Thursday, September 27, 2012

Suggestion

A suggestion to all the tranwomen with blogs anywhere. Please do not give out medical advice or even make suggestions other than reminding anyone wanting to transition or starting a transition or to anyone just curious about a transition to seek experienced medical professionals.

I not against transwomen giving suggestions to find and get a physician, to visit a local clinic for transgender people, or to suggest they consult with a professional therapist for advice and help. But please don't discuss Hormone Replacement Therapy (HRT), even your own.

I say this because HRT drugs are powerful drugs which permanently change the body, especially testosterone for female-to-male transpeople. Female HRT drugs constitute a variety of drugs with a range of types and dosage with varying effects for each person.

This is why it can be and sometimes is dangerous dispensing pseudo-medical advice on a blog. You get people to follow your experience or advice without consulting physicians, buying them over the Internet or elsewhere, which can get people in trouble or worse, physically or mentally hurt.

HRT drugs should only be dispensed under the care of an experienced physician or endrochronologist to follow the patient over the duration of their transition. It requires routine blood tests and personal evalutations.

It also requires a letter of recomendation from a therapist to the physician or endrochronologist  confirming your condition under the DSM-IVTR standards with gender related issues and a clear decision to transition.

I read quite a few young transwomen who seem to freely and openly discuss their HRT, and while it's good to document and public show the effects over time if you want, it's not good to be specific about your HRT drugs and dosages.

This is because with HRT, it really is the old adage, "Your Mileage May Vary", as everyone reacts different to HRT, including some who can't tolerate it or have adverse effects or reactions to it. These will magnify with more types of HRT drugs and increasing dosages.

I think it's cool that young transwomen talk about their transitions and even mention HRT as part of the overall program to monitor a transition. Transitions should not be taken lightly and there are Standards of Care (SOC) defined by WPATH from the DSM-IVTR standards for diagnoses.

And that's what should be the advice, always get good, experienced medical help for a transition. It's good medical practice, but most of all, it's best for people who wants to or are starting a transition. It's your life and health at stake, mistakes can be dangerous and permanent.

That said, I'm over-reacting a bit, but it's a concern when I read the responses people ask these transwomen about transitions and read advice which, while good, isn't the best, when the best is to advise anyone to seek medical professionals.

Anyway, just a thought and a personal suggestion, one from personal knowledge and experience.


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