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POV everything is awesome and spells on the internet are real

https://wheelofnames.com/dng-wgq

and here he made his first fatal error. his moment of hubristic sex pesting. because of course i know where the term blow job comes from, i love learning about sex and the history of sexual terms! i know so much about oral sex that i could write a book on it!

To be somewhat hyperbolic, it’s a belief that males and females are fundamentally different animals somehow— this often accompanies a belief that people with different skin pigmentation are also fundamentally different animals, unsurprisingly, which is why so many transmisogynists are also staggeringly racist.

I point out the TERF connection specifically because that ideology is deeply rooted in the belief that women are inherently physically inferior and inherently morally superior to men. Men are natural predators, women are natural victims, but also if women ruled the world there’d be no war because they’re biologically better at statecraft I guess.

Human beings are some of the least sexually dimorphic mammals on the planet. There is next to no actual physical difference between the traditional sexes that cannot be linked to culture— ie girls are widely discouraged from doing sports, especially sports which require upper body strength, and thus have less upper body strength on average. But female athletes who spend time developing upper body strength close the gap created by cultural upbringing and will have the same upper body strength as men.

There is no skill where the least skilled male will still match or exceed the most skilled female. There is no “biological advantage.” Just different skill levels and weight classes. That’s why feminists were arguing so hard for getting rid of gender segregation in sports back in the 90’s, before transmisogyny (and especially transmisogynoir) dragged the conversation back to the 50’s.

The few differences there actually are between a male sexed and a female sexed body can be almost totally reversed by influencing ONE hormone. Our bodies are so similar and so ready to switch sides on a dime that people sexed as female can straight up grow a phallus. It’s so easy to develop breast tissue that 35% of men experience gynocomastia— people sexed as male developing breasts— at some point in their lives, and estimates show 70% of adolescent boys will experience it during puberty.

We have no idea how prevalent most intersex conditions really are because they generally have so little influence on the person’s life or health that unless some other condition causes them to get a full body mri or similar, they will never know! The mortician embalming your dead body may be the only person who ever knows you had fully developed ovaries or internal testes.

We are the same animal! Our bodies are the same!Our brains are the same! Our bones are the same! Even our organs are largely the same!

Any road that starts from the assumption that you are fundamentally, biologically distinct from another nearly identical member of the same species will lead you nowhere but pseudo scientific justification for bigotry.

Once you have accepted the premise that your own opposite sexed sibling is a different kind of animal than you, you are primed to accept that explanation for any other demographic group that it has historically benefited someone for you to despise.

Bioessentialism is bullshit pseudoscience.

The amazing dream circus🎪👁️👁️

inspiration struck and would not let me go until i drew this

1. Progesterone: not for everyone, but for many people it may increase sex drive and WILL make your boobs bigger. Also effects mood in ways that many find positive (but some find negative). Most doctors won’t prescribe this to you unless you ask. Most trans girls I know swear by it.

2. Injectible estrogen: is more effective than pill or patch form. Get on it if you can bear needles bc you will see more effects more quickly.

3. Estradiol Cypionate: There is currently a shortage of injectible estradiol valerate. There is no shortage of estradiol cypionate. Functionally they do the same shit.

The concerns surrounding venous thromboembolic events as a side-effect of hormone replacement therapy can mostly be traced back to one particular study known as the Women’s Health Initiative. This study was an enormous undertaking which, unfortunately, demonstrated significant adverse effects of the hormone therapies studied. As a result of this the use of hormone replacement therapy in postmenopausal cis women was dramatically reduced as the medical community began to question whether or not the therapy caused more harm than good.

Naturally, trans women have been suffering from this fall-out ever since.

What physicians seem to fail to recognize is that the study examined a very specific hormone regimen which was, arguably, outmoded at the time the study was conducted: It examined the use of conjugated equine estrogen (Premarin) with or without the use of medroxyprogesterone acetate. Neither of these drugs is regularly used for the treatment of transgender women.

The estrogen most commonly used to treat transgender women nowadays is 17β-estradiol either in pill form or in the form of a sticky patch that you apply to your skin. Esters of estrogen (e.g. estradiol valerate) are also sometimes used either in a pill form or as an intramuscular injection.

Transdermal estradiol patches are the gold standard when it comes to treating women who are at high risk of a venous thromboembolic event. It simply does not increase the risk of developing a venous thromboembolism. The only thing you should keep in mind is that patches are not always well tolerated because of the lifestyle changes required to keep them from falling off and the fact that they tend to irritate the skin.

Fortunately, oral 17β-estradiol appears to be safe, regardless of the increased risk. At least one large study has shown that the use of oral estradiol in trans women is not associated with venous thromboembolic events. An individual woman’s risk would need to be substantial in order to contraindicate the use of oral estradiol.

For those who have significant risk of venous thromboembolism because they have had a previous thromboembolic event, because they are paralyzed, or because of some other factor it is good to know the relative risk between oral and transdermal estrogen. The latest research indicates that the use of transdermal estrogen lowers your risk of a thromboembolism to 80% of what your risk would be using oral estrogens.

It’s difficult to find hard numbers regarding the relative risk of venous thromboembolic events with regards to hypertension. The best I could find after an hour or so of searching was this study regarding VTE in lung cancer patients. Hypertension increased the risk by a factor of 1.8.

However, to put that into perspective being of African descent increases your relative risk for deep vein thrombosis by a factor of 1.3 when compared to Europeans. Europeans are, themselves, at increased risk when compared to Asians and Pacific Islanders by a considerable margin: a four-fold increase.

I should point out that being ‘male’ is also a risk factor for developing a thromboembolism and hormones are likely to be a contributing factor. Also, menopause is another serious risk factor. Given this information it is likely that the use of transdermal estradiol will lower your risk of thromboembolic events significantly.

As far as the anti-androgen is concerned: The primary use for spironolactone for cisgender people is as an antihypertensive.

Even if the risk of thromboembolism was truly significant with modern hormone replacement therapy it wouldn’t justify what your doctor is doing to you. The fact is that mortality in the transgender community from suicide–caused in part due to the lack of access to hormone therapy–is substantial. The quality of life lost when a trans woman is denied hormone therapy is substantial. The fact that your doctor does not appear to be taking this into consideration when they weigh the risk of thromboembolism against not receiving necessary medical care is deeply concerning.

I strongly recommend that you seek a doctor who is more sensitive to your medical needs as a transgender woman.