Hi, quick question! I want to signup for the first time this year but I'm not sure how the offer form works. I'm happy to create for quite a bunch of ships, should I fill out multiple offer forms once signups are open so I can be assigned to any of the ships I'd like to create for? Will I be matched to multiple people if I do that or just to 1 person?
Thank you for organizing this!
Hello!
You will only need to fill out the sign-up form once, but can include multiple offers in your sign-up. No matter how many ships or offers you make per sign-up, you will still only be matched to one person.
You can add multiple offers in your sign up form if you want to offer more 20 ships (the maximum each offer can include) or because you want to offer different ships in different mediums.
Basically, one gift and one assignment per sign-up no matter how many requests or offers are included in that sign-up! If you want to create more than one gift, then you are welcome to pick up Pinch Hits or create treats!
We also have a guide for people new to exchanges that should cover most sign-up questions, but if you still have more please don't hesitate to get back in touch!
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hi!! i was wondering if there would be a second, like, round to this event? it's really interesting but i found it late and definitely won't have anything ready to remix by the end of the signup window (got back into mha pretty recently) so i was wondering if there'd be another time for me to join!!
thanks!!
Hi! While I am not actively planning to do a round two, if Round One goes well then I will definitely do this again!
Thank you thank you thank you for standing up to transmisogyny!!! My wife is an intersex trans woman and the way TME intersex people have been weaponizing their privilege has always made her feel unsafe in intersex community but lately it’s reaching an absolute fevered tempo.
It’s so distressing how silenced and isolated she is, to the point where she doesn’t feel safe IDing as intersex around other intersex people who aren’t also TMA.
I don’t understand how people that claim to advocate for intersex people are so cruel and so constantly the ones actively working to ensure she’s as unwelcome as possible.
I know you’re probably being hit with a lot of hate right now but what you’re saying matters. It’s a glimmer of hope that maybe someday the intersex community can be safe for all intersex people. Again, I cannot say thank enough.
sending so much love & solidarity to you and your wife 💜💜💜
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for those of us out of the loop could you explain what ahistorical things are being spread (or just the correct info i’m just trying to make sure i haven’t accidentally absorbed bad info)
yeah absolutely! there were a couple things i was thinking of but the main thing that's been annoying me this week is seeing people post a lot to claim that CAFAB/CAMAB (Coercively assigned female/male at birth) has always been an intersex-only term. it feels like we have this discussion about every two years on intersex tumblr--i remember people talking about it 2018, in 2020, in 2022, and now again this year.
there are several times people have done really in depth research to try to trace the etymology of this term and ultimately, what people seem to find is that going back to like the early 2000s, it seems like there's simultaneous usage of the word in trans communities and in intersex communities. if you do an advanced search on google by year the first thing that pops up using CAGAB terms is this random trans zine from 2002. i saw CAGAB terms being used in some of the zines on the digital transgender archive--I can't find the exact link to the newsletter i'm thinking of right now, but i'll try to edit it into the post later if I have time to find it. Here's a link to another post from 12 years ago, addressing this very same discourse.
at this point, it seems like this terminology has been simultaneously used in trans and intersex communities for at least two decades, and no one remembers exactly who coined the terminology. to me, that makes it feel like it really doesn't make any sense to start trying to claim that it has always been intersex exclusive now. that isn't historically true, and starting this discourse up again to attack trans people is not really how i want to be spending my energy right now.
all that being said, it is true for me that I do have some feelings that come up around CAGAB terminology and i also understand why other people might share some of those same feelings. yes, it's true that all gender assigned at birth is coercive (that's part of what compulsory dyadism means!), but it's also obviously true that nonconsensual medical interventions at birth are a whole additional layer of coercion that perisex/dyadic people aren't having to live through. I think it would be helpful to have intersex specific terminology that highlights the elements of intersex birth assignment that are particularly violent.
i just don't think that we can insist on having that terminology be CAGAB when that specific terminology has been shared between communities for multiple decades now.
this ended up being longer then I wanted so please let me know if you have any other questions, totally happy to answer anything else!
this post is a miniature lit review for clinical articles about Turner's published in the past year that I found notable. content note that most of the cited studies use cissexist language and have references to coercive treatment.
HRT: A case study followed a transmasculine teen with Turner’s who was prescribed testosterone for HRT. They found that testosterone was able to be safely prescribed without any particular risks, although they recommended that people with Turner’s who are prescribed T should make sure to have regular follows up with their cardiologist as there is no available research about the impact of testosterone on cardiovascular disease risk with Turner’s. Overall, the authors concluded that patients who are interested in testosterone HRT should be offered the option and that there are no particular safety issues.
Urban, V., & Bangalore-Krishna, K. (2025). Turner Syndrome and Gender Incongruence: Considerations for Gender Affirming Hormonal Therapy. Case reports in endocrinology, 2025, 6687002. https://doi.org/10.1155/crie/6687002
Thyroid disorders: People with Turner’s syndrome are at higher risk of developing thyroid disease, especially autoimmune thyroid disorders. In particular, 8 studies showed that TSH and TT3 levels (two different thyroid hormones) were significantly elevated in people with Turner’s. Study authors recommended annual TSH and TT3 thyroid screening for all patients with Turner’s.
Lacka K, Pempera N, Główka A, Mariowska A, Miedziaszczyk M. Turner Syndrome and the Thyroid Function-A Systematic and Critical Review. Int J Mol Sci. 2024 Dec 2;25(23):12937. doi: 10.3390/ijms252312937. PMID: 39684648; PMCID: PMC11641386.
Growth: A systematic review evaluated the role of growth hormones in treatment of Turner’s and found that growth hormones have a great deal of individual variability in height gain, with an average of only 1 cm per year of height due to growth hormones. Study authors pointed out that it is worth challenging the assumption that taller height is associated with greater quality of life, and that doctors should inform patients that growth hormones are going to be slow, with modest results. (mod e's opinion: I also think this study showcases the ways in which height is another trait that doctors have strangely gendered and ableist assumptions that they frame in the language of medical necessity, and that people should be informed and should feel empowered to make their own decisions about whether or not growth hormone therapy feels beneficial to their life.)
Kanakatti Shankar, R., Quigley, C. A., Isojima, T., Mauras, N., Chernausek, S. D., Wasniewska, M., & Sas, T. C. J. (2025). Growth and Growth-Promoting Treatments in Turner Syndrome. American journal of medical genetics. Part C, Seminars in medical genetics, 199(1), e32133. https://doi.org/10.1002/ajmg.c.32133
Vison: There are several genes on the X chromosome that code for eye development, and alterations and deletion of those genes can cause several different kinds of visual alterations and visual impairment. There is a significant lack of research into visual conditions and Turner’s, but the existing literature suggests that diagnoses of strabismus, amblyopia, nystagmus, and ptosis occur at higher rates in Turner’s when compared to diagnoses in the general population. There have also been multiple cases of cataracts, hypertelorism, blue sclerae and glaucoma reported in people with Turner’s, but those are rarer. Study authors indicate that more research should be done into ophthalmologic conditions in Turner’s, and that people with Turner’s should be referred to ophthalmologic specialists for screenings.
Soszka-Przepiera, E., Krzyścin, M., & Modrzejewska, M. (2024). Visual Impairment in Women with Turner Syndrome-A 49-Year Literature Review. Journal of clinical medicine, 13(18), 5451. https://doi.org/10.3390/jcm13185451
Hearing: A systematic review of 17 articles and 2129 people with Turner’s shows that there are multiple different kinds of diagnoses impacting hearing that are commonly diagnosed in people with Turners, with prevalence ranging from 21-84% of people with Turner’s being HoH/deaf. In studies focusing on children, the most common diagnoses were conductive hearing loss & mixed hearing loss. Overall, the most common diagnosis was sensorineural hearing loss, which was more prevalent among young adults and throughout the lifespan.
Migliorelli, A., Ciorba, A., Manuelli, M., Corazzi, V., Stomeo, F., Bianchini, C., Pelucchi, S., Monzani, D., Genovese, E., & Palma, S. (2025). Hearing Loss and Turner Syndrome: A Scoping Review. The journal of international advanced otology, 21(1), 1–6. https://doi.org/10.5152/iao.2025.24172
Mosaic Turner’s:
One possible chromosome arrangement for mosaic Turner’s is 45,X/47,XXX, which occurs in about 3% of people with Turner’s. One study compared the various diagnostic and medical comorbidities of 45,X/ 47,XXX with 45,X (Turner’s) , as well as comparing it with 45,X/46,XX (which is the most common type of mosaic Turner’s.) The study found that in general, people with 45,X/ 47,XXX had less comorbidities then people with 45,X, but more comorbidities than people with 45,X/46,XX. In particular, people with 45,X/47,XXX were more likely to have structural renal anomalies and were twice as likely to have congenital heart disease when compared to people with 45,X/46,XX.
Klamut, N., Bothwell, S., Carl, A. E., Bamba, V., Law, J. R., Brickman, W. J., Klein, K. O., Kanakatti Shankar, R., Pinnaro, C. T., Fechner, P. Y., Prakash, S. K., Gutmark-Little, I., Howell, S., Tartaglia, N., Good, M., Ranallo, K. C., & Davis, S. M. (2024). Prevalence, diagnostic features, and medical outcomes of females with Turner syndrome with a trisomy X cell line (45,X/47,XXX): Results from the InsighTS Registry. American journal of medical genetics. Part A, 194(12), e63819. https://doi.org/10.1002/ajmg.a.63819
There was a case study about a rare form of mosaic Turner’s called Isochromosome mosaic Turner syndrome (IMTS) that followed someone with mosaic Turner’s who was not diagnosed until she was 47. Her main symptoms were no menstruation, short stature, visual impairment, and being hard of hearing. After hormonal testing, they found she had low FSH, LH, cortisol, and GH. She also had hypopituitarism, which is not typically comorbid with Turner’s.
Saideekshit, T., S N, M. S., Govindan, S., Prakash, S., & Radhika, M. (2024). Isochromosome Mosaic Turner Syndrome With Concomitant Hypopituitarism and Multiple Meningiomas. Cureus, 16(8), e66548. https://doi.org/10.7759/cureus.66548
Delaying gonadectomy in TS +Y:
One chromosomal arrangement in mosaic Turner’s is TS+Y (45X/46XY). It is well established in medical literature that people with TS+Y have a higher prevalence of gonadoblastoma, which is a kind of gonad tumor that can eventually become cancerous in some people, but is benign in many people. However, there is a lot of debate about exactly how high that risk is, and many studies overestimate the risk in order to justify IGM.
This year, there were two studies published attempting to analyze the actual risk of gonad tumors becoming cancerous, as well as trying to find out data about what age tumors become cancerous. These articles critiqued past studies for making generalizations on their data without accounting for selection bias and a variety of other confounding factors that impact accurate data.
The data from the new studies suggests that the estimated prevalence is 24.6% for gonadal tumors in individuals with TS+Y, with a relatively low risk (3.5%) of malignant transformation. The authors discussed difficulties in accurately assessing malignancy through available imaging (ultrasounds and MRI), and stated that more research needed to be done to improve non-surgical avenues for assessing malignancy. Overall, these articles supported delaying gonadectomy and cited multiple cases where delaying gonadectomy had been safe for the patient, as well as the important ethical reasons for waiting until people are old enough to participate in making decisions about surgery.
Dowlut-McElroy, T., Long, J. R., Mayhew, A. C., Lawson, A., Fei, Y. F., Smith, A. K., Shankar, R. K., & Gomez-Lobo, V. (2025). Gonadal Tumors in Individuals with Turner Syndrome and Y-Chromosome Mosaicism: A Retrospective Multisite Study. Journal of pediatric and adolescent gynecology, 38(2), 154–160. https://doi.org/10.1016/j.jpag.2024.11.005Ho, C., Earp, B. D., Kraus, C., Carpenter, M., & Wilkinson, D. J. (2025). Malignancy Risk in Turner Syndrome+Y, Early Gonadectomy, and the Ethics of Parental Choices. Pediatrics, 156(2), e2024067171. https://doi.org/10.1542/peds.2024-067171