TiM Young Adult author,"i wish i lived in a world where i didn't have to have sensitive zoom meetings during my period because i'm crying at the drop of a hat *and* incredibly irritable.the next time someone tells me trans women don't have periods im gonna dump a whole tub of period diarrhea on them

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[–]censorshipment 6 insightful - 6 fun6 insightful - 5 fun7 insightful - 6 fun -  (16 children)

https://www.womansday.com/health-fitness/womens-health/a27611578/diarrhea-during-period/

Stool changes during your period could be the result of progesterone levels and uterus contractions.

According to one theory, changes in stool during your period might have something to do with levels of progesterone, one of the sex hormones involved in menstruation and pregnancy. “In the luteal phase of the period, or second half of your menstrual cycle, which is just before you menstruate, the progesterone levels go up,” McGuire said. “And progesterone, we think, slows down the motility of the GI tract and might have some impact on why people have constipation first, and then frequent stooling or diarrhea as soon as that progesterone drops.” Levels of progesterone dropping is what also causes you to have a period, she said.

[–]BEB[S] 11 insightful - 2 fun11 insightful - 1 fun12 insightful - 2 fun -  (3 children)

But he doesn't have a uterus. Someone needs to break it to him. Probably from behind a bullet proof shield as he doesn't seem that hinged.

[–]MarkTwainiac 10 insightful - 1 fun10 insightful - 0 fun11 insightful - 1 fun -  (2 children)

If they have ovaries or an ovary, women without a uterus still can have various symptoms associated with the menstrual cycle such as PMDD, bloating, breast tenderness, stool changes, etc. This can happen in women who had their uterus removed but kept one or both ovaries, or women who were born without a uterus but with functioning ovaries as in MRKH.

Absent the uterus, the ovaries or ovary will still function normally, producing the ebb & flow of estrogen & progesterone and maturing & releasing an egg as in a normal ovulatory cycle. No uterus means there's no uterine lining to shed. But the fluctuating hormones made by the ovaries/y still have, or can have, the same or similar impact on various other body systems such as the GI tract.

[–]ralph 3 insightful - 2 fun3 insightful - 1 fun4 insightful - 2 fun -  (1 child)

Fair enough, but he doesn't have ovaries either.

[–]MarkTwainiac 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (0 children)

Yes, but there's a lot of confusion about biology about these days & women's bodies specifically. So for clarity's sake, I pedantically throw my two cents in. Censorshipment was talking about the hormonal changes that occur girls & women over the course of the menstrual cycle. I was just pointing out that even without a uterus, women can still experience these changes.

Just like many people nowadays use the word vagina to refer to the vulva, lots of people assume hysterectomy involves removal of the uterus and the ovaries. When, in fact, lots of women who have hystos keep one or both ovaries.

[–]MarkTwainiac 11 insightful - 1 fun11 insightful - 0 fun12 insightful - 1 fun -  (0 children)

People get the trots for all different reasons. Stool changes are common in both sexes over the course of any given month.

Sure, some women get diarrhea when progesterone drops & their menses start. Some women get migraines & other headaches, joint pain, intensification of allergies, etc. But none of these side-effects are defining characteristics of menstruation/periods.

Also, the current standard medical protocols for TIMs do not include taking progesterone because of all the health risks that particular hormone poses. TIMs usually take estradiol and testosterone/androgen blockers. Many TIMs are pushing for progesterone to be added to their drug regimen, but one of the obstacles they face in mimicking female endocrinology is that oral exogenous progesterone has very low bioavailability and produces very weak effects even when taken at high doses.

Even if they did take progesterone, males & females have different hormone receptors and ways of metabolizing and making use of sex (& other) hormones.

[–]GConly 6 insightful - 1 fun6 insightful - 0 fun7 insightful - 1 fun -  (6 children)

The prostaglandins that cause cramps also cause diarrhea, as they cause the bowel to contract.

I get stomach cramps as well as uterinal during.

[–][deleted] 5 insightful - 2 fun5 insightful - 1 fun6 insightful - 2 fun -  (5 children)

Yeah, I get this too-- and my uterus is tilted, which further serves to aggravate everything there.

Evidently you can mitigate this to a degree by taking an ungodly amount of ibuprofen during the first days of your period. It's something like 600mg every 6 hours? Possibly more than that, I can't recall.

[–]MarkTwainiac 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (2 children)

I used to take 800mg every 3-4 hours. When ibuprofen was still prescription-only, 800 was one of the dosages it came in, & the recommended interval between doses. It was only once ibuprofen became OTC that the 200mg dosage & wider spacing became the norm. The max daily intake is supposed to be 3200mg, but some doctors used to advise much more. For a lot of drugs, the Rx versions & OTC versions are differently dosed & administered.

Hope your periods get better in time.

[–][deleted] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (1 child)

Did you not have any stomach issues? I'm on a prescription for ADHD, so I try to avoid taking meds that aren't supplements/vitamins unless absolutely necessary-- plus the remembering to take it part. Thank you though-- I wish.

[–]MarkTwainiac 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

No, I didn't - which is sort of amazing. But a friend of mine did. He'd been taking large amounts of ibuprofen for sinus headaches & one day started vomiting coffee colored puke. He ended up in hospital & had a rough go of it. But he's okay now.

[–]GConly 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

Oh yeah, the ibuprofen helps. I start taking about six 200mg a day as soon as I get to the premenstrual stage and for the first few days. It's really cut down the amount of bleeding, as well as the cramps.

I think anymore than that is probably going to mess up your stomach.

[–][deleted] 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (0 children)

Yeah, I had major success with it one month. I only had a few heavy days, and then it just stopped. Like uterosorcery, it ended. I took it along with 200mg of magnesium glycinate and a mixed calcium supplement. I need to stay on top of my crap and try to take everything on time and give it another attempt.

[–][deleted] 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (3 children)

Hm. Do they even take progesterone? I could see any hormone levels raising or dropping causing some sort of digestive distress, and I can't imagine they're eating all that great-- but who knows.

[–]MarkTwainiac 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (2 children)

No, they don't usually take it. Though they are pushing to make it part of the standard regimen. Problem is, exogenous progesterone a) has very little bioavailability & thus they'd have to take a ton of it to get to the levels ovaries produce; and b) is dangerous, increasing the risk of breast some other cancers & heart problems.

[–][deleted] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (1 child)

Initially, when I became more aware of all of this I had assumed they took both. They prescribe us both to decrease the same risks with hormonal contraceptives, so I thought it was weird that they wouldn't have an arsenal. I would have thought the whole process would have been more intricate, honestly. Since it's a cycle involving estrogen, progesterone, FSH and LH too, it would have made sense to me to try to replicate all of that (assuming testes have gone to ball heaven). Since physiology is still male though, I guess that all the other shit going on surrounding those hormones won't work the way they would in women anyway though.

[–]MarkTwainiac 5 insightful - 1 fun5 insightful - 0 fun6 insightful - 1 fun -  (0 children)

(assuming testes have gone to ball heaven)

That's a mistake. Hardly any TIMs nowadays have their testicles removed. 90-95% have intact, functioning dicks & balls. It's why they have invented the terms "feminine penis," "lady dick" & "girl cock."

These figures are from trans advocacy orgs and trans medicine specialists. One study by doctors where they actually saw the people IRL & reviewed their complete medical histories showed that only 4.7% of US TIMs had undergone genital surgery. That's more reliable data than the typical "research" put forward, which usually relies on what trans people say in anonymous online surveys.

Lots of these guys lie about having had genital surgery. Gigi Gorgeous publicly pretended for years that he'd had genital surgery, then one day he made a video revealing he had misled everyone. Jenner did the same thing. Claimed publicly that he'd said goodbye to the dick & balls, then several years later he said he didn't actually get rid of them, just retired them.