#transliberation — Public Fediverse posts

Hey folks :TransHeart:

As you're almost-certainly already aware, access to GAHT is increasingly being restricted, being outright banned, or otherwise unavailableb to many trans+ people under 18 in many places across the world 😔

For example, the UK had already banned new prescriptions of GnRH agonists (a type of puberty blocker) for any trans+ person under 18, and is now genuinely considering banning all private GAHT prescriptions too 🤬

GAHT is literally lifesaving medication for many trans+ people :BlahajHuggingTransHeart:

Without it, many trans+ people under 18 will struggle even more with mental health, and many will not make it to adulthood 😭

If you are a trans+ person under 18, or are a supportive family member or friend of someone who is, please start to make contingency plans now for the worst-case scenarios 🥺

We highly recommend bookmarking the below website and making copies of all relevant info and links in case it gets taken down:

• HRT4All
  • Before the site will let you in, it'll ask you to answer a quiz, after which it'll create a cookie called "quiz_passed" with a value of "true".
  • The website seems to have intermittent issues with the quiz, so if you encounter any issues, delete all cookies for the website and reload.
  • If all else fails, you can use an extension called Cookiebro in Firefox or Edge to import a "quiz_passed" cookie from a JSON. (Contents for Firefox cookie; contents for Edge cookie.)

If you're 18+ or soon will be, please also do the same for these:

• The DIY HRT Directory 2.0
• HRT Café
• DIYHRT Market.
• r/TransDIY Wiki.

Please note that there is now at least one homebrewer who offers estradiol sprays.

We all need to prepare now, before it's too late 🥺😞

Enough lives have already been lost. We can't save everyone, but we need to try to save as many as we can ✊

Boosts very much appreciated :BoostsOKPrideSymbol:

Edit 2025-08-19:

• Added some info to help anyone struggling to log in to HRT4All.
• Added info on additional resources.

#trans #transgender #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #SupportTransKids #TransYouthAreLoved #FuckTransphobia #FuckBigotry #FuckTheUK #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #UnitedWeStandDividedWeFall #FirstTheyCame #GenderDysphoria #GenderIncongruence #GenderAffirmingCare #GAHT #HRT #TransGenocide #PSA #PleaseBoost #TransRights #TransRightsAreHumanRights

~7.5 mg (0.15 mL; 50 mg/mL concentration) estradiol enanthate injected intramuscularly into the vastus lateralis in our right thigh using our Union Medico auto-injector 💉🩹

On a side note, every DIY HRT injection we do always feels like holding up 2 middle fingers to the gatekeeping dickwombles within the NHS who continue to segregate gender-affirming healthcare for trans people and only offer outdated, shitty healthcare 🖕 🖕 :TransHeart:

#TransDIY #OpenHRT #DIYHRT #HRT #TransFemHRT #transition #trans #transgender #NonBinary #TransFem #enby #femby #injection #injections #TransHealthcare #queer #LGBT+ #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #AutoInjector #UnionMedico #FuckTheNHS #FuckGatekeepers #TransLiberation #DesegregateTransHealthcare

~7.5 mg (0.15 mL; 50 mg/mL concentration) estradiol enanthate injected intramuscularly into the vastus lateralis in our left thigh using our Union Medico auto-injector 💉🩹

Left it a bit late again, but it was due to very valid reasons. (These reasons were binge-watching season 2 of WondLa and then needing to put out the bins.)

On a side note:

• Fuck the UK Supreme Court.
• Fuck Keir Starmer.
• Fuck Wes Streeting.
• Fuck any Labour MP who has towed the party line and tolerated their bigotry.
• Fuck washed-up bigots living in castles.
• Fuck FWS and all other transphobic organisations.
• Fuck fake allies.

#TransDIY #OpenHRT #DIYHRT #HRT #TransFemHRT #transition #trans #transgender #NonBinary #TransFem #enby #femby #injection #injections #TransHealthcare #queer #LGBT+ #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #AutoInjector #UnionMedico #FuckTheNHS #FuckGatekeepers #TransLiberation #DesegregateTransHealthcare

~7.5 mg (0.15 mL; 50 mg/mL concentration) estradiol enanthate injected intramuscularly into the vastus lateralis in our right thigh using our Union Medico auto-injector 💉🩹

Left it a little bit late (~3 hours after our calendar reminder), but it was completely by the books and entirely painless. Not almost painless: entirely. Literally no pain, not even on pulling out the needle slowly afterwards.

In case you're wondering why we continue with a weekly DIY injection after having put ourselves through YEARS of humiliating gatekeeping through the NHS, there are a number of reasons:

• The NHS doesn't offer injections or implants: only patches, gel, or pills.
• Patches are uncomfortable and, even with a covering film, tend to come off whenever we get sweaty.
• A weekly injection gives us a higher, stable (o)estradiol level than patches, improving our mood and negating the need for any anti-androgen or blocker (GnRH agonist or antagonist).

Every time we inject, it's honestly kind of like a massive middle finger to the fuckwits within the NHS who want to gatekeep and control our gender-affirming hormone therapy 🖕

This is one element of our healthcare that they cannot control ✊ :TransHeart:

#TransDIY #OpenHRT #DIYHRT #HRT #TransFemHRT #transition #trans #transgender #NonBinary #TransFem #enby #femby #injection #injections #TransHealthcare #queer #LGBT+ #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #AutoInjector #UnionMedico #FuckTheNHS #FuckGatekeepers #TransLiberation #DesegregateTransHealthcare

Hey folks

Needed to get this vent out of our system too, as it's been really bugging us lately.

Right now, the vast majority of the medical community, even those who consider themselves trans-supportive, are incredibly gatekeeping when it comes to giving trans youth any form of care, even puberty blockers like GnRH agonists.

In an ideal world, the following would happen:

• A trans kid says they're trans.
• If they've started or will soon start puberty, the trans kid goes to their GP or doctor with a parent or guardian.
  • If they can demonstrate Gillick competence, this can be without a parent or guardian.
• The GP or doctor offers the following options to the trans kid:
  • A puberty blocker (GnRH agonist or antagonist).
  • Monotherapy GAHT (i.e., maintaining a high enough estradiol or testosterone level to block gonadal hormone production).
  • A lower level of GAHT alongside a puberty blocker.

In the real-world, this sadly isn't the case. At the very best, trans kids:

• Won't be offered a puberty blocker unless they've at least reached stage 2 on the Tanner scale!
• Won't be offered HRT until 14 at the very, very earliest!

In practice, it's even worse than this in many places now. Even in many countries that consider themselves to be "progressive" on trans healthcare, trans youth will need to:

• Have been on a puberty blocker for 6-12 months before GAHT will be considered.
• Be at least 16 before GAHT will be offered.

In the worst places, there's no healthcare for trans youth whatsoever. In the UK, there's currently a permanent ban on new prescriptions of puberty blockers to any trans person under the age of 18. There are workarounds in place by private companies for this, but they're out of the price range for most people. Getting GAHT before the age of 18 will also require going private.

This forms the basis of the "wait and see" approach, which is conversion therapy by another name. Its nefarious aim is to reduce the number of people transitioning and to reduce the number of trans people overall, as many trans kids will not reach adulthood by being actively denied the right to transition medically.

The worst thing about this isn't the transphobia and transmisia from outside the trans community, but from within it :PleadingFace:

We've seen people agree with the age gatekeeping and the need for medical diagnoses of being trans (ICD-11 - gender incongruence of childhood or gender incongruence of adolescence or adulthood), as if they don't trust trans kids to know that they're trans.

If we're going to use that logic, then clearly no-one should be allowed to go through puberty until they're legally an adult, as clearly all kids can't be trusted, right? Oh, and we should distrust all kids about sexuality too and prevent relationships of any kind until they're 18, yes?

The false logic quickly falls apart there. It's not based on not trusting kids: it's based on not trusting trans kids. It's the same nonsense that leads people to assume that all kids are heterosexual by default ("heteronormativity") and to distrust that anyone under 18 could recognise this about themselves.

The only reason it took us so long to realise that we were trans and bi wasn't because we weren't both of these things all along, but due to external pressures (Section 28; transphobia and homophobia) that made us suppress and repress these feelings. If we had felt able to be ourselves, we'd have realised we weren't a boy in our early teens, and that we were bi not much later.

In the UK, estrogenic puberty typically starts anywhere from age 8 to 13 and androgenic puberty from 9 to 14. There's simply no reasonable argument for delaying puberty in trans kids until they're 16 or even older. The "appropriate" age to start GAHT is whenever they've met the minimum puberty start age (8 or 9), when their peers are starting, and when they feel ready to start.

So yeah, we fully support trans youth starting GAHT at 11-12 or possibly even earlier in some cases.

Puberty blockers are meant to be a short-term stop-gap only to delay puberty. Once puberty has started, they can be used alongside GAHT in order to provide an age-appropriate ramp up, but in most cases it would simply be safer and cheaper to go with GAHT monotherapy. With monotherapy, trans kids get the added emotional, physical, and psychological benefits that come with a slightly-higher sex hormone level. (Just think how shitty it feels to have a low estradiol or testosterone level.)

Anyways, that's enough venting for now. We'll probably come back to correct typos, make minor amendments, or add further thoughts later. Right now though, we need to head up to bed.

#trans #transgender #transition #PubertyBlockers #TransYouthAreLoved #TransKidsAreLoved #TransKidsDeserveBetter #TransYouthDeserveBetter #TransKidsDeserveToThrive #TransYouthDeserveToThrive #TransKidsDeserveToGrowUp #TransYouthDeserveToGrowUp #LGBTQ+ #LGBTQIA+ #queer #GAHT #HRT #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #InformedConsent #GillickCompetence

Hey folks

We all know how shite the Cass Review was/is, and how it's been universally discredited and rejected :PleadingFace:

Alas, NHS England has now set its gaze firmly on a review of adult trans+ healthcare services 😞

We would love to believe that this is being done in good faith, but NHS England has never been on the side of trans people.¹ As such, we believe that the best we can realistically hope for at this stage is damage limitation :FaceExhaling:

To this end, we wish to highlight that the page linked above links to an Adult Gender Services Review survey, which is open to:

• current, and recent, patients who have been seen at one, or more, of the [Gender Dysphoria Clinics] in the past five years
• family and friends of patients who have used services in the past five years
• current staff members, and those who have worked at one, or more, of the centres in the past five years

Even if it doesn't change a thing, we should make our voices heard loudly and defiantly ✊ :TransHeart: :NonBinaryHeart: :AgenderHeart: :BiGenderHeart: :GenderfluidHeart: :GenderqueerHeart: :DemiBoyHeart: :DemiGirlHeart:

So let's go all out and tell them what we actually want:

1. Depathologisation.
2. Desegregation.
3. Informed consent.

We don't want better gender clinics: we want them to be dismantled entirely, in favour of desegregated healthcare.

We don't want to be forced to get a formal medical diagnosis of being trans to access basic GAHT / HRT, to have the right to consent to gender-affirming surgeries, or to change our legal gender.

We want world leading gender-affirming healthcare, beyond the nonsense, unscientific biases that still exist even in WPATH SOC8.

They don't want to offer us this, and will do everything in their power to ignore us, but that doesn't mean that our voices shouldn't be heard.

Maybe trans liberation won't come today, but we need to fight for it at every stage :AnarchySymbol:

Boosts are very welcome and will be very much appreciated, by the by :BoostsOKPrideSymbol:

#trans #transgender #NonBinary #agender #bigender #DemiBoy #DemiGirl #genderfluid #genderqueer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #queer #TransLiberation #TransLiberationNow #TransRights #TransRightsAreHumanRights #NHS #CassReview #LevyReview #depathologisation #demedicalisation #desegregation #DesegregateTransHealthcare #InformedConsent #survey

¹ You can read all about the awful history of trans healthcare provided by NHS England in The Transgender Issue: An Argument For Justice by Shon Faye.

If you didn't catch the original thread about finally making some actual process through the EOEGS, please go read that first.

We're tired, and still burnt out (especially from writing that deed poll post), so here's the summary:

• NHS GP practice manager and senior partner got the letter.
• Both also were grateful for our corrections to the errors the East of England Gender Service (EOEGS) made.
• They immediately put 16 Evorel 100 mcg estradiol patches (every 4 weeks) and Decapeptyl (triptorelin) 11.25 mg (every 12 weeks) on repeat prescription for us.
• All approved with my existing electrologist. We know get 16 hours for free 😊
  • To put this in context, the current price for existing clients is £75 an hour. 16 hours of electrolysis is £1,200 GBP.

Of course we are definitely going to be using the HRT meds we're being prescribed: we wouldn't dream of continuing with DIY HRT and saving them up to give away to people who can't get access to either 😌

And whenever the NHS asks for a blood test, our estradiol level will show perfectly between 400 and 600 pmol/L, so that the dosage isn't reduced.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

If you didn't catch the original thread about finally making some actual process through the EOEGS, please go read that first.

We're tired, and still burnt out (especially from writing that deed poll post), so here's the summary:

• NHS GP practice manager and senior partner got the letter.
• Both also were grateful for our corrections to the errors the East of England Gender Service (EOEGS) made.
• They immediately put 16 Evorel 100 mcg estradiol patches (every 4 weeks) and Decapeptyl (triptorelin) 11.25 mg (every 12 weeks) on repeat prescription for us.
• All approved with my existing electrologist. We know get 16 hours for free 😊
  • To put this in context, the current price for existing clients is £75 an hour. 16 hours of electrolysis is £1,200 GBP.

Of course we are definitely going to be using the HRT meds we're being prescribed: we wouldn't dream of continuing with DIY HRT and saving them up to give away to people who can't get access to either 😌

And whenever the NHS asks for a blood test, our estradiol level will show perfectly between 400 and 600 pmol/L, so that the dosage isn't reduced.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

If you didn't catch the original thread about finally making some actual process through the EOEGS, please go read that first.

We're tired, and still burnt out (especially from writing that deed poll post), so here's the summary:

• NHS GP practice manager and senior partner got the letter.
• Both also were grateful for our corrections to the errors the East of England Gender Service (EOEGS) made.
• They immediately put 16 Evorel 100 mcg estradiol patches (every 4 weeks) and Decapeptyl (triptorelin) 11.25 mg (every 12 weeks) on repeat prescription for us.
• All approved with my existing electrologist. We know get 16 hours for free 😊
  • To put this in context, the current price for existing clients is £75 an hour. 16 hours of electrolysis is £1,200 GBP.

Of course we are definitely going to be using the HRT meds we're being prescribed: we wouldn't dream of continuing with DIY HRT and saving them up to give away to people who can't get access to either 😌

And whenever the NHS asks for a blood test, our estradiol level will show perfectly between 400 and 600 pmol/L, so that the dosage isn't reduced.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

If you didn't catch the original thread about finally making some actual process through the EOEGS, please go read that first.

We're tired, and still burnt out (especially from writing that deed poll post), so here's the summary:

• NHS GP practice manager and senior partner got the letter.
• Both also were grateful for our corrections to the errors the East of England Gender Service (EOEGS) made.
• They immediately put 16 Evorel 100 mcg estradiol patches (every 4 weeks) and Decapeptyl (triptorelin) 11.25 mg (every 12 weeks) on repeat prescription for us.
• All approved with my existing electrologist. We know get 16 hours for free 😊
  • To put this in context, the current price for existing clients is £75 an hour. 16 hours of electrolysis is £1,200 GBP.

Of course we are definitely going to be using the HRT meds we're being prescribed: we wouldn't dream of continuing with DIY HRT and saving them up to give away to people who can't get access to either 😌

And whenever the NHS asks for a blood test, our estradiol level will show perfectly between 400 and 600 pmol/L, so that the dosage isn't reduced.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

If you didn't catch the original thread about finally making some actual process through the EOEGS, please go read that first.

We're tired, and still burnt out (especially from writing that deed poll post), so here's the summary:

• NHS GP practice manager and senior partner got the letter.
• Both also were grateful for our corrections to the errors the East of England Gender Service (EOEGS) made.
• They immediately put 16 Evorel 100 mcg estradiol patches (every 4 weeks) and Decapeptyl (triptorelin) 11.25 mg (every 12 weeks) on repeat prescription for us.
• All approved with my existing electrologist. We know get 16 hours for free 😊
  • To put this in context, the current price for existing clients is £75 an hour. 16 hours of electrolysis is £1,200 GBP.

Of course we are definitely going to be using the HRT meds we're being prescribed: we wouldn't dream of continuing with DIY HRT and saving them up to give away to people who can't get access to either 😌

And whenever the NHS asks for a blood test, our estradiol level will show perfectly between 400 and 600 pmol/L, so that the dosage isn't reduced.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

Hey folks :FediverseSymbol:

What with our AuDHD burnout, real-life stuff, and other recent fedi dramas, we had had neither the time nor spoons to give you all an update.

To bring you all up-to-date, this has been our experience with the NHS:

• Late May 2021 - referred to the London GIC (aka Tavistock).
• Asked to be put on TransPlus pilot scheme waiting list, in case we became eligible.
• January 2022 - discovered the East of England Gender Service (EOEGS) pilot scheme and was transferred.
• November 2022 - 1st appointment with EOEGS. No care or support offered.
• Early in 2023, TransPlus rang to offer us an appointment 🤦‍♀️ We were not allowed to accept or transfer to them, because of NHS rules 😞
• August 2023 - 2nd appointment with EOEGS. Gender incongruence diagnosis agreed, but was told we'd need a further appointment to discuss HRT and other requests.
• March 2024 - finally got all requests in (HRT, surgerical, voice training, hair removal etc.)

Now, you think it wouldn't take long to send a letter from the EOEGS to my GP, right? Right? 😅😞

That 3rd appointment was on 12th March 2024. The letter wasn't printed untiil 28th August 2024: almost 6 months later 😑

On the plus side, my GP has now been sent this, can process it, and can start officially giving us prescriptions for meds... as soon as we sign a stupid declaration to receive meds that "are not licenced for the treatment of Gender Incongruence" 🤦‍♀️

They've also put down the wrong date on which we had our 1st appointment on the letter, so gonna need to update all parties of that. How do we know?

1. We store all such things in our calendar and have kept all the emails.
2. The date they've quoted is around the time we'd had a life-saving surgery.

On a good note though, approval was granted also immediately for limited hair removal and we can continue to use our existing electrologist 🥰 It's the only part of the process that has been quick and easy 😅😑

It's a bit of a postcode lottery with the NHS, but the details we got said they'd fund 8 hours of laser OR 16 hours of electrolysis OR some combination of those.

We replied quickly to ask for 16 hours of electrolysis with our existing electrologist.

And yes: it will all be on our face and neck. Totally no other areas whatsoever, as the NHS doesn't cover that (with the exception of hair removal down below for any surgeries).

And it will totally take all 16 hours to finally finish off my face and neck.

Anyway, just thought you might like to know that it's only taken me about 1,188 days to get to this point (at the time of writing this post).

That's about 39 months: roughly 3 years 3 months.

And this is considered very quick by NHS standards (at least NHS England) 🙄

We still need a further review before we can even join the vaginoplasty waiting list (for Tina Rashid), let alone to get to the consultation stage :FaceExhaling:

And we're presently still waiting on the EOEGS to accept the ruling from the official NHS Individual Funding Request (IFR) team that it is the responsibility of the gender clinic (whilst under their care) to fill these out for any requested surgeries not offered as standard by the NHS.

e.g.,

• Bilateral orchidectomy (sometimes called a bofaectomy)
• Facial Feminisation Surgery (FFS)
• Voice Feminisation Surgery (VFS) (types include glottoplasty, cricothyroid approximation, laser assisted voice adjustment)

They originally were trying to argue that our GP would need to do it, so we went above them to check, and then sent the EOEGS the email chain.

These IFRs will need to be submitted to the IFR team at our local Integrated Care Board (ICB) for review. The local ICB will almost certainly refuse them all, so that they don't set any precedent and then have to pay for other gender-affirming care recommended by international experts. Nonetheless, at least we'll know we've exhausted all avenues before likely turning to crowdfunding or other means.

We might add to and/or edit this later, but we'll stop there for now and add some hashtags.

#trans #transgender #healthcare #TransHealthcare #GenderAffirmingHealthcare #NHS #NHSEngland #IFR #ICB #EOEGS #EastOfEnglandGenderService #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #DesegregateTransHealthcare

#11

This isn't over. Pandora is still in hospital. She is still being followed around by staff. We will find out tonight whether they are going to allow her to sleep or not.

We need to keep this in the public eye so she isn't retaliated against. We need to make sure she is the last victim of this fucked up system, and get justice for any others who weren't as lucky as her. We need to make sure she stays on HRT.

Pandora still needs your letters of support.

If you can, send care packages. Her current most important requests are:

• Long-sleeved tshirts/tops (large size)
• Mascara
• Black nail polish
• Shoes/slippers/boots, UK size 9

Pandora Holmes
Rowan 2 ward
Highbury Hospital
Highbury Rd, Nottingham NG6 9DR

Finally, huge thanks to everyone who has boosted, commented, shared, donated, written, emailed, and everything else. I could never even have done 1% of this alone

#FreePandoraHolmes #transmutualaid #transhealthcare #transresilience #transliberation

(Please note that we've defaulted to the British English spellings of oestrogen [estrogen] and oestradiol [estradiol], as this currently affects those in the UK.)

Puberty blockers ban

As many of you may already be aware, as one of their last acts in power, the government has placed restrictions on new prescriptions (NHS or private) of puberty blockers for trans people under 18.

https://www.gov.uk/government/news/new-restrictions-on-puberty-blockers

The affected medications are ones that contain:

• buserelin
• gonadorelin
• goserelin
• leuprorelin acetate
• nafarelin
• triptorelin

It should be noted that that this is not a complete list of such medications, commonly referred to as gonadotropin-releasing hormone agonists.

• Gonadotropin-releasing hormone agonists
• Available forms

Additionally, there are similar drugs referred to as gonadotropin-releasing hormone antagonists. These have the same outcomes and low risk profiles as the banned medications, but have notably not been included in the ban.

• Gonadotropin-releasing hormone antagonists
• Available forms

Alternatives to puberty blockers

Whilst puberty blockers are considered the gold standard:

• They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
• Other alternatives to these do exist and are commonly available.

Anti-androgens

One notable alternative for trans fem kids is bicalutamide. It's not a perfect drug, as it has a rare chance of causing liver issues, so needs regular monitoring, but it can stop masculinisation by blocking androgen receptors in the body. It also has comparatively few common side effects vs other medications like spironolactone or cyproterone acetate, which are less ideal anti-androgens.

Anti-oestrogens

There are alternative anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.

Monotherapy

It's very notable that the ban does not ban any oestradiol (oestrogen) or testosterone prescriptions.

This means that there is nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.

Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormone.

For trans fems, monotherapy typically requires maintaining an oestradiol trough of around 750 pmol/L. It varies from person to person, so some folks might need as little as 350 pmol/L.

You'll know if their oestradiol trough is sufficient if their testosterone level is 2.4 nmol/L or lower, though up to 3 nmol/L is still considered within the high-end of female range.

For trans mascs, a testosterone trough of around 10-12 nmol/L is generally considered the aim when using prescription testosterone medications like Nebido or Sustanon, with a peak around 25-30 nmol/L.

You'll typically know if their testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.

Monotherapy completely avoids the need for a puberty blocker, an anti-androgen, or an anti-oestrogen.

It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.

For trans fems, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) applied to a high-absorption area, but could in theory be achieved by sufficient patches applied twice weekly. Injections and implants are sadly not available on prescription.

For trans mascs, monotherapy can be achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon).

Blood tests

These can be done privately, completely avoiding the need for the NHS.

You can find more information here:

• https://genderkit.org.uk/resources/blood-testing/
• https://transactual.org.uk/medical-transition/hormone-therapy/

Where can we find more information about gender-affirming care by experts who actually want to help trans kids?

Although far from perfect, arguably the best sources currently are:

• WPATH Standards Of Care 8
• UCSF guidelines for gender-affirming care

What if I'm still confused about all this?

Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.

The key thing to remember is that you are never alone. All you have to do is reach out and ask for help :TransHeart:​

Edits: Minor changes to language use and to add additional information.

#trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransKids #TransKidsDeserveToThrive #ProtectTransKids #TransLiberation #TransLiberationNow #OpenHRT #TransRights #TransRightsAreHumanRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRH #GnRHAgonists #GnRHAntagonists #AntiAndrogens #AntiEstrogens #AntiOestrogens

(Please note that we've defaulted to the British English spellings of oestrogen [estrogen] and oestradiol [estradiol], as this currently affects those in the UK.)

Puberty blockers ban

As many of you may already be aware, as one of their last acts in power, the government has placed restrictions on new prescriptions (NHS or private) of puberty blockers for trans people under 18.

https://www.gov.uk/government/news/new-restrictions-on-puberty-blockers

The affected medications are ones that contain:

• buserelin
• gonadorelin
• goserelin
• leuprorelin acetate
• nafarelin
• triptorelin

It should be noted that that this is not a complete list of such medications, commonly referred to as gonadotropin-releasing hormone agonists.

• Gonadotropin-releasing hormone agonists
• Available forms

Additionally, there are similar drugs referred to as gonadotropin-releasing hormone antagonists. These have the same outcomes and low risk profiles as the banned medications, but have notably not been included in the ban.

• Gonadotropin-releasing hormone antagonists
• Available forms

Alternatives to puberty blockers

Whilst puberty blockers are considered the gold standard:

• They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
• Other alternatives to these do exist and are commonly available.

Anti-androgens

One notable alternative for trans fem kids is bicalutamide. It's not a perfect drug, as it has a rare chance of causing liver issues, so needs regular monitoring, but it can stop masculinisation by blocking androgen receptors in the body. It also has comparatively few common side effects vs other medications like spironolactone or cyproterone acetate, which are less ideal anti-androgens.

Anti-oestrogens

There are alternative anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.

Monotherapy

It's very notable that the ban does not ban any oestradiol (oestrogen) or testosterone prescriptions.

This means that there is nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.

Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormone.

For trans fems, monotherapy typically requires maintaining an oestradiol trough of around 750 pmol/L. It varies from person to person, so some folks might need as little as 350 pmol/L.

You'll know if their oestradiol trough is sufficient if their testosterone level is 2.4 nmol/L or lower, though up to 3 nmol/L is still considered within the high-end of female range.

For trans mascs, a testosterone trough of around 10-12 nmol/L is generally considered the aim when using prescription testosterone medications like Nebido or Sustanon, with a peak around 25-30 nmol/L.

You'll typically know if their testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.

Monotherapy completely avoids the need for a puberty blocker, an anti-androgen, or an anti-oestrogen.

It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.

For trans fems, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) applied to a high-absorption area, but could in theory be achieved by sufficient patches applied twice weekly. Injections and implants are sadly not available on prescription.

For trans mascs, monotherapy can be achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon).

Blood tests

These can be done privately, completely avoiding the need for the NHS.

You can find more information here:

• https://genderkit.org.uk/resources/blood-testing/
• https://transactual.org.uk/medical-transition/hormone-therapy/

Where can we find more information about gender-affirming care by experts who actually want to help trans kids?

Although far from perfect, arguably the best sources currently are:

• WPATH Standards Of Care 8
• UCSF guidelines for gender-affirming care

What if I'm still confused about all this?

Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.

The key thing to remember is that you are never alone. All you have to do is reach out and ask for help :TransHeart:​

Edits: Minor changes to language use and to add additional information.

#trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransKids #TransKidsDeserveToThrive #ProtectTransKids #TransLiberation #TransLiberationNow #OpenHRT #TransRights #TransRightsAreHumanRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRH #GnRHAgonists #GnRHAntagonists #AntiAndrogens #AntiEstrogens #AntiOestrogens

(Please note that we've defaulted to the British English spellings of oestrogen [estrogen] and oestradiol [estradiol], as this currently affects those in the UK.)

Puberty blockers ban

As many of you may already be aware, as one of their last acts in power, the government has placed restrictions on new prescriptions (NHS or private) of puberty blockers for trans people under 18.

https://www.gov.uk/government/news/new-restrictions-on-puberty-blockers

The affected medications are ones that contain:

• buserelin
• gonadorelin
• goserelin
• leuprorelin acetate
• nafarelin
• triptorelin

It should be noted that that this is not a complete list of such medications, commonly referred to as gonadotropin-releasing hormone agonists.

• Gonadotropin-releasing hormone agonists
• Available forms

Additionally, there are similar drugs referred to as gonadotropin-releasing hormone antagonists. These have the same outcomes and low risk profiles as the banned medications, but have notably not been included in the ban.

• Gonadotropin-releasing hormone antagonists
• Available forms

Alternatives to puberty blockers

Whilst puberty blockers are considered the gold standard:

• They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
• Other alternatives to these do exist and are commonly available.

Anti-androgens

One notable alternative for trans fem kids is bicalutamide. It's not a perfect drug, as it has a rare chance of causing liver issues, so needs regular monitoring, but it can stop masculinisation by blocking androgen receptors in the body. It also has comparatively few common side effects vs other medications like spironolactone or cyproterone acetate, which are less ideal anti-androgens.

Anti-oestrogens

There are alternative anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.

Monotherapy

It's very notable that the ban does not ban any oestradiol (oestrogen) or testosterone prescriptions.

This means that there is nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.

Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormone.

For trans fems, monotherapy typically requires maintaining an oestradiol trough of around 750 pmol/L. It varies from person to person, so some folks might need as little as 350 pmol/L.

You'll know if their oestradiol trough is sufficient if their testosterone level is 2.4 nmol/L or lower, though up to 3 nmol/L is still considered within the high-end of female range.

For trans mascs, a testosterone trough of around 10-12 nmol/L is generally considered the aim when using prescription testosterone medications like Nebido or Sustanon, with a peak around 25-30 nmol/L.

You'll typically know if their testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.

Monotherapy completely avoids the need for a puberty blocker, an anti-androgen, or an anti-oestrogen.

It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.

For trans fems, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) applied to a high-absorption area, but could in theory be achieved by sufficient patches applied twice weekly. Injections and implants are sadly not available on prescription.

For trans mascs, monotherapy can be achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon).

Blood tests

These can be done privately, completely avoiding the need for the NHS.

You can find more information here:

• https://genderkit.org.uk/resources/blood-testing/
• https://transactual.org.uk/medical-transition/hormone-therapy/

Where can we find more information about gender-affirming care by experts who actually want to help trans kids?

Although far from perfect, arguably the best sources currently are:

• WPATH Standards Of Care 8
• UCSF guidelines for gender-affirming care

What if I'm still confused about all this?

Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.

The key thing to remember is that you are never alone. All you have to do is reach out and ask for help :TransHeart:​

Edits: Minor changes to language use and to add additional information.

#trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransKids #TransKidsDeserveToThrive #ProtectTransKids #TransLiberation #TransLiberationNow #OpenHRT #TransRights #TransRightsAreHumanRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRH #GnRHAgonists #GnRHAntagonists #AntiAndrogens #AntiEstrogens #AntiOestrogens

(Please note that we've defaulted to the British English spellings of oestrogen [estrogen] and oestradiol [estradiol], as this currently affects those in the UK.)

Puberty blockers ban

As many of you may already be aware, as one of their last acts in power, the government has placed restrictions on new prescriptions (NHS or private) of puberty blockers for trans people under 18.

https://www.gov.uk/government/news/new-restrictions-on-puberty-blockers

The affected medications are ones that contain:

• buserelin
• gonadorelin
• goserelin
• leuprorelin acetate
• nafarelin
• triptorelin

It should be noted that that this is not a complete list of such medications, commonly referred to as gonadotropin-releasing hormone agonists.

• Gonadotropin-releasing hormone agonists
• Available forms

Additionally, there are similar drugs referred to as gonadotropin-releasing hormone antagonists. These have the same outcomes and low risk profiles as the banned medications, but have notably not been included in the ban.

• Gonadotropin-releasing hormone antagonists
• Available forms

Alternatives to puberty blockers

Whilst puberty blockers are considered the gold standard:

• They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
• Other alternatives to these do exist and are commonly available.

Anti-androgens

One notable alternative for trans fem kids is bicalutamide. It's not a perfect drug, as it has a rare chance of causing liver issues, so needs regular monitoring, but it can stop masculinisation by blocking androgen receptors in the body. It also has comparatively few common side effects vs other medications like spironolactone or cyproterone acetate, which are less ideal anti-androgens.

Anti-oestrogens

There are alternative anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.

Monotherapy

It's very notable that the ban does not ban any oestradiol (oestrogen) or testosterone prescriptions.

This means that there is nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.

Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormone.

For trans fems, monotherapy typically requires maintaining an oestradiol trough of around 750 pmol/L. It varies from person to person, so some folks might need as little as 350 pmol/L.

You'll know if their oestradiol trough is sufficient if their testosterone level is 2.4 nmol/L or lower, though up to 3 nmol/L is still considered within the high-end of female range.

For trans mascs, a testosterone trough of around 10-12 nmol/L is generally considered the aim when using prescription testosterone medications like Nebido or Sustanon, with a peak around 25-30 nmol/L.

You'll typically know if their testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.

Monotherapy completely avoids the need for a puberty blocker, an anti-androgen, or an anti-oestrogen.

It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.

For trans fems, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) applied to a high-absorption area, but could in theory be achieved by sufficient patches applied twice weekly. Injections and implants are sadly not available on prescription.

For trans mascs, monotherapy can be achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon).

Blood tests

These can be done privately, completely avoiding the need for the NHS.

You can find more information here:

• https://genderkit.org.uk/resources/blood-testing/
• https://transactual.org.uk/medical-transition/hormone-therapy/

Where can we find more information about gender-affirming care by experts who actually want to help trans kids?

Although far from perfect, arguably the best sources currently are:

• WPATH Standards Of Care 8
• UCSF guidelines for gender-affirming care

What if I'm still confused about all this?

Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.

The key thing to remember is that you are never alone. All you have to do is reach out and ask for help :TransHeart:​

Edits: Minor changes to language use and to add additional information.

#trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransKids #TransKidsDeserveToThrive #ProtectTransKids #TransLiberation #TransLiberationNow #OpenHRT #TransRights #TransRightsAreHumanRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRH #GnRHAgonists #GnRHAntagonists #AntiAndrogens #AntiEstrogens #AntiOestrogens

(Please note that we've defaulted to the British English spellings of oestrogen [estrogen] and oestradiol [estradiol], as this currently affects those in the UK.)

Puberty blockers ban

As many of you may already be aware, as one of their last acts in power, the government has placed restrictions on new prescriptions (NHS or private) of puberty blockers for trans people under 18.

https://www.gov.uk/government/news/new-restrictions-on-puberty-blockers

The affected medications are ones that contain:

• buserelin
• gonadorelin
• goserelin
• leuprorelin acetate
• nafarelin
• triptorelin

It should be noted that that this is not a complete list of such medications, commonly referred to as gonadotropin-releasing hormone agonists.

• Gonadotropin-releasing hormone agonists
• Available forms

Additionally, there are similar drugs referred to as gonadotropin-releasing hormone antagonists. These have the same outcomes and low risk profiles as the banned medications, but have notably not been included in the ban.

• Gonadotropin-releasing hormone antagonists
• Available forms

Alternatives to puberty blockers

Whilst puberty blockers are considered the gold standard:

• They were mainly offered in place of gender-affirming hormone therapy in order to delay the medical transition of trans kids, in the hopes that they could be "persuaded" that they're not actually trans (i.e., conversion therapy).
• Other alternatives to these do exist and are commonly available.

Anti-androgens

One notable alternative for trans fem kids is bicalutamide. It's not a perfect drug, as it has a rare chance of causing liver issues, so needs regular monitoring, but it can stop masculinisation by blocking androgen receptors in the body. It also has comparatively few common side effects vs other medications like spironolactone or cyproterone acetate, which are less ideal anti-androgens.

Anti-oestrogens

There are alternative anti-oestrogens, particularly SERMs, but they typically have a lot of side effects and risks. As a rule, most don't come highly recommended.

Monotherapy

It's very notable that the ban does not ban any oestradiol (oestrogen) or testosterone prescriptions.

This means that there is nothing to stop supportive parents from helping their trans kids to get a private prescription for oestradiol or testosterone.

Furthermore, due to the way human bodies work, if you maintain a high-enough trough (lowest) level of either oestradiol or testosterone, the body will basically tell the gonads to stop producing that hormone.

For trans fems, monotherapy typically requires maintaining an oestradiol trough of around 750 pmol/L. It varies from person to person, so some folks might need as little as 350 pmol/L.

You'll know if their oestradiol trough is sufficient if their testosterone level is 2.4 nmol/L or lower, though up to 3 nmol/L is still considered within the high-end of female range.

For trans mascs, a testosterone trough of around 10-12 nmol/L is generally considered the aim when using prescription testosterone medications like Nebido or Sustanon, with a peak around 25-30 nmol/L.

You'll typically know if their testosterone trough is sufficient if their oestradiol level is under 150 pmol/L, though some folks may be up to around 180 pmol/L.

Monotherapy completely avoids the need for a puberty blocker, an anti-androgen, or an anti-oestrogen.

It also has the delightful side-effect of making your trans kid happy to be starting the puberty that they want to go through sooner, thus alleviating their feelings of gender dysphoria and allowing them to enjoy their lives, rather than continuing to wait on non-existent NHS healthcare.

For trans fems, monotherapy is most easily achieved by a daily high-dose of oestradiol in the form of oestrogel (oestrogen gel) applied to a high-absorption area, but could in theory be achieved by sufficient patches applied twice weekly. Injections and implants are sadly not available on prescription.

For trans mascs, monotherapy can be achieved by daily application of testosterone gel or cream, but is more easily achieved by testosterone injections (Nebido or Sustanon).

Blood tests

These can be done privately, completely avoiding the need for the NHS.

You can find more information here:

• https://genderkit.org.uk/resources/blood-testing/
• https://transactual.org.uk/medical-transition/hormone-therapy/

Where can we find more information about gender-affirming care by experts who actually want to help trans kids?

Although far from perfect, arguably the best sources currently are:

• WPATH Standards Of Care 8
• UCSF guidelines for gender-affirming care

What if I'm still confused about all this?

Ask for help. We're all in this together. Some of us know a lot about how broken trans healthcare is on the NHS right now, not just for trans kids but for trans adults too.

The key thing to remember is that you are never alone. All you have to do is reach out and ask for help :TransHeart:​

Edits: Minor changes to language use and to add additional information.

#trans #transgender #enby #NonBinary #agender #genderfluid #genderqueer #transition #TransKids #TransKidsDeserveToThrive #ProtectTransKids #TransLiberation #TransLiberationNow #OpenHRT #TransRights #TransRightsAreHumanRights #queer #LGBTQ+ #LGBTQIA+ #PubertyBlockers #GnRH #GnRHAgonists #GnRHAntagonists #AntiAndrogens #AntiEstrogens #AntiOestrogens