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#openhrt

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DIY feminising HRT injection

~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 💉🩹

A little bit late, as had got so distracted doing the Windows upgrade for most of the day 😅 Managed it quickly and painlessly though.

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

DIY feminising HRT injection

~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 💉🩹

Actually remembered to do this at a respectable time this evening after our reminder alerted us at 18:00 😌

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

Casual reminder to talk to normal people about DIY-HRT.

The fact that it has become the de-facto standard for transgender healthcare around the world is a scandal and most people will see it that way, once they get a grasp of what is going on. Keep in mind that most cis people have no clue about anything related to trans people and that ignorance is
very much not the same as malice.

And by telling them about DIY-HRT, I actually mean the full story: Online-pharmacies, homebrewers, bathtub-estrogen and how massively they differ in price. (A collegue of mine went from “I would never mix my own medication” to “I would totally mix my own medication” upon me mentioning that I was spending ≈100€ per month on pharmaceutical grade medication at the time). Explain how mixing works and why we are so confident in the quality that homebrewers produce (independent tests!). Mention that gel is primarily hand-sanitizer, so that even if they were to work in unhygenic matters, the result would still be estrogen-infused hand-sanitizer!

Talk about how stupidly low the regret rates are and that most effects reverse on their own if you really came to regret them. Be open, direct and keep refering to it as the de-facto standard of treatment. Make it clear why it is necessary, safe and widespread.

People who are somewhat open-minded can be convinced! And they will afterwards know how awful the hellcare systems around the world treat us and might mention it to others or argue in our favor. Keep in mind that we (trans people) are like 1% of the population, we
need allies! And our allies need to know what we need and what our situation is!

The one caveat I will add: Talking to jornos and right-wingers is a different story, as many of them are malicious actors and will frame things in harmful ways, if given the chance!

#OpenHRT #DiyHrt #trans #transgender #transrights #HRT #transition

DIY feminising HRT injection

~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 💉🩹

Forgot we had to this until really late, hence the late message. Considering it's late, it was in our non-dominant leg this week, and we've been feeling a bit shitty all day, it was surprisingly easy, entirely painless, and totally bloodless (not even a drip leaked out) 🥰

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

@thejessiekirk It's not always the case with injections: just the ones that trans masc folk in the UK tend to be given.

The 2 most-commonly-prescribed injections are:

Both are compounded at 250 mg/mL, but they're quite different otherwise in terms of chemical make-up, viscosity, and volume.

Sustanon is a 1 mL injection mix of refined arachis oil (peanut oil) and benzyl alcohol, containing:

  • 30 mg testosterone propionate
  • 60 mg testosterone phenylpropionate
  • 60 mg testosterone isocaproate
  • 100 mg Testosterone decanoate

It is typically administered every 2-4 weeks.

Nebido, conversely, is a 4 mL injection containing 1000 mg testosterone undecanoate, suspended in a mixture of refined castor oil and benzyl benzoate. It's typically administered every 10-12 weeks.

The main difference between these, other than the different esters of testosterone, is the viscosity of the carrier oil used.

Figures vary and there's no universal unit used for viscosity, but in all of these, castor oil is significantly more viscous than peanut oil, or MCT oil (which is commonly used in the DIY / homebrew community).

Don't know if this'll help or not, but we thought you might find it interesting :TransHeart:

www.medicines.org.ukSustanon 250, 250mg/ml solution for injection - Summary of Product Characteristics (SmPC) - (emc) | 5373Sustanon 250, 250mg/ml solution for injection - Summary of Product Characteristics (SmPC) by Aspen

DIY feminising HRT injection

~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 💉🩹

Super easy injection tonight. Helps that we didn't leave it too late in the day.

Apologies yet again that we haven't yet reviewed the auto injector.

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

DIY feminising HRT injection

~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 💉🩹

Perfectly painless today 🥰

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

DIY / homebrew HRT query on behalf of a trans gal we know, who lives in Sweden :TransHeart: 🇸🇪

How would someone in Sweden, hypothetically, get progesterone (P4) capsules or cream without a prescription, in light of Sweden's restrictive customs?

It goes without saying that this is necessary as Sweden, like the UK and other countries, has incredibly-poor gender-affirming healthcare for trans people :FaceExhaling:

Our current thoughts are:

  • Find an EU-based pharmacy that's willing to sell progesterone cream without prescription, so customs don't check it 🇪🇺
  • Get an EU-based friend to forward them on.
  • Import progesterone API (CAS 57-83-0) and make them yourself 💊

Thoughts?

DIY feminising HRT injection

Left doing our weekly injection a little late in the day 😅

~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. Almost entirely painless (like 95%). (We're tired, so it's harder to hold skin entirely taught.)

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

I just had a consultation about my surgeries with #Psytrans.

There are some really good news (
#transjoy) and some instances of #DutchHellCare:

Let’s start with the good stuff:

My endocrinologist actually did a nice thing and accepted my detailed records about how I did
#OpenHRT combined with the one bloodtest I payed myself as sufficient evidence to accept my actual starting date as starting date for HRT.

Thank you Gina, I really and actually appreciate that! (
#NameAndPraise)

This means that the Dutch healthcare system now accepts that I’ve actually completed my first year of HRT, which is the requirement to start the process for
#BottomSurgery. 😊

In that regard I’m pretty clear on what I want and at the same time very open about the details: Full
#vaginoplasty, no half-meassures like pure #orchiectomy or zero-depth. How exactly they are doing it is something that I don’t particularly care about, which is good, because this is also pretty much the extend to which they let you choose.

Accordingly this part of the conversation was over pretty quickly and we moved to
#FacialFeminisationSurgery…

And the first issue is that it is relatively hard to get it covered. You essentially need to have issues passing, because otherwise it would be considered a cosmetic surgery which isn’t covered. Annoying, but on the other hand also somewhat understandable. The more annoying thing is that hair-transplants are almost never covered anyways,

Which brings us to cost…

So first of all Dutch hell-insurance only pays up to Dutch rates which are not cost-covering for bottom surgery (in case anyone was wondering why the waiting-lists are long: This is one of the reasons, hospitals loose money on it), so of the 20.000€ that one could expect to pay in Thailand, Dutch insurances would only pay 14.000€. So a 6000€ difference probably + travel cost. A lot of money, but I could cover that without too many issues.

Now full FFS can apparently get to 40.000€…

Which would not be completely impossible, but in “pillage retirement-savings”-territory…

Well, in the end I decided to go onto Radbout’s waiting list for a combined surgery (which would also be fully covered by health-insurance, which would be a huge benefit), so if I manage to hit the weight-targets, I might get surgery in maybe like two years or so?

Speaking of it: I really need to loose weight, that will definitely be the biggest problem going forward…


#transition #medicaltransition #trans #transfem #transgender

DIY feminising HRT injection

Weekly injection done, albeit a bit late this evening :TransHeart:

~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. Completely painless.

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

In case anyone is wondering where the #progesterone study of the #VUMC can be found: Despite their protocol having been accepted over a year ago, they seemingly still haven’t published their results…

Now, the last tests they want to run are supposed to happen 1 year after starting, so I’m not yet calling for torches and pitchforks, it takes a while to actually start testing and you need to write the actual paper, and…

But my patience is very much on borrowed time… If they are not done by the time I have my next endo-appointment, I will assume that the results were that their E-levels are too low and that Prog works in desirable way, going back to DIY, because I’m past the point of not assuming malice with these folks…

If you have questions, the corresponding author is Koen M.A. Dreijerink (k.dreijerink@amsterdamumc.nl).

#hrt #transition #transgender #transfem #HRT #OpenHRT #DIYHRT

BioMed CentralAddition of progesterone to feminizing gender-affirming hormone therapy in transgender individuals for breast development: a randomized controlled trial - BMC Pharmacology and ToxicologyBackground Feminizing gender-affirming hormone therapy (GAHT) for transgender individuals traditionally includes estradiol and androgen deprivation. Research has demonstrated that breast size as a result of GAHT in transgender women is often limited. Therefore, transgender women often choose to undergo breast augmentation surgery. Progesterone is important for breast development in cisgender women during puberty. A potential role for progesterone in breast development in transgender women has not been investigated in a randomized controlled experimental set-up. The primary objective of this study is to explore the effects on breast volume of addition of oral progesterone to GAHT with estradiol in transgender women after vaginoplasty or orchiectomy. Secondary objectives include assessment of safety, satisfaction, mood, sleep and sexual pleasure. Methods This is a non-blinded, non-placebo, randomized controlled trial using a factorial design in adult transgender individuals assigned male sex at birth who have undergone GAHT for at least one year and underwent vaginoplasty or orchiectomy. The study design allows for rapid assessment of potential synergistic effects of various dose combinations of estradiol and progesterone on breast volume change: Ninety participants will be randomized into six groups of 15 subjects each, receiving either the baseline dose of estradiol, the baseline dose of estradiol and progesterone 200 mg daily, the baseline dose of estradiol and progesterone 400 mg daily, twice the baseline dose of estradiol, twice the baseline dose of estradiol and progesterone 200 mg daily or twice the baseline dose of estradiol and progesterone 400 mg daily, all for a duration of 12 months. The main study parameters include changes in breast volume as determined by 3D measurements. Participants will be followed-up with laboratory testing including serum progesterone concentrations as well as surveys for satisfaction, mood, sleep quality and sexual pleasure. Discussion This study will indicate whether progesterone is safe and of additional value with regard to breast volume change in transgender individuals receiving feminizing GAHT. The results of this study will be useful for innovation of feminizing GAHT. Trial registration WHO International Clinical Trials Registry Platform: EUCTR2020-001952-16-NL; date of registration: 12 December 2020 https://trialsearch.who.int/Trial2.aspx?TrialID=EUCTR2020-001952-16-NL .

DIY feminising HRT injection

Weekly injection done :TransHeart:

~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.

Sorry that we still haven't reviewed the auto-injector formally yet. Now that we're clawing back some of our executive function, we may actually get around to it soon. The short version is that it's pretty great and makes injections much easier.

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

DIY feminising HRT injection

Weekly injection done :TransHeart:

~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.

Text book injection today. No notes 🤭

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

DIY feminising HRT injection

Weekly injection done :TransHeart:

~8 mg (0.16 mL; 50 mg/mL concentration) estradiol enanthate injected intramuscularly into the vastus lateralis in our left thigh using our Union Medico auto-injector.

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

Replied to Fiona :transbian: :autism:

mention of how the Dutch hellcare system is institutionally transphobic

There is a part of me that finds this kind of un-asked for support offensive. As a trans woman you have to deal with waiting lists that are so long as to force you to use #OpenHRT (#DiyHrt), while nobody is willing to even give you basic blood-tests.

But if you are gay you can of course get free HIV-tests. And if you are a cis woman, you don’t even have to go to your GP, we send you the test kit for gendered diseases all the way to your home, simply because that’s your gender marker in the BRP…

Even if you ask the people working for the organizations about doing those blood-tests, they tell you no, because the government doesn’t pay them for it. Because it’s more important for the government here that gay men can fuck around without protection than that trans people don’t suffer severe adverse side-effects from their HRT because they have to pick their doses based on gut-feeling…

DIY feminising HRT injection

Weekly injection done :TransHeart:

~8 mg (0.16 mL; 50 mg/mL concentration) estradiol enanthate injected intramuscularly into the vastus lateralis in our right thigh using our Union Medico auto-injector.

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