Megathread SRS and GRS surgeons and associated horrors - the medical community of experimental surgeons, the secret community of home butchers

[Julie Newmar]

It's wild how different the result from a mastectomy preformed by a caring surgeon working on cancer patients and a professional pooner butcherer are. There are fucked up mastectomies in the former case as well but it seems the pooner ones have a fuck up rate hovering around 1/2, and I've yet to hear of a "bottom surgery" of any kind that isn't a horror show from start to finish. Even the "successful" ones are limited to "I can kind of use it but it bleeds a lot" and "It doesn't hurt all the time anymore".

I'm guessing the pooner doesn't really have any reason to sue, she wanted a fucked up chest and no doubt signed a release that said rotten nipples and ripples to be expected.

As bad as the surgeon likely is at their job, a fair bit of blame is often on the pooner, too. Women narrowly escaping breast cancer by getting a lifesaving mastectomy or those who need it to function tend to take better care of the surgical site. You’ve seen how these freaks live: usually in self-imposed squalor, with mediocre-at-best hygiene, expecting to go right back to normal physicality afterward because they think their body is as deluded as them and knows not to have tits. Plus nipple placement and shirtless aesthetics are rarely demanded by women who actually need the surgery to live.

 

[batteredpancakes]

TiM is surprised that he hasn't had a penile orgasm since he chopped his penis off three years ago. PinkStand9576
Link | Archive

Spoiler: Text

Anorgasmia after SRS ~ 3yrs post-op.
I had SRS 3 years ago in Thailand and unfortunately ever since I’ve experienced anorgasmia. The good news is my prostate orgasm wasn’t taken from me, but the penile orgasm is definitely gone. My estrogen and testosterone levels are perfect, and I’ve added a tiny bit of T. I’m not taking any antidepressants or other medication that would cause it.

There’s no sensation when touching the clitorus and the penile orgasm is Zero/missing, however I do feel the delayed relief around 1-2 minutes later. The best way I can describe it is; when I climax, it feels like my glans and all of the nerves simply don’t exist. Surprise Surprise.

The hospital told me it’s because I have herpes. I have found no evidence to support this. I reached out to the hospital several times but it’s clear they are not offering to investigate. Other surgeons have said there is a chance my pundedal nerve is entrapped by the evident corpora cavernosum showing on a recent MRI and maybe scar tissue, but it’s unlikely there is a cut nerve otherwise I would have debilitating pain and I have the opposite symptoms (no feeling).

I have an option to open this up again by Dr Miroslav at Belgrade reconstruction team and attempt to “re-do” when they carefully carve out the remnants, but there is a risk of nerve damage. He mentioned that he sees this all the time from Thailand and unfortunately it will keep happening from the “Thai non-inversion” srs.

I’m not going to name and shame the hospital, it should be obvious by now where it happened and recently they’ve started to threaten legal action against anyone who complains. I have a string of other serious health conditions unfortunately and I really have been left to fend for myself. Anytime I have posted anything they jump in here with threats and their reddit sales agents defend the place like it’s the gates of heaven.

Any advice, opinion or similar experience is welcome.

 

[sperginity]

why does he think a cut nerve would cause debilitating pain rather than numbness? does he think your legs hurt really bad if your spinal chord gets cut?

 

[melty]

It sounds like that guy got off (kek) lucky with only having no feeling. There's apparently an option for terrible pain, and knowing this, this guy wants to go back and get more surgery risking even worse?? Cut your losses dude

 

[Accidental Protege]

why does he think a cut nerve would cause debilitating pain rather than numbness? does he think your legs hurt really bad if your spinal chord gets cut?

Because that's what he's been told by the quack surgeons he's contacting. The guy is probably being sold the lie that his orgasm can be restored if he pays x amount of money. It's really kind of a win-win for the surgeons, since all they have to do when it inevitably fails is shrug and say that it's always worked before.
Even though most surgeons seem to decline to revise other surgeons' work (for good reason since no one is doing anything the same way), there's got to be a huge demand for revision surgeries, and I can't imagine actually wanting to go back to the doctor who botched you no matter what they claim on Reddit. I wonder if SRS revision surgery will turn into a new niche practice area as we enter the post-troon years. Maybe even covered by insurance if it's not for aesthetic purposes (lol). I guess you'd have an ever-diminishing pool of patients as troons 41% and surgeries continue to get banned, but there are clearly plenty of opportunistic surgeons out there.

 

[Obnoxious Asshole]

why does he think a cut nerve would cause debilitating pain rather than numbness? does he think your legs hurt really bad if your spinal chord gets cut?

It actually can cause constant unending pain if cut incorrectly or at the wrong point.

 

[Imp]

Hey ladies, sorry for not including the post that goes along with home decor tits (wandered off earlier) so here it is in all its horror

https://preview.redd.it/503buytpmfo...bp&s=ba4df266ab8162698789f8fc87cab2cc878d0722

(the picture above is an old photo before the scabs on the left opened and became infected. poorly stitched and closed together and the skin folds made it hard to clean the incisions and probably why it opened.)

hi everyone. i saw my surgeon (chinwe kpaduwa in california) who fucked up my chest yesterday on the 13th. it will be the last time i see her. im working on being referred to ben childers in riverside who is a way more compotent surgeon than her, and he'll be giving me his professional second opinion. my surgeon is apparently a "skilled" cosmetic surgeon but she messed up my incisions by creating so many skin folds from "scrunching" up my skin.

heres some things she said during the second post-op appointment:

surgeon after seeing my chest for the second time:

okay yeah it looks pretty good, looks like the ointment i gave you is doing its work. i dont have any concerns about it as it isn't infected (this is the THIRD time she said it wasn't infected, but everyone else including other doctors said it was. there was a STRONG repulsive smell coming from the wound area and there was liquid and pus.)

(note the ointment is silver sulfadiazine which usually is used for wound infections or burns if im correct. she gave me this ointment after the fact i said it was infected and she denied it was, but prescribed this infected wound treatment ointment anyway???)

she also touched near my open wound incision WITHOUT GLOVES. my sister witnessed this and i didnt notice she did that but i did feel it.

surgeon: i think i talked about this before in the consultation but there were going to be complications due to the surgery, especially since im pulling the skin so tight.

(the fact is, she didnt remove ENOUGH SKIN, FAT AND TISSUE. its the reason why i have skin folds.)

me: okay, was it a multi-step surgery?

surgeon: so when i had seen you in the pre-op appointment i said to you its gonna be a difficult case to do all of it in one go, because you had larger breasts to begin with so i did mention more than likely youll get a liposuction afterwards to get rid of the fullness on the sides. (NOTE in the first post op appointment she said it was swelling. i knew she was wrong. ) its not usually multi-step but in your case i had a feeling that since you had larger breasts to begin with it was going to be a challenge for me. at the consultation i had to make sure you knew before surgery that it wasn't g oing to be a "one surgery and it's done" sort of deal.

the amount of times she said "you had larger breasts to begin with" infuriates me. if she wasnt confident on doing the surgery properly due to my larger size she shouldnt have accepted it. she fucked up my chest and made the incisions a nd nipples too high. also... i had NO IDEA it was going to be a multi-step surgery. i knew she might need liposuction but she fucked up everything else and wasnt clear nor clarified it was going to be multi-step. BUT I KNOW THERE IS BIGGER PEOPLE THAN ME WHO HAD THEIR SURGEONS DO ALL OF IT IN ONE GO AND THAT INCLUDES LIPOSUCTION...Who had the same breast size. this is just a fucking excuse i feel.

when i asked her why the skin folds she said "well when you were on the operative table you were flat and had no skin folds" which wasnt an answer and didnt give me no comfort or reassurance that it would go away. it most likely wont. she didnt remove enough skin and fat.

if youre in california and live near the riverside university health system hospital and are referred to her- please dont do it. she'll fuck your chest up like she did mine.

pardon for the non html link:

https://old.reddit.com/r/TopSurgery/comments/1bf6na7/dont_see_my_surgeon_for_top_surgery/

archive https://archive.ph/ydFiW

 

[Mutthole]

He spells the word "clitorus," so he's literally retarded. Unless he's trying to combine clitoris and phallus into a single word?

 

[batteredpancakes]

i saw my surgeon (chinwe kpaduwa in california)

Spoiler: Text

About Dr. Kpaduwa​

TAILORED, INDIVIDUAL CARE​

Harvard-educated, California-trained Dr. Kpaduwa (Dr. KP) is a highly sought after physician. During training she was nicknamed Chin-wow because of her skillful hands and excellent bedside manner. She specializes in cosmetic and reconstructive surgery of the face, breast, trunk, and extremities and, moreover, is deeply committed to helping people reveal their inner beauty through physical transformation.

She attended Harvard University for her undergraduate degree. Upon graduation she took a job helping young people in Boston fight for jobs before deciding to matriculate into Georgetown University for her medical degree where she discovered her love for surgery. She spent a year at Johns Hopkins Hospital before finishing her five-year training in all aspects of general surgery at Boston University. From there, she trained at University of California, San Diego in plastic surgery honing her skills in aesthetic and reconstructive surgery with some of the world's leaders in plastic surgery. She completed her nine-year long training in pediatric and craniofacial plastic surgery at Nationwide Children's Hospital - Ohio State University seeking to expand her ability to work with children and adults affected by congenital differences and trauma.

Dr. KP is board-certified in plastic surgery by the American Board of Plastic Surgery. She has many clinical interests. Above all she believes in providing excellent, safe care to her patients. From lasers to body contouring and everything in between, she is ever meticulous and tailors her treatment to the individual patient.

She doesn't seem to do any trans work so this dumb TiF picked a regular breast reconstruction surgeon for her top surgery. FFS.

Also I found this quote from her first post

i am 219 pounds and 5'2.

Her BMI is 40.

That doesn't really matter, the complications stated in the story above aren't because it's a pooner, they're because she's incompetent. The surgery was a total fucking botch job.

Double mastectomies for regular woman (a.k.a the standard for the past few decades) usually involves leaving as much skin, tissue, and fat as possible so they can come in and do a breast reconstruction later. (There's a really good example somewhere early in this thread posted by someone else but I can't find it so here's an example I posted a few weeks back instead, done by a surgeon who does breast reconstruction not trans surgeries)
The complications are potentially due to her obesity, poor health, and shit hygiene. The surgeon really shouldn't have do the surgery fullstop. She's done this weird mashup of just taking out the breast tissue like a tradition mastectomy but has put the nipples back on like a typical top surgery.

A lot of the fatties seem to be prone to leaving in extra tissue and fat even when the surgeon is pretty competent at regular top surgery. I'm betting the complications are mostly due to her morbid obesity.

 

[Iron Jaguar]

Remember this chick is 20 years old, type 1 diabetic, obese, disabled, and has an onlyfans.

That is a girl who has deliberately made herself obese and disgusting, probably because that's her view of men/masculinity.

 

[Mellow Malevolent]

I've heard that there has been an explosion of mycobacterium infections from the fly-by-night injection medical spas that have popped up in the past few years. I'm surprised I haven't seen more stories of that type of thing here, I figure it is only a matter of time before troons start getting actual leprosy from going to some back-alley BBL place that uses chemical sourced off Alibaba.

 

[CertifiedFedBot]

I'm MATI. The fact that these surgeons are willing to carve up these girls like this makes me so angry. Not because they're some poor babies but the cutting up a morbidly obese woman's tits while fully in the knowledge, or they should be, of the complication rates. The simple fact that the Chinwe bitch even took on a fatty of that size and didn't tell her to lose the weight before hand for a completely unnecessary cosmetic surgery should be evidence A in revoking her medical license.
The number of botched operations in this thread is really a show of how tranny surgery is the port of last call for failed surgeons. No self-respecting person who went to medschool and did years and years of residency ends up flipping dicks inside out, constructing human meat playdough worms, and pasting dead nipples onto deflated skin sacks.

 

[Iron Jaguar]

The number of botched operations in this thread is really a show of how tranny surgery is the port of last call for failed surgeons

I don't think that's true. I think it's basically impossible for a surgeon of any skill level to do what these people are attempting, and these surgeons are motivated by greed and the ease of closing the sale, not to mention the complete lack of professional oversight and agreed upon methodologies.

@Mellow Malevolent
I figure it is only a matter of time before troons start getting actual leprosy from going to some back-alley BBL place that uses chemical sourced off Alibaba.

*FingersCrossed.jpg*

 

[CertifiedFedBot]

I don't think that's true. I think it's basically impossible for a surgeon of any skill level to do what these people are attempting, and these surgeons are motivated by greed and the ease of closing the sale, not to mention the complete lack of professional oversight and agreed upon methodologies.

My point exactly.

 

[batteredpancakes]

No self-respecting person who went to medschool

Unfortunately, as this thread will teach you, there are plenty of people in the medical field that are money obsessed and egotistical and will only look out for themselves. Plenty of these people, when presented, will choose the easy unethical option over the harder ethical one.

Surgeons in particular, are people who are more concerned with riches and how much people they will impress over actually helping people. They drive fancy cars, live in mansions, and eat at lavish restaurants. Most don't become surgeons to help people they become surgeons for the paycheck.

SRS surgeries are easy money as it's a new controversial area of plastic surgery that the more ethical surgeons won't touch but has high demand and insurance will gladly pay for. It's basically impossible to get successfully sued if you mess up or do poorly due to the surgeries being experimental so lack specific wording on paper, so any legal attempt to get justice will be impossibly hard (Dr. Rumer). Even death of a patient does nothing to garner interest by the medical boards (Dr. Satterwhite). These surgeries have no medical policing and the surgeons know this.

SRS is an easy unlimitless money hack for any unethical surgeon. And best of all, it's not boring so it attracts the mad scientists; you can redesign procedures and experiment all you like. If you fuck up you can just go back to the drawing board and try again without repercussion (Dr. Cetrulo).

 

[Iron Jaguar]

My point exactly.

Then you should have said that.

 

[Richard Cheese]

https://old.reddit.com/r/TopSurgery/comments/1bf6na7/dont_see_my_surgeon_for_top_surgery/

Her GoFundMe has raised a whopping $45.

https://www.gofundme.com/f/eymfcx-botched-trans-ftm-top-surgery (a)

TW FOR NUDITY/MEDICAL ABUSE/OPEN WOUNDS/BODILY FLUIDS/MENTIONS OF SELF-HARM/ BODY DYSPHORIA/POTENTIALLY TRANSPHOBIA?

As she left extra skin, she scrunched up the skin up to the incisions and created skin folds and creases that are not gender affirming NOR aesthetically pleasing or similar to a cis man's chest.

Besides from the surgeon botching my surgery, before the surgery happened I was consistently misgendered (They kept using she/her pronouns when my gender marker is MALE.) and was called by my deadname (Legal cisgender female name) multiple times throughout my time by various of nurses and doctors.

There has been countless of times before my top surgery where I had urges to self-mutilate and self-harm around my chest area caused by the gender dysphoria because it was unbearable to handle and cope with.

 

[El-ahrairah]

Ah, yes, the folds and creases aren't gender affirming, that's the real problem here.

 

[monstrous bubo]

An excellent question, some not so excellent answers. TW: some shitty logic, anecdata, and a few refreshing admissions that we don’t know jack, studies are poor, and maybe there is some elevated risk.

Spoiler: text and answers

HRT : Blood clots, bone and joint issues ? (long term consequences / more than 15 years therapy)​

General Question

Eveoe

Hi

A lot of people are talking about HRT as an safe therapy : on the short term, sure, probably it is. But what about long term ? What about blood clots, bone and joint issues ?

(long term : more than 15 years)

Thank you, have a beautiful day !! <3

Andrea_Stars

The answer to this somewhat depends on whether you mean testosterone or estrogen HRT, and in both cases most data would have to be extrapolated from cis people and mixed with some understanding of the physiology.

Overall my take would be: Testosterone: Clotting risk - venous unchanged, arterial increased in line with cis men Bone - possibly improved bone density Joint issues - mostly unchanged, but maybe reduced risk of autoimmune arthritis, definitely reduced symptoms of pre-existing ligament dysfunction

Oestrogen Clotting risk - venous increased, but by what amount is debatable, probably small, arterial probably reduced, but possibly increased severity if they do happen Bone - possible slight reduction in bone density compared to cis men, increased density compared to post-menopausal cis women Joint issues - increase ligament laxity with associated increased flexibility and altered injury pattern in line with cis women. Possible worsening of pre-existing ligament issues. Possible increased risk of autoimmune arthritis in line with cis women.

SheSmilesBeatifical
20h ago

I agree with what you say about oestrogen. My life work involves being outdoors carrying a heavy pack, and since being on HRT, my upper body strength has changed dramatically. My ligaments have lengthened, and I have become very aware of the frailties of my own body. So I have adapted accordingly. I carry a lighter pack, and now practice gym training to maintain my core muscle strength. My flesh is no longer male, it is now female, my skeleton is light like a dancer, and I have always had to work at it to maintain my strength and fitness. At the age of 68 I recognise the compromises I have to make in order to be female, and I accept that.

Andrea_Stars
19h ago

There is a much bigger difference in upper body strength between men & women than in lower. How much of that is true when we're talking about trans people isn't well understood because (surprise surprise) very few studies have been done.

SheSmilesBeatifical
19h ago

There has been very little research being done about cross-hormone therapy at all. Most of it is anecdotal, and even that is like walking on a quicksand of hearsay. I am thankful for having an analytical mind … but yes, upper body strength - mine was quite considerable before starting HRT. Small pigeon chest, narrow hips, long legs, and the fall-off of upper body muscle mass was considerable. My upper arms developed fat deposits, my dad pod became a mum pod, my hips, thighs, and calves grew thicker. I let it all happen. My pelvis began to tilt, and I developed lower back pain. At 36 months, I knew that I was ready to start gym training again to pull everything back into shape as a woman’s body - not a man’s, and 7 months later it has turned out well doing three hours of low impact endurance training three times a week. That’s using walking, cycling and rowing machines combined with yoga and lifting small hand weights. Everything is now working properly, I have a waist, a bottom, thighs, and everything is toning up. It’s not like I read a hardback book and said “oh yes, I will do that”, more like figuring everything out in the dark before leaping into the light.

I trust that the OP appreciates where I am coming from on all of this.

Eveoe
18h ago

Thank you for these feedback !

I also have fears regarding muscular strength : I am not very muscular and tend to get tendinitis easily ... however, my doctor told me that there was no risk of doing more easily develops tendinitis in the event of loss of muscular strength (but, on the other hand, he doesn't know much about HRT ... )

SheSmilesBeatifical
14h ago

Last reply:- if you exercise more you will become stronger. Tendinitis is a form of repetitive strain injury, and can be easily avoided by varying your range of movements through different exercise routines. HRT has very little to do with it.

SheSmilesBeatifical
22h ago

Have you done your research? Your question(s) are somewhat vague, so my reactive response is to say ‘SHED’ - sleep, hydration, exercise and diet. Whether on hormone therapy or not, satisfaction of all four is a prerequisite to a long and healthy life


Eveoe
22h ago

Hello ! I've read a lot on the subject, yes. These problems are often referred to as a "risk".

Furthermore, I have the impression that on the forum, many people have been on hrt for less than 10/15 years (a lot for some years only) : apart from that, I wonder about the real effects, really perceived (real life) by people who have been on hrt for a very long time.

ExternalSort8777
17h ago

These problems are often referred to as a "risk".

But that's what you are asking about. The risks associated with long term HRT.

on the forum, many people have been on hrt for less than 10/15 years (a lot for some years only

which makes this a weird place to be asking for anecdotes about long-term negative outcomes or deleterious side effects -- even if the stories you read here were trustworthy (they are not) or meaningful.

What would you conclude, if somebody were to respond to this question by claiming that they'd started HRT at 36, are now 51 and that contra-sexual hormones gave them "joint issues"?

I've read a lot on the subject, yes

What have you read? Where are you looking?

Are you comfortable with statistics? Do you know what p-values mean? z scores? Would you be confident interpreting numbers presented with confidence intervals?

Hormone therapy in transgender adults is safe with provider supervision; A review of hormone therapy sequelae for transgender individuals
Gender-affirming care and endocrine-related cancers (Review)
Systematic Review of the Long-Term Effects of Transgender Hormone Therapy on Bone Markers and Bone Mineral Density and Their Potential Effects in Implant Therapy
Long term hormonal treatment for transgender people
Mortality trends over five decades in adult transgender people receiving hormone treatment: a report from the Amsterdam cohort of gender dysphoria

Eveoe
17h ago

Let's say I make do with what I have : and ultimately, that's why I asked this question here ! And finally I did well to ask this question because - and I thank you very much ! - you have just provided me with lots of constructive reading ! Thanks again !

ExternalSort8777
17h ago

Let's say I make do with what I have

No idea what that is supposed to mean.

I did well to ask this question because - and I thank you very much ! - you have just provided me with lots of constructive reading !

https://scholar.google.com/
https://www.sciencedirect.com/
https://pubmed.ncbi.nlm.nih.gov/
and SciHub for stuff behind a paywall
https://sci-hubtw.hkvisa.net/



•22h ago

If that is so, then why are you asking these questions here?

Bye_me_hi_me
22h ago

Because experience from real people is different from stats? Because not all research is segmented by age groups? Because others may have done more research and be able to point others in the right direction?

Eveoe
]22h ago

Because I am 36 years old and I want to know what the real risks are for people who started their transition late Biologically this may make a difference compared to people who transitioned as adolescents.

SheSmilesBeatifical
21h ago

OK, now we are getting somewhere. Those who transition young, say under the age of 27, are producing human growth hormone (HGH) in copious amounts, and will transition more quickly and effectively than those who are over the age of 40. After 35, the body produces progressively smaller and smaller amounts of HGH - that is:- unless the body gets physical exercise and increases it’s production of HGH. This is why lifelong bodybuilders can reach the age of 70 and have the body of a 30 year old - true for both cis and trans gender men and women.

It has been proven over and over again that both MtF and FtM late in life transitioners who are in good health will benefit immensely from HRT - so long as they are in relatively good health before they start, and so long as they continue to remain in good health. This is why I put the emphasis on SHED. HRT changes the entire cellular structure of the body, including all tissues, organs, skeleton and the brain, with corresponding effects to the mind and personality, and will continue to do so for the rest of your life. SHED is the key to long term trans gender health care. So long as the transitioner is aware of the significance of SHED and practice self-care, their body will continue to produce HGH and they will transition effectively.

By my own example, I am 68 years of age, have always been extremely fit and healthy, and been on HRT for 43 months. My body has changed considerably in this time frame, and will continue to do so until I reach the age of 72. By then I will have been on HRT for 7 years - the time that it takes the human body to completely regenerate itself on a cellular level. By the age of 70, I - will - have the body of a 30 year old, and the last laugh will be mine. The secret is getting enough exercise to stimulate the body into a state of constant regeneration.

So, if you are on HRT, or thinking of starting HRT, be assured you will not come to any long term harm, and just go for it.

Eveoe
18h ago

Thank you for that answer !

I am indeed considering starting hrt : however, I would not like the benefits to be outweighed by possible significant physical risks as I age (particularly related to the joints/bones), not having any real physical dysphoria (It would be more about realigning a body with a gender/a sense of belonging).

The paragraph about HRH is very interesting, I didn't have this knowledge, thank you !

ExternalSort8777
17h ago

So, you want to know what your risks are at 51 -- if you start HRT at 36 -- compared to a person who started HRT as an adolescent?

You want to know if you will be as healthy in your fifties as someone who started HRT 33 years ago -- in 1991? (assuming you mean a person who did not go on blockers as a younger adolescent, and who started HRT at 1.

Eveoe
17h ago

Hi
I am trying to find out if hrt started late can increase certain health risks/discomfort in a significant or recurring manner (e.g. 20 years of hrt for a person who started at 35/40 years old)


ExternalSort8777
17h ago

You are asking in the wrong place. Not just because this sub is mostly for and by people who's "egg cracked" after they turned 30,

Reddit's upvote/downvote system and batsh!t "karma" points are a perverse incentive. People will re-post "what everybody knows" for points -- despite (or, sometimes because) -- the thing that "everybody knows" being easily refuted.

Eveoe
1h ago

People really care about points ??????

joym08
14h ago

I've been on HRT estradiol for 19 years other than soft skin, fat redistribution and muscle mass loss. I have no blood clots, my bones are fine. I can say that because my recent DEXA scan was good.

Babeliciousness
14h ago

Still safe. I started with 3 other girls at the same time back in 1990, I had to detransition 9 months in, but 1 of those ladies and I are still in touch. She's fine. She's been cheering me on as I am now 16 months on hormones Finally doing what she's been doing all these years living authentically.

You do your bloodwork and you live life.

ughineedtopostaphoto
16h ago

Those are all the same risks most cis women accept as part of birth control. Yet millions of cis women are on birth control and we regard it as safe and recommend people put their children on it post puberty to make sure they don’t have a pregnancy.

Some this is about harm reduction and each individuals risk profile. If you are perfectly fine and happy in your body and you will make it the next 20 years happily without it and have a family history that says those things are likely to happen, maybe you choose not to. That doesn’t make you any less trans to not have HRT. But also if you’re going to be miserable and in and out of the mental health hospital and hate your body and your life for those 15 years…you don’t have to live that way. You have an option.

I think also this has the sound to me of someone who has maybe gotten information from anti transition folks or detrans folks or from transphobic folks, or maybe just run of the mill western medical fears. I really encourage you to consider your sources and who the intended audience is.

l2blackbelt/
6h ago

Just because two things elevate the chances of similar things does not make them equal. If you check out u/extrrnalsort887's comment, the ratio of death in the Amsterdam Cohort due to cardiovascular event for transwomen over the span of 50 years was 8:1 compared to cis men, and 5:1 for cis women.

While some attribute these numbers to the older generation of HRT the Amsterdam cohort was provided, similar mortality numbers were reported in the 2019 sample Cardiovascular Outcomes In Gender Dysphoric Patients Undergoing Hormone Replacement Therapy (Ahmed, 2023).
Suffice to say the cardiac risk for HRT is substantially higher than birth control.

Eveoe
1h ago

I think I will be able to live the next 20 years without hrt ... But it would perhaps remain a regret not to have started : until proven otherwise you only live once !! So there is perhaps a dimension here linked to wisdom : grieving, accepting being a man and not being born a woman ...

Regarding heart risks, this is a mortal risk : as I write these lines, death is not really what I fear ; what I fear are disabling dysfunctions (fragile joints, bones, etc.).

Thanks for all the details !

l2blackbelt
11h ago

We know that MTF HRT impacts the heart in the long term. The science is out on how much. HRT increases the lifetime risk of several life-threatening heart issues, (myocardial infarction, ischemic stroke, STEMI), as well as neoplasm (benign and melignant tumor growth) from anywhere to 2x to 7x, depending on the study.

MudOk790
8h ago

Driving a car is a risk. Crossing the street is a risk. Smoking anything is a risk. Under proper medical supervision your risk is minimal. Now DIY can be risky. Not having blood levels checked. I've done research on estrogen levels during pregnancy. They can spike to over 1,000. Our levels generally didn't go that high. So what's riskier? Being MTF or being pregnant? My Endo prefers I stay around 200. Pretty huge difference.

Seattlantiss
18h ago

Roughly the same effects as cis people having normal hormone levels for 15+ years. These days, the hormones used for HRT are bio identical to endogenously produced hormones.

This post is giving some extremely suspicious energy to be frank. It seems like you’re probably a troll or a debate bro, and neither of those are allowed on this subreddit.

Eveoe
18h ago

Frankness and the truth are not always sexy : but that's what I'm looking for

I'm one of the slightly strange people (at least I see myself that way) who are not depressed/suicidal and who don't have any problem with their body : if I start hrt I do not want to have to pay heavy physical consequences in 20 years which could outweigh the benefits ... (the benefits being : having a feminine body which I would like/which would allow me a better alignment with my gender, which would allow me to be perceived a little more easily as a woman and a psychological change in my way of understanding my environment and my life).

However, all this is still at the thought stage...

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[Xanax and Wine]

By my own example, I am 68 years of age, have always been extremely fit and healthy, and been on HRT for 43 months. My body has changed considerably in this time frame, and will continue to do so until I reach the age of 72. By then I will have been on HRT for 7 years - the time that it takes the human body to completely regenerate itself on a cellular level. By the age of 70, I - will - have the body of a 30 year old, and the last laugh will be mine. The secret is getting enough exercise to stimulate the body into a state of constant regeneration.

Tranny science really is something lol
Unless he means he's gonna kill a 30 year old and store the body in his basement once he turns 70