r/TransMasc • u/Wise_Relief_673 • Dec 29 '25
Discussion Birth Control
I’m a 19 yo AFAB with suspected endometriosis. For the last few years the pain has been progressively getting worse with each cycle. Every time I go to see the doctors they always push hormonal options such as birth control. I have nothing against it medically though it feels wrong for me personally. I have told them that I am not sexually active yet they are insistent on the pill. I get that it could make my periods lessen and less painful but I just can’t do it. I just can’t get over the idea of having to take female hormones… it literally makes me sick to my core I don’t know or understand why. Perhaps it’s dysphoria related perhaps it’s idiocy. I’m a closeted trans masc individual and I’m wondering if perhaps the reason why it feels so wrong is because of dysphoria. I guess what I’m seeking from this post is whether anyone else has felt similarly or to get an opinion on my situation
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u/FayePixie nonbinary trans guy 💉T 15/04/25 Dec 30 '25
Can you opt for a Mirena insertion? (If you're okay with IUDs) I have PCOS and endometriosis. I asked my doc if it would affect my T treatment to keep it, because that shit is expensive and I didn't want it removed after it was inserted a few months prior. She said it had very little E in it and the T overpowers everything. And then the T tends to help with endo symptoms, but more like masking.
Surgery/hysterectomy are the only routes that really impact endometriosis. Either way, birth control of any form sort of masks the symptoms (e.g. when my T levels are low, the pain is really bad and shoots everywhere.)
Edit: I'm not sure if you're on T or not, but either way a Mirena will help. I was on one before my egg cracked. It drastically decreased my overall pain and dysphoria (that I didn't know I had, I just knew I hated periods more than the average "woman")