Let's say I, a middle aged cis man went to my doctor, wanting gender affirming care, and my doctor wanted to provide - what, if anything, would the treatment/care consist of? Just making sure my testosterone level was up to Hegseth-approved standards?

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[–] 6 points 1 day ago

We call it "hormonal treatment" around here, my mom is doing it.

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  • [–] 31 points 2 days ago* (last edited 1 day ago) (8 children)

    "Low T" treatment, hair loss drugs, little blue pulls pills (in some situations), etc.

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  • [–] 2 points 1 day ago (3 children)

    Are hair loss drugs really gender “affirming” care?like what man out there is going bald and thinking “this looks too feminine”

    I guess it could be gender affirming care for women

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  • [–] 4 points 1 day ago (2 children)

    I am not thinking about it from a binary gender standpoint. I think of it more like "what I am naturally looking like is not how I believe I am supposed to look".

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  • [–] 2 points 1 day ago (1 child)

    But is that gender affirming care or is that just care?

    It feels like otherwise the definition is to vague, like using lotion, getting braces, or even getting a tattoo would be gender affirming care under that definition

    Those aren’t really to affirm one’s gender as they are gender neutral actions

    Like a person shaving their body hair to appear less masculine makes sense but a person shaving their body hair for swimming doesn’t make sense

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  • [–] 3 points 1 day ago

    But is that gender affirming care or is that just care?

    That's the neat part, it is all just "care".

    The whole thing gets muddy AF when one tries to squeeze definitions that make sense out of a box stuffed with binary gender and stereotyped gender "norms" that are not representative of real life. It is ridiculous to try to shove all possible characteristics of a person's body into either "masculine" or "feminine" columns seemingly just to keep score for how "manly" or "feminine" the person is. (not saying you are doing this btw, this is a critique of a lot of our current society at large)

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  • [–] 3 points 2 days ago* (1 child)

    penis enlargment surgery, even if its extremely risky and somewhat botchable. leg legthening surgery, is probably extreme, even with modern techniques. now looksmaxxing, people are obsessed or trying to consider JAWS SURGERY, probably for both jaws for seeing problems that arnt actually there, seems its thier first go-to for extreme rather than even plastic surgery.

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    [–] 31 points 2 days ago* (8 children)

    I had breast cancer. The chemo and mastectomy were cancer care. The reconstruction of my breast is not cancer care, it is gender affirming care, having two breasts affirms my gender as a cis woman.

    Reconstruction is not necessary at all for cancer care and in fact causes more surgeries than if I was to just have the cancer removed and go on the rest of my life with one boob.

    They just don't call it "gender affirming" care if you are cis, they just call it healthcare.

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  • [–] [S] 4 points 2 days ago* (last edited 2 days ago) (6 children)

    I have some many questions.... feel free to answer as many as you want, if any at all:

    • Where does the breast tissue come from?
    • How does one sculpt a nipple?
    • Are they as sensitive as before? I mean, on the receiving end of stimuli, does it feel like an organically grown whole grain breast, or is it more like... uh... elbow skin? I have no idea how the neuroplastics would work..
    • Does having breast cancer on one side automatically increase the chances of cancer on the other side? I would think symmetry isn't a given?
    • Were you allowed to choose size and shape? (If so, did you go for the tried and true original, or somethingelse entirely?)
    • Hope you're doing well today. Not a question, I just wanted to say (write) it. Live long and prosper.

    Sorry for the stupid questions, but of all places I feel this is a safe space for them..

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  • [–] 19 points 2 days ago (4 children)

    There is a lot of different answers to these questions, I'll give you the jist, then my specific answer.

    Where does the breast tissue come from?

    There is two main ways to do reconstruction - the most comment is breast implant. In this case they remove all of the breast tissue and leave just the skin. The remaining space is filled with a implant and the size of the implant is determined by how much skin you have. The second way it can be done is to transplant tissue from another part of your body to the breast area, it is usually from either the belly area (DEIP Flap) or from the back area (TRAM Flap). This type of surgery requires the surgery match up the tissue transplant on a vascular level (vein by vein) to make sure the transplanted tissue does not die.

    I had a DEIP flap reconstruction - it requires almost a week hospital stay due to how complex the surgery is and recovery is 6-8 weeks, but honestly its been just about a two years and I am still recovering and also I have an additional revision surgery that I still need because - no I am not even close to being even.

    How does one sculpt a nipple?

    They typically do not. Normally the nipple is removed entirely. In the reconstruction I have heard of the nipple being rebuild but, its not nipple tissue, so its not the right color and it cannot react to environmental stimuli and from what I've seen, gets stuck sort of "hard". When the nipple is removed most people will opt for a tattoo replacement. They look very very real and you don't have the issue permanently smuggling raisins around. I was able to keep my nipple, visually it looks like a nipple, but I can no longer feel it.

    Are they as sensitive as before?

    No they lose all sensation, can't even feel the skin, so not even like elbow skin, totally numb. They had to rebuild my stomach and belly button, so I also cannot feel anything across my lower abdomen either.

    Does having breast cancer on one side automatically increase the chances of cancer on the other side? I would think symmetry isn't a given?

    No, the risk of recurrence is the same. If I was to have the same type of cancer in my other breast it would be a recurrence, not new cancer and after treatment my risk of recurrence is lower than my chance of getting a totally new type of cancer.

    Were you able or allowed to choose size and shape? (If so, did you go for the tried and true original?)

    Short answer no, long answer I was not very well endowed to begin with and my reconstruction was limited by the amount of tissue I could use for transplanting. So, again no and also they aren't both the same size anymore, the reconstructed one is quite a bit smaller and not really the right shape, which is what I am going back in for more surgery to fix. If you had way more breast tissue than I did, there is more options for reconstruction, but from the woman I have talked to, most people end up going smaller or staying the same. Going up larger brings in a lot of complication and can only happen if you get a implant reconstruction and not a transplant.

    Hope you're doing well today. Not a question, I just wanted to say (write) it. Live long and prosper.

    Thanks I plan on it 🖖

    Just want to also point out for readers that this entire comment is only about gender affirming care and has nothing to do with medically treating cancer, but because we are affirming my breasts for my gender as a cis woman, its just healthcare.

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    [–] 28 points 2 days ago (3 children)

    For men: hair plugs, Rogaine, testosterone replacement therapy, those compression vests Inget advertised on YouTube.

    For women: botox, breast enlargement, Brazilian butt lift, laser hair removal, hormone replacement therapy,

    That's a shirt list off the top of my head.

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  • [–] 146 points 3 days ago

    Sure, a lot of it is exactly the same. Hormone treatments for men with low-T, hair removal or replacement, plastic surgery, etc. We don't trend to call it gender affirming care in cisgender people, but that's exactly what it is.

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  • [–] 91 points 3 days ago

    Yea. Most cosmetic procedures would count. I don't see how a woman getting breast implants is one iota different than a trans woman getting top surgery.

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  • [–] 10 points 2 days ago

    Sure. I am past menopause and take low dose hormones (more to avoid migraines and stay healthy than to be more 'feminine' but could take more, a lot of doctors do try to reach some level, mine does MHT not HRT ).

    Middle-aged guys, yes, I think testosterone is certainly gender-affirming care, and there is no MHT equivalent for men, testosterone requires blood tests, you can't just find the lowest dose that relieves symptoms, they always aim for some level in the blood. The Viagra/Cialis I think is more to correct for a problem. Or for recreation.

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  • [–] 33 points 3 days ago (3 children)

    Is this a joke question? Like others have pointed out, gender affirming care is even more popular among cis people than trans.

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    [–] 69 points 3 days ago (3 children)

    Most gender affirming care is for cis people, they just don’t want to admit it 😂

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    [–] 23 points 3 days ago

    Never heard of viagra, penis enlargement surgery, breast enlargement surgery, lip filler, botox etc?

    People take hormones for non-transition reasons too.

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  • [–] 53 points 3 days ago

    Yes.

    Gynomastia is a thing that causes some boys to endure a lot of bullying in school. Erectile dysfunction causes issues for older men. The treatment for both of those conditions is gender affirming treatment.

    Loads of others, too.

    But more to the point, it should not matter why a person needs gender affirming care. That should be a decision between a patient and their doctors, not me, not you, and not the government.

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  • [–] 14 points 2 days ago*

    menopause = hrt.

    all for the crime of being born with ovaries and daring to age out of the use of them.

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  • [–] 13 points 3 days ago

    Well, yeah. I'm a cis woman who takes oestrogen because they removed my ovaries; I do so for gendered reasons, there's a reason why I don't take testosterone instead which would be an equally valid way of replacing my missing hormones from a physiological perspective. I also shave my face for gendered reasons, because people are a lot more judgemental about women having facial hair than men. Cis men who are born with penises but lose them get phalloplasty. And so on.

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  • [–] 39 points 3 days ago (21 children)

    Look at any tough-guy gym... There'll be testosterone offered to make you a "real man".

    Or breast implants for women who want bigger boobs. Those are both designed to help cis folks feel more like they're the man/woman they think they need to be.

    Which is why if gender affirming care is ever outlawed in my purple/red state, I'm going to be reporting the fuck out of the maga gym near by.

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    [–] 9 points 2 days ago (8 children)

    I have a testosterone gel I apply daily and get regular blood tests to monitor my hormones.

    Gave me chest hair, thicker facial hair, and decent erections.

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    [–] 24 points 3 days ago (1 child)

    What about those little blue pills?

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    [–] 6 points 2 days ago

    yes. from as small as hair transplants to blue chews. heck even the mil will give low t soldiers shots.

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  • [–] 19 points 3 days ago* (3 children)

    Yeah, Hair restoration. Testosterone therapy. I think you might have been joking but that's what those are classified as

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  • [–] 1 point 2 days ago (1 child)

    Isn’t hair restoration (for men) technically gender nonconformity?

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  • Depends on your definition of male conformity. Is it conformist to naturally go bald as a male or is it conformist to hide our aging from people in our life?

    I guess I could see either but there is a subculture of men who believe men should hide all signs of aging and doing so is an indication of personal agency.

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    [–] 13 points 3 days ago

    Viagra/cialis/etc and testosterone supplements if your numbers are “low” are the most common for men.

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  • [–] 9 points 3 days ago (1 child)

    I've heard multiple times that using testosterone supplements degrades your body's ability to make testosterone naturally. So once you start using supplements you always have to use them. Otherwise they sound interesting. Just a few injections and I can type in ALL CAPS whenever I want? Sign me up.

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