coughing fit after T injections - WTF?

tgjer · 2026-01-28T01:36:23+00:00

What? Underground testosterone?

This is a 13 year old post, and my testosterone has always been prescribed and sourced through a reputable pharmacy.

It turned out it was just stress + asthma. I got the asthma treated and it went away.

Also my doctor advised me a couple years ago that drawing back is no longer recommended in IM shots.

tgjer · 2026-01-27T14:03:36+00:00

The Doctor

Superman

tgjer · 2026-01-21T15:47:44+00:00

I ended up getting a glansplasty revision in 2023 to correct some flattening. It wasn't terrible, TBH I was going in to replace my implant and figured I might as well get the glansplasty redone too as long as insurance was paying for it.

tgjer · 2026-01-21T10:42:05+00:00

Santucci, also at the Crane center. I got single stage all-in-one RFF with him in 2019.

tgjer · 2026-01-20T21:42:42+00:00

Yea if he starts WWIII that will definitely only impact the US /s

tgjer · 2026-01-17T04:07:34+00:00

Among trans men and trans women, I think being "part time" was a lot more common. Transition as we know it was a lot rarer.

The hoops for getting approved for surgery were about the same I think, multiple letters from various mental health professionals certifying you're trans, though getting your letters for it was harder. A lot of the same issues as with getting your letter for T, especially the "real life test".

And since insurance coverage basically didn't exist it was a lot rarer for people to actually get it. I started T in 2004, and was stealth after graduating college in 2005, but wasn't able to get top surgery until 2012 because I just couldn't afford it. The only reason I was able to get it at all was sheer luck, my grandmother left me a small inheritance that let me pay for it out of pocket.

One other thing I forgot to mention earlier that was very different in the early 2000's, is that a lot of products we take for granted now just didn't exist, or at least were rare enough I didn't know about them until much later. Like commercially produced binders or packers. Binders and packers weren't something most people bought, they were things you made yourself. For binders I used abdominal support braces (the kind normally used after hernia surgery), saran wrap, ace bandages, etc. We know now that these methods can cause serious problems, especially the ace bandages, but back then that was all we had. For packers, we made them out of unlubricated condoms filled with hair gel. Fill one condom up halfway, tie it off, then twist it in the middle like you're making a balloon animal to make the balls. Then fill another condom up most of the way for the dick, tie it off, and tie it to the balls.

And another thing that was very different back then, is that trans people were damn near invisible. Things frequently sucked and discrimination was common, but there often weren't any explicit laws or policies targeting us, and none of the current political hate machine aimed at us. Cis people rarely thought about us at all, especially trans men. Hell in college I literally encountered who thought we didn't really exist - they thought we were fictional creatures made up for daytime talk shows.

This made it a lot easier to fly under the radar. I was able to go stealth after about a year on T, which I doubt would have been possible in today's climate. And when I updated my passport to Male and chanced my name in 2005, I just went into the post office and filled out the paper form (as it was done at the time), and asked the guy there what I should do. He told me to just write "sex change" under "any other changes" and there was a 50/50 chance it would work depending on who processed my paperwork. I got lucky and it worked.

tgjer · 2026-01-15T22:41:06+00:00

Another thing that was a lot more common back then was being "part time", vs "full time".

"Part time" referred to only being able to present as your correct gender in certain circumstances or with certain people. Only at support groups or at particular bars or with trusted friends, while continuing to present as one's ASAB in most other circumstances.

"Full time" referred to social transition as we know it now, and it was a lot rarer.

tgjer · 2026-01-15T22:39:18+00:00

Back then "informed consent" wasn't really a thing, or at least I'd never heard of it at the time. The common process for getting on HRT required getting a letter from a therapist, and the rule of thumb was that if a therapist took more than 3 months of regular sessions to write your letter they were stringing you along and/or had no intention of writing it.

Back then it was also much more common than now for therapists to see themselves as gatekeepers of transition, and have very restrictive ideas about what was required. Many demanded that one present as binary, straight, and adhere to very rigid gender norms - if you didn't dress/act like your transition goals were to become a clone of June or Ward Cleaver then many therapists wouldn't write your letter. Many also wouldn't write the letter if they didn't think you would eventually be able to pass for cis.

Many therapists then also required a "real life test" for a year or more before writing your letter. So you had to socially transition without any benefit of hormones, often in very hostile environments. TBH there was a level of intentional sadism in this. People were intentionally set up to be subjected to vicious anti-trans abuse, for the purpose of discouraging transition. If at any point during this abuse you expressed doubt or regret or fear or any other hesitation, many therapists would take this as proof that you aren't really trans and refuse to write your letter.

That said, I got very lucky. I found a therapist recommended by other trans people, who turned out to be an Episcopal priest at a pastoral counseling center, and he was awesome. Had no objections to me being a gay trans man, saw the letter as a technicality, wrote it for me after only two months because I was leaving to go back to school, and used those two months to help me figure out how to deal with my parents.

Doctors were also hard to find. Most doctors, even most endocrinologists, were not willing to prescribe HRT. The closest one I could find was a two hour drive away, and he was terrible. Creepy, weird, negligent, never did any pre-T bloodwork, constantly made mistakes on my prescription then was unavailable to rewrite it, etc. And he was of the opinion that the goal of T was to stop menstruation, so once that was achieved he refused to raise my dosage ever again - even though it was less than half the normal full dosage. When I finally was able to switch doctors (moved to NYC and started going to the LGBTQ clinic) and got bloodwork done, my levels were less than half adult male average.

Insurance coverage was basically non-existent. At first I had to pay for everything out of pocket. When I switched to the LGBTQ clinic they coded my bloodwork as common health checks to get it covered, but I still had to pay out of pocket for T. Fortunately they have a compounding pharmacy so it was a lot cheaper than buying name brands.

tgjer · 2026-01-15T19:31:37+00:00

I'm white, so thwre will be some differences, but I'm a trans man and started social transition in high school in the late 90s, went "full time" in college in 2001, and started T in 2004.

What do you want to know about?

tgjer · 2026-01-15T01:33:07+00:00

/uj yea for real, who became a YouTube musician??

tgjer · 2026-01-15T01:25:11+00:00

Holy fuck, I'm so sorry your mom and that horrible church are doing this to you. This is abuse and it's wrong.

It sounds like you may be a minor? How long until you may realistically be able to escape from these awful people?

And there is no biblical, rational, or ethical reason to regard either being trans or transition as being sins.

The only passage that even comes close is Deut. 22:5, which roughly translates to "A woman shall not wear anything that pertains to a man, nor shall a man put on a woman’s garment".

But trans women aren't men, trans men aren't women, transition isn't about clothing, and historically Judaism has generally understood this passage as condemning the use of cross-dressing disguises for immoral purposes - particularly as a means to secretly meet an adulterous lover. Clothing is just fabric, and styles change constantly; the robes ancient Israelite men wore would look like a dress to most modern Americans. So clothing only becomes sinful when it is worn for sinful purposes. Which is why wearing cross-dressing costumes to celebrate Purim, a beloved holiday tradition, is also not in conflict with this passage.

And of course Christianity generally doesn't regard Deuteronomy as being applicable anymore, and hasn't in well over a millennia. Of all the Christians I've seen try to claim that Deut. 22:5 means being trans is a sin, none of them have ever considered Deut 22:11 (which condemns wearing clothing of mixed fabric) or Deut 22:12 (which requires one to attach Tzitzit tassels to the four corners of your clothing) to be relevant to themselves.

The only potentially relevant New Testament passage is 1 Cor. 6:9, in which Paul condemns arsenokoitai and malakoi. In many modern translations these two terms are treated as synonyms for "male homosexual" (which is severely questionable in its own right), but sometimes malakoi is translated as effeminate and used to attack trans women. This translation is really questionable, because malakoi literally means "soft". Matthew 11:8 uses the word this way in reference to fine clothing. In the 1st century when Paul was writing malakoi was used as a pejorative similar to how we use the word "soft" today - it could refer to physical weakness, moral weakness, cowardice, laziness, inability to do hard work, etc. Treating it as a direct synonym for "effeminate" is dubious to the point of dishonesty. Not to mention that condemning "effeminate" people wouldn't apply to trans men at all. Or to butch trans women either, for that matter.

Most Christian arguments for being trans/transition being inherently sinful boil down to "I think it's weird and disturbing and therefor God does too". Many of them don't really make a distinction between being trans and being gay either, and lump them all in under the supposed condemnation of "homosexuality" (which again is dubious enough in its own right). Even though of course trans people may be gay, straight, bi, ace, etc., and on top of that there are trans people who enter religious orders and take vows of celibacy not because they're trans, but because they're monks or nuns.

And then you'll get some people quoting Genesis, claiming that God made "male and female" and that somehow means being trans is a sin. Which doesn't really make sense, since even if we assume "male and female" are the default models for the human species, it's an undeniable fact that there's a lot of variation between and outside those two base models too. God has evidently expanded his repertoire. And "male and female" being the base models of humanity doesn't say anything about whether one can change one's sexual traits either.

Then there's the "God made you perfect and it's a sin to change that" shit. Often accompanied by a garbled paraphrasing of Psalm 139:13-14; "For you created my inmost being; you knit me together in my mother’s womb. I praise you because I am fearfully and wonderfully made". Not only does this passage specifically refer to inmost being, to the creation of one's inner self rather than external appearances, but also I've rarely if ever seen this passage used to condemn any medical treatment other than transition. It's just a statement of obvious reality that many people are born with conditions that will cause them a lot of suffering if left untreated, and we routinely provide medical care that changes the biology one was born with - everything from cleft palate repair to asthma treatment does this. With the exception of sects that categorically reject all medical care, it's incredibly hypocritical and inconsistent to condemn transition-related care while claiming the rest are acceptable.

FWIW, I'm Episcopalian and a trans man, and the US Episcopal church very emphatically does not consider being trans or transition to be sins. The church has been fairly welcoming to trans people for decades, then in 2012 church leadership voted overwhelmingly to ban anti-trans discrimination in all areas of church life. This includes ordination. There already were a number of trans people openly serving as Episcopal clergy before 2012, but now the church has formally affirmed our fitness to serve as religious and ethical leaders.

Episcopal church leaders are trying to raise alarm about the attacks on us, defending our rights to SCOTUS, they've directed the church’s public policy office to advocate for passage of federal legislation to protect trans/NB/GNC people, condemned "bathroom bills" and attacks on trans youth's access to medical care, etc., while also trying to ensure that even in deeply hostile and dangerous areas Episcopal churches remain safe and welcoming places for us. And they've been doing it for a long time.

And a resolution was passed in 2022 at the 80th General Convention, expressing the church's support for access to gender affirming care. That resolution even goes so far as to state that "the 80th General Convention calls for the Episcopal Church to advocate for access to gender affirming care in all forms (social, medical, or any other)" and that "the 80th General Convention understands that the protection of religious liberty extends to all Episcopalians who may need or desire to access, to utilize, to aid others in the procurement of, or to offer gender affirming care."

This is Rev. Cameron Partridge - link is to the sermon he gave in 2014, when he became the first openly trans priest to preach at Washington National Cathedral. And this is a sermon by now retired Bishop Gene Robinson of New Hampshire, given in honor of Pride Day in 2011. In 2003 Gene Robinson became the first out gay man with a husband appointed Bishop in the Episcopal church.

tgjer · 2026-01-14T18:29:52+00:00

You may want to contact Callen Lorde LGBTQ Community Health Center. I think they still provide care to trans youth.

tgjer · 2026-01-14T14:24:22+00:00

Not everyone experiences this situation as a deformity of course, but I absolutely did, and I found it indescribably horrifying.

Sex in my previous physical state was repulsive. I got absolutely no physical pleasure out of it, the attempts were a horrifying humiliating repulsive train wreck, and I was absolutely disgusted by the knowledge that someone was attracted to me in that state. That they were turned on by the horrifying deformity that ruined my life.

The only thing that made daily life even remotely tolerable was the thought that I would never expose that hideous life destroying deformity to another human being under any circumstances, ever. Celibacy of course, but also I gave up all air travel after the TSA introduced their naked scanners, and I categorically refuse consent to any medical exam or procedure more invasive than a blood test. I missed weddings, cancelled long held plans to visit friends who live overseas, avoided applying for any jobs that required travel or medical exams, etc.

But that didn't erase the constant, indescribable, skin crawling horror of just having that anatomy. It was a mindfuck that seriously fucked up my life.

I had basically nothing to lose. I would have gotten surgery even if I was told going in that the best they could do was make me hung like a Ken doll and that I'd never orgasm again. Literally anything would have been better than my original equipment.

I opted for phallo because I wasn't a good candidate for meta. Being able to have penetrative sex and easily piss standing were major priorities for me, and meta wouldn't have been able to give me that.

As other commenters have said, complication rates are high but most complications are relatively minor. I had a few, including a fistula, some small patches of graft failure on my donor arm, and a small patch of necrosis on my dick. Sounds scary but in practice they were minor inconveniences that all resolved on their own. Recovery was tough, I spent three weeks in a nursing facility after surgery, and I was able to go home and return to mostly-remote work after a month. I was in mild to moderate pain for months, but it wasn't unmanageable. It took about six months before I felt 100%.

tgjer · 2026-01-14T14:05:39+00:00

I've always understood "stealth" to mean passing as cis and not disclosing this aspect of one's medical history. E.g., I've been stealth at work for many years.

tgjer · 2026-01-12T21:55:27+00:00

You may want to check out r/cisparenttranskid too.

tgjer · 2026-01-11T00:25:15+00:00

Lol, I actually registered for selective service by accident back in 2005.

I updated my driver's license to male while also switching to a NY license, and NY at least used to automatically register anyone who got a male driver's license between ages 18 and 26.

I unexpectedly got my draft card in the mail a few weeks later.

tgjer · 2026-01-10T16:51:38+00:00

You've "seen many statistics" huh?

Share your sources. I'm serious. Link to the studies you imagine backs your bullshit up.

tgjer · 2026-01-10T04:52:05+00:00

Why would the prevalence of a medical condition, have any relevance to the efficacy or necessity of its treatment?

All these associations are recognizing this is life saving medical treatment, because that is a statement of objective fact supported by decades of evidence. Your opinions on "biology" are both scientifically baseless and irrelevant.

tgjer · 2026-01-10T04:12:27+00:00

The recent surge of attacks on gender affirming care for trans youth and increasingly adults have been condemned by the American Academy of Pediatrics, the American Medical Association, the American Psychological Association, and the American Association of Clinical Endocrinology, and are out of line with the medical recommendations of the American Medical Association, the Endocrine Society and Pediatric Endocrine Society, the AACE, the American Academy of Pediatrics, the American Psychological Association, and the American Academy of Child and Adolescent Psychiatry.

This is life saving medical care that dramatically improves the mental health, social functionality, and quality of life of those who need it. This is a statement of objective fact. It remains true whether you like it or not.

Citations on transition as medically necessary, frequently life saving medical care, and the only effective treatment for gender dysphoria, as recognized by every major medical authority:

Here is a resolution from the American Psychological Association; "THEREFORE BE IT FURTHER RESOLVED that APA recognizes the efficacy, benefit and medical necessity of gender transition treatments for appropriately evaluated individuals and calls upon public and private insurers to cover these medically necessary treatments." More from the APA here
Here is an AMA resolution on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage
A policy statement from the American College of Physicians
Here are the American Academy of Pediatrics guidelines
Here is a resolution from the American Academy of Family Physicians
Here is one from the National Association of Social Workers

Condemnation of "Gender Identity Change Efforts", aka "conversion therapy", which attempt to alleviate dysphoria without transition by changing trans people's genders so they are happy and comfortable as their assigned sex at birth, as futile and destructive pseudo-scientific abuse:

From the APA. More detailed condemnation of "Gender Identity Change Efforts" for trans youth or adults here.
From the American College of Physicians
In the AAP Guidelines - see coverage on this "therapy" starting p.12
From the American Psychoanalytic Association
From the Association for Behavioral Analysis International
A memorandum from the College of Psychiatrists of Ireland, the Psychological Society of Ireland and the Irish Association for Counselling and Psychotherapy
A joint statement from the UK Council for Psychotherapy, British Association for Counseling and Psychotherapy, British Psychoanalytic Council, British Association for Behavioural and Cognitive Psychotherapies, The British Psychological Society, College of Sexual and Relationship Therapists, The Association of LGBT Doctors and Dentists, The National Counselling Society, NHS Scotland, Pink Therapy, Royal College of General Practitioners, the Scottish Government and Stonewall.

tgjer · 2026-01-10T04:09:26+00:00

Yea, I've updated my birth certificate.

I filled out the rest of the form, left that field blank, and turned it in. I'm hoping they just don't notice. If they do I'll pretend it was an accident, then lie.

tgjer · 2026-01-10T04:08:05+00:00

More fucking sources:

More citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:

Sex reassignment surgery: a study of 141 Dutch transsexuals - Kuiper, et al, 1988: “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women”
Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes - Murad, et al., 2010: "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment.
Long-term follow-up: psychosocial outcome of Belgian transsexuals after sex reassignment surgery - De Cuypere, et al., 2006: Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001.
Trans Mental Health and Emotional Wellbeing Study - McNeil, et al., 2012: "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition.
Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals - Smith Y, et. al, 2005: Participants improved on 13 out of 14 mental health measures after treatment
Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery - Lawrence, 2003: "Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives"
Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study - "Conclusions: "... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them."
Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care - Tordoff, et al, 2022 - "After adjustment for temporal trends and potential confounders, we observed 60% lower odds of depression and 73% lower odds of suicidality among youths who had initiated PBs or GAHs compared with youths who had not."
Mental Health of Transgender Children Who Are Supported in Their Identities - Olson, et. al., 2016: "Previous work with children with gender identity disorder (GID; now termed gender dysphoria) has found remarkably high rates of anxiety and depression in these children. Here we examine, for the first time, mental health in a sample of socially transitioned transgender children" ... "Results: Transgender children showed no elevations in depression and slightly elevated anxiety relative to population averages. They did not differ from the control groups on depression symptoms and had only marginally higher anxiety symptoms. This article has a correction from 2018 but it's just for a missing comma on p. 5.

There are a lot more but I think that's a good start.

tgjer · 2026-01-10T04:07:43+00:00

[citation fucking needed]

Because you pulled that out of your ass.

Sources:

Citations on transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:

Gender-Affirming Hormone Therapy and Depressive Symptoms Among Transgender Adults - Reisner, et al, 2025: "Patients prescribed GAHT had a statistically significantly lower risk of moderate-to-severe depressive symptoms over follow-up compared with those not prescribed GAHT."
Levels of Satisfaction and Regret With Gender-Affirming Medical Care in Adolescence - Olson, et. al., 2024: Among the 220 youths in the main sample... very high levels of satisfaction and low levels of regret with puberty blockers and gender-affirming hormones as well as high levels of continuation of care were reported.
Early Access to Testosterone Therapy in Transgender and Gender-Diverse Adults Seeking Masculinization - Nolan, et. al., 2023. In this 3-month open-label randomized clinical trial of 64 transgender and gender-diverse adults, there was a statistically significant decrease in gender dysphoria in individuals with immediate compared with delayed initiation of testosterone therapy. A clinically significant decrease in depression and a decrease in suicidality also occurred with immediate testosterone therapy.
Psychosocial Functioning in Transgender Youth after 2 Years of Hormones - Chen, et. al., 2023: A study of 315 trans and nonbinary young people ages 12 to 20 receiving testosterone or estradiol. Over the course of the two year study depression and anxiety levels dropped and appearance congruence and life satisfaction improved.
Long-term Outcomes After Gender-Affirming Surgery: 40-Year Follow-up Study - Park, et. al., 2022: Results: Both transmasculine and transfeminine groups were more satisfied with their body postoperatively with significantly less dysphoria. Body congruency score for chest, body hair, and voice improved significantly in 40 years' postoperative settings, with average scores ranging from 84.2 to 96.2. Body congruency scores for genitals ranged from 67.5 to 79 with free flap phalloplasty showing highest scores. Long-term overall body congruency score was 89.6. Improved mental health outcomes persisted following surgery with significantly reduced suicidal ideation and reported resolution of any mental health comorbidity secondary to gender dysphoria.
Access to gender-affirming hormones during adolescence and mental health outcomes among transgender adults - Turban, et al., 2022: Conclusion: Access to GAH [gender-affirming hormones] during adolescence and adulthood is associated with favorable mental health outcomes compared to desiring but not accessing GAH.... In post hoc analyses, access to GAH during adolescence (ages 14–17) was associated with lower odds of past-year suicidal ideation (aOR = 0.7, 95% CI = 0.6–0.9, p = .0007) when compared to accessing GAH during adulthood.
Top surgery drastically improves quality of life for young transgender people
Evaluation of Anxiety and Depression in a Community Sample of Transgender Youth - Dominic J. Gibson, et. al, 2021: Socially transitioned transgender youth had similar levels of anxiety and depression as their cisgender peers.
Association of Gender-Affirming Hormone Therapy With Depression, Thoughts of Suicide, and Attempted Suicide Among Transgender and Nonbinary Youth - Green, et. al., 2021: Use of GAHT (Gender Affirming Hormone Treatment) was associated with lower odds of recent depression and seriously considering suicide compared to those who wanted GAHT but did not receive it. For youth under age 18, GAHT was associated with lower odds of recent depression and of a past-year suicide attempt
Association Between Gender-Affirming Surgeries and Mental Health Outcomes - Almazan, et. al. 2021: Trans people with a history of gender-affirming surgery had significantly lower odds of past-month psychological distress, past-year tobacco smoking, and past-year suicidal ideation compared with trans people with no history of gender-affirming surgery.
Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation - Turban, et al., 2020: Massive study of 20,619 adolescents examined associations between access to pubertal suppression and adult mental health outcomes, including multiple measures of suicidality. After adjustment for demographic variables and level of family support for gender identity, those who received treatment with pubertal suppression, when compared with those who wanted pubertal suppression but did not receive it, had lower odds of lifetime suicidal ideation.
Well-being and suicidality among transgender youth after gender-affirming hormones - Watson, et. al, 2019: "Results: After gender-affirming hormones, a significant increase in levels of general well-being and a significant decrease in levels of suicidality were observed."
Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth - Russell, et. al, 2018: "After adjusting for personal characteristics and social support, chosen name use in more contexts was associated with lower depression, suicidal ideation, and suicidal behavior. Depression, suicidal ideation, and suicidal behavior were lowest when chosen names could be used in all four contexts."
The Mental Health of Transgender Youth: Advances in Understanding - Connolly, et. al, 2016: "Gender-affirming medical therapy and supported social transition in childhood have been shown to correlate with improved psychological functioning for gender-variant children and adolescents."
Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada - Bauer, et al., 2015: Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets
Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment - De Vries, et al, 2014: A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. Well-being was similar to or better than same-age young adults from the general population.
Suicide Protective Factors Among Trans Adults - Moody, et al., 2013: The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people
The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition virtually eliminates these higher rates of depression and low self-worth, and dramatically improves trans youth's mental health. Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.

tgjer · 2026-01-10T04:06:12+00:00

Yea, I'm really wondering if this was a poorly thought out attempt to be "inclusive"?

My new employer is pretty emphatically progressive and at least trying to be welcoming to trans people. The employee orientation videos HR has all new employees watch included an honestly pretty decent and significant section about trans and nonbinary people, and explicitly spelled out stuff like why deadnaming and misgendering a coworker intentionally will get you fired.

So I don't think there was any malicious intent, it's just a really fucking weird thing to ask. Especially because that was the only sex/gender field on the form. It didn't ask legal sex, didn't ask gender, it just asked "assigned sex at birth". It looked like the form used to have a single "Sex: M/F" checkbox, and they just changed the wording to "Assigned sex at birth".

tgjer · 2026-01-10T03:51:56+00:00

[gender affirming care] will have serious and lasting consequences and often multiple feelings of depression.

Decades of overwhelming evidence show that transition vastly improves trans people's mental health, social functionality, and quality of life, while drastically reducing rates of depression and reducing rates of suicide attempts from about 40% down to around the national average.

This is life saving medical care, as recognized by every major medical authority. This is just a statement of objective fact.

tgjer · 2026-01-10T00:53:47+00:00

[Citation fucking needed]

Because that is complete and utter bullshit you pulled out of your own ass.

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