#Trans health care | Explore Tumblr Posts and Blogs

politijohn · 8 months

Text

Source

No surprise, though glad to see data behind this

#health #health care #trans health care #news #current events #science #trans rights #important #lgbt #Lgbtq #the left

10K notes · View notes

she-is-ovarit · 9 months

Text

Trans research and scientific consensus

(2020) - Study of 139,829 students finds that in comparison to other students, transgender identity, especially non-binary identity, is associated more with perpetrating bullying than being bullied. Non-binary identity was most strongly associated with involvement in bullying, followed by [transgender] opposite sex identity and cisgender identity.

(2023) 21 leading experts on pediatric gender medicine from 8 countries wrote a letter to Wall Street Journal expressing disagreement over how gender dysphoria in youth is treated, voicing concerns against things such as the affirmative model and research conducted outside of the US has found hormonal interventions for gender dysphoria to be without reliable evidence. Among these international experts is Dr. Rita Kaltiala, chief psychiatrist at Tampere university gender clinic and author of several peer-reviewed studies on trans medicine and Finland's top authority on pediatric gender care.

(2023) Landmark study from Denmark on 3,800 transgender patients pulled data from hospital records and applications from legal gender changes and discovered 43% of this group had a psychiatric illness compared with 7% of non-trans group, and despite "gender affirming care" and legal gender changes, still had 7.7 the rate of suicide attempts and 3.5 times the rate of suicide deaths. Researchers state this rate is likely even higher due to missing data.

(2016) Study finds association with increased risk of multiple sclerosis for trans women taking estrogen/reducing testosterone levels.

(2023) Metadata study shows, at best, no improvement for patients in gender-affirming care. "The conclusions of the systematic reviews of evidence for adolescents are consistent with long-term adult studies, which failed to show credible improvements in mental health and suggested a pattern of treatment-associated harms. Three recent papers examined the studies that underpin the practice of youth gender transition and found the research to be deeply flawed. Evidence does not support the notion that “affirmative care” of today’s adolescents is net beneficial."

(2011) Long term follow up of 324 transgender people having undergone sex reassignment surgery in Sweden, found that trans women retained male patterned incidents and rates of violence and had a greater significance and rate of rape and sexual violence than cisgender men. The study also found, "Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group."

(2020) Largest study to date on 641,860 people finds association with autism and "gender diversity", "Gender-diverse people also report, on average, more traits associated with autism, such as sensory difficulties, pattern-recognition skills and lower rates of empathy — or accurately understanding and responding to another person’s emotional state".

(2022) US study examining 10 years of data on 952 people finds large percentages of young adults prescribed hormones for trans identity no longer getting the drugs 4 years later. Discontinuation rate for both sexes combined = 30%. Female discontinuation rate as high as 44%. The standard disinformation pushed is that only 1-2% of people who begin medical transition end up desisting. But these figures show that in this cohort of young adults, the overall rate of discontinuing hormone treatment ranged from a low of 10% to a high of 44% within a space of just 4 years.

Abruzzese et al. 2023 'The Myth of “Reliable Research” in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies—and research that has followed'

More to come.

453 notes · View notes

batboyblog · 1 year

Text

You, no doubt, have seen that Missouri's AG has put out emergency rules that limit, and in effect ban, transition care in the state, effective April 27

First things first if you are trans in MO, I'm sorry this is happening to you no one else is gonna apologize so I will, I'm really fucking sorry.

two, don't panic, The ACLU and Lambda Legal declared together they're gonna fight this thing. But they need your help

IF YOU ARE TRANS IN MISSOURI! PLEASE CONTACT THE ACLU OR LAMBDA AT ONCE! THEY NEED YOUR STORY!

If you would be effected by these rules they need to hear from you AT ONCE, your story and how these rules will negatively impact your life will make up the basis of challenging (and overturning) these rules before they can take effect.

other groups to engage with on this, PRMO-Missouri, The National Center for Transgender Equality, HRC and of course PFLAG

Finally next year Attorney General Andrew Bailey will be up for election. Don't forget this, don't forgive this, stay fucking angry and bring your rage every day from today till you grind his transphobic ass into the dirt, EVERY DAY!

moments like this are scary, and they are painful, but they are calls to action. You may feel that it isn't fair, and it is not, but you are called to action to fight for your rights and the rights of others so in the future others will not have to. Do not stop do not give up, the arc of history is long but it does bend toward justice.

#Trans #Trans rights #transphobia #Missouri #Republicans #trans health care

449 notes · View notes

bigbigtruck · 1 year

Text

The Lavender Clinic:

A place where providers prioritize patients over profit.

Where more time is allotted for primary care visits so that patients have time to be heard and have their needs met.

A fixture for safe gender-affirming care on Oahu.

The ONLY clinic in the state of Hawaii for the majority of trans and non-binary youth to receive gender-affirming care.

Our financial situation has recently come to light, and we are at risk of closing permanently within weeks. Money raised from this fundraiser will allow us to continue operating and providing primary care and specialty services to our patients.

Our plan for the future success of The Lavender Clinic is to include cash services to financially support the vital care we provide to the community, the majority of whom are LGBTQ patients. In the long term, we plan to maximize applications and support from grants.

#fundraiser #trans health care

607 notes · View notes

the-cimmerians · 11 months

Text

This afternoon a federal judge in Florida issued an injunction on the enforcement of the state's ban on gender-affirming healthcare for minors. And while the order is limited to a small number of plaintiffs seeking hormone treatments on behalf of their children, it's a scathing indictment of the statute's constitutionality, as well as the cruelty of the politicians who advocated for it.

"The elephant in the room should be noted at the outset. Gender identity is real," writes US District Judge Robert Hinkle, hinting at the "unspoken suggestion running just below the surface in some of the proceedings that led to adoption of the statute and rules at issue—and just below the surface in the testimony of some of the defense experts—is that transgender identity is not real, that it is made up."

But you don't get to ban something, particularly gender-based medical care, based on barely concealed bigotry.

"Any proponent of the challenged statute and rules should put up or shut up: do you acknowledge that there are individuals with actual gender identities opposite their natal sex, or do you not? Dog whistles ought not be tolerated," the court bristles.

#Liz Dye #Wonkette #US politics #our current besiegement by theocratic fascists #in support of an informed and engaged electorate #trans health care #protect trans kids

206 notes · View notes

gwydionmisha · 9 months

Text

#Trans #Trans Health Care #NHS #UK #News

117 notes · View notes

lady-vetinari · 1 year

Text

The opening of Philosophy Tube's I Emailed My Doctor 133 Times: The Crisis In the British Healthcare System

An amazing video that I want to recommend anyone interested in trans healthcare, the NHS, philosophy, the problem with changing large systems, impeccably styled video essays, or all of the above.

[id: The camera pans across a desk holding several brown envelopes, an old-fashioned military cap, a book titled Complaint!, and a laptop. Cut to Abigail Thorn in an old-fashioned military uniform and fitting styling violently smashing the laptop with a hammer before facing the camera and saying, "Hello, my name's Abigail. Over the last few years, I have emailed Britain's national healtcare provider 133 times, trying to get a doctor's appointment." She then stares into the camera silently.]

#philosophy tube #abigail thorn #trans health care #video essay #i emailed my doctor 133 times #the crisis in the british healtcare system #gifs #image description #video recommendation #includes heavy topics #so be prepared for that

242 notes · View notes

wazywaze · 16 days

Text

Hey everyone, please help a trans girl in South Africa afford bottom surgery!.

No one has donated yet. Any help would be appreciated even if you just reblog this!

16 notes · View notes

gentlemanbutch · 11 months

Text

Florida's genocidal legislation against transgender people: a basic guide on what's happening

Preface

Queer people in Florida -- ESPECIALLY trans people of all ages -- are in trouble and it's largely going unreported. State senators and representatives openly called the trans community demons, imps, predators, and called for the erasure of the LGBTQ community this legislative session. Media outlets are largely not reporting on this/mainly focusing on pride events being canceled, and while that’s obviously terrible, that’s a tiny fraction of the problem.

I wrote this to help spread the word because my friends, family, community, and I are being affected. They are trying to kill us and all I can do is keep screaming and hope that someone hears me.

Please note, this focuses on Florida's anti-LGBTQ laws. Bills targeting immigrants, BIPOC folks, education, how history can be taught in schools, and more were passed this session as well. The NAACP, the League of United Latin American Citizens, Equality Florida, and the Florida Immigrant Coalition have all released travel advisories warning Black, Hispanic, queer people, and immigrants from traveling to the state. I reference some of these laws in this post but don't go in depth on most of them; I'll put some sources at the bottom if you'd like to do further reading.

As of May 22, 2023, here is what's happening in Florida:

Health care

SB 254 (gender affirming care ban)

Gender affirming health care has been dramatically limited/essentially banned for transgender people of ALL ages. This law, SB 254, went into effect immediately upon signing (May 17, 2023).

Youth care was already banned by ruling of the Board of Medicine in February; SB 254 puts it into law. Trans kids who were receiving care prior to the ban have been grandfathered in and can continue their care; no new minors can receive care (puberty blockers, HRT, surgery, etc.).

Physicians and health care workers could be charged with a first-degree misdemeanor for providing gender-affirming care to children not grandfathered in.

Adults who were on HRT/are looking to be put on HRT must get their prescription in person from an MD or DO. (About 80% of trans people in FL were getting care from nurse practitioners/telehealth.)

Adults also must sign an informed consent document created by the Florida Board of Medicine before they can receive care. That document does not yet exist. Some providers are theorizing it may never exist. Another concern is that it could be used to create a state registry of trans people.

As of now, places like Planned Parenthood have had to pause gender affirming care because there is no informed consent document. Pharmacies are (inconsistently) declining refill requests for HRT.

SB 1580 (right to discriminate)

While this bill does not directly reference trans people (that I know of), the “Protections of Medical Conscience Act” — which is colloquially being referred to as the “Let Them Die Act” — allows health care providers or payors to deny service on the basis of “a conscience-based objection.” This includes any ethical, moral, or religious beliefs, and the bill provides no definition for what constitutes a moral or ethical belief.

This bill puts trans, queer, BIPOC, disabled, and otherwise marginalized people at risk of being medically neglected or otherwise discriminated against without repercussions.

Access to public life

HB 1521 (bathrooms)

With the signing of HB 1521, as of July 1, 2023, trans people will be required to use the bathroom that correlates with their sex assigned at birth in certain public areas. These include buildings owned/leased by governmental entities, schools, universities, private colleges, hospitals owned by universities, some sports arenas, convention centers, city parks, beaches, airports, and more.

If a trans person is in a bathroom with a cis person and the cis person complains, an employee can tell the trans person to leave. Refusing to do so would bring a trespassing charge against the trans person. This can carry a sentence of up to a year in jail.

Gender markers/updated birth certificates will not protect trans people from this law. The law says that sex is determined as “indicated by the person’s sex chromosomes, naturally occurring sex hormones, and internal and external genitalia present at birth.”

SB 1438 (drag ban)

This law went into effect immediately upon being signed. It's written vaguely but bans kids and teens from attending certain performances in private venues, such as drag shows (including family-friendly ones).

Additionally, it bans cities, counties and other governments from issuing permits for events that feature drag performers. If this aspect of the law is violated, the organizer of the event would face a first-degree misdemeanor.

The law defines "adult live performances" -- which minors cannot attend -- as a show, exhibition or other presentation that "depicts or simulates nudity, sexual conduct, sexual excitement, (or) specific sexual activities," which include exposing breasts or genitals, "lewd conduct, or the lewd exposure of prosthetic or imitation genitals or breasts" when it's offensive to "prevailing standards" and is "without serious literary, artistic, political, or scientific value for the age of the child present."

As a slight side note -- it was during a discussion for this bill's companion House bill that Florida Rep. Randy Fine, a Jewish man who also helped pass a bill against anti-Semitism, characterized queer people as predators and called for the erasure of the LGBTQ community: "If it means erasing a community because you have to target children, then damn right we oughta do it. I just don’t think you have to inherently say 'cause you’re lesbian or gay you have to target children.' I find that statement to be offensive to them."

As of May 22, Treasure Coast Pride, Tampa Pride, and St. Cloud Pride canceled their events/parts of their events as a precaution because of this bill.

Education and families

SB 254 (cont.)

SB 254 allows the state to remove a child from a parent if the child is receiving gender affirming care/if the child is “at risk” of receiving care, or if the parent is trans/suspected of being trans. PLEASE NOTE I am not a parent and I am a little less familiar with this aspect of the law. I believe this only applies in custody cases. Tiktok user @/frogexecutive has been posting a lot about this because they just fled Florida; their page has more info.

HB 1069 (education)

House Bill 1069 expanded the “Don’t Say Gay” bill through 8th grade. It also bans schools from using students’ or teachers’ preferred names or pronouns. It goes into effect on July 1, 2023. Separately, the Board of Education voted to ban the teaching of anything related to gender/sexuality through 12th grade, but that wasn't signed into law. I'm not sure if/how that will be enforced.

*Note: SB 266, Florida's STOP Woke Act, and other bills prohibit public colleges/universities from using funds for diversity and equity programs, impact what can/can't be taught in classrooms, and limit teachings on queerness, race, history, etc. I'm not going in-depth on these bills but if you're interested in education in Florida, those two laws especially are ones to look into.

Further reading

I pulled much of my information from some of these sites (as well as the actual text of the laws). I'm also listing sites with more information on the other laws put in place this session. Please reblog with more sources for info, resources for queer people, etc!

Erin in the Morning (trans reporter)

Alejandra Caraballo (trans instructor/reports on social media)

Report: Trans adults left without care

Don't Say Gay expansion

Equality Florida travel ban + news

Florida teacher being investigated for showing Disney movie with gay character

How anti-trans laws are threatening Florida clinics

Florida anti-immigrant law prompts travel advisory

Diversity and equity ban

NAACP issues travel advisory for Florida

Again, please reblog with more resources, and please feel free to add additional information or correct any errors. And please, please share this. We are fighting for our lives here in Florida.

One final note: Please do not comment telling people to move or making jokes about abandoning Florida/cutting it off/hoping it sinks into the sea. It is full of people who cannot leave. Your glee at the idea of abandoning Florida just hurts those of us who voted against this fascist monster and ended up having to live under his thumb anyway.

46 notes · View notes

the-semicolonoscopy · 4 months

Text

Holy shit, Ohio's republican governor just vetoed a bill that would have banned gender-affirming health care! I'm stunned. And so, so grateful. Wow!

#transgender health care #gender-affirming care #trans health care #transgender #trans rights are human rights #holy shit Ohio

11 notes · View notes

onespudtorulethemall · 17 days

Text

GUYS guys guys guys guys I have no idea how widely available this is because I just found out about this BUT there is now an approved form of oral testosterone!!!

It does not say that it's specifically for trans care/ gender affirming care but I am getting it prescribed to me for gender dysphoria specifically!!!

#trans stuff #trans health care #testosterone

5 notes · View notes

wowbright · 2 months

Text

Archived link: https://web.archive.org/web/20240104015748/https://www.nytimes.com/2023/05/16/us/politics/transgender-care-detransitioners.html

But interviews with others who have detransitioned suggest these activists’ views do not represent the full range of circumstances that drive people to detransition. One, Darius Chirila, 26, said he had detransitioned not because his identity changed but because of side effects from hormones, uncertainty about taking them indefinitely, and discomfort with being visibly transgender in the South. He is considering transitioning again. Matthew Donovan, 36, a sociology student at Columbia University, said they detransitioned partly because of community rejection and economic insecurity, and partly because they realized it was possible to be nonbinary, which fit better. And Carey Callahan, 41, who detransitioned about nine years ago and opposes anti-transgender-rights policies, said the politicization of detransitioning had made it harder to improve care. She criticized conservative groups that view her life as “grist” for their political goals. “I feel pretty awful that this has been turned into taking more health care away from people,” she said. “This has always been an issue of incomplete health care.”

#trans health care #detransition #retransition #transphobia

6 notes · View notes

batboyblog · 10 months

Text

woooooooooooo!

happy Pride

#trans #trans rights #trans health care #Arkansas #pride #LGBT #LGBT rights

289 notes · View notes

everythingissomewhatrepaired · 1 year

Photo

Hey is a short comic about mysteries. Thanks to the angels who support the comic. If you want to join them my Pat reon dot com slash tomorjudy is the place to be for "directors commentaries" on all the comics, zine releases and other treasure. - - -

Everything is somewhat Repaired: Mystery Door

Cw: Surgery

I'm getting an orchiectomy. No balls by Xmas. I want my body to stop producing so much testosterone. If the fascists come and take my hormones, I'd rather deal with menopause symptoms than detransition.

alt txt: Rubber gloved hand holding a scalpel

Maybe my kidneys will produce something like cis lady levels of T*. But it's hard to tell because the blockers I've been taking don't distinguish between ball T and kidney T, they squash everything.

alt txt: An early stream driven steam roller

Hormone balance effects everything in your body and not knowing how things will change is kind of nerve wracking. I feel like I'm at the end of the game show, giving up the jet ski I never wanted to find out what's behind the mystery door.

alt txt: A jet ski on fire

Footnote: * Average hormone levels vary wildly.

97 notes · View notes

thescrumblingmidwife · 7 months

Note

So what are the ways to stop a period (and fertility) as an adult? I need to figure out my plans for when that time comes. I mean permanently, btw.

Hi Anon,

I'm getting a lot of asks like this. Here's another one:

Anonymous asked: whats the safest way to stop getting a period as quickly as possible? i was told by my gynecologist that id be given birth control that'd stop them but i keep getting them and it's been months

So let's do a menstrual suppression post.

MENSTRUAL SUPPRESSION (AKA, Secondary amenorrhea)

What can be done depends a lot on your age, where you are, what kind of healthcare access you have, as well as your reason for seeking menstrual suppression.

If you experience medical complications like endometriosis, serious menstrual pain (dysmenorrhea) or heavy menstrual bleeding that causes anemia, etc., you may find you have an easier time accessing treatments beyond BC than if you just "don't want a period." (FWIW - I think that's a completely valid reason for menstrual suppression!). Trans and GNC people will fall somewhere in the middle - depending on where you are, it may be considered a legitimate medical indication all on its own, and in other areas may result in a roadblock and discrimination.

Disclaimer - my scope as a midwife will be limited to the use of hormonal birth control until I complete separate training on offering gender-affirming care. So please take what I say here only as a rough guide to your own research. If I've missed anything or get anything wrong, please let me know!

PREPUBERTAL (have not yet gotten a period)

Leuprolide (lupron) is an antiandrogen medication that basically stops sex hormones from working. When used in prepubertal/early puberty kids, it's called a "puberty blocker." It's meant to be a temporary solution until the kid can be sure what they want to do next, as its effects are completely reversible. Pediatricians will usually refer you to an endocrinologist or a gender clinic rather than provide themselves.

Otherwise, I'm afraid that you must first go through the initial period of menarche until normal periods are established before you can then go on menstrual suppression.

ADOLESCENT (teen, not yet an adult)

Progestin-only birth control is the first-line treatment. The good news is that pretty much everyone can take it, and it's relatively easy to get. This works by keeping the uterine lining thin, and keeping a level of progestin high enough that you don't experience the withdrawal that triggers menses. Methods include: IUD (intrauterine device), Nexplanon (implant), Depo shot, and pills. In all methods, it takes several months to work, and spotting/breakthrough bleeding is a possibility.

---->If you take the pills, you have to take them at the exact same time every day, so the hormone levels stay even, or you risk breakthrough bleeding. Different brands have different progestins in them, so if one doesn't work for you after several months of taking it properly, you could ask your provider about switching to a different pill.

---->The IUD has the best record with total menstrual suppression after a few months, but it is the most invasive of the LARC methods to insert.

----> Nexplanon can take some time to achieve menstrual suppression, and some people still get breakthrough bleeding, but it is also the single most efficacious BC besides hysterectomy. Yes, even more than tubal ligation.

----> Depo shot is pretty good at achieving amenorrhea, but has more side effects (low libido, dry vagina, risk of bone loss) that can take a while to resolve after you come off it

Testosterone - If you are trans and go on T, it may stop your menstrual cycles/ovulation, but it is not a guarantee. People on T are counseled to also be on BC, because it is does not eliminate the possibility of pregnancy and is teratogenic (can cause birth defects). You should not go on T purely to stop menses, as it has other permanent effects - go on T for those effects and be pleased if it happens to stop your period.

ADULT (18/21+ up)

All of the above methods, plus:

Estrogen-containing birth control may offer more suppression but also increases certain health risks (like clots), and it has a number of contraindications (reasons why someone can't use it safely). Generally don't advise teens to use it.

Tubal ligation for FERTILITY CONTROL ONLY. This will not stop periods!

For transmen: Hysterectomy (uterus removed) and/or salpingectomy/oophorectomy (tubes/ovaries removed). This is a component of gender-affirming care - but you will likely need to find a specialized provider for it. The average gynecologist is not going to do an elective (no medical indication) hysterectomy ----> https://transcare.ucsf.edu/guidelines/hysterectomy

I have seen some evidence that Lupron can be used for menstrual suppression as well, but I haven't heard much about it being used outside of certain medical indications (like if someone has cancer).

GENDER-AFFIRMING CARE

If you identify as trans or gender non-conforming and there is a gender clinic in your area, I recommend trying to get in with them, as they deal with this sort of question regularly. They have interdisciplinary teams (mental health providers, gynecologists, endocrinologists, surgeons, etc) that can meet all your needs. Someone trained in gender-affirming care will be best equipped to help you.

Here is a list of gender clinics in the USA:

Ok, all you Anons out there - I hope this is a good jumping-off point for you to find what you need. The TLDR is please try to find a provider who is willing to work with you and help you find what's available to you in your area!

#menstrual suppression #gender affirming care #trans health care #menstrual health #reproductive health #birth control #menstruation #midwifery #endrocrinology #contraception

19 notes · View notes

the-cimmerians · 11 months

Text

Late Friday afternoon, Judge Patrick Hanlon, a Trump-appointed federal judge, issued a temporary restraining order halting Indiana's ban on gender-affirming care for transgender youth. The ruling fully blocked the enforcement of the law, with Hanlon determining it likely violates the constitutional rights of equal protection under law. Hanlon pointedly stated that these bans unfairly discriminate against trans youth and that denying them necessary care could cause "irreparable harm."

[ ]

In essence, the discriminatory nature of the law is evident as it only forbids treatments designed to support transgender youth in their transition to a sex different from their assigned birth sex. Conversely, it permits the same treatments when used to maintain alignment with their birth sex. To put it plainly, if a cisgender boy experiences gynecomastia (enlarged breasts), he can access treatment for reduction; however, this option is denied to transgender boys. Similarly, a cisgender girl can get medical assistance to suppress excessive testosterone, but transgender girls are prohibited from the same treatment. These biased regulations are wholly founded on sex, leading the judge to unequivocally rule that “sex-based classifications are not just present in S.E.A. 480’s prohibitions, they’re determinative.”

[ ]

This law is the most recent law in a string of laws targeting the LGBTQ+ community judicial demise. Two weeks ago, Florida’s own prohibition on gender-affirming care was blocked by a federal judge. Similarly, Tennessee’s restrictions on drag were ruled unconstitutional. In Indiana, a court ruled that teachers do not have a right to misgender their trans students. On the national stage, the U.S. Supreme Court permitted a transgender student in West Virginia to continue participating in sports. This evolving landscape underscores a new phase in the fight for transgender rights, a phase in which harmful laws are repeatedly toppled in courts across America due to their unconstitutional nature.

While many transgender people currently suffer under these laws, these recent developments give hope to a community that sorely needs it. As the last few gender affirming care bans move through Republican-supermajority state legislatures, these court decisions may serve to dissuade lawmakers from passing their own versions of these unconstitutional prohibitions on care.

#trans health care #us politics #Indiana #in support of an informed and engaged electorate #your vote matters #our current besiegement by theocratic fascists #government sanctioned hate #believe it or not here's some good news

80 notes · View notes