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[–]peakingatthemomentTranssexual (natal male), HSTS 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (2 children)

Hi MT! Hope you had a wonderful holiday and happy new year! Sorry I’m so low in responding to this! I’m not sure why it doesn’t come up more in the trans community. Maybe they just don’t think about the long term very much.

There also just isn’t a lot of research about trans bodies and how they respond to things. Is a male body that’s developed with high estrogen or a female body that’s developed with high testosterone need treatment based on sex rather than how it’s developed? There are obvious things like pregnancy or prostate problems that could be ruled out for sex, but for dosage requirements or disease risks, I’m just not sure if it has been studied enough. I feel often speaking to my doctors that they don’t quite understand my body or what to expect. People who advocate for it act like the long-term medical effects are well understood, but I don’t think they are.

I have thought about the being unconscious and not able to explain. There is medical information on my Apple watch that can be access if I am unconscious. Maybe my partner would be there or he could explain my medical history. I’m not sure how much it matters though other than like pregnancy because I feel like they just don’t know that much. I feel like, in most cases, even if they knew the history I’d probably be treated similar to female person of my height and body weight. I don’t thing medical people are trained to do any different or would know what that different thing should be.

[–]BiologyIsReal 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (1 child)

People like you need to be treated based on sex like everyone else. Taking exogenous hormones won't make someone's body develop more like the opposite sex, it just going to induce a hormonal imbalance which will lead to health issues. The problem is acknowledging that "gender affirming treatment" causes more problems than what it solves will make anyone being labeled as a "evil transphobe".

[–]peakingatthemomentTranssexual (natal male), HSTS 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

I’m not sure about always needing treatment based on sex, it just doesn’t seem like that is how it is treated. At the very least, someone like me would have an unusual body fat ratio, tissue distribution, hormonal profile, and genitals compared to most male people. That’s why I feel like it’s important someone to have all the information. Assuming I was female might be bad and that’s why I tell people and would want them to know if I was unconscious, but I feel like someone just giving treatments targeting an average male person would probably be bad too.

Taking exogenous hormones won't make someone's body develop more like the opposite sex

That just isn’t true. They don’t change sex, but they effect how your body develops, if you take them when you are still developing. Most of the changes that happen during puberty are because of large quantities of sex hormones. You can still believe that "gender affirming treatment" causes more problems than it solves (and it probably does many times, it’s probably how the person sees it, but it isn’t without problems), but I don’t know what to say to the other part.