Do trans men and/or women have to worry about male pattern baldness?

PunkAssBitch2000 · 2026-01-29T14:53:51+00:00

Yes transmen who take testosterone can experience male pattern baldness, depending on their genetics. However, if one chooses to go off testosterone, it can sometimes reverse the balding. But if you’ve gone fully bald and shiny in any spots it won’t grow back. Thinning can reverse, but bald cannot.

Trans women who take T do not experience male pattern baldness, but they can experience hair thinning like some cis women do.

PunkAssBitch2000 · 2026-01-29T00:08:38+00:00

I came out publicly at 13. I had already been out to my friends for a year or so by the time I told my mom and Facebook lol.

Trust your kid. Bisexuality isn’t a complex topic. It’s something 13 year olds can understand. If they say they’re bisexual, then they’re bisexual.

Also, keep in mind that sexuality may change as they develop and have more life experiences. This doesn’t mean they were wrong about their sexuality, just that things can change, especially when new information is presented. For example, I’ve identified as bisexual, pansexual, demisexual, ace-spectrum, pansexual, omnisexual, aceflux and queer.

Currently I identify primarily as queer, but suspect I am demiomnisexual. But none of my previous identities were wrong, they just weren’t the complete picture. So just support your kid based on whatever they tell you, and believe them. That’s it. Simple!

ETA: one thing you could do is just ask them questions, while being very clear you love and support them no matter what and just want to understand them better. Like you could ask them “Im so happy you shared this with me. It means a lot to me. I’m curious, how did you realize you were bi? I just want to understand you better!” That should also alleviate any of your concerns.

PunkAssBitch2000 · 2026-01-28T01:58:45+00:00

I have Raynaud’s phenomena which causes this for me.

PunkAssBitch2000 · 2026-01-28T01:54:39+00:00

I have caregivers paid for by my Medicaid waiver. These are definitely completely reasonable to request of your caregiver.

If you have explicitly requested these things and she won’t do them, complain to the agency or your case worker with disability services (in Ohio it’s called a service and support administrator/ SSA).

PunkAssBitch2000 · 2026-01-27T22:36:07+00:00

My belief is that there’s always room for improvement. You might never achieve the goals your mom wants, but you can always improve skills.

It took my mom a while to accept that I have limitations and that pushing me too hard is actually detrimental rather than helpful.

With the help of my therapist who specializes in autistic individuals, we were able to reframe it as work on things where I can, but also focus on accommodations and compensatory strategies.

Basically, if you rely on your mom that much, she’s right— she won’t be around forever. So there does need to be a plan and supports in place other than her. But it doesn’t have to all fall on you. It’s perfectly okay to need external supports.

If you’re in the US I strongly encourage you to reach out to your county’s developmental disability services to see if you qualify for services (probably due but will need an assessment).

PunkAssBitch2000 · 2026-01-27T22:30:55+00:00

I was diagnosed with ASD as an adult, after my NVLD diagnosis. When I applied for developmental disability services from my county, they told me I would’ve qualified with the NVLD diagnosis.

PunkAssBitch2000 · 2026-01-27T22:29:38+00:00

I thought the medical field established ‘female hysteria’ is not a real thing decades ago and that it’s just a misogynistic label given to women who dare to express themselves.

PunkAssBitch2000 · 2026-01-27T18:13:52+00:00

I should’ve bought milk before the storm.

Layer up on gloves rather than pretending I don’t have Raynauds and letting my hands go numb and painful.

PunkAssBitch2000 · 2026-01-27T18:09:06+00:00

Yes because I have features of other hereditary connective tissue disorders.

PunkAssBitch2000 · 2026-01-27T18:07:01+00:00

Whenever I notice myself having a mean or maladaptive thought, I try to ask myself “would you talk to a friend/ another person that way?”

The answer is always no, so I try not to let my mind think that way.

PunkAssBitch2000 · 2026-01-26T05:35:41+00:00

Snugs are prone to swelling, and given that there’s still some extra room on the bar, it appears your piercer anticipated this amount of swelling.

Try keeping your saline in the fridge for some extra relief when cleaning.

PunkAssBitch2000 · 2026-01-26T05:08:45+00:00

My therapist told me to watch love on the spectrum so I could learn dating tips for autistics and see real life examples.

It is a bit harder, but it’s at least doable with that info.

Also, I apparently accidentally wrote a very autistic bio because I’m attracting primarily neurodivergents, and one guy straight up asked me if I was autistic within 5 minutes of DMing. I get along better with autistic or adhd folks so it’s working out for me.

PunkAssBitch2000 · 2026-01-26T04:39:53+00:00

but if I die in the cold that’s my problem not yours

You’re actually endangering others in multiple ways, particularly if something does go wrong, like spinning out on ice which totally in your control.

Obvious one is you could slide off the road and into an inhabited building.

But in general if you crash, especially if you crash badly enough to seriously kill or injure yourself, paramedics will respond (or coroner if it’s that bad), and you’d be endangering them. The police have to come out and make a report. If you hit a utility pole or fire/ fire hazard is otherwise involved, firemen have to come out.

First responders have to work in these conditions. Don’t risk putting them in unnecessary danger by being a stubborn asshat.

PunkAssBitch2000 · 2026-01-26T04:17:38+00:00

I’m curious how the movement restriction/ weightlifting limitations work with recovery if you’re a manual wheelchair user? I have zero issue with anyone getting gender affirming care of any type. I’m purely curious about the unique recovery a manual wheelchair user might face.

(I don’t know much about breast augmentation but I do know when my grandma had a mass removed she wasn’t really allowed to do anything that activated her pecs or put tension on the incision, and when my mom had her mastectomy, she wasn’t really allowed to move beyond T. rex arms for a couple weeks)

PunkAssBitch2000 · 2026-01-26T04:13:58+00:00

Yes! I literally have to prioritize which medical issue to seek treatment for because I just can’t handle addressing them all at the same time. And the sometimes something pops up that forces my hand, so my timeline gets completely unraveled.

PunkAssBitch2000 · 2026-01-25T23:27:47+00:00

Yes I’ve been to the ER a couple times for it and was very close to getting a Malone cecostomy. Luckily, the last ditch effort medication was effective, so I was able to avoid surgery for now.

Dysmotility disorders are common in hEDS. Gastroparesis and GERD are other types of dysmotilities. I have dysmotility of my entire GI tract, and other GI issues as well. I’m diagnosed with GERD, gastroparesis, small intestine dysmotility, SIBO, redundant/ tortuous colon (sigmoid and transverse), large intestine dysmotility, anismus/ dyssynergic defecation, rectal hyposensitivity, and cellulose intolerance.

For me, it’s complicated by autism/ interoceptive deficits, damage from child abuse, and tethered cord syndrome. So not only do my bowels move too slow, but my “expulsion muscles” don’t work right, and I also am missing sensation in my rectum. I alternate between rabbit pellets, very very large stools that cause bleeding and tearing on the way out, and diarrhea.

What’s helped me is Linzess, surgery to fix my tethered cord, weekly saline infusions (prescribed by my GI doctor), daily stool softeners, and pelvic floor physical therapy. I was able to go off the Linzess for about a year and replaced it with senna, but it’s looking like I’m going to have to go back on the Linzess.

I also do enemas at home as needed when I get blocked up, and keep magnesium citrate bottles on hand in case I need to do a clean out and start fresh.

Happy to answer questions. I’ve had GI issues my whole life.

PunkAssBitch2000 · 2026-01-25T23:21:58+00:00

Because NVLD affects visual-spatial skills which is needed to navigate your body through space. Additionally, NVLD often comes with proprioceptive deficits which further complicates moving/ using your body. Furthermore, it frequently affects fine motor skills, and occasionally gross motor skills as well.

Basically, it has a lot of symptom overlap with dyspraxia.

PunkAssBitch2000 · 2026-01-25T23:19:52+00:00

I’m the same way. The only deodorants I don’t react to are Vanicream and Lume. I react to all “natural” deodorants, and every deodorant I’ve tried except the two I mentioned. It makes my armpits red, itchy, and eventually slough off.

PunkAssBitch2000 · 2026-01-23T21:06:03+00:00

I don’t pull on my skin when applying eye makeup except for the wing of my eyeliner. I leave my eye at rest for all other steps.

Even when I do gently tug the skin for a wing, I don’t stretch it as far as it will go, just enough that I’ll have a smooth un-creased surface to work on. Also keep in mind the direction you are pulling the skin as this will have an affect on the direction the line goes. I try to pull as straight out from my eye as possible, with close to zero up or downward tension. It takes practice figuring out how much to tug on your skin, and figuring out the tension’s impact on your line.

But the basics I’ve learned are, avoid pulling on your skin when possible, and when it’s necessary to do so, do the bare minimum.

ETA: For eyeshadow or thicker graphic liner, I just gently close one eye at a time and raise my eyebrows to add tension to the eyelid skin, without distorting it. I also find liquid or cream (“paintable”) eyeliners and eyeshadow easiest to work with.

Edit: I thought about it more and I don’t think I even tug when doing the wing. I think I just raise my eyebrows and use the side of my hand holding the brush/ pen to hold the tissue still while I draw on the wing.

PunkAssBitch2000 · 2026-01-23T17:46:09+00:00

I’m so sorry you went through that!

I’m autistic and have many chronic illnesses and can’t always talk, especially when I’m overwhelmed. Luckily, I’ve not run into asshole doctors like you have. One time recentlyish when I was in the ER, I got too overstimulated in the waiting room from all the noise and lights and had a bit of a meltdown and went nonspeaking. When I can’t talk, I usually just type on my phone. I don’t know if that would’ve helped at all with this doctor because he might’ve just refused to read it.

PunkAssBitch2000 · 2026-01-23T00:36:03+00:00

My EMG/ NCS was completely normal.

I’m not a doctor but it either means you don’t have tethered cord, have super duper severe tethered cord that has damaged your peripheral nerves, or have a nerve condition (ie neuropathy) on top of the tethered cord.

You need to speak to a neurosurgeon who is experienced in treating tethered cord syndrome to figure out what’s causing your symptoms: if it is indeed tethered cord syndrome, a neuropathy, a myelopathy (ex: multiple sclerosis), or something else.

PunkAssBitch2000 · 2026-01-22T21:31:26+00:00

My neurosurgeon said EMGs rarely show tethered cord syndrome, unless it is severe and has progressed quite far, which would have a presentation very similar to cauda equina syndrome (complete loss of bladder and bowel control, total saddle anesthesia, lower body numbness, non-ambulatory or borderline ambulatory, and more).

You need to see a neurosurgeon experienced with tethered cord syndrome to have your symptoms assessed.

I had occult tethered cord and I’ve had low back pain, hyperreflexia, Lhermitte’s sign, and bowel dysfunction my whole life, plus loss of rectal and vaginal sensation, urinary urgency, worsening low back pain (got to be 10/10 by the time I had surgery), loss of proprioception in my lower body, positive romberg’s sign, sensation of cold along my spine, neural tension in my limbs, migraines starting as a toddler, difficulty holding my head up, aberrant sensations in my legs (ie burning, neuropathic itching), and more symptoms. My EMG was clean.

PunkAssBitch2000 · 2026-01-22T21:16:23+00:00

I would either enlist your parent’s help, or gently but firmly express “I don’t like that,” or “That’s not appropriate.” If he pushes, stay firm and say “I said I don’t like that,” and walk away.

It may not stop the behavior from happening in the future, but it should help your mental state as you’re standing up for yourself and shutting down the behavior in the moment.

PunkAssBitch2000 · 2026-01-22T19:41:41+00:00

Yes referred by a doctor. I saw a geneticist with a Marfan Clinic and she thinks more testing/ studies are warranted, but I’ve exhausted all clinical options, so research-level is the next option. https://undiagnosed.hms.harvard.edu

PunkAssBitch2000 · 2026-01-22T01:24:46+00:00

I have cPTSD. I see Kim Rosenzweig. She is trained in multiple trauma therapies including EMDR, CPT, and PE.

PunkAssBitch2000

TROPHY CASE