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PaperclipPerfector  1yr ago (text post)   33387 thread views

Culture War Roundup for the week of April 17, 2023

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What about someone who has their puberty blocked and starts taking the hormones as soon as legally possible?

They'd basically be in the same boat as a cis girl who starts puberty around that time, and if they maintain that same hormone level into old age, they'd be in the same boat as a cis woman who starts HRT at menopause.

Isn't the hormone use going to be mandatory for the rest of their life? (unless they 'detransition' or otherwise change their approach)

This is quite different from women, most of whom don't do HRT after menopause. (and can discontinue it if it's causing issues, without the side effect of changing their gender)

From my understanding, it varies; some transwomen do stop or decrease estrogen usage as they age, while others maintain significant dosages. There's generally reason to be more concerned about heart and circulatory ramifications for those who've been on hormones for longer periods of time. WPATH has clear recommendations to favor transdermal estrogens for >45-year-olds, for one example.

((It's also not very clear how well a lot of this is founded; natal women with hysterectomies had different outcomes than natal women without on hormone therapy, and orchidectomy has its own separate weird ramifications on total lifespan, and insert my normal rant about the state of medical science.))

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