Untitled

Volume 1 of Toasterbath Tr-nny

CW: Subjects related to the f@scist uprising in America. Genocide/deportation. Use of LGBTQ+ slurs--towards myself (I believe in "taking the word back"). graphic imagery.

Also, this is her Wikipedia photo:

Here’s some more.

A currency that isn’t gold-standard/having gold be as valuable as tin

A currency that runs entirely on a perishable resource, like cocoa beans

A clock that isn’t 24-hours

More or less than four seasons/seasons other than the ones we know

Fantastical weather patterns like irregular cloud formations, iridescent rain

Multiple moons/no moon

Planetary rings

A northern lights effect, but near the equator

Roads that aren’t brown or grey/black, like San Juan’s blue bricks

Jewelry beyond precious gems and metals

Marriage signifiers other than wedding bands

The husband taking the wife's name / newlyweds inventing a new surname upon marriage

No concept of virginity or bastardry

More than 2 genders/no concept of gender

Monotheism, but not creationism

Gods that don’t look like people

Domesticated pets that aren’t re-skinned dogs and cats

Some normalized supernatural element that has nothing to do with the plot

Magical communication that isn’t Fantasy Zoom

“Books” that aren’t bound or scrolls

A nonverbal means of communicating, like sign language

A race of people who are obligate carnivores/ vegetarians/ vegans/ pescatarians (not religious, biological imperative)

So, before the advent of cross-sex hormone therapy, one of the surefire ways to ID a biologically female skeleton of a person who had borne children (this is important) was by looking for pits of parturition. These form when the estrogen surge during late pregnancy tells your pelvic ligaments to loosen up in order to fit the baby’s massive head through the birth canal. Your pelvis starts to s There’s hypothetically only one normally occurring biological reason for a body to give that signal, and since you have to be nominally XX (or some variant of that where you can still carry a pregnancy to term), it was a pretty solid shorthand for sex!

Until we started looking for these things outside of female skeletons, and surprise! “Male” skeletons can have them too! Sometimes these are chromosomal variants, sometimes they’re men with a high estrogen or estrogen-esque hormonal component, and in the modern era? Sometimes these are trans women whose skeletons have undergone hormonal changes due to taking estrogen.

And then there’s testosterone. You know what that does, right. It makes it easier to build muscle. But what THAT does is put new and interesting stresses and pressures on the bones, making them more rugged and in line with the skeletal structure we see in people who have had high testosterone their entire lives. We don’t just see this in trans men- we see this in older cis women too. Once your estrogen production tanks after menopause, we see what we call masculinization of the face, where the features get more rugged and robust as tissue production changes. These changes don’t happen overnight, and we don’t have good data (yet) but my guess is that when we start looking at the skeletal remains of trans men who took T throughout their adult lives, their skulls are gonna look pretty damn masculine.

The TL:DR from all of this: there is good evidence for skeletal changes during adult-initiated HRT. We know that these changes occur, but there isn’t a whole lot of literature about exactly what occurs. Many of these changes are minute and you may not see them in a living trans human, but are more discernible in a skeleton. We need to study this more.

Introductory Stuff

A nice Sapiens article proposing how to improve trans visibility within bioarchaeology/forensics: https://www.sapiens.org/biology/transgender-intersex-forensic-anthropology/

Why it’s important to be able to talk about the bodily changes trans people go through as an anthropologist: https://journals.upress.ufl.edu/fa/article/view/1409

Studies of skeletal development in trans people taking hormones

Bone health as a part of trans healthcare: https://www.sciencedirect.com/science/article/pii/S8756328208007722?casa_token=Q0yyPHewOLIAAAAA:f6VKhwq1uVylVHkVZtAX6c-t3WADx8aaymmIWtiUeci1dqVuYAMH9OXn2ofmm4T1thKw5dkutuw

Hormones and bone density: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2265.1998.00396.x?casa_token=o2l0Y9Nt4qoAAAAA:tO3_aIeM4RqBE0xyNpC8Ns8d7vipYNFzsdMdaX5ZcodO9JShKdEkh-Vw-66FKJAW13bDG2pCCKKUYeyc

Interesting paper on pelvic morphology changes: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1002/jbmr.4262

(this one’s about people who started HRT before 18, but it’s still a really interesting read even if it isn’t directly applicable to OP’s situation since they transitioned as an adult)

10 year bone health study in transgender individuals: https://asbmr.onlinelibrary.wiley.com/doi/full/10.1002/jbmr.3612

Not hormones, but stuff on how FFS affects skeletal remains: https://pubmed.ncbi.nlm.nih.gov/32200173/

Ok, so we’ve identified that there ARE bone changes. How does muscle affect bone structure?

Explains the bone/muscle relationship in typical cis men and typical cis women: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3189615/ (Note: by typical, we mean that their hormones are generally within the range that’s expected for their chromosomal composition.)

Comparing trans men on long-term HRT to cis women of the same age and looking at bone mass, body composition, etc: https://academic.oup.com/jcem/article/97/7/2503/2834495

Facial masculinization of the female cranium with age: https://digital.library.txstate.edu/bitstream/handle/10877/5250/NAPARSTEK-THESIS-2014.pdf?sequence=1

Cranial remodeling with age: https://onlinelibrary.wiley.com/doi/full/10.1111/joa.12247

(The aging stuff is important because hormonal composition changes drastically with age and it’s a useful analogue, if not direct analogy.)

Some interesting reads on the relationship between sex hormones and cartilage

Estrogen and osteoarthritis (aka cartilage loss): https://www.mdpi.com/1422-0067/23/5/2767/htm

More sex hormones and osteoarthritis: https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.27.1_supplement.1053.15

Generally speaking, HRT isn’t going to do too much to the cartilage. If you think your nose looks different, it’s probably because you’re seeing it in a new context since the fat deposits on your face rearrange themselves. They’re very close to the surface, after all. 

Pelvic Scarring and how it’s not strictly based in pregnancy

Oops we found it in men: https://onlinelibrary.wiley.com/doi/10.1002/oa.2887

It’s also found in women who have never given birth: https://digital.library.txstate.edu/bitstream/handle/10877/8481/GALEA-THESIS-2018.pdf?sequence=1

Identifying transgender people within archaeology

https://miami.pure.elsevier.com/en/publications/the-fallacy-of-the-transgender-skeleton (good read on how human sexual dimorphism... isn’t. The spectrum of traits overlaps too much.)

surgery piece: https://www.sciencedirect.com/science/article/pii/S0379073820300827?casa_token=jy_vbV7_fXkAAAAA:nz2d-xCUT-JoYACam3CDliKmto1UFkB8-ft837QzSpjLZJ0uiH5DHNSH7M_fG_b5XWsln3yZZKk

As for the mechanism, it’s a combination of remodeling and changes in bone density. The bones don’t unfuse, so you’re basically stuck with the same structure, just with different sizes and densities. This is more notable in trans men- they can lose some height from bone density loss if they’re not careful. It’s usually not a lot and isn’t as noticeable in living people as it is in skeletons, because there’s a lot more tissue to you than just bone! It’s the same mechanism that happens in cis women with osteoporosis. Fortunately, most endocrinologists take that into consideration these days.

Right now, most of the research on skeletal changes is focusing on FFS because it’s much more visible and dramatic. There’s a lot of reasons we don’t really understand everything that HRT does to the skeleton- we know a lot of it, but not everything- and how any of it shows up in the archaeological record. One of them is that HRT is relatively new and we don’t have the representation in skeletal collections. Another is that most of our standards are written based on studying white people, and while you can’t truly identify race from a skeleton, you can associate a skeleton with certain genetic groups based on suites of traits. By only including white skeletons in a study, you miss out on a TON of variation.

Let's talk about some transgender people that have existed throughout history to show that they have existed across different centuries and different cultures.

1. Elagabalus (c. 203–222 CE) – Ancient Rome

Elagabalus was a Roman emperor who ruled from 218 to 222 CE. Historical accounts suggest that they may have identified as female, as they reportedly preferred being addressed as a woman, wore women's clothing, and even offered great wealth to any physician who could perform gender-affirming surgery. They also married at least one man, Hierocles, and were described as acting in a way that aligns with modern understandings of transgender identity.

2. Thomas(ine) Hall (c. 1603–1660s) – Colonial Virginia

Thomas(ine) Hall was an English servant in colonial Virginia who lived at times as both male and female. Their gender identity was scrutinized by the courts, and they were ordered to wear both men's and women's clothing simultaneously. Hall’s case is one of the earliest recorded instances of gender nonconformity in colonial America, highlighting that gender diversity existed even in deeply rigid societies.

3. Chevalière d'Éon (1728–1810) – France

The Chevalière d'Éon was a French diplomat, soldier, and spy who lived as a man for much of their early life but later transitioned and lived as a woman for over 30 years. D'Éon claimed to have been assigned female at birth but forced to live as a man to inherit family rights. Their life challenges the rigid gender norms of 18th-century France and was widely documented.

4. Albert Cashier (1843–1915) – United States

Albert Cashier was a transgender man who fought in the Union Army during the American Civil War. Born as Jennie Hodgers, Cashier lived as a man before, during, and after the war, maintaining his identity for over 50 years. His fellow soldiers and friends recognized him as male, and it was only late in life—when he was institutionalized—that his assigned birth sex was forcibly revealed.

5. Lucy Hicks Anderson (1886–1954) – United States

Lucy Hicks Anderson was a Black transgender woman who lived openly as a woman for decades. She was married twice and worked as a socialite and chef in California. When the government challenged her marriage and identity, she fought back in court, arguing that she had lived her entire life as a woman and should be recognized as such. Despite facing legal persecution, she refused to deny her identity.

When someone starts transfemme transfeminine HRT, they're warned that the breast growth is one of the few irreversible steps, and that it would need surgery to undo.

When someone starts transmasculine HRT, they're told that it won't get rid of their breasts, and that they need surgery to remove.

The standard societal conception of "androgynous" is a waifish, thin, flat chested individual

However, the inability of core gene regulation to reduce boobs, as demonstrated by HRT of many forms, shows that boobs are the natural inclination of the human body

Therefore, I motion that "androgynous" should mean someone with some real honkers. I'm talking some massive badonkers. Some enormous honkalagoogas. Some incredible and vast hadookalabohkadookies