To-do: A post about the possibility of using Burdizzo clamps for incisionless in-office castration, studies that have been performed on human subjects, and why the hell this isn’t more widespread and available to trans women.
Why is it not more widespread? Seriously? The current medical model, with the occasional informed-consent exception, does everything it can to prevent womyn transitioning, and to encourage their detransition. Got a problem with needles? We’ll need those follow-up blood tests anyway. Non-operative? Expect extra scrutiny. Oh, your blood pressure is too high for spironolactone/estrogen despite that actually being a PROINDICATION for these drugs. Wearing pants to your psych eval? We’ll kick that endocrinologist referral back a bit. 155 over 95? Bah, you need a psych eval before spironolactone. Meeting an endo? Time for a genital and breast exam, and not with someone the sex/gender of your choosing because, hey, that’s totally relevant, amirite? Need a refill? Fuck that, I’m going to make you see an endocrinologist again, even though they won’t give you any more detailed hormone information than ‘normal.’
Sorry, those last four are mine.
I’m surprised they haven’t said they can’t use any anesthetic for an orchidectomy at this point, honestly. And yeah, if you could walk into a pharmacist and start HRT, I’m pretty confident we’d see a percentage prevalence of transition in the mid-to-high single digits instead of the half-percent it is now.
I have yet to find a doctor who can show me incidence numbers to indicate that estrogen, progesterone, or spironolactone are more dangerous than aspirin. Fuck, I’m the only one who ever talks incidence or prevalence in the doctor’s office.