelvic floor expert on the issues faced by females who have been on testosterone.

If you’ve experienced any of these problems, you’re not alone, and there are things you can do!

Vaginal Atrophy

The vast majority of detransitioning women (and females who are transitioning) have vaginal atrophy, which is a thinning and weakening of the tissues that line the vaginal wall. Atrophy can lead to pain during sex, or with regular movement, bleeding due to small tears in the vaginal lining, narrowing of the vaginal canal, urinary issues, and more.

Because testosterone affects our ovaries, we can think of this issue as something similar to GSM (Genitourinary Syndrome of Menopause). Many of our symptoms mirror what happens to women as they age and their estrogen production decreases.

Treatments for Atrophy

1. Vaginal estrogen comes in the form of creams, suppositories, and insertable rings.

2. Vitamin E suppositories have been found to be as effective as vaginal estrogen in some studies. (Source)

3. Sea Buckthorn oil capsules have been shown to be effective in vaginal health. (Source)

4. Regular sexual activity can help by filling the vaginal wall tissues with blood, which can help to revitalize those tissues.

There are also many options for dryness, including vaginal moisturizers, aloe, coconut oil, and more. Sometimes the simplest natural options can be the most effective! Always talk to your gynecologist and do your own research on products you’re considering buying and make sure the ingredients are safe. Some people may experience yeast infections and other issues when using certain products.

Vaginal atrophy itself is to blame in many cases for the urinary symptoms that many of us report, and treating the atrophy may be all that’s needed in order to improve the urinary symptoms.

In other cases, we also need to look at overall pelvic floor health. I would argue that taking care of your pelvic floor is essential for any woman at any stage of life, since it can help with so many things!

Pelvic Floor Muscle Issues

Pelvic floor health issues can be divided into 2 types - Hypotonicity and Hypertonicity. Both types can lead to bladder issues, among other things.

Hypotonicity is the classic type many women experience after having children or during menopause. It’s also described as having a weak pelvic floor, and kegels are often the best treatment. The YouTube playlist at the end of this post includes videos for beginner and advanced kegel exercise methods and yoga.

Hypertonicity is the opposite type, where the pelvic muscles are chronically tight. For this, the treatment is to use muscle release methods to relax the pelvic floor. Remember - Relaxed muscles are the best at doing their job.

Anxiety can also be a factor in hypertonicity! If you’re often anxious, get used to checking how that feels in your pelvic floor. Many young women experience bladder leakage or discomfort, feeling like you have to go when you don’t, or pain with sexual activity, due to anxiety which causes overly tight muscles.

You wouldn’t think at first that Hypertonicity could lead to urinary symptoms like leakage, but when your muscles are overly tight, they just don’t work the way they should.

Sitting a lot and generally not getting much exercise also causes muscles in the pelvic floor, hips, and hamstrings to tighten and become shorter, so stretching these areas is very helpful.

And when you have a urinary issue, or you’re dealing with the aftermath of childbirth, surgery, or any other medical trauma to the pelvic floor, there can be a tendency to reflexively tighten your muscles all the time, for fear of what might happen if you don’t. Some people with hypertonicity also experience their symptoms getting worse if they do a lot of kegel exercise. In these situations, kegels can become counterintuitive.

That said, using methods to address both types can be the best option for some people. As long as you listen to your body, keep track of how each method makes you feel, and talk with a doctor or pelvic floor PT if you have serious concerns or don’t understand how to do something, you should be able to figure out something that will help!

Vaginismus is also a very common condition that’s connected to hypertonicity and potential mental causes. You’ll know you have Vaginismus if you’ve always had trouble inserting things into your vagina, or if your partner has had trouble with it. Many women describe it as a sensation of the vagina closing up when faced with something trying to get in. You may find that at certain times or with certain objects, you have no problem, and at other times or with other objects, you do. Stretches and massages for hypertonicity can often help with Vaginismus.

Prolapse is a relatively common issue in women who have had kids and older women in menopause. This can also cause urinary symptoms. The incidence of pelvic floor prolapse in females on testosterone is not known, but due to atrophy weakening the walls of the vagina, it’s possible that testosterone will increase your risk. It’s also more common in people who have had a hysterectomy.

Tools

1. Vaginal dilators can be helpful for people who have trouble with Vaginismus or feel like their vagina is small. These are also helpful for people who have difficulty inserting fingers

2. A pelvic wand or vibrator can help you with massage to loosen muscles, if needed

4. Kegel trainers come in various types and can help you perform kegels more effectively if you know that your issue is hypotoniticy

5. Pessaries can help in cases where atrophy has led to pelvic floor prolapse. Make sure you get diagnosed before using one!

6. Your hands! Don’t underestimate the power of using your hands for external or internal massage

The biggest thing to take away from this post is this - Don’t be afraid of your vagina or pelvic floor! Don’t be afraid to try things that may help you improve whatever issues you’re having.

Your vagina is a normal part of your body, and especially when you’re experiencing issues, that’s when it’s time to really learn about it and understand what’s going on. If you’re anything like me, you’ve gone your whole life being too afraid or too uninformed to do certain things or explore your body in certain ways. We need to reduce the fear, stigma, and awkwardness of vaginal and pelvic floor issues, and the first step is to get to know your body. 💪

Exercises

I’ve put together a playlist of YouTube videos that have helped me in this process, which I will continue to add to. I hope they help you too!

And again, please DM me with any information you think is helpful or stories about what worked for you.

And if you’re a medical professional, I would love for you to review this post and suggest edits or additions.

Please share this with all your friends! My intention is for this to be a community resource we can use to spread awareness✌🏼

[batmanisagatewaydrug]

Hi sex witch!

I’m FtM, and I don’t have penetrative sex at all. It’s unpleasant and not at all enjoyable to me in any form. With that in mind, I’m on hormones, and am worried I might get vaginal atrophy and not notice since I don’t use that area of me at all. How do I tell if I’m starting to atrophy without that sort of experience?

Also, I heard that you only have to start getting pap smears and stuff once you start having penetrative sex, but I’ve never engaged with a partner in that way, just a toy I bought to experiment with (waste of money rip). Should I still go at some point?

hi anon,

topical estrogen treatments are generally used to help treat vaginal atrophy; this doesn't interfere with or counteract your HRT in anyway, just helps keep your vagina strong and healthy. signs that it may be time to pursue this options include persistent genital discomfort such as dryness, itching, burning, and painful or frequent urination, although of course it's best to consult with a healthcare provider if you're worried.

it's recommend that you start getting pap smears at age 21 even if you've never had partnered sex. I would personally say it is worth it, since pap smears are important preventative care that can serve as an early warning for cervical cancer. while the odds of developing cervical cancer without ever having partnered sex are low, it's also not a chance that I'd personally recommend taking.

[scientia-rex]

I got home from work today sneezing my head off with a right eye that won’t stop watering, took a hot shower, climbed into bed, and I haven’t climbed out since. I’m grumpy and I have a headache and if I’m not testing positive for COVID or debilitated by symptoms tomorrow I’ll still need to go to work because that’s twenty patient visits that would need to be rescheduled, usually with someone else, and that’s twenty people I’m letting down. Today I did one of my patented 45-second Pap smears (if it takes longer than that, your doctor needs to get better!) for someone with vaginal atrophy from menopause (it is both very common and very treatable) and she was in disbelief. (This time it was more like 30 seconds.) I saw a suicidally depressed patient who’s clinging to life with both hands and I changed their meds last week and I am not making them wait to see me. I cleaned a wound no one else gave a shit about and I saw a bitter pissy Republican Party bigwig who has terrible anxiety and depression she doesn’t tell anyone about, who’s alienated everyone but who I can still convince to try treatment.

I do my job on hard mode on purpose. I like being important—who doesn’t? I like being legendary, I like that when people move to town and ask for doctor recommendations on Facebook so many people mention me that other patients feel compelled to tell me about it. I got nominated for best doctor in our local region last year. (I didn’t win, out of 5 nominees.) But when I’m sick, when I’m the kind of sick that can be hidden easily, the kind of sick I was always expected to go to school and rotations and residency with, it’s so hard. I hate exposing patients, even to a cold, but the benefits of receiving care are probably enough to outweigh the chance of transmission. I wrestle with myself: if I call in, it starts a ripple effect. Can they get a per diem from their “pool” (of three) to come in? Can they reschedule my patients with me? I don’t have any open spots for five weeks. Can they open same days? None available for three weeks. Can they open blocked spots? That’s going to make my life hell when I come back from being sick. That’s clinic staff calling twenty patients, trying to reach them. That’s twenty patients who feel abandoned. They can know intellectually that doctors get sick too, but they don’t believe it. They take it personally. I have seen this over and over again, until I had to believe it.

It is so EASY for people who don’t do this job to tell me how I’m doing it wrong. “Just stay home!” Oh, okay, you want to tell the person whose chronic opioids I’m supposed to write for that I can’t? You want to put the nurses through getting the on-call to write a bridge prescription? I write more ADHD meds than most of my peers—usually a lot more. You want to tell my colleagues to write meds they’re uncomfortable with? How about tell my suicidal patients (which is a lot of them!) that the provider they know and trust after months or years will be replaced today by a 70-year-old white man who still thinks they should pull themselves up by their bootstraps? Tell my queer patients that they have to wait until I’m better and back to get their hormones and their STI screenings, reschedule a Pap someone was dreading. Every day is a kaleidoscope of opportunities to make a real connection with “difficult” patients. I’m good at it. I may be the best at it at my clinic.

I don’t hate calling in sick just because the clinic manager is a judgy bitch, though that doesn’t help. I hate it because of what it does to my patients. And it’s not simple. Pretending it is does all of us a disservice. I am not a widget. I am not easily replaceable. You can’t plug any of our per diems (all men, 2/3 white, 2/3 old, 1/3 a Bitcoin bro) into my place and call it an equivalent, and my schedule is already so packed that if I call in sick, patients will be guilt-tripping me about it for months. I’m not kidding. That happens every single time.

Christ alive, I wish it was true that doctors never got sick.

[lastoneout]

Things that can go in/pass through the vagina just fine:

penis (and/or semen)

sex toys made of body-safe materials

condoms (male and female)

lube

infants you are actively giving birth to

all that other shit that comes outta there during childbirth

period blood

mucus your body naturally produces so long as it doesn't smell or look weird

tongue

fingers

tampons and menstrual cups

IUD or other insertable birth control methods

ovulation tests

medical devices used during pap smears and pelvic exams or IVF treatments

dilators for those who've had bottom surgery

medications as directed by your doctor(like estrogen cream to prevent vaginal atrophy when on testosterone)

Things that should not go in there!!!

soap, oh my god do not put soap in there holy shit

food

flavored condoms/lube

douching fluids

crystals/special rocks

blood that isn't yours

pregnancy tests(you're supposed to pee on them)

sex toys made out of non-body safe materials unless you put a condom on them

stuff that isn't sterile or hasn't been cleaned properly

no fr like if you are doing anal you NEED to clean your penis/sex toy or at least swap to a new condom before putting it in the vagina holy fucking infections batman

anything you're allergic to(this includes everything on the safe list, if you're allergic to it it's not safe)

the body parts/bodily fluids of someone who has an STI unless you guys have protection(condoms, dental dams, latex gloves, you're taking PrEP/medications to keep your HIV viral load low enough that you can't pass it on, ect.)

Not a comprehensive list ofc but like since it does seem we occasionally need the reminder here ya go. If you're unsure about anything planned parenthood has a lot of sex education material up on their website, def check it out!!

[womenshealthclinic]

Vaginal tightening and vaginal atrophy treatment are essential procedures for improving women's comfort and overall well-being. Vaginal atrophy, often caused by menopause or hormonal changes, can lead to discomfort, dryness, and irritation. Women's Health Clinic, a leading provider of these treatments, offers advanced, non-invasive solutions designed to restore vaginal health and elasticity. Their specialized treatments enhance comfort, improve hydration, and promote overall vaginal rejuvenation. By providing expert care in a supportive environment, Women's Health Clinic ensures patients receive the best in women's health services, empowering them to feel confident and comfortable in their bodies again.

[homunculus-argument]

Okay, I've been talking about HRT a lot recently, but I wanted to clarify something: Testosterone treatment doesn't automatically mean becoming more aggressive. Being more irritable while your hormone levels rebalance themselves is normal, but if you find yourself getting actually angry more than reasonable, more often than reasonable, you might need help of a therapist. Testosterone does, however, cause

increased appetite (you need the fuel to build more muscle)

more body hair (yeah including places you may not prefer it)

fat redistribution (that belly hair has to go somewhere, after all)

vaginal dryness/atrophy (fortunately the locally applied estrogen this can be treated with doesn't impact HRT treatments)

male pattern baldness (if it happens to men in your family, it'll happen to you - fortunately hair loss treatments that work on cis men will work on you as well)

unironically enjoying the music of Sabaton (this, apparently, is irreversible, untreatable, and incurable)

[drvidushimehta]

Stress Urinary Incontinence Laser Treatment in Indore | Dr Vidushi Mehta

For those dealing with urinary incontinence, Stress Urinary Incontinence Laser Treatment in Indore offers a state-of-the-art approach. This treatment uses precise laser technology to strengthen pelvic tissues and improve bladder control, ensuring a comfortable and effective solution.

[antiterf]

i keep hearing anti-trans people citing studies claiming that trans men who take testosterone always get pelvic floor dysfunction and now i'm afraid to take testosterone

TW: This post has a lot of talk specifically of genitalia and reproductive healthcare, with specific focus on cis women since that's where the research is. It's important to know but I want to give a fair warning for dysphoria.

It's weird that you sent this legitimately when I was looking for stats on that. This is oddly convenient. That never happens.

Pelvic floor dysfunction is incredibly common and while it can get to a point of being severe (prolapse) it's usually constipation, straining, bladder control and regarding mostly AFAB people, pain during vaginal sex.

From what research there is, it does seem that pelvic pain is incredibly common with trans men on testosterone. There's also not a pre and post testosterone question which... should be important. There's also no control group.

There is a recent study that reports that 94.1% of trans men have PFD, but it seems to be lower quality. I'm not saying that to try and completely dismiss it. There's no control group when it would be completely doable for this sort of study. They also don't ask if these symptoms had occurred prior to starting hrt or after.

(Sorry sci hub doesn't have it)

So we can't be positive, but what evidence we do have points to trans men having pelvic pain and PFD while on hrt. Both are honestly really general, and don't inherently mean that prolapse will happen (or "Your vagina will fall out, into the toilet, and you'll flush it down and never get it back. Then you die." Which I'm being partially satirical with that but wouldn't be shocked if some transphobe tried using it).

PFD is treatable with therapy and medication, sometimes surgery, but usually its not needed. There are plenty of trans men and trans mascs who use vaginal estrogen cream to help with dryness and atrophy. PFD is, again, common:

For women of childbearing age, PFD and POP are very common, and 65.8% of women over 40 years report at least one complaint of sexual dysfunction.

And it's likely you'll get it at some point regardless of starting HRT or not.

It's honestly upsetting that such a common, treatable, issue is described as apocalyptic. Like, it's still an important issue to be aware of, and in the studies I link there is mention of participants getting a hysterectomy specifically for pelvic pain. There are a lot of unknowns or barely knowns we have to accept when we start HRT. But don't let people tell you that the worst possible scenario will happen or give you fear mongered healthcare.

If it helps, I fall into the group of PFD and have for my entire life due to IBS. When it comes to intercourse, I do bleed a lot more easily, but often it's just being lubricated. I also take lactobacillus as a probiotic, which is the bacteria that we usually have less of compared to cis women while on hrt. Mainly because it's the best probiotic one for my ibs, but I wouldn't be surprised if it's also helped with vaginal health.

I hope this stuff helps!

[nothorses]

Wait do most guys on t not 'get soaking wet'? I mean I've always 'overlubed' a bit, but but I've been on t a little while now and I feel like I get wetter now than I used to, which is saying a lot. Am I that abnormal?

I'd say it's abnormal in the sense that it's not the common experience, but I don't think that means you need to be concerned about it.

"Vaginal atrophy" means a lot of things, but essentially, it's the same thing that happens during menopause (which also means that resources for people experiencing menopause are often helpful to people with vaginas on testosterone HRT). The hormones that keep that tissue healthy are no longer present in the way they used to be, so the tissue is atrophying over time.

My personal experience has been that while my libido went up & I experience arousal more frequently/intensely, my body's physical response to arousal- lubrication & relaxation of pelvic muscles for easier penetration- is pretty significantly reduced, and takes a lot longer to happen to the degree that I need it to in order for penetration to be comfortable. i.e., I am dryer and tighter. I also have found that I'm dryer overall, and sometimes feel itchy because of that; a little lube helped me go about my day when it first started happening, now I don't really notice it.

During my last pap smear, my doctor noted minor redness, inflammation, and irritation, which she said was typical of folks on testosterone HRT & wasn't anything to worry about. The skin is more delicate and easier to irritate, and that's about all.

You might be experiencing some but not all of the symptoms of vaginal atrophy, or you might be experiencing them more mildly, or you might be early enough in the process that it hasn't been noticeable yet. If you feel like you're actually lubricating more than you used to before HRT, I would also wonder if maybe your libido is just higher? But I'm not a doctor, let alone your doctor, and I have no way of making a worthwhile guess here.

If you're getting the changes you went on T for, like... "vaginal atrophy" is not typically one of the desirable changes anyway, and unless you actively want that, you probably don't need to worry about it. You can and should talk to a doctor if you're feeling concerned about any of this at all, though- I'm just sharing my own personal experiences.

Also, for everyone reading this:

"Vaginal atrophy" can sound scary, but

It's normal and natural, and it happens to everyone with a vagina who gets old enough for menopause to start,

It's entirely- and easily!- treatable, and

It's a reversible effect of testosterone HRT, and things will return to normal given a little time should you ever choose to stop.

You might consider asking your doctor about topical estrogen cream if you want to reverse the effects of vaginal atrophy without interfering with your T. This is also a common treatment for folks who go through menopause.

There are lubes out there specifically for folks experiencing vaginal atrophy as well; they're designed not to irritate fragile skin, and they can be helpful if you're experiencing a stinging sensation during penetration with normal lube (though again, talk to your doctor!! Please!!)

And as a side note: some people who go on T experience cramping (a lot like menstrual cramps) after a few years, and you can also often treat this with topical estrogen cream. I had some pretty severe recurring cramping that went away after a few weeks using topical estrogen cream. If a doctor tries to tell you that the only way to stop this cramping is by getting a hysterectomy, I would consider researching topical estrogen cream and getting a second opinion.

And lastly:

Talk to you doctor!!

[d3nt4l-d4m4g3]

This is a morbid question, but after going through your medical malpractice tags, I can't help but to wonder how many women have died from T? And also, does every TIF who does stay on T for long periods of time develop some sort of chronic pain/illness that you've read or seen?

It seems like its rare to hear from TIFs on T after 6+ years. It seems like they almost all quit or lower their dose substantially.

it's probably impossible to estimate how many women have died from taking T. Legally, many of these women are male and are registered in medical systems as male. From looking at a piece of paper, it's impossible to separate these women on testosterone from men on testosterone.

I don't know every trans person so I can't say with certainty that every single trans identified woman develops chronic pain or illness on T. That said, the sheer number of systems that testosterone touches—bones, heart, reproductive organs to name a few—means that the likelihood of developing at least one chronic illness/source of pain is extremely high. And it can happen over a short or prolonged period of time. You might never have the symptoms of vaginal atrophy, but your cortisol and blood pressure could be climbing every year. You might not have a heart attack, but you could develop psoriasis. Maybe your bones are dense enough but your pancreas is fried. Maybe your pancreas is fine, but you have shooting pains every time you orgasm.

if you think about it, it's like a box of chocolates.

I don't want to accuse all TIFs who profess perfect health after 10+ years of taking testosterone of being liars. Statistically, that's not true.

However, I think that there is a lot of pressure to uphold the narrative that cross-sex hormones are healthcare, and not a lot of incentive to admit those exact hormones can ruin health.

There isn't this same reservation when you're talking about chemotherapy, for example—would you tell a cancer patient that she might not puke during treatment? That she might not lose her hair? That her fertility may not be compromised? All of those maybes are technically correct. That patient may not suffer all of these things, or possibly any of them. But as a medical professional, as a friend, as a family member, as a patient, is it not responsible to say that what the medication does, is designed to do, "might not" happen.

Of course, chemo is temporary. It is a poison given to sick people to kill the bad hopefully before it kills too much good. Giving testosterone unnecessarily to healthy women, and indefinitely to boot, can only worsen health.

Even if there was a percentage of women who take large doses of testosterone with no pain or chronic illness over years—a percentage I doubt is significant—would you put diesel in a gas car? Would you drive on the highway like that? Would you be able to live with yourself knowing your family and loved ones are holding their breaths every night, waiting for a phone call that you have crashed? objectively, it's highly selfish to pretend the benefits outweigh the potential cost, the cost being one's life.

Going back to your point about the 6+ year mark—yeah, I do think by that time a lot of women detransition, live miserably as trans, or die quietly, away from the spotlight. Like an old dog not wanting to bring vultures to her body. There's no longer any thrill from being trans, but rebuilding your life, community, and body is terrifying and has real social consequences, so many stay in that limbo.

[religion-is-a-mental-illness]

By: Leor Sapir

Published: Apr 4, 2024

Across the United States, thousands of parents have consented to having their children’s puberty stopped with a class of drugs called gonadotropin-releasing hormone agonists. Known colloquially as “puberty blockers,” these drugs overstimulate the pituitary gland to the point of preventing it from sending signals to the ovaries or testes to start producing the hormones responsible for puberty.

Parents who have consented to these drugs for their children love their kids dearly, but they’ve consented under entirely false pretenses. The doctors who’ve advised them say that puberty blockers are known to improve mental health — that they are even life-saving — and that they are fully reversible and just give kids “time to think.” None of this is true.

Major American medical associations say that “gender-affirming care” for kids is “medically necessary” and “life-saving.” Health authorities Finland, Sweden, Norway, Denmark and the U.K. disagree. Last month, the National Health Service of England decommissioned puberty blockers as a treatment of adolescent gender dysphoria. “We have concluded that there is not enough evidence to support the safety or clinical effectiveness of [puberty blockers] to make the treatment routinely available at this time,” the NHSE explained.

Imagine if American doctors told parents the following truths. The mental health benefits of puberty blockers are highly uncertain, according to multiple systematic reviews of the evidence, the bedrock of evidence-based medicine. The World Health Organization says the evidence is “limited and variable.” There is no research into long-term harms, but some evidence suggests decreased IQ and brittle bones. Permanent sterility is guaranteed for minors who go through full hormonal “transition.” Sexual dysfunction appears to be extremely common as well. Over 93 percent of kids who take these drugs go on to cross-sex hormones, which lead to permanent physical changes including excruciating genital growth, vaginal atrophy and tearing and much higher risk for cancer and cardiovascular disease.

There is no credible evidence that puberty blockers function as suicide-prevention measures. Finland’s top gender clinician has called the suicide narrative “purposeful disinformation” and “dangerous.” For all these reasons, health authorities in a growing number of countries, including some of the most LGBT-friendly, are now prioritizing talk therapy.

How many parents would consent to puberty blockers under these circumstances? Very few, if any.

It is common for drugs to enter pediatric use after evidence of their success in adult medicine. The opposite happened in gender medicine. It was the failure of “sex reassignment” in adult men to achieve satisfactory cosmetic outcomes and improve life functioning that led a group of clinicians in the Netherlands to propose starting the “reassignment” process in childhood.

Their hypothesis was as technologically appealing as it was ethically dubious: since males could not reverse the effects of testosterone-fueled puberty to pass as women, it would be beneficial to these men to have their puberty bypassed altogether.

The Dutch recognized the dilemma but thought they found a way around it. Relying on their experience using puberty blockers to treat a condition known as central precocious puberty (CPP), they argued that blockers were fully reversible and thus part of the diagnostic process. If it turned out that the kid wasn’t “truly trans,” the drugs would be discontinued and puberty allowed to resume.

Their argument was dubious from the get-go. First, CPP has an objective diagnosis, based on a blood sample, whereas gender transition is based on the adolescent’s feelings and experiences, which are subject to change. In a political climate such as ours, in which mere exploration of the reasons for rejecting one’s body can be labeled “conversion therapy,” differential diagnosis becomes impossible.

As Dr. Jason Rafferty, author of the American Academy of Pediatrics’ current policy statement on “gender-affirming care,” has put it, “the child’s sense of reality and feeling of who they are is the navigational beacon to sort of orient treatment around.” The AAP statement has been witheringly critiqued, and Rafferty and the AAP are now defendants in lawsuits by former patients.

Second, in CPP puberty suppression is by definition temporary; the goal is to delay puberty to its appropriate developmental window. In gender dysphoria, a “successful” prescription is where puberty is bypassed altogether. The assumption about reversibility, never tested and highly questionable form the start, proved to be the ethical foundation for the entire Dutch experiment, and it quickly crumbled. Over 93 percent of adolescents who are put on puberty blockers for gender issues continue down the medical pathway to cross-sex hormones. Some go on to surgeries.

Gender clinicians do not see this suspiciously high figure as a reason to rethink their approach. They see no possibility of iatrogenesis — a medical intervention that unintentionally induces harm, in this case by causing gender distress or confusion to persist artificially. On the contrary, they regard the high persistence rate as proof of their own remarkable diagnostic abilities.

More modest and scientifically-minded clinicians and researchers see things very differently. “Blocking puberty,” writes Sallie Baxendale, a professor of neuropsychology and author of an important new study on puberty blockers, “prevents the critical rewiring in the brain that underpins the ability make complex decisions. Puberty blockers may give children time to think but they simultaneously rob them of their developing capacity to do so.”

What is likely happening is that an ongoing youth mental health crisis whose origins predate and have little to do with gender is being misdiagnosed and mistreated with harmful and experimental drugs. Puberty blockers are the definition of a “quick fix” solution.

Researchers incorrectly refer to what the Dutch did as an experiment. In an experiment, falsifiable hypotheses are proposed, alternative interventions are tested, outcomes are monitored and competing explanations for observed results are thoughtfully ruled out.

The Dutch did nothing of the sort, according to a comprehensive scholarly examination of their study. Further, the only attempt to replicate that study, which was done in the U.K., failed. The researchers had to be forced to disclose their disappointing findings. Any scientific-minded person willing to put in the effort and read the literature will come to the same conclusion: Pediatric gender medicine is an industry built on fraud.

During the 2000s and 2010s, the Dutch pseudo-experiment with puberty blockers “escaped the lab” and became entangled in a fast-growing international social movement for transgender recognition. In the U.S., the drugs are being prescribed at numbers far exceeding anything the Dutch could possibly have imagined. Most adolescents referred to pediatric gender clinics are teen girls who have no history of dysphoria in childhood but who do have other mental health challenges that predate their distress with their bodies.

American medicine is no stranger to scandal — lobotomy, “recovered memory” and OxyContin are just a few examples. What makes pediatric gender transition unique is that it has been framed as a nonnegotiable civil right and defended by powerful civil rights groups, the Democratic Party and their ideological allies in the mainstream media.

A key reason for the divergence between U.S. and European medical authorities, as I’ve explained in a previous essay, is the latter’s greater willingness to follow principles of evidence-based medicine, including reliance on systematic reviews. Jack Turban, a prominent American gender clinician, revealed in a deposition that he seems not to know what a systematic review of evidence is.

Another reason is that in the U.S., doctors who practice child “transition” demand and often receive deference as the experts on the evidence for their practices; abroad, such clinicians are seen as having conflicts of interest. When the National Health Service of England appointed the highly respected Dr. Hilary Cass to lead its review of its youth gender service, it did so precisely because she was “a senior clinician with no prior involvement or fixed views in this area.” Sweden and Finland delegated the evaluation of evidence to experts with no personal involvement or stake in pediatric gender medicine.

Parents should never have been put in the position of having to decide whether to “allow” their kids to go through puberty. Those who would put the onus on parents are letting charlatans in the medical profession off the hook. Puberty is difficult for all teens, and it is not a disease. Puberty blockers offer teens in distress — especially girls with history of sexual abuse, autistic kids and gay kids — false hope by casting puberty as optional.

Puberty is a rite of passage from childhood into adulthood, responsible for the development of the body’s major organs and systems and not just its external sexual features. Puberty blockers rob children of their right to an open future.

[eternal-echoes]

A Florida woman who medically transitioned from female to male as a 14-year-old is suing the American Academy of Pediatrics — alleging she was whisked through the process as a minor by “a collection of actors who prioritized politics and ideology over children’s safety, health, and well-being.” Isabelle Ayala, now 20, is also suing her doctors in Rhode Island in a first of its kind case, filed in Providence/Bristol County Superior Court. “I just really don’t want this to happen to other vulnerable young girls,” Ayala, who lives in Wellington, Florida, told The Post. “I don’t want puberty to be the enemy. I don’t want our natural biology to be the enemy.” ... Ayala says she was sexually assaulted as a child and began precocious puberty at age 8 — both experiences she says made her resent her femininity and believe she was better off male. “I decided to transition because of just a series of unfortunate things that I had tied to being female. And those things made me hate being female,” Ayala said. At 11, she found solace in the transgender activist community on Tumblr, and thought, “This is going to fix me.” She learned from trans activists that fabricating suicidal ideation is a surefire way to get a testosterone prescription quickly. So, at age 14 she did just that: “I learned that from the internet that… I had to convince [my doctors and family] that if they don’t affirm me, I’m gonna kill myself.” Ayala said she was referred to a gender clinic and diagnosed with gender dysphoria by transgender health expert Dr. Jason Rafferty. According to the lawsuit, he determined she “would benefit from being put on cross-sex hormones” in a single visit that lasted less than an hour. ... Ayala alleges that her previous diagnoses of autism, ADHD and PTSD were largely overlooked by her healthcare providers. The lawsuit claims her doctors “falsely represented that cross-sex hormone therapy was the only treatment option available to Isabelle to effectively treat her gender dysphoria, as well as her anxiety, depression, PTSD and suicidality.” Less than a year into treatment, Ayala said, she actually did attempt suicide. “She was a guinea pig under one of the top experts in this field of so-called gender medicine,” Bolar said. “She was hitting rock bottom, and he continued to put her down this experimental path of medicine.” By age 17, in 2020, Ayala felt the urge to begin presenting femininely again. A YouTuber who had detransitioned inspired her to identify as a woman again — and she soon realized her transition had been a massive mistake. Three years on, according to the lawsuit, she still struggles with unwanted body hair, vaginal atrophy and an altered bone structure from the testosterone. “She has since contracted Hashimotos’s disease, an autoimmune disease that only the males in her family have a history of, from taking testosterone,” the suit claims.

The emphasis is mine.