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quarto/Health/Transition.md
2025-08-29 10:11:57 +02:00

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title, draft, authors, categories
title draft authors categories
My Transition - Experiences and Recommendations true
name
Nicole Dresselhaus
Mental Health
Post
Struggles
Experience

Personal

  • egg crack late.
    • -> issues since childhood
    • ~> polictics
    • ~> timeline of trans-regulations in germany
  • tl;dr: only now a "safe enough environment" given the rest of my time remaining

medical

  • informed myself pretty good about what happens
    • link resources like transfemscience
    • link TT-Discord
  • gatekeeping
    • procedures if you got "normal" health insurance vs. procedure when you just pay yourself.
    • the "neccessity" for the complicated procedure is not rooted in medical protection. Just protection of money.
    • collapsible callout with "story time" of S from H's story.
  • uninformed docs
    • collapsible callouts (multiple!) with "story time"

my way

  • diy
  • community-driven
    • link diyhrt.cafe
    • link transharmreduction
  • goal
    • yes, samlacian is an option.
    • yes, i will do that
    • cost 30k - but only once in your life :)

my recommendations

  • Warning: im not a medical expert. I "just" hat a few terms of molecular-biology, neuro-biology, psychology, chemistry etc. in university. I can READ papers and graphs and understand stuff - but not conduct that research myself.
  • forget about androcur - imo it is only useful the first 6 month for more rapid onset
    • not needed as high enough E-Levels suppress T-Production and generation of DHT
  • aim E2 about 200-400pg/ml, T cis-female range
    • -> show Abott 5 and 95-quantile for cis females
    • beware also bias because many cis females suffer from symptoms that could be treated by more E2.
  • EEn sc is best for this and has a "cycle" of 1 week
  • add P4 only after a year or so of treatment
    • -> graph of E2 in cis females 8-18;
      • 8-12 elevated E2, only then P4.
    • cycle of 1 week instead of 1 month => 4 years in cis ~ 1 year in trans
      • beware: just crackpot-theory. No basis.
    • P4 should be cycled
      • show cis female cycle, basically 14 day on, 14 day off - factor of 20+ between those values
      • only anecdotal evidence .. but .. i got breasts and i can give milk - and seems to do no harm