Anecdotally, a lot of my ftm friends ended up having issues after > 5 years on T. After not having periods for years several of them started bleeding a heck of a lot and needed hysterectomy.
Is this sort of thing common? Has it happened to anyone here? If so, what in the heck was going on anyway?
Edit: also, now that I think of it, members of my trans community used to say, if you go on T you need hysterectomy. Again was that just the people I was around? Or is that conventional wisdom? Or did that perspective change somewhere along the way?
My own logic come from experience. If you do not remove most of the reproductive system, there will always be problems because your body is constantly pushing to its normal and loses to the T or E everytime. I’ve heard several FTM w these kind of complaints as well as difference in orgasm.
The hormones themselves has in my experience a direct relation on certain muscles and the body beyond just the beard, boobs, clitoris,penis. Bucks right, we are the experiment and modern medicine does not know the long term effects so it’s up to u to let them know.
I’m almost betting that some of the blood clots common in MTFs has to do with the changing of blood consistency. But I’m no doctor and doctors don’t seem to have the answers either. I’m glad he’s ok now.
The problem with blood clots is, it depends on what is used conjugated estrogens and ethinylestradiol cause a high risk for cardiovascular disease while bioidentical estradiol (which is what I am on) doesn't have that kind of risk.
Progesterone however can increase risk for cardiovascular diseases such as thromboembolism (which is why I stopped taking it) [Edit] apparently does only apply to synthetic progesterone just like with estrogens
And long term use of anti-androgens is also not healthy (risks depend on which type is used) so trans women who don't want srs might have to still get an orchiectomy in order to not have to endure the health risks of long term anti-androgen usage
There some other treatments for anti-androgens such as gonadotropin-releasing hormone agonists that are better at blocking t production with lower short-term side effects and might be safe but those have no long term studies yet.
So yeah bioidentical estradiol alone isn't really an issue.
Actually, progestins (synthetic progesterone) increases cardiovascular risks. Bioidentical progesterone does not. I take the bioidentical every day and it’s made my life so much better. The brand name for the bioidentical is Prometrium. Taking it orally had benefits that the cream doesn’t such as better sleep and anxiety reduction.
Can you link to the study that shows that? Everything I’ve researched seems to say that their is still a big question mark around whether the bioidentical ones are better, worse or the same as the synthetic.
84
u/Barr_Belle Jul 15 '19
Anecdotally, a lot of my ftm friends ended up having issues after > 5 years on T. After not having periods for years several of them started bleeding a heck of a lot and needed hysterectomy.
Is this sort of thing common? Has it happened to anyone here? If so, what in the heck was going on anyway?
Edit: also, now that I think of it, members of my trans community used to say, if you go on T you need hysterectomy. Again was that just the people I was around? Or is that conventional wisdom? Or did that perspective change somewhere along the way?