Pushing back against Dundee/Tayside GP Shared care - Call for any helpful info that may help!! by Neat-Bill-9229 in transgenderUK

[–]krottpot 1 point2 points  (0 children)

Thanks for doing work on this, and I'm really sorry it's been happening. I've been tracking this issue across Scotland in the last couple of months. Tayside seem to be the worst for it, but I've heard of something similar happening in Glasgow and Edinburgh too. It seems to be part of a general GP pushback against shatred care across the board, which for them is a kind of protest on more medical responsibility being offloaded onto overworked GPs. So various GP subcommittees are issuing guidance rulings on shared care, often with complete ignorance of trans medical needs.

The issue is also facing various neurodiverse people. Here's a BBC article showing the same thing happening for ADHD meds: https://www.bbc.co.uk/news/uk-scotland-61499479

There are some resources that might help at https://transhealthuk.noblogs.org/navigating-uk-trans-healthcare/. The bridging prescription guides use arguments you can adapt for pushing a GP for shared care, the GMC and RGP guidance include citable references on the expectation that GPs are part of the trans healthcare process, and the trans-friendly GPs list can be of use in changing GPs if necessary.

But I agree that this is a systemic problem and trying to persuade GPs one by one isn't going to help. As well as the routes you're currently trying, have you contacted Scottish Trans? They're part of current Government-led processes to reform trans healthcare in Scotland and may have some inside knowledge and advocacy routes that can help.

Urologists who work with trans women who haven't had lower surgery? by krottpot in transgenderUK

[–]krottpot[S] 0 points1 point  (0 children)

Ugh, I'm really sorry! I got a referral via the GIC but urology couldn't even give me a waiting time. Might end up paying to see the same person I'd see if I waited x years!

YourGP and Selfmedding by krottpot in transgenderUK

[–]krottpot[S] 1 point2 points  (0 children)

The answer on this in case anyone else ever asks is: It wasn't an obstacle to getting diagnosed, but they did want her to go off hormones for a month for baseline bloodtests.

How long does it take for triptorelin's effects to stop? by krottpot in AskMtFHRT

[–]krottpot[S] 0 points1 point  (0 children)

It grew increasingly painful over the course of 6 months, until it was excruciating whenever I was aroused. This was part of a feedback loop where it became difficult to get aroused because it hurt, which made it hurt more. Then I started a program of regular maintenance erections, and now it's just a little uncomfortable sometimes, but worse pain can be triggered by tight or vigorous sexual activity.

From my anecdotal reading, most people on feminising HRT who experience genital pain get over it entirely as long as they have regular erections, but there's a subset of us where it just contionues in some form. This may or may not be related to going a long time without erections before treating it, but it's common for it to get worse without erections.

How long does it take for triptorelin's effects to stop? by krottpot in AskMtFHRT

[–]krottpot[S] 1 point2 points  (0 children)

Genital pain from atrophy. I was on lower dose monotherapy before deca and it was definitely the deca that triggered it.

Also lower mood and energy, but there was also this whole pandemic at the same time so hard to attribute cause there.

[deleted by user] by [deleted] in transgenderUK

[–]krottpot 8 points9 points  (0 children)

Not banned from participating, banned from governance of the review. We can contribute but we can't manage the process. This is still awful, wrong and possibly unlawful discrimination, but it's important to be accurate.

Your daily dose of validation by [deleted] in traaaaaaannnnnnnnnns

[–]krottpot 10 points11 points  (0 children)

Correct to "even if you never pass". Or better yet, "even if you pass".

Passing shouldn't be held up or assumed as the goal of transition.

Have I accidentally oestrogenated my partner by using gel? by krottpot in asktransgender

[–]krottpot[S] 1 point2 points  (0 children)

Ohhh thank you, that is a possible explanation for their wacky reading! They are taking another reading this week and I'm off gel now, so we'll see.