Category Archives: Medicine

Related to medical issues and transgender patients, including physical and psychological issues.

VITAL UPDATE: Quality of Life in Treated Transsexuals


The research never stops here at Transas City, and I’ve recently completed another batch of lengthy literature reviews to update one of our landmark pages, Quality of Life in Treated Transsexuals.

The full details are available at the links herein, but to summarize the update:

  • More than 350 technical papers and journal articles have been reviewed.
  • From 2004-2015 inclusive, 33 studies were found which met the criteria for determining quality of life changes in transsexual women and men as a result of medical transition (blockers, hormones, and/or surgery).
  • Of the 33 studies found which were within our time frame, 26 studies (79%) indicated a conclusively positive impact on quality of life as a result of transition. Another 5 studies (15%) yielded mild or uncertain results, and only 2 studies (6%) found a negative quality of life as a result of medical transition.
  • In short, 98% of the studies reviewed found that at worst no harm was done via medical transition.

I believe that once again, this research which we have conducted shuts down firmly the anti-transgender criticisms that neither hormone therapy nor surgery are necessary medical procedures for transsexuals. Please share the link below, which contains charts, summaries, and full literature citations, to help us publicize this update, and feel free to drop it into debates with “the usual suspects.”

Quality of Life in Treated Transsexuals.

April 2015 Trans Talk on 90.1 KKFI

KKFIPlease join us today, April 25 on “Trans Talk,” 90.1 FM, KKFI, Kansas City Community Radio at 1:00 pm central. You can also tune into to listen in via live streaming audio from anywhere with an internet connection.

On this program Luke Harness, Sandra Meade, and myself will be discussing surgery within the transgender community, and all of its ramifications. Our special guests include three local transgender persons: MJ, a transgender woman who has completed surgery; James, a transgender man who is just starting his journey; and Amanda, a transgender woman who is at a critical point in her transition. Luke will kick off the program with some LGBT news for the week, and I will finish up the program with the Community Calendar update.

Please tune in if you can, as we hope this shall be a great show!

Personal Update – Liposuction


Some have noticed that I’ve not updated the site for a week. The reason is that this week I underwent liposuction surgery, and have spent a lot of time catching up work and recuperating from the pain. I expect to start making updates from the tremendous amount of backlog I have this week. I have received many original historical photographs and documents via the post over the last few weeks, and am way behind in sharing them.

The sole purpose of the liposuction I underwent was to shape my waist area into much more of a feminine hourglass shape, so one could consider this to be part of my gender transition. I was not excessively chunky there – I weighed about 136 at the time of surgery, and am 5’5″ tall. However, I had a small band of tough fat right at my waist, much of which were lipoliths (literally: fat stones) from insulin injections in my waist area when I was younger. These could not be dieted nor exercised away. As such, it’s the first of four procedures I have outlined in my path to completion.

I’ve actually experienced some “blowback” in the community about even describing liposuction as surgery, solely from folks who have undergone SRS but have never undergone liposuction. To them, it’s not “real enough” and doesn’t qualify in their artificial gender transition “pecking order” which they’ve established. I also received a significant amount of criticism from people who advised me I didn’t need it, I was wasting my money, it was too risky, etc. Some of the same people whom I supported wholeheartedly as they underwent their SRS, hysterectomies, breast augmentation, and breast reductions, did not support my personal cosmetic surgery decision. Several acquaintances have offered not one word of support nor even attempted to contact me to see how I am doing since the day of surgery, something which, excuse my proverbial French, I find to be really shitty – especially when I was there for them when they underwent their surgeries.

Setting aside all that psychodrama, let me just convey some facts about abdominal liposuction. Please note that my experience may not reflect yours, or anyone else’s experience, and is merely a sample size of one for you to consider.

In my opinion, liposuction is not nearly as simple as they advertise it on television. Just because they don’t make huge incisions and don’t put you under general anesthetic doesn’t mean your body doesn’t take a lot of punishment. In fact, I wish I had been under general anesthetic, because it HURT LIKE YOU WOULD NOT BELIEVE during the start of the procedure. Thankfully after about 15 minutes it stopped hurting, mostly, because I either passed out or succumbed to the massive amount of lidocaine they inject into you. Given that I have large memory gaps, I’m assuming the latter.

They start by putting you on the table, fully awake, and injecting lidocaine into the incision areas. This is a minor pain. Within about 2 minutes they made 5 small incisions with a scalpel, about 3-4 mm in length and perhaps that deep as well. Then the rigid cannula is unceremoniously forced through the incisions, and shoved under your skin to start to “pop” it free from the layers underneath. It’s horrifying to watch your skin move and stretch up from you, like a toned-down version of the chest-exploding scene from Alien.

There is a visceral sound and feeling when they tear through what the surgeon called “gristle,” that sounds like popping bubble wrap under your skin – painful bubble wrap. Then comes the inflation, where the tumescent solution is injected under your skin, and you swell until you appear 4 months pregnant. Shortly afterwards, the suction and motion begins, and you can see what looks like an inordinate amount of dark, bloody tissue being removed by the cannula through its clear hose. About at this point there is a large “SCENE MISSING” sign, and although I have brief flashes of events happening, for most of that first day I remember less than a few seconds of time.

Afterwards they stick what are essentially maxi pads and Poise pads over your incisions to soak up the copious amounts of fluid which will drain from you, wrap you in another absorbent bandage, then put you into an industrial-strength Spanx-type bodysuit, THEN wrap you with a tight binder similar to that used by transgender men to compress their chests. This is intended to make your now loose skin adhere to your body, and to help reduce swelling.

This is where the true pain starts, and the first 2 days afterwards, if you get a complete 360-degree waist reduction, it is difficult to impossible to work, even at a sitting job. By 3-4 days afterwards, light activity is possible. I’m in day 6 now, and doing reasonably well, except for great pain from my ribs to my waist, and a lot of swelling.

The depressing thing is that you will have to wear the tight binder for a full week, and it hurts. The bodysuit stays on for a couple of weeks, then you are fitted for a much tighter bodysuit. While this may help slim your figure itself, it’s intended to really squeeze the last of the swelling out of you. In 1-3 months, maybe 6 (!), you can see your full results. It’s not quick, and it’s not easy. Don’t let the slick advertisements fool you. It’s serious stuff and you will hurt.

Knowing what I now know, I would be reluctant to do it again. I think the pain was very under-appreciated at first, and I was not prepared for it. It was made worse by the fact that I cannot take codeine, morphine, or other strong medication, I avoid acetaminophen because of its liver effects, and they don’t allow you to take aspirin or ibuprofen for a week. I begged for some relief, and they let me start taking ibuprofen after 5 days. But for the first 5 days, I had almost no pain killers at all.

All in all they only removed about 1-2 pounds of actual fat from me. When you take into account fat cells which are damaged or dislodged during the process and which will be metabolized soon, I likely only lost 2 pounds out of 136. Liposuction, as they tell you, is NOT a weight-loss method; it’s a shaping method.

If you are thinking of doing it yourself…think hard. Take it seriously, and don’t let the “pecking order” make you dismiss how disruptive and how painful it can be.

Suicide Attempts Among Transgender and Gender Non-Conforming Adults


A new study was released today from the Williams Institute at UCLA and the American Foundation of Suicide Prevention. To say that the study was more bad news for an already oppressed minority would be understating the issue. Highlights from the study report an increased risk of suicide among Trans Men (46%) and also among Trans Women (42%) with disabilities (65%). High prevalence of suicide attempts were also found among those who had ever experienced homelessness (69%) and those who reported a doctor or healthcare provider refused to treat them (60%). For more statistics from this report and to read and review the entire report go here.

The Williams Report

Introducing the Transgender Newsbank


The Transgender Newsbank is a collection of more than 400 newspaper and magazine articles from 1911-1994, organized by year and date. I have spent 3 months finding and formatting these articles for easy viewing, in addition to typing write-ups about them and linking to other topical pages. The Transgender Newsbank is the largest effort of its kind on the Internet that I can find which is freely available, and like all Transas City features is uncluttered by advertisements.

While a Transgender Newsbank may be unexciting to some, it will form the basis of an online historical library to help researchers, scholars, and anyone who is simply interested in the history of our people.

The Transgender Newsbank

An Amazing CAIS Woman Gives birth to Twins After Doctors Helped Her Grow a Womb

I love intersex persons, because they demonstrate to us by their existence how diverse life can be, and how wonderfully varied nature is. I know some intersex persons are bitter about their condition, and I would be the last one to place my values on top of theirs, but I truly believe intersex persons are remarkable humans, and they fight battles with their gender identity and body morphology which are at least as major as we transgender persons do.

This article which I have linked is an example of a miracle of sorts. Hayley Haynes was born with a Y chromosome, meaning by many definitions of the word she was “male.” Yet she also was born with a nearly complete set of “female parts,” save a womb and ovaries, due to having complete androgen insensitivity (CAIS). However, after several examinations her doctors discovered that she had a small womb, which they encouraged to grow by hormone treatment. Thanks to the donation of an anonymous egg and in-vitro fertilization, and after a struggle with the UK’s National Health Service refusing to pay for treatment, she was able to give birth to healthy twin girls.

This is an uncommon case, in that Hayley was further along her development than many CAIS women. But we can simply hope that as medicine advances more intersex persons will have options open to them to live the life they want to, and must live.

Woman who was genetically a man gives birth to TWINS after doctors GREW her a womb – Mirror Online.

International Update: An Indian Transgender Newsreader and an African Transgender Poster Girl

I have two international updates for you all, dear readers, to remind us of the global struggle for our rights, and of the global narrative of our loosely interwoven stories.

The first news article which I’m sharing is the story of Padmini Prakashi, India’s first transgender television presenter. Happily married with an adopted son and a good job, Padmini is now campaigning for free sexual reassignment surgery (SRS) for all transgender Indians. To quote her from the article:

‘We’re born into the wrong body, it’s not our fault,’ she said. ‘I know so many transgenders who are struggling to pay for surgery. Their lives are frozen in time because of the costs involved. This is not our fault; free surgery should be available for all. It should be our right, along with counselling[sic] and guidance classes and education on sexual diseases. We’re not given any help, no one is trying to assist our community.’

My second article tells the story of Tiwonge Chimbalanga, who recently fled to Africa to avoid a 14-year sentence in her home country of Malawi over becoming engaged to a man.

Tiwonge’s story is a different one, including a belief that her earlier existence as a man was due to a witch’s curse, and when a tribal healer cured her of the curse, she felt she had to start living as a woman. Her trial (where she was forced to attend despite being sick with malaria) was ended when the President, under intense internationally pressure, decided to forgive her “crime.” Unfortunately her boyfriend soon left her for a prostitute, and she now lives on the verge of complete poverty in South Africa, having fled intense discrimination from her village in Malawi.

Two women on different continents, both transgender, and both fighting for transgender rights – in the case of Padmini for her community, and in the case of Tiwonge for herself.

Fact Check: The AFA’s Latest Anti-Transgender Column


In a column published on November 21, 2014, the American Family Association (AFA) has posted a column written by Bryan Fischer, wherein he attempts to prove that “trangenders” (as he grammatically incorrectly refers to us) are not only going against God’s will, but we are endangering our health. The overarching theme of his message is that transgender persons are not only willfully acting in defiance of his interpretation of the laws of his deity, but also that transgender regret is widespread throughout our community.

Mr. Fischer’s qualifications for saying what he says are that he is Director of Issue Analysis and Host of “Focal Point.” My qualifications for rebutting him are that I am a transgender researcher, scientist, adjunct university professor, and religious scholar. But let’s not appeal to authority here, and instead look at the facts.

I’m going to rebut Mr. Fischer’s claims using bulleted lists, largely because I really enjoy using them, but also because I think it helps to separate and address each point factually, rather than attempt to sway people with an appealing narrative.

1. The Appeal to Deuteronomy 22:5

Men in kilts technically violate Deuteronomy 22:5. Break out the holy water.

The first major error which Mr. Fischer makes is in appealing to Deuteronomy 22:5, wherein he reads the texts as a prohibition against transgender persons, via its text stating “A woman shall not wear a man’s garment, nor shall a man put on a woman’s cloak, for whoever does these things is an abomination to the Lord your God.” Sadly, Mr. Fischer in this appeal to Deuteronomy has revealed that he is not in fact a Biblical scholar, or at best is a Biblical dilettante. Mind you, I’m being charitable here, and not bringing up the possibility that Mr. Fischer is either a bald-faced liar, under the influence of St. Glenmorangie, or perhaps insane.

I have written a very lengthy research piece on the true meaning of Deuteronomy 22:5, and if you want to sit back and read a few thousand words I’ve written I really do encourage you. But for those of you ready to click over to something less long-winded than I, dear reader, allow me to summarize. Deuteronomy 22:5 is a passage in a collection of various laws which not only appears historically unusual, but contains Hebrew text which could be interpreted many ways. At best, Deuteronomy 22:5 may be a prohibition against not attempting to avoid military service by pretending to be female (sort of a “no Corporal Klingers” clause), but it may also refer to a prohibition in engaging in Canaanite religious rituals of the day, which involved swapping sex roles and crossdressing.

Mr. Fischer further reveals Biblical ignorance in not addressing how many other parts of the Bible appear to welcome or be accepting to transgender persons, most especially Acts 8:26-40. Did you forget so soon, Mr. Fischer, the message of the Apostle Philip to the Ethiopian eunuch?

36 And as they went on their way, they came unto a certain water: and the eunuch said, See, here is water; what doth hinder me to be baptized?

37 And Philip said, If thou believest with all thine heart, thou mayest. And he answered and said, I believe that Jesus Christ is the Son of God.

You can read all about nearly a dozen Biblical passages, along with my scholarly research on them, on my page regarding Religion, Faith, and the Transgender Person.

 2. On the DSM and Transgender Classification

Chewbacca, who apparently has about as much chance of interpreting DSM V correctly as Mr. Fischer does.

Mr. Fischer then attempts to play psychologist, by bringing up the “scary” fact that “Until 2012, the American Psychiatric Association classified transgenderism as a ‘gender identity disorder.’ It has since relabeled it ‘gender dysphoria’ in an effort to soften the stigma that properly should attach itself to this problematic lifestyle choice.” He attempts to interpret the intent of the hundreds of psychologists and psychiatrists of the American Psychiatric Association by claiming this change was done to “soften the stigma that properly should attach itself.” It’s an example of “hate the sinner, and the sin.” But let’s set that dig he made aside, and proceed to the factual points.

The American Psychiatric Association (APA) has an FAQ on their interpretation of transgender as a mental disorder. Mr. Fischer could have found this like I did via a 5-second Google search (perhaps 30 seconds if he’s still on AOL dial-up, but I digress), wherein the APA has this to say about the subject of whether being transgender is a mental illness (I shall quote their answer in full, so I cannot be accused of selective referencing).

Is being transgender a mental disorder?

A psychological state is considered a mental disorder only if it causes significant distress or disability. Many transgender people do not experience their gender as distressing or disabling, which implies that identifying as transgender does not constitute a mental disorder. For these individuals, the significant problem is finding affordable resources, such as counseling, hormone therapy, medical procedures and the social support necessary to freely express their gender identity and minimize discrimination. Many other obstacles may lead to distress, including a lack of acceptance within society, direct or indirect experiences with discrimination, or assault. These experiences may lead many transgender people to suffer with anxiety, depression or related disorders at higher rates than nontransgender persons.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), people who experience intense, persistent gender incongruence can be given the diagnosis of “gender dysphoria.” Some contend that the diagnosis inappropriately pathologizes gender noncongruence and should be eliminated. Others argue that it is essential to retain the diagnosis to ensure access to care. The International Classification of Diseases (ICD) is under revision and there may be changes to its current classification of intense persistent gender incongruence as “gender identity disorder.”

Please note the first and foremost point which the APA makes, which I have highlighted for emphasis. They clearly state that a transgender person who is happy in their gender role is not mentally ill. Why Mr. Fischer was unable or unwilling to mention this is a subject best left for others to address.

However, Mr. Fischer hoists himself by his own petard in his article. In one breath he refers to being transgender as a “lifestyle choice,” and in the next he refers to it as a serious psychological disorder. Which one is it, Mr. Fischer? It seems he cannot even stay consistent within the context of a couple of sentences.

Mr Fischer shows even more ignorance by apparently blindly linking to the Gay and Lesbian Medical Association, claiming that they themselves say that “transgenderism” has a “number of pathologies.” Note his quote – some of the “pathologies” in his link include:

  • Poor access to healthcare.
  • Keeping good medical records.
  • Taking hormones.
  • Avoiding alcohol and tobacco.

Tell me this if you please – on what planet are those “pathologies?” Did Mr. Fischer even read his own doggone links, or did he just outsource the entire column to interns? Good grief.

 3. Conflating Transgender “Regret” and Suicide

Attacking the most vulnerable of us all – is that really the ethic you want to uphold?

Mr. Fischer then makes a common mistake, or uses a common propaganda technique, by citing the statistics from the National LGBTQ Task Force, which are published in their watershed report Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Mr. Fischer does in fact quote correctly the statistic that 41% of transgender Americans have attempted suicide, and that this rate is at least 25 times that of the general population. But the mistake he makes is in context – in his context that being transgender is a sin, and transition fills most transgender persons with regret, he uses the statistic incorrectly.

The statistic of 41% of transgender persons having attempted suicide is over their entire lifetime as of the time of the survey. It by no means and in no way breaks down the statistics for those who are closeted, partially out, fully out, or fully transitioned. This can easily be seen by reading the original survey questions, which are published at the end of the full report (available above). In fact, Mr. Fischer should have taken the real message from the report – that in part due to the intolerance of people such as him and his organization, transgender persons are one of the most victimized minority populations in the entire world. Most Christians would take this statistic to be a call to action to help transgender persons and fight bigotry against them – rather than sanctimoniously and ignorantly wag our superior fingers at them.

4. The “Just Askin’ Questions” Fallacy

Just a couple more questions if you don’t mind, ma’am…

Mr. Fischer then engages in a propaganda technique commonly known as the “just askin’ questions” fallacy, where he writes:

Social research has revealed that 65% of all those who undergo cosmetic surgery live to regret it. How much higher must that figure be for those who have undergone genital mutilation?

This is actually a meaningless, single-source statement which is akin to saying “research has revealed that 15% of Americans don’t like turkey for Thanksgiving. How much higher could it be for those who don’t like ham?” There is no logical connection between the two. Elective cosmetic surgery is an entirely different matter than rehabilitative cosmetic surgery. Transgender persons do not undergo sexual reassignment surgery so they can look good (heaven forbid everyone should walk around pantsless, like Winnie the Pooh). Rather, sexual reassignment surgery is undergone to help a transgender person feel whole, right, and as one with their body. Mr. Fischer may as well damn an Iraqi War veteran who has facial reconstructive surgery to repair burns suffered in combat, because “he might regret it!”

5. The Grim Spectre of HIV/AIDS


Mr. Fischer then attempts to appeal to the masses by the “leper! Unclean!” technique, attempting to inextricably tie HIV/AIDS to being transgender. This really doesn’t need much rebutting, as it’s clear that being transgender in itself makes one no more likely to contract HIV than to contract malaria, dengue fever, or bubonic plague. Now, it is true that transgender persons have a very high rate of HIV/AIDS infection as a population, but if Mr. Fischer was a compassionate Christian, he might have explored why that is. The reason for the high number of transgender persons infected with HIV/AIDS is quite simply sex work.

I sit on the board of directors of a charity which helps sex workers get off the streets and get medical help, out of prostitution, off drugs, and gainfully employed or at least stabilized in their lives. About a third of the women we help are transgender women, and about half of them are HIV positive. Why were these transgender women forced onto the streets into sex work? Quite simply, due to ignorance, prejudice, fear, and discrimination by the public at large. Parents who threw their child out of their house at age 13 because they were a “freak.” Employers who fired a loyal employee when they asked to transition on the job. Ministers and congregations who refused to treat transgender persons as human beings and give them aid. These are the reasons for the high HIV/AIDS rate among transgender persons, and Mr. Fischer should be ashamed of himself for implying otherwise.

6. When all Else Fails, Bark at the Moon and Hope for the Best

Reneé Richards – not exactly the best authority to cite.

Mr. Fischer finally makes a tortured appeal to authority by quoting two self-hating transgender persons. The first is “Well-known transgender[sic] Alan Finch of Australia…” Apparently this person is so well-known that despite my years of research, my enormous transgender bibliography on my bookshelves, my thousands of archived newspaper and magazine and online articles, I’ve never heard of this person even in passing. They have no medical or transgender research qualifications that I can find, so really they appear to be a sample size of one out of millions upon millions of transgender persons around the world. A quick Googling appears to show that Mr. Finch is in fact an intersex person (claiming that a psychiatrist diagnosed them as having a “missing male chromosome”), rather than transgender.

The next “transgender” Mr. Fischer quotes is Reneé Richards. I know quite a bit about Ms. Richards, having read her biographies and researched her sports and personal careers. It’s true that Ms. Richards has spoken out against transgender persons on many occasions. It’s also true that if you read Ms. Richards biographies, you see a person who is profoundly mentally imbalanced, who had a quasi-sexual relationship with her mother and a full sexual relationship with her own sister, went on and off hormones many times, had breast reduction surgery to remove her new breasts, then went right back on hormones to grow them back, had a sex tour of Europe, and generally by her own words can be seen to be somewhat of a first class loon. The last interview I watched of her on ESPN displayed a person who appeared profoundly disconnected from reality.

And this is the spokeswoman that Mr. Fischer wants to back?

Mr. Fischer decides to make it a trifecta of dodgy references by throwing out that “Mike Penner, a sportswriter for the LA Times, famously outed himself in 2007 as a transgendered individual and overnight became Christine Daniels. He then transitioned back to becoming a male in 2008 and finally killed himself in 2009.” My reaction, heartless as it may sound, is “so what?” I know a person who converted to Christianity in college, then climbed into a bathtub with a gun and shot themselves. Should we therefore indict Jesus? Note as well that Penner committed suicide after transitioning back to male, implying (via complete and utter speculation on my part) that perhaps gender wasn’t really their primary problem? The truth is the vast majority of studies show transition results in a net, positive benefit to the quality of life of transgender persons.

 7. Putting God in a Box

I mean, seriously? What hubris.

Mr. Fischer rounds up his somewhat embarrassing column by attempting to appeal to the Ultimate Authority.


No, I don’t mean David Hasselhoff, I mean God.

God knew what he was doing when he assigned each of us our gender at the moment of conception. And he stands ready to help any willing individual come to a place of resolution and acceptance of the gender God assigned him at the moment of conception.

Mr. Fischer has that correct – God created transgender persons to be transgender. He acknowledges the supremacy of his own deity, but then attempts to put him in his own, neat little box by stating earlier that God ONLY and SOLELY creates men and women. No other options. Based on the “common sense” reading of Genesis et al, which I investigate in my links above regarding religion and transgender persons, it’s unclear even from the original Hebrew text that God intended or intends to create ONLY men and women. Mr. Fischer has made a mistake common to most Christians of defining what God can and cannot do based upon Man’s dodgy recordings and translations and re-translations and interpretations of God’s missives.

The very fact that intersex persons exist, and in rather large numbers, proves that God intends to create humans who are other than men or women. Why is Mr. Fischer ignorant of the fact that as many as 1 in 500 “male” births is actually an XXY person? And before you say “they have a Y chromosome; it’s a MAN, BAY-BE!”, note that some XXY individuals have been able to become pregnant and bear children! (see Röttger, S., et al. “An SRY-negative 47, XXY mother and daughter.” Cytogenetic and Genome Research 91.1-4 (2001): 204-207.) Mr. Fischer, God clearly made this woman and her daughter with a Y chromosome. Who exactly is a “man” and who exactly is a “woman,” again?

Furthermore, I’ve written about 10,000 words, along with more than 30 scientific citations, on the subject of how transgender persons have a brain which shows clear physiological differences from those of cisgender persons. I don’t suppose you’d care to read it, Mr. Fischer? If your deity is not responsible for creating the brains of transgender persons, who is? The Easter Bunny?

8. The End

Los Angeles Pride…which Mr. Fischer might view as a cavalcade of delusional, self-mutilating, Satanic psychopaths.

In short, this AFA column (which has their editorial backing, despite their boilerplate disclaimer) is the sort of misguided, ignorant, composed-from-Google-searches piece that we transgender persons expect to see from our opposition. Not only is there no “fire,” so to speak, I’ll be blessed if I can even find much “smoke.” Columns such as this are actually encouraging to me in a manner of speaking, as it shows that the bigots, haters, and opponents of transgender persons really have no factual legs to stand upon. When the primary ammunition of your opponents is to misinterpret their own religious texts, misquote studies, and engage in half a dozen propaganda techniques to perpetuate the “Big Lie,” it should give us confidence that we will win this battle in the end.

New Transas City Report: Deep Vein Thrombosis


A new report is available on Transas City, which discusses the problem, causes, and risk factors of deep vein thrombosis (DVT). The executive summary from the article follows:

Deep Vein Thrombosis – Facts at a Glance

  • In the United States alone, deep vein thrombosis (DVT) is responsible for hundreds of thousands of hospitalizations and tens of thousands of deaths each year.
  • DVT can be caused by hormone therapy in transgender persons, especially those who take ethinyl estradiol orally.
  • Key risk factors include smoking, increased age, a sedentary lifestyle, and a genetic tendency towards high levels of clotting factors.
  • Symptoms of DVT include leg pain, swelling, an unusual warm area, shortness of breath, chest pain, and the symptoms of stroke.
  • DVT cannot be treated by yourself! Seek medical care immediately if you suspect you have DVT!
  • Overall, the incidence of DVT is declining among transgender persons as more of us are using transdermal hormones and 17-β estradiol.
  • With a healthy lifestyle and proper hormone use under a physician’s care, the risk of DVT in transgender persons is relatively low.

Read more at the link below.

Deep Vein Thrombosis and Hormone Use – a Transas City Report

Mayo Clinic to Create Transgender Clinic for Holistic Assistance

This article is sort of a mixed bag of news (including a reference to Paula Overby, who is a transwomen running for Congress in Minnesota who I’ve posted about before, but which contains a note on a new program at the Mayo Clinic.

“I’m in charge of setting up an integrated clinic for transgender care,” said endocrinologist Dr. Todd Nippoldt. “It will involve initial medical care and hopefully, eventually, will have surgical care available. Right now, it’s primarily with the hormonal therapy and then psychology- and psychiatry-type management.”

The pilot program is expected to be considered for formal adoption this fall, leading to potential formation of Mayo’s new Transgender and Intersex Specialty Care Clinic, Nippoldt said.

The program will help patients who are new to the area connect with primary-care health providers who have made it known to the specialty care clinic that they are open to seeing transgender patients.


“We would get them hooked up in their primary care either at Mayo, with someone who is comfortable, or at Olmsted (Medical Center) there’s several patients that I’m following that have their primary care there,” Nippoldt said.

This level of buy-in from the Mayo Clinic will undoubtably add more credibility to treatment and consideration of our people.
Transgender people find society gradually accepting – Local.

Transas City Brief Report: Sleep Disturbances from Hormones

Cannon Percale SleepSeveral transgender folks I’ve met have remarked on changes in their sleep patterns after being on hormones. It’s likely that a large part of this is due to stress from coming out, potential breakups with a spouse or family, unemployment, or other social-mental factors. However, it’s interesting to see if the hormones themselves make a difference in sleep quality.

Sleep studies which focus on exogenous hormones are rare, and in this Brief Report I talk about the findings of a study where sleep patterns of transwomen were found to change very slightly while being on hormones. Unfortunately, no study of transmen was done. I’m going to look out for further research, but right now I’m finishing up a full report on deep vein thrombosis risk.

The brief report can be viewed at this link: Brief Report: Sleep Quality on Hormones.

Transas City Brief Report: Skin Changes on Hormones


Exclusive to Transas City: I’ve investigated and written a brief report on the results of two studies which examined in detail the effects of hormones on the skin quality of transgender men and women. Acne prevalence is covered as well. I believe the results of this study will help give transgender persons an improved idea changes to their skin which should be expected while on hormone therapy.

The brief report can be viewed at this link: Brief Report – Skin Changes

Transas City Brief Report: Hair Growth on Hormones


Exclusive to Transas City: I’ve investigated and written a brief report on the results of a study which examined in detail the effects of hormones on transgender men and women. The results which were studied included hair growth rates, density, thickness, and timing over a 12-month period on both the face and the upper abdomen. I believe the results of this study will help give transgender persons an improved idea of the typical hair growth changes which should be expected while on hormone therapy.

The brief report can be viewed at this link: Brief Report – Body and Facial Hair Growth

Free Resource for KC-Area Transpeople – Learn About Health Insurance

TTI_InsuranceI was very pleased to receive a notice from Caroline Gibbs of the Transgender Institute that a special free presentation is being offered to the transgender community on how to enroll and navigate through the Affordable Care Act (ACA) website. Those who attend will receive a 16-page Healthcare Guide to assist them, and hopefully receive answers to their questions on how to gain benefits from the changing landscape of health insurance in the United States.

The event is Saturday, October 4, 2014, from 10:00-12:00. To reserve a spot, please mail Caroline Gibbs at

Johns Hopkins Psychiatrist: Transgender is ‘Mental Disorder;’ Sex Change ‘Biologically Impossible’

Alright folks, it’s fight the propaganda time. Again.

My attention was drawn by some trolls on a message board to this article on CNS News where an ex-psychiatrist-in-chief of Johns Hopkins claims, Paul McHugh, that transgender persons have a mental disorder, and that transgender rights is kowtowing to a politically correct farce of backing up our madness.


The first thing I want to tell you folks is this is older news which some on the internet are just now dredging up. The original news piece came from an op-ed in the Wall Street Journal of June 12 by McHugh titled “Transgender Surgery Isn’t the Solution”, which later gained some traction when Barbara Kay used another op-ed piece in the National Post to poke at us.

One of the primary reasons which McHugh, and his virtual sycophant Kay, point to as a reason for pushing to deny us transition surgery is a technical report that they cite, in which they claim that “the suicide rate among transgendered people who had reassignment surgery is 20 times higher than the suicide rate among non-transgender people.”

That sounds scary, doesn’t it? It’s worded so that a quick or casual reading of it implies that transsexual surgery may actually increase, or give no benefit, for those who have it in terms of suicide rates. However, that’s not what the original study says at all! The study, which can be downloaded or read at this link, is a highly limited study which ONLY finds that the suicide rate for transsexuals who had surgery is higher than cisgender persons. Well, duh. Like all of us know, surgery won’t fix a messed up life – it will not end discrimination, it will not restore lost careers, and it will not suddenly reconcile family and friends who have turned their backs on us.

The ONLY thing this study really shows us is that transsexual surgery seems to result in an improvement in the quality of life, but the effects on suicides relative to other transgender persons who have NOT had surgery, is unknown. In fact, if you want a comprehensive look at how treatment helps improve our quality of life, please see my comprehensive article at this link.

In short, this news article is nothing more than sloppy reporting, stacked on top of earlier sloppy reporting.

Johns Hopkins Psychiatrist: Transgender is ‘Mental Disorder;’ Sex Change ‘Biologically Impossible’ | CNS News.