Hey there, this might shock you, but I'm a physician that has about 3,000 transgender patients and has actually developed his own techniques to improve the care of transgender people and to do HRT more effectively and safer. Despite that, I'm here on this subreddit, and I'm trying to help you as much as I can.
I've been doing this about 10 years, and in that time I have seen major changes in society in regards to what is considered transgender and who is encouraged to start hormone therapy.
I'm autistic, and I have a very rigid sense of justice. To me, I don't really care much about the politics of gender dysphoria and transgender people, I care just that my patients are happy and healthy.
To that, I don't really care if someone is transitioning or de-transitioning, it's my job to help them do that as safely and effectively as possible so that they can live a healthy and happy life.
While I'm aware this is the detrans sub, I hold a moderate opinion. I think that some people really benefit from HRT, and some people, have no business getting HRT and the medical system has failed them by encouraging them to transition. Figuring out who those people are is one of the things that keeps me up late at night. Legitimately, I am feeling psychologically disturbed by the things that I'm seeing in society and in my own practice. I'm not sure how to not exactly break the rule here of "never promote HRT" as I genuinely do believe that for some people it is the right medical treatment. I just don't think it's the right thing for anywhere near the amount of people that are currently getting it.
Also, I break the rule of not being a detransitioner, So I hope an exception can be made by the mods in that regard too, because I'm not here to antagonize anybody. I'm here to help.
So sorry, my existence here already breaks rules 4 and 6.
Lately, I have been de-transitioning more people than ever. I have decided to be more active on this sub because what I want to do is help as many people as I possibly can. I've been through a lot of trauma in my life, and at this point, the only thing that really seems to give my life any meaning is helping people. I really do enjoy taking care of transgender patients, or really anybody that just gets shit on by the universe. I have certainly been served enough plates of fresh soft serve poop by the universe to know that sometimes help comes from strange places. So while it may seem kind of odd that the guy that has more trans patients than anybody else wants to help detrans patients, I hope you understand my reasoning and believe me.
In short, I do not mind if I am tagged in post comments if someone is seeking medical guidance in regards to detransition. Just link my username and I'll get the notification and I'll do my best to reply when I can.
I actually just submitted two papers for publication, one of which is about the restoration of fertility in transgender people. Nobody has ever published on this before because it's always been said that people are just sterile after HRT and that's not the case. I have about a 99% success rate in restoring the fertility of people at least temporarily who have been on hormones for a long time who have not had a gonadectomy.
Many of you often speak like the situation you are in is this irreversible mistake that you made. For some of you, that might be true in some regards, but the overwhelming majority of time it's not. People just don't know what's out there to fix the problems that they have. Because I've been doing this so long, I'm aware of a lot of things that people might not know are even possible. I am really good at feminizing or masculinizing a human body. Regardless of where that body started. I also know that finding doctors that are willing to provide detrans care is extremely difficult, because everyone's afraid of being sued or being canceled. Personally, I have no fear of either. I'm always going to be able to justify what I did by stating that I did what I thought was ethically right and good for the health of my patient at the time. And in terms of being canceled, it's happened to me so many times now that I just don't care anymore. Despite how many times people say it, I still continue to exist. So I don't really care what Twitter thinks at this point.
People are generally told when they decide they want to detransition that they just stop taking the hormones and that's it. It's a lot more complicated than that, or at least, it can be, if you want to help someone get back to how they were before as quickly and effectively and safely as possible. People can be restored back to their original state a lot faster with medical help than they can with just simply stopping the drugs.
There is a lot of medicine and things that can be done to help somebody get back to exactly how they were or nearly exactly how they were before they took a single hormone. This is especially true for FTMTF and so many of these young women think that there's nothing that can be done.
In short, I appreciate the fact that so far, I have been welcomed here, and I more than welcome and in fact invite being tagged by my username in any post that anyone makes where they are seeking some sort of guidance in regards to how to do something in regards to detransition medically.
For me, every time one of my patients comes to me and tells me that psychiatry got it wrong and that they aren't really transgender and they want to go back to how they were before, a little piece of me inside dies because I know that I broke one of the most important parts of the hippocratic oath, "primum non nocere" or "first do no harm". By spending time here and interacting with you guys and girls and hearing your stories, it is making me get better at recognizing who these people might be before they go down an irreversible pathway.
At this point, I'm doing detransition so much that it's causing me a lot of mental anguish and stress. And so in order to feel like I'm still being an ethical and good human, I really want to do my best to help this community. I am trying to not drink the Kool-Aid. I want to do what's right for my transgender patients and for my detrans patients too.
I have been treating transgender patients for 10 years, I have more transgender HRT patients per capita than any other doctor in the United States as far as I'm aware. By like a large margin. I see patients from all over the world, and in nearly every US state I have a medical license. So I see people via telehealth as well. If somebody really needs to see me and I can't help them get the care locally, I can usually do that for people. Or at least one of my trainees can.
That being said, I am not posting this to try and recruit new patients. I cannot express enough that I'm not trying to break rule 8 either. I do not have an ulterior motive other than finding some sort of psychological opiate to make me feel less pain about knowing that some of my patients have been hurt by me. Perhaps my desire to help here is to make me not feel so guilty about those people, but that's as close to an ulterior motive as I have.
I have a waiting list to get into my clinic to see me, but I welcome people asking me questions on here and I'll be happy to reply for free and do this to the best of my abilities. I cannot stress that enough. I have more transgender patients than I can really see, but that is sort of the reason why I know something is wrong. 10 years ago, everybody I saw was absolutely miserable, and after going on hormones, their life was so much better and happier than it was previously.
That just isn't the case anymore. Too many people are being pushed into transition when it's not something that will benefit their life. I want to do my best to help push back against that, and to do what I took an oath to do, which is first do no harm.
Anyways, that's all I really had to say, thanks for giving me the space to do so. I hope I can be helpful. Feel free to tag me in any post and I'll do the best I can to help that person.
Thank you for allowing me to exist in your space even though I'm a bit of a rule breaker just by being here. I really am only here to help. I hope I can prove that to you over time.