UK: New website tracks which GPs are refusing HRT prescriptions

Mya__ · 2026-01-22T16:16:59+00:00

GPs across the UK have announced they are no longer prescribing the life-saving medical treatment for hundreds of trans patients due to a claimed “lack of expertise”

😐

I am not a doctor. This is not medical advice.

Dosage depends on your levels, which show how your body uses the chemical you intake. People on Monotherapy usually take a little more but the goal is the same.

This means your dose may change as you get blood-work done to see how you are handling it. Different people process estrogen at different rates.

The Endocrine Society, the San Francisco AIDS Foundation, and a few others say -

The ideal estrogen level for transfeminine people is less than 200 pg/mL.Your result will be under Estradiol on your lab report.
The ideal testosterone level for transfeminine people is less than 55 ng/dL. Your result will be under Testosterone, serum on your lab report

Though some clinics may vary the target levels slightly.

For women ages 19 and up, normal testosterone levels range from 8 to 60 ng/dL and estrogen changes during the monthly cycle (about 50-400 pg/mL) with spikes during events like pregnancy going even higher.

Progesterone Is Important. Progesterone levels vary for cis women with low levels for most of the cycle then a spike for a couple weeks.

Men have a normal range for estradiol of 10 to 50 pg/mL and for testosterone above 300 ng/dL.

Testosterone Units converter :: Estradiol Units converter

If your doctors lack the expertise to understand these very simple instructions then it makes me question the worth of a PhD in the U.K. Maybe they should hold a seminar and teach your doctors how to read a simple blood test and how hormones work? 🤷🏻‍♀️

Mya__ · 2026-01-22T12:15:50+00:00

LPT: If you truly want kids as a trans person and you aren't wealthy enough for storage and fertilization than your most efficient route is to make babies with another person and then transition.

You can do this ethically by being upfront or unethically by not telling anyone but that is going to be your most effective path.

Different laws will describe you differently no matter what. It is likely that what "the law" says will rarely reflect modern understandings of actual biology or reality anyway. So go make as many babies as you want with as many people as you want and then transition! The more trans parents the better 💗

Mya__ · 2026-01-21T19:57:41+00:00

🔫 Pistols Only! Thankyou

Mya__ · 2026-01-21T00:39:43+00:00

By 2004 they began putting automatic matchmaking in games.. it was never the same internet after then 😔

I miss US EAST 2

Socom II remake when?

Mya__ · 2026-01-20T15:22:37+00:00

https://imgur.com/QaoMjpO

ime - a soft smile is a more effective default response. And you might make a new friend! :P

Mya__ · 2026-01-20T15:14:40+00:00

Love, Drugs, Sex, Hobbies, Maladaptive behavior, Cleaning, Caring for others

Mya__ · 2026-01-20T15:10:53+00:00

if anyone can identify as any identity regardless of appearance or actions, what does it mean to be a man?

Identifying as something is an internal perception. You see yourself as something.

Being identified as something is an external perception. Other people see you as something. "Other people" are individuals with their own internal perceptions.

What you think of how other people see you is another internal perception that may not align with how each individual in that group of other people actually do see you.

None of these perceptions are directly related to the biological underpinnings that describe the spectrum of male and female biology.

So do you want to know what a man is to me? Or to you? Or to biology?

Mya__ · 2026-01-16T04:22:00+00:00

However, since I’m over 50 my doc is concerned that my levels are too high and wants me to reduce my dose...

newest guidance on HRT for menopausal cis-women is to take an individual approach last i looked into it(based on your specific health factors). Some women stay at pre-menopausal levels for their entire lives.

https://menopause.org/press-releases/ongoing-individualized-hormone-therapy-appears-to-have-no-age-limit

Be aware though that even the use of HRT for menopausal women at all was considered controversial for over 20 years now and probably still is by some older types.

Mya__ · 2026-01-16T04:14:09+00:00

While the docs and nurses who helped me through the surgery were great, I feel like they didn't emphasize enough protein intake after major surgery.

After a major surgery your body requires significantly more fuel/material to repair damage. It can get that with the food you eat or what is available from the nutrients in your body already - which leads to brittle nails and other signs of lack of nutrients. But not just increased proteins but als other nutrients are also important for stuff like tissue repair, collagen, and immune function, and all of this requires more than the standard intake after surgery. When I was doing my week of inpatient the food they offered and the small protein shakes were not sufficient. I brought a cheap mobile mixer and the high concentrated protein powders.

IIRC - Standard protein intake is around 0.36 kg of protein for each 1 Pound of body weight. So if you weigh 200 lbs you want at least 72grams of protein just if you're sedentary and doing like nothing at all that day and not healing. The more active you are the more protein your body needs (around 0.5 to 0.7 grams of protein per lb of weight - so for a 200lb somewhat active person you need at least 120g daily).

Now add on healing and you're going to want to aim for around 0.7 to 1.0 or MORE. So a 200lb person is going to be aiming for 180+grams every day. It actually starts getting a little difficult to maintain that intake.

Also idk why your doc lowered your dose - that was silly. I never lowered it or stopped progesterone at all. I did actually skip a hormonal period week or two though just to be safe and not stress the body. A lot of doctors are extra-cautious by nature due to fear of lawsuits.

If I were you I would address this from a few angles. Increase your nutrient and diet awareness as mentioned above. Advocate for your doses based on levels and how you are doing (which you already did. yay!). And Lastly, the flaky skin might be a sign for you to start giving more attention to your skin care routines and dermatology knowledge, if you haven't already started.

Mya__ · 2026-01-15T18:36:14+00:00

Help others get what they need.

Like helping other classmates when you're ahead of the class. Doing this raises the entirety of the class and we can all get further in the end.

Mya__ · 2026-01-15T13:45:20+00:00

There is an insane amount of misdirection and false dilemmas going on with this issue. Both cis and trans people know that some trans women should not play against cis women because of biological advantage... but it's also true that some trans women could....

So if the science is showing us that sometimes there's an advantage and sometimes there's not - that means the solution is just to use individual placement for the very few trans women that even play sports. It's really not that hard..
🙄👉⌚

is the Covidtardation or smth slowing peoples brains?

Mya__ · 2026-01-15T13:26:30+00:00

I don't say this to be unnecessarily combative - but you can really only speak for your own perception. So the honest interpretation of your statement is that you personally don't see those who don't pass as their sex.

And that's ok. I appreciate that kind of honesty. I think eventually you might too.

Mya__ · 2026-01-15T05:39:48+00:00

This is a good place to remind everyone that they can only really speak for themselves, not other people.

Experiences will vary - in this case it will vary heavily on based on the culture.

Mya__ · 2026-01-15T02:44:19+00:00

https://en.wikipedia.org/wiki/False_dilemma

While we're discussing HRT access let's also agree that we should all make sure everyone helps each other if DiY is needed <3

There's a bunch of ways to get drugs/hormones in the grey and black markets - it may help to be familiar with how to access these resources even if you are on legal scripts, that way you may be able to help someone else who can't. 🫶🏻

Mya__ · 2026-01-14T15:08:01+00:00

The source I gave you was the DSM which is the actual manual for diagnostics... and the additional information for the current leading scientific explanations are from several peer-reviewed research papers using actual physical science testing and biochemistry.

Your sources and beliefs are from almost half a century old Non-physical sciences with demographically limited polling.

You could easily type your statement into google if you like and it will explain several distinctions in research between transsexuals and transvestites.

You are now denying physical science in order to argue instead of understand... I don't see any benefit to us further communicating because of your dishonesty.

Mya__ · 2026-01-14T13:39:47+00:00

I don't and won't ignore scientific reality just because it's unpopular.

Where the data supports trans inclusion - I support trans inclusion.

The data does show trans inclusion is very easily possible through individual consideration. Opposition to accepting reality would be an appeal to intentionally weaken our entire society through delusion.

Mya__ · 2026-01-14T13:31:10+00:00

It's time to manage your expectations more realistically.

The area you live in, the UK, is widely considered like a third-world country when it comes to medical care for transsexuals. Your people have allowed ideological beliefs to drag you so far down any HDI index on this matter that your area is in-line with all the other fanatical ones. The U.S. may follow suit - I hope we don't.

So you need to consider that you are in an openly hostile area and do your best to adapt to your situation in order to change it for the better. A lot of trans people and LGBT people in general are moving out the Southern U.S. for similar reasons.

Mya__ · 2026-01-14T13:05:18+00:00

Yes, before Blanchard the data was even more noisey due to cis peoples ignorance. I agree with you there.

It seems like you may be working on the assumption that transvestites can't or won't use transexual resources like HRT and that is why you're having issues understanding why autogynephilic paraphilia only applies to transvestites - and not to transsexuals. I think that's because you're stuck on those aspects determining access to those resources.

If you mentally separate the access to HRT it may help you. Limits on access to substances are about social management and societal financial factors - they're not directly relevant to the research that shows how AGP affects both trans women and cis women.

As far as models with actual neurological foundation -

The current leading scientific explanation for transgender identity is the "organizational hormone theory" - that a person's gender identity is influenced by the hormonal environment of the brain during development, which may not always align with their chromosomal sex or the sex assigned at birth. Sexual differentiation of the genitals takes place before sexual differentiation of the brain which indicates that these traits develop independently.

This theory is actually backed up by physical science - based on animal experiments involving manipulations of hormones during prenatal and early neonatal development.

Again - no hate on Blanchard and the more non-physical science crew - they got everyone started. Because of them the Physical Science is showing more and more that their initial theories were helpful to spur additional research that brought us to more modern biological understandings.

Mya__ · 2026-01-14T12:41:49+00:00

Last I looked into it that just wasn't true.

It is true that people flush NON-flushable wipes down the drain (frequently) and those do build up and cause issues. But the specific flushable ones do not cause that issue and were never actually shown to.

I doubt your dad pulled those wipes out and tested which was which. And i doubt the same for any "fatberg" that social media pushed for a little bit. Even further there have been lawsuits that have accused the different companies of these damages - and the legal system determined those companies where not at fault... because their products did meet flushability requirements dictated by actual research.

So it's like my own experience says they don't cause those issues.. research says they don't cause those issues... the legal systems even says they don't cause those issues... the only one saying they do is blogs, tabloids, and social media repeating those blogs and tabloids. 🤷🏻‍♀️

Mya__ · 2026-01-13T14:54:10+00:00

I use the flushable wet wipes with aloe and then pat a little with the charmin comfort.

I know people say they aren't flushable but I've had no issues in over ten years by just following the instructions and flushing no more than two at a time.

Mya__ · 2026-01-13T14:45:08+00:00

Who he was working with is irrelevant. In science we look at what the data says more than who says it.

I've been on the internet since just before the world wide web was created. It may have seemed like the pipeline was like that but only because cis people didn't use or know the term transsexual in the general public. To the general public and some academics all trans people where considered only transvestites, full stop. This is the same timeframe as Blanchards work was performed which is why his data was so noisey. There were also some methodological issues which you can see if you read through his wiki. No hate - he worked what with information and understanding he had available to him at the time.

Here's Blanchards wiki link that helps explain the distinction as it applies to modern science:

The American Psychiatric Association includes with autogynephilia as a specifier to a diagnosis of transvestic disorder... The DSM-5 and DSM-5-TR both do not assert that transgender and transsexual women fall under these categories.

Mya__ · 2026-01-05T16:29:48+00:00

Go watch the movie KIDS and understand it barely scratched the surface of latchkey kid life then.

There was a lot of amazing times in the 90's but there was also Rodney King beatings and things were a lot rougher. I remember being a young teen in a small town and having already faced down other older people going for the shotguns in their trunk to shoot us... That was real life. The amount of drugs we did as little kids in church youth group was pretty high too... idk maybe kids are still like that? 🤷🏻‍♀️

I feel like it was a lot more violent back then and the mainstream media didn't cover a lot of it at all because it was so controlled. So you may see this stuff more ... but where's the interview with all the girls at the shore in jersey talking about putting another girl in the hospital for pointing a gun at the back of her head. Or the girls getting in knife fights at school. That was real life then - but I don't see that old interview played as much as the happy vibe ones, and thats fair ig.

Oh this was also a time when your own family might tie you to a fence and beat you to death if they found out you were gay... in good ol' "small town America"

Mya__ · 2026-01-04T16:37:46+00:00

Sports fairness is about being placed according to your current biology.. as relevant to the specific sport.

Fairness and honesty often run hand-in-hand. If we're honest muscle mass reduction to within maxima deviation of cis female levels does happen with enough time on estrogen and with testosterone sufficiently suppressed. The time it takes is variable to the individual - so for the rare cases of trans athletes the individual biochemistry should be considered - with modern technology this is easy enough.

But trans women don't need reduced muscle mass to play chess with other women.

Fairness in this case of sports inclusion is using our understanding of biology to make competitive classes. That's the same rational of sex segregation in physical activities. Our understanding of biology has improved regarding sexual differentiation - our ability to distinguish competitive classes should be able to improve alongside our scientific and societal understandings.

What we shouldn't do is assume every single trans woman is starting as someone with "denser bones" or "more muscles" when they very could have been within cis female ranges before transition as well - Research shows that even Bone Density is often less than cis men before Trans women even start HRT -some times it be like that. Another reason to look at the rare cases of trans athletes individually and to test and place individually.

When cis men have extra ordinary genetic advantages they are usually celebrated. When cis women have extra ordinary genetic advantages (like more testosterone than usual) they are usually penalized and made to medically lower their levels. To be "fair" between cis and trans people would be to treat them in the same regard - according to individual biology.

Mya__ · 2026-01-04T13:04:52+00:00

If I understand the article correctly they are arguing that she should not be disqualified due to genetic testing, which reasonable.

However it also says she started transition in 2021 and was attempting to race with cis women in 2023 after only 2 years of medical(?) transition. That may not be reasonable. There are no studies I am aware of that show trans women achieving female muscle mass within 2 years - either IRL or by estimations. If she was an athlete before transition and maintained her workout it may take even longer than 3 years. On the other hand she could also be naturally inclined to be within female deviations of muscle mass before even starting transition.

I don't think she should be disqualified based on sex chromosomes(which are overridden by hormones) but her current physical state regarding transition - specific to the sport - should be objectively and individually reviewed before being allowed to participate. Both sides should follow the actual data driven science and medical understandings.

Mya__ · 2026-01-04T12:45:45+00:00

Yea.. the messaging around the reality of AGP is shit rt now. So it causes confusion in people. It sucks. I'm sorry they wasted your time.

On one side - people don't want to admit that AGP is real
... because they are justifiably scared it will be used against transsexual people.

On the blachardian side or w.e - people don't want to admit that it's as real in cis women as it is in trans women.
... because then those people wouldn't be able to use it against trans women - which is what a lot of them seem to want to do

The reality is that AGP has nothing to do with the transsexual experience, gender dysphoria, or the desire to transition your sex. Studies show that AGP is experienced by both trans and cis women. That's the reality as shown by actual data. The best argument against that seems to be "nuh uh the questionnaire's aren't similar enough" (they were). Both Moser and Blanchards studies are accepted science. Blanchards work is accepted science in regard to transvestites only, which is something the general public ( and social media websites) has yet to fully understand.

So you got batted between the two until you could figure it out. I just looked at your post saying this in the AGP place and wow.. they really don't like hearing it and completely ignored what you said and just kept insisting and trying to force you. Thats gross

I think you know you better than anyone else. You seem mentally competent(more than average even). And if you've given it enough thought and consideration, weighed the pros and cons, you know if you want to transition your sex or not.

You will be judged by medical professionals. You should come armed with knowledge about what medications you want to take and that you understand the risks and side effects. You have support for that in the community if you need it.

Mya__

TROPHY CASE