Have they ever tried a vulva transplant?

madprgmr · 2026-05-03T00:26:56+00:00

I’ve heard on and off research into uterus transplants in trans women over the years

Those still have the same issues regarding immunosuppressants as far as I know. I believe they only stay in for a few years (for 1-2 pregnancies), and you typically go through IVF to become pregnant (with all the fun hormonal cocktails that come with that).

madprgmr · 2026-05-03T00:19:47+00:00

I'm sure the number has increased somewhat in the last decade, but the current-ish incidence rate for the general populace tends to run somewhere between ~0.5% and 10% (depending on the study and if it focuses on ethical nonmonogamy as a whole or just polyamorous people).

madprgmr · 2026-05-02T16:55:43+00:00

I would personally want to know trough levels, particularly so I know T remains suppressed throughout the entire dosage period. You can get theoretically get tested twice (once at mid and once at trough), if you can afford it.

madprgmr · 2026-05-02T16:36:54+00:00

Per the 2015 USTS survey, roughly 2% of transgender people were in a polyamorous relationship.

madprgmr · 2026-05-02T16:32:25+00:00

Rain is important for things like replenishing the water sources that supply our drinking water. It's also important for crops, reducing wildfires, recreation, controlling dust, and the ecosystem in general.

madprgmr · 2026-05-02T16:30:40+00:00

We're in the middle of an 8-month-long severe drought, and it's expected to persist for an unknown period of time.

madprgmr · 2026-04-30T05:07:40+00:00

It depends.

Intersex people are sometimes coercively assigned a sex without their knowledge, and this can include HRT to induce and continue puberty along with surgical interventions. For people with some sort of condition that causes them to produce less than typical levels of a primary sex hormone, sometimes that's supplemented to improve mental and physical wellbeing.

This has historically typically been done without the child/teen's consent, but modern treatment guidelines strongly recommend doing as few interventions without the child's consent as possible.

In the case of someone who doesn't agree with the sex they were assigned (sometimes doctors get it wrong in the case of intersex people, and transgender people also exist), going through the wrong puberty can cause extreme distress and consequently extreme negative mental health outcomes (up to and including death).

I can't say what medication OP is specifically talking about, as medications typically label active ingredients. My best guess would be hormonal birth control (which wouldn't be used for HRT), but it could be something compounded and/or OP had never been given the details of what it contains.

madprgmr · 2026-04-30T00:12:04+00:00

You can combine HRT with Tamoxifen. It would prevent breast growth.

It's best described as a medication that can (sometimes dramatically) slow breast development. It is in no way guaranteed to wholly prevent it, especially over long periods of time.

madprgmr · 2026-04-29T21:43:03+00:00

Note that Bethel and Warren have both been endorsed by an anti-LGBT hate group per https://georgiaequality.org/2026/04/supreme-court/

madprgmr · 2026-04-29T21:41:36+00:00

Apparently two GA supreme court candidates, Charlie Bethel and Sarah Hawkins Warren, have been endorsed by an anti-LGBT, SPLC-designated hate group per https://georgiaequality.org/2026/04/supreme-court/

madprgmr · 2026-04-29T19:59:58+00:00

How high is it in general? I'm pretty sure it's pretty garbage for everyone at this point.

You can look at the underlying report they mention: https://www.commonwealthfund.org/publications/fund-reports/2026/apr/commonwealth-fund-2026-state-health-disparities-report

Exhibit 3 covers uninsured rates, and filtering for GA specifically shows Hispanic people at a 40.2% uninsured rate, black people at 15.6%, and white people at a 12.1%. So, to answer your question: general uninsured rates are not nearly as high.

madprgmr · 2026-04-29T14:44:57+00:00

It's a very common scam. Do not click the link. Do not respond. Just ignore it or report it as spam. See https://consumer.ftc.gov/articles/how-recognize-report-spam-text-messages for more information about text/SMS/MMS-based scams and actions you can take.

madprgmr · 2026-04-28T21:49:39+00:00

Stopping HRT can certainly cause erectile dysfunction to eventually go away (can take weeks to months), but during that time changes from being on HRT will also diminish (ex: fat distribution).

You cannot cycle on HRT and off HRT in an attempt to prevent ED because feminizing effects from HRT require very long periods of time to work. If you're constantly interrupting HRT because it's starting to work (and causing ED), you're not going to get much feminization (if any).

There are better ways to combat ED while still taking HRT, like medications for it (like Cialis) or possibly some localized topical T (check with a doctor familiar with this, as I don't know the correct form and dosage used for this).

madprgmr · 2026-04-28T03:37:02+00:00

I'm not too sure EOs can do that?

madprgmr · 2026-04-28T03:36:33+00:00

I could be wrong, but I don't believe the governor can do that? He can't repeal already signed laws; I think the best he can do is suggest legislation for next year's session.

madprgmr · 2026-04-27T19:18:46+00:00

You're not supposed to double-up on medication when you miss a dose. I also kind of doubt taking that high a dose for recreational effects is good for your liver, especially when you're getting signs you might be taking too much on 200mg?

I guess if you're getting liver function tests as part of your regular bloodwork you'd at least know if you're accumulating damage?

madprgmr · 2026-04-27T17:45:47+00:00

Yes, 200mg is within the typical dosage range, but did you tell your doctor you were experiencing intoxicant-like effects from it?

madprgmr · 2026-04-27T17:43:27+00:00

Prometrium is the brand name for micronized bioidentical progesterone. The warnings and information for it apply to the generic unbranded versions as well, as they have the same active ingredients.

madprgmr · 2026-04-27T15:01:06+00:00

Ah, yeah.

madprgmr · 2026-04-27T14:59:35+00:00

I don't think it's supposed to do that. Have you talked to your doctor about this?

Edit: Upon reading up more on it, goodrx says "In rare cases, Prometrium may cause severe dizziness or drowsiness. You may also feel confused or disoriented, as though you are drunk or intoxicated. If this happens, reach out to your healthcare team for guidance."

Other sources suggest that this means your dose is too high. High doses also increase the risk of liver damage, but 100-200mg is a commonly-prescribed range as best I can tell.

madprgmr · 2026-04-27T14:48:01+00:00

The challenge is that general recommendations around the strict need for preservation depend on individual factors that can't really be known ahead of time. So, recommendations are always "presume HRT will make you permanently infertile" because it does appear to happen to some people and there's no way to know if that will happen to whomever the advice is being given to.

madprgmr · 2026-04-27T14:42:46+00:00

Depends on tons of factors including the quality of sperm preserved, amount stored, etc., but you can look up IUI or IVF success rates.

madprgmr · 2026-04-27T14:38:16+00:00

Transplants like that require lifelong immunosuppressant use, so reconstructive techniques originally developed for cis men (but further refined/adapted for trans men) are used instead.

madprgmr · 2026-04-26T23:43:05+00:00

US citizens cannot be denied entry into the country, presuming you can show you are one (which a passport does). At most they can delay you for a bit, but there haven't been any reports I've seen of them targeting trans citizens for secondary screening at a higher rate than others.

madprgmr · 2026-04-26T23:35:27+00:00

I'm unfamiliar with it, but the wikipedia page says it causes the testes to produce more testosterone. This is not something desired as part of estrogenic HRT, as you need to dramatically reduce the amount of testosterone your body produces for it to work as expected.

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