fracture

joined 2 years ago
[–] fracture 3 points 2 days ago* (last edited 2 days ago)

yes, there is something you can do about it! dr. will powers has made a pretty good hair restoration formula and you can get the formula online, take it to your doctor, and have them prescribe it for you. it's probably not covered by insurance and is most likely expensive, though https://www.reddit.com/r/DrWillPowers/comments/rvc309/pharmacy_to_get_my_compounds_made_and_shipped_to/

the link is about where to get it made, but it also links to the formula itself

you should be able to check the subreddit itself for proof it works; he posted pics of someone with very bad hair loss, and the new regrowth of hair

note that the formula does contain minoxidil, which CAN be safely used around pets, as long as you take care to keep them from ingesting any of it

[–] fracture 4 points 2 days ago

you could try researching charities that help trans folks get surgeries. i think that would probably be the most direct method (even if they can only get you part of the way, you might be able to backfill the rest, either with the following methods, or with even a gofundme)

otherwise, advice for this is country specific, but i think US is a good guess, so i can at least speak to it. the main things i can thing off are, getting insurance that would cover it, either through your state's health insurance marketplace or through changing jobs. the other thing is to look into taking out a personal loan and seeing if you can get that amount covered over some amount of time at a decent interest rate, for something you'll actually be able to afford to pay back

i don't know your situation, and it certainly sucks for us that a necessary surgery like this is uncovered and essentially the equivalent of the money you'd put into a cheap car. but it's a very obtainable amount, so don't give up. you'll find a way to get it, one way or another

[–] fracture 2 points 5 days ago* (last edited 5 days ago)

if i get around to talking about the science stuff, i'll do it in a separate comment. but i don't wanna promise anything because i'm really busy lately and honestly, it's not something i'm super interested in getting into the nitty gritty over... sorry....😅 (it's also why i took so long to respond, my apologies)

so basically, the point i was trying to make, is that it seems like your post was trying to educate (which is fine and a noble goal by itself), but also, if i read into a little more, that it seemed like it was a little more personal to you. and when it comes to persuasion, especially in places like this, where we're pretty much here to have conversations with our fellow people, i think it's nice to be able to speak your personal truth, which can easily get muddied in the goal of educating (well, really, you just have to be explicit about what parts of your post are educating, and what parts are your personal experience)

for example, you might have said, "i feel like it can be invalidating to hear that gender is a social construct. gender roles and expectations can be harmful at times, but it's also possible to find a great sense of joy and belonging in them, especially as a transgender person who had to fight for that for a long time. it can also feel especially invalidating because, due to both science and my personal experience, i feel that my gender isn't just a social construct, but an inherent part of my being that's dearly important to me" obviously, it's still a little sterile because... this isn't my personal experience. but the cool thing about speaking your personal experience, about speaking your truth, is that it allows other people to know you a bit more. and, for you to know you a little more, since trying to explain something helps you understand it... and yourself is no exception :)

additionally, i think it would help with that sense that you need to bite your tongue about the subject. it's OK to speak your truth, even in a meme sub. that's the cool thing about spaces like these, i think, especially where they're smaller and explicitly trans-friendly. that's what they're here for, for people like you and i to share our genuine, lived experience

fwiw, i did read the articles, but i think the issue with articles, or just citing someone else's words, is that they're not your words. that's why i asked for elaboration in the first place. everyone has a unique way of viewing things, and i was curious what your views were, not the people you were citing (and i mean, it wasn't PURELY curiosity, i was a little concerned too; but that's the cool thing about asking for elaboration, you can do it if you're curious or worried, haha)

just some other thoughts: i think it would have been cool to hear about your personal connection to the links you posted, as well. how you came across julia serano, what her work means to you, or if/how it helped you along your personal gender journey. i still have no idea if this is about something personal to you, or if it's just something you've heard from other people, and are advocating for in their place. this isn't to say that any of your points are less valid for not presenting your personal stance; but it confuses your motivation, and knowing the motivation you speak from helps me understand the broader point you want to make better

and then, idk, a little about me because i feel weird having written this much without sharing: i'm a transgender man who experienced very little dysphoria in his life. i feel a little insecure about being trans in this regard, so i tend to let others talk and share their experiences. i would honestly say that biological/hormonal dysphoria is the worst dysphoria i deal with, and i didn't even realize it until i got my first testosterone shot because... how would i? so that, along with a lot of self work i've done to internalize that i'm a legitimate man, regardless of how others view me / how my body looks / how i view myself / etc etc etc, has led to me being very comfortable and confident in myself, which i feel like is (unfortunately) somewhat rare amongst us as transgender folks. plus, hormonal transition has been kind to me, so i rarely get misgendered... and in the event i do, people are super apologetic, like IMMEDIATELY, because... they see me as a man. so in a lot of ways, i feel like my experience being trans isn't really universal, and it's also very binary, so i try to listen more than i talk

all of this to say, while i might, individually, feel like my experience of my gender is very biological / innate... i don't feel strongly about it, and in fact, i feel rather privileged about it, to be so confident and secure about my gender identity. and i don't know that every trans person would describe their identity in the same way. maybe someone out there feels that their gender is a social construct, or they're not sure where it comes from, or... any number of things that i might not be able to imagine. right? (i thought of a good example while washing dishes, actually; you know how a lot of trans girls say, "everyone knows girls have it easier"? when they're still in egg mode?....) so my position is more or less that, regardless of what the actual basis you're claiming (and that you don't NEED to have a basis for it, at all), your gender identity is valid, however you claim it

and that uncertainty, and that belief, is the heart of the reason i pressed you about your point earlier, haha. so thank you for elaborating and putting my mind at ease, and allowing us to have this very pleasant conversation, instead

[–] fracture 3 points 6 days ago

the two genders: dick and ass

[–] fracture 4 points 1 week ago (1 children)

i guess? we talk a lot about the consequences of being in an information bubble but i think we've experienced it very little. and it's hard to imagine the consequences are going to be worse than... this waves hands at the current state of things

[–] fracture 6 points 1 week ago (3 children)

i tend to think that the internet, up to this point, has been relatively forceful in exposing you to opposing viewpoints, which, from a mental health perspective, is quite taxing on individuals (we're not really wired to constantly be confronting really fundamental disagreements all the time). so i think that an internet where people are less constantly thrown into friction with each other will be a net benefit, even if there are some consequences for the otherwise information bubbling

[–] fracture 6 points 1 week ago (2 children)

yeah okay, thank you. i think "gender identity has at least some grounding in biology" and "genderqueer identities are generally normal varieties of humans to see, speaking from a scientific viewpoint" are much more agreeable points, and i appreciate the literature that you've provided in their support

fwiw, i'm not sure i'm convinced this is 100% solid science, but i don't think that's really the salient point, either

i don't know exactly how near and dear to your heart "my gender identity stems from an innate, biological place" is - or even "some people's identities stem from an innate, biological place" - but, i think you may find better traction stating that directly, along side an "saying that gender is a social construct feels invalidating to my / some people's experience of their gender identity (and, if you want, here are some sources about that as well)"; if i'm understanding the point you're trying to make correctly

i would also include that i do not believe that invalidating your/others' experiences as sort of innately biologically transgender people is the intention of those that say gender is a social construct. while it is not really something i, as an individual, believe (so i may not be able to do their argument justice), i believe it comes from a fundamentally good place of believing all of us would be better off with less gendered constructs enforced upon us by society. it's not really about invalidating anyone's experience of their gender, or even saying that their gender (/gender constructs) shouldn't be or aren't important; just that, generally, assuming things about people because of their gender tends to do more harm than good. like yeah (using my own gender transition as an example), presenting as a man and getting gendered correctly is great, but those years before where people treated me like a girl because they thought i was one (and frankly, i did too) would probably have sucked less if society didn't make those assumptions

but, to be clear, i think it's absolutely valid to feel like saying gender is a social construct is invalidating. i just don't think that's the intention

if your point was something else, if you just wanted to provide education or something, i apologize for misunderstanding. opening a post with "gender identity is biological" is just uhh, quite a strong statement to open a comment with (especially with the deeply emotional excerpt that accompanied it), so i assumed it was something you felt strongly about. but, you know, internet, tone, etc etc etc

[–] fracture 5 points 1 week ago* (last edited 1 week ago) (1 children)

i'm not really here representing a viewpoint other than "if someone wants to identify in a way that makes them happy, they should be allowed to, regardless of the basis they claim for it"

i specifically asked in this case because, especially nonbinary people, but also gnc trans people are sometimes invalidated because of the biological argument, so i wanted clarity on the commenter's position. of course, i don't know everything, and consider my experience to be fairly gender normative for a trans person, so i'm open to learning something new, as well

[–] fracture 2 points 1 week ago (10 children)

these are some pretty deep viewpoints to condense into one sentence and just drop links to, can you clarify to what degree you believe gender is biological, and how that extends to transgender / nonbinary people?

[–] fracture 2 points 1 week ago

this is a beautiful piece, thanks for posting

[–] fracture 5 points 2 weeks ago

However, there are differences between the two thought experiments. Roko's basilisk is so named because, if valid, it presents an information hazard: the basilisk only punishes those who knew about it but did not contribute. But ignorance of Pascal's wager does not protect one from divine punishment in the same way that ignorance of Roko's basilisk ensures one's safety.

bemused by how this portrays AI as at least somewhat more kind and understanding than it's equivalent diety

[–] fracture 3 points 3 weeks ago

i tend to be cynical about pumping, especially since there's no evidence of it helping with size development in cis men (there is some evidence for it helping with erectile dysfunction, fwiw). personally i feel like it tends to flood the tissues with edema instead of blood, so doesn't have a great effect on the erectile tissue. ymmv

that said, it's probably not harmful, so you can do it safely without risking any negative effects

i would recommend you combine it with a good cardio regiment. need a good strong heart for good strong erections!

 

see OP: https://beehaw.org/post/14997523

sorry for the delay on the writeup! life is pretty busy for me. that said, the bottom surgery consult went pretty well all around, i think

as a quick note, i've been presenting and on HRT for about 4.5 years, so i don't think about it much. but the requirements for getting metoidioplasty (or the consult, even) is to be on HRT for at least a (continuous) year and (maybe optionally?) presenting male for the same amount of time (i actually wasn't clear on this, they asked me, but i'm not sure if there was a strict minimum). they also required me to get two referral letters from qualified mental health professionals (thankfully, my therapist and psychiatrist were able to write these for me)

i got shown in and talked with the assistant, who basically broke down the surgery and went over the different customizable parts (e.g. you can get different kinds of meta, you can optionally get urethral lengthening, scrotoplasty, testicular implants, etc)

after that, dr. keith came in to chat with me. after that, i had to undress from the waist down. you'll have to be comfortable with a doc poking around your bits, but i would hope you are, if you're coming to let them slice them up and re-arrange them, too. during this, he pulled my mons pubis back to give an example of how things would look if he did a mons resection (said i might even need a revision, too 😭)

after that, i re-dressed and we went into his office, which had a big fancy leather couch, and talked about the anatomy of the AFAB clitoris and its blood supplies, as well as bemoaning the current state of both scientific studies on women and trans people. he showed me pictures of his work (very good) which spans both metoidioplasty to various degrees and phalloplasty

if i were to decide to get the metoidioplasty, they would schedule 3 months of topical testosterone to be applied to the gland of the clitoris every day, along with instructions to pump every day for those 3 months. it gives them more tissue to work with, according to the doctor. it's important to note that dr. keith is making you responsible for working with your current testosterone prescribing doctor to monitor your testosterone levels, because it will elevate them, and you will likely need to reduce your dosage to account for the topical testosterone

overall, it was a good and educational visit. i didn't learn TOO much, because i have done a lot of research ahead of time, but the things i did learn were very important:

  • urethral lengthening without vaginoplasty: in general, apparently urethral lengthening is, by far, the riskiest part of meta/phallo. dr. keith compared doing UL without vaginoplasty as akin to building a house on an unsteady foundation. he also cited something like a 60% complication rate from the other doctors who do UL without vaginoplasty. as mentioned in my OP, i'm not too keen on UL myself, due to a large typical ejaculation volume, so i'm not that hung up on it. although thinking about it now, i think i would potentially feel weirder about it, post-surgery, than i do now. well, i'll sort it out later...
  • phalloplasty following meta: dr. keith says this is totally fine. there'll be some extra scar tissue due to the meta, but it's not a problem. he also said that it's not his first choice to do meta and then phallo, like, if it's possible for you to settle on phallo first, it is a little better. but you can definitely do meta and then phallo
  • reduction of labia majora: totally possible, mons resection, might require a revision if you have a lot
  • HGH treatment: a complete no, it's not studied / proven in any way and it's not legal in the US. very understandable answer, but i did have to ask LOL
  • (not in the original post) ordering of hysterectomy and metoidioplasty: the order doesn't really matter, but the hysto is a big surgery, so if i did it first, i'd need to give it at least 3 months before getting the metoidioplasty. i didn't ask about the reverse order, but i think it would probably be similar
  • (not in the original post) insertion of a semi-rigid prosthesis in meta patients (https://www.tandfonline.com/doi/full/10.1080/26895269.2023.2279273): i found this after my original post, but apparently there are some docs that are doing meta with a semi-rigid prosthesis. if you don't know, the clitoral bodies are wrapped by the tunica albueinea, just like in the penis, but the clitoral tunica only has one layer (whereas the penial tunica has 2); so it's more difficult to get hard for trans men. so the insertion of a semi-rigid prosthesis is an appealing option to mitigate this. i asked dr. keith about this, and he mentioned that the device is being used and implanted successfully by doctors in europe. unfortuately, they're not seeking FDA approval in the US because it's expensive and the market share is too small, but i had the option to travel over there if it was something i wanted (and he would refer me, as well)
  • dr. keith also mentioned that there are similar devices which are FDA approved for cisgender men, so somewhat jokingly, i said that, if i got big enough, he would be able to put one of those in me. he said he has both never seen someone get that big (at least 4 inches) and that he's never implanted one himself, but it was at least FDA approved

so overall, a very good visit. the only thing i would want them to improve is to give their own pronouns before asking for yours. i get they're trying to be polite, but it feels a bit like asking for someone's name before you give your own, you know? but otherwise, i felt like they were very kind, professional, and knowledgeable about the whole process

as for whether or not i'm going to get surgery at this point, i think i'm gonna figure out how to go to south korea. i realized it's probably... not cheap but much more affordable if i just fly there and get the HGH, instead of flying there and getting the HGH and meta. i'm gonna call (at some point) and talk to them about it, get information about flying to south korea, see if the 2 week covid quarantine is still in effect, etc etc. if i do that, i will be sure to post here about how it goes, as well :)

hope this was informative and educational for everyone here about what your goals might be for the future!

 

hey y'all, i have my bottom surgery consult on tuesday, for metoidioplasty, specifically. at the moment, i'm not interested in pursuing phalloplasty, although i'm not taking it off the table entirely, it's for a later time

the doctor i will be consulting with is dr jonathan keith in new jersey

i wanted to give y'all the opportunity to post any questions you might have about it. i might be able to answer myself, but if not, i will try to ask the doctor as well

for full context, i don't expect to schedule the surgery coming out of this appointment.

  • i am going to ask about the potential of HGH treatment to improve bottom growth, as one clinic in south korea is pursuing (https://www.urodoc.co/ftm-metoidioplasty.htm)
  • i also plan to ask about options for reduction of the labia majora, because that's a big concern i have with my body, specifically
  • additionally, i will ask about how a theoretical phalloplasty following metoidioplasty would work
  • finally, i will also ask about urethral lengthening without vaginoplasty (my preferred option), although i expect the doc will confirm what the research says about the heightened risk of urethral fistula post surgery. i'm also not sure that it's something i'd want, as i think my typical ejaculation volume would be... inconvenient for sex, to say the least

also on my list, but not strictly about the surgery, is asking about the anatomy of the arterial structures that feed the clitoral cavernosum bodies (i know their penial analogues and can find decent diagrams, but finding the equivalent clitoral diagrams is challenging)

i will write a follow up post with this information, as well as my general experience at the appointment, after it happens on tuesday (probably wed or thurs)

 

i got top surgery (double mastectomy) like 3.5 years ago now. i stuck to massaging my scars because i didn't actually want to reduce the appearance of my scars (idk why i was worried about this, they're fucking massive LOL). i was more concerned with blood flow / nerve functionality than appearance

however, that was 3.5 years ago and, due to some unrelated scarring (i scar like a mfer (i keloid a lot)), i got recommended to get some silicone tape, so i was like, what the hell, i'll put it on my top scars too

i also got nipple grafts, so i've been putting it on the edges of my nipples as well (i've noticed they're scarred quite badly on the outside)

note that my skin seems to be allergic to the glue in standard adhesives, so i've actually been using silicone gel, just applied topically twice a day, instead of silicone tape / strips (i'm also using a lot, so it would be a lot of tape to put on / take off / clean every day... the gel you just wash off)

it's a really good excuse to be shirtless more often during the day, and the results have been pretty promising thus far, 2 weeks in. my scars already feel a lot softer. i think the gel has also been helping things get cleaned out... my scars have been a little prickly and itchy, which is generally a good sign for that happening. so you might consider it for helping restore your blood flow / nerve functionality as well

also cool that it's still working after this many years... i guess 3.5 years is a lot to some people, but not a lot in the absolute scale of things

just something for y'all to think about. i've heard it does help reduce the appearance of scars, if that's something you want (i think they look badass, so i'm tryina show em off)

for the science of how this works, from what i've found, we can consistently reproduce the effects of softening / reducing scars, but we have no actual idea how it works LOL. so that's kind of interesting

have you gotten top surgery? what kind, and did / do you use silicone for treating the scars? if you haven't gotten top surgery, is this something you'd want to do?

(additional note: i'm not sure how long you need to wait after getting top surgery to apply the silicone tape/gel, but i would check w/ your doc and wait till they're fully healed at the very least)

 
 

when it gets difficult to get gel out of the pump, i was tossing the bottle. but because of laziness, i left an old bottle for a day, and i noticed that it actually can generate enough pressure to pump more testosterone since i had left it alone for that long

so if you keep your low bottles of testosterone gel, you can get one pump out of them per day for longer than you might think they're empty, and extend the lifespan of your testosterone gel for a little while

*dependent on if your testosterone gel bottles work the same as mine

obligatory reminder that gel is just as good as injected :)

30
ace rule (beehaw.org)
 
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