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Transgender Teen Survival Guide

@transgenderteensurvivalguide / transgenderteensurvivalguide.com

We are a blog created for people of all ages who have questions concerning their gender identity. Read our FAQ here!
Transgender is an umbrella term that is inclusive of, but not limited to (nor forced upon), trans women, trans men, non-binary people, genderfluid people, genderqueer people, agender people, and anyone who doesn't identify as the gender assigned to them at birth.
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Anonymous asked:

I've got a question after seeing the post about being on T and having an IUD. Is someone who's on oestrogen and still has a penis and sperm able to get someone else with a vagina & ovaries pregnant? Or is it like T in that fertility is reduced but not eliminated entirely? Thanks 😊

Lee says:

Yes, it’s the same thing! Hormones decrease fertility but don’t 100% guarantee that fertility is eliminated fully. 

If someone has a uterus and ovaries, they can become pregnant if they have sex with someone with a penis and sperm. 

This is true whether or not the person with the uterus and ovaries is on testosterone, or the person with a penis and sperm is on estrogen; reduced fertility is not the same thing as total sterility.

The only exceptions are if either person has had surgical sterilization, like a vasectomy or tubal ligation, or if the person with a uterus and ovaries is using contraceptives to prevent pregnancy like if they have an IUD placed, or if a barrier method is used like an external (“male”) condom worn on the penis, or an internal (”female”) condom placed in the vagina.

Please talk to your partner about this! If you haven’t been sterilized or aren’t using birth control/contraceptives yourself, don’t assume they they are using contraception or assume they’re infertile. Regardless of your gender or your parts, you need to be responsible and confirm that y’all are having safe sex. Also remember that STIs can be transmitted regardless of whether someone is getting pregnant!

Options to prevent pregnancy if you’re on T include:

What are the WPATH criteria for getting a hysto/oopho?

  1. Two referral letters from professionals (often therapist and endocrinologist)
  2. Persistent and well documented gender dysphoria and diagnosis
  3. Capacity to make a fully informed decision and consent for treatment
  4. Age of majority in a given country (18 or older, not a minor)
  5. If significant medical or mental health concerns are present, they must be well controlled
  6. One year of continuous HRT as appropriate to the patient’s gender goals unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones. The aim of HRT before surgery is to have a period of reversible estrogen suppression before doing an irreversible surgical procedure

Options to prevent causing pregnancy if you’re on E include:

  • A vasectomy (tw gendered language in the link)
  • An orchiectomy (link and link and link, it’s the removal of the gonads/testicles)
  • Using an external (”male”) condom on the penis
  • (Estrogen isn’t a contraceptive, so if you’re on E, you’ll still need to do one of the above or you could get someone pregnant even if you have clear-looking ejaculate/less sperm)

What are the WPATH criteria for getting an orchiectomy?

  1. You need two referrals from professionals
  2. Persistent, well documented gender dysphoria;
  3. Capacity to make a fully informed decision and to consent for treatment;
  4. Age of majority in a given country;
  5. If significant medical or mental health concerns are present, they must be well controlled.
  6. Twelve continuous months of hormone therapy as appropriate to the patient’s gender goals (unless the patient has a medical contraindication or is otherwise unable or unwilling to take hormones). The aim of hormone therapy prior to gonadectomy is primarily to introduce a period of reversible testosterone suppression before the patient undergoes irreversible surgical intervention.

If you want more info on contraceptives or options to prevent pregnancy, I’d recommend that you talk to you doctor or go to Planned Parenthood to discuss what your options are!

If you don’t want a kid, use contraception because otherwise accidents happen! But if you do want to become pregnant/get your partner pregnant while you’re on hormones, you... still need to use contraception.

That’s because if you plan on getting pregnant you have to stop HRT first because taking HRT while pregnant might cause birth defects in your unborn baby.

Similarly, the effects of estrogen on sperm aren’t fully known, so it’s recommended you stop HRT before you start trying.

So in general, whether or not you want to have a child, you need to make sure you’re planning with a doctor to find a safe and healthy way for you to conceive, which might mean both of you temporarily stopping HRT.

Some helpful links:

Testosterone decreases your biological fertility and it stops menstruation. But even if your period has stopped, there’s still a chance that you can get pregnant, even if the chance is much lower than it would be otherwise.

There’s a study that says that being on T for one year doesn’t decrease fertility after you stop taking it, but there’s no research about whether being on T for years will affect fertility when you stop taking it.

You may want to look into freezing your eggs if you’re interested in having biological children. If oocyte preservation is desired, that should be pursued before you start T.

Similarly, people on estrogen should consider saving sperm if they want to ensure they can have a child. Estrogen causes decreased sperm production and less ejaculate, and some people do find that they are permanently infertile after hormones.

Because you can’t predict what will happen to you, if you really don’t want to take that risk you have to act preemptively if having a biological child is important to you. 

If you do want to have a kid, we have some other resources on pregnancy/being a trans parent that you may find helpful, but that’s another post!

TLDR; HRT is not birth control and you still need to use birth control if you have the kind of sex that could cause pregnancy

#Lee says#fertility#desired pregnancy#pregnancy#sex#hrt#estrogen#penis m#sperm m#vagina m#ovaries m#uterus m#genitals m#sex m#Anonymous#trans#transgender#transgenderteensurvivalguide#TTSG
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themidwifeisin

Some information for becoming pregnant after using testosterone (T) for transitioning.

[IMAGE DESCRIPTION:]

A series of 10 slides from a Prezi presentation are shown.

Slide 1. The title is “Pregnancy For Trans Men” by Chloé from TheMidwifeIsIn.tumblr.com. A light blue theme, with feather and dandelion tufts is used.

Slide 2: text reads: “Trans men are people who were designated female at birth, but identify as male regardless of their genitalia.”

Slide 3. Title: “How do trans men transition?” Underneath: “Many trans men will transition genders just by changing the way they dress, use pronouns, and interact with others. Some trans men will transition using testosterone, a hormone, to help change their physical appearance. Others have surgery to remove their breasts, ovaries, and uterus.”

Addition: “Some will have surgery to add a penis and testicles and close their vagina.”

Slide 4. Title: “Does using testosterone (T) prevent pregnancy?” Underneath: “Most people who use T to transition from female to male will no longer be fertile after they have used T for long enough that they stop having a period. It is assumed that this permanently affects the stored eggs making pregnancy difficult even if T were stopped.” Bold addition: “However people CAN become pregnant even while using T if they have unprotected penis-in-vagina sex therefore if you are not trying to become pregnant, use protection.”

Slide 5: Title: “ How trans man can become pregnant:” underneath as a bulleted list: “First, trans men should consult their endocrinologist, or the provider who is prescribing them T.

Next, they should stop taking T.

By the time their menstrual cycles return, they should be ready to begin trying to conceive.

If their partner does not produce sperm, they will need to find a sperm donor, and a provider to administer intra-vaginal or intra-uterine insemination.”

Slide 6. Title: “ If I stop taking T will I go back to looking like a woman?” Underneath: “ Nope. When testosterone is used for trans men to transition, it affects their biology in very specific ways. For example, T will deepen the trans man’s voice through thickening the vocal chords. This is not reversible. T will also encourage the growth of hair follicles in the face, causing facial hair, and this is also not reversible. Even if you stop taking T, these things will stay the same.

The change in body composition (where fat is distributed to) is reversible. This may change after you stop taking T. Acne caused by T will dissipate. Libido may decrease in breast size may increase.”

Slide 7. Title: “ What about breast-feeding?” Underneath: “ Afterbirth, trans men can breastfeed without worry. If they have had top surgery ( the removal of breasts), it may be difficult to produce enough milk to feed the baby. In that situation, herbs and medications can be used to increase milk production, and an at-breast supplementor can provide enough milk for the baby while supporting and encouraging the breast-feeding relationship. [In italics] Continuing to use T during this time period is not suggested, as it may interfere with the supply and be transmitted through the milk to the baby.[end italics]” [A drawn image of a breast milk supplementor is shown. A string holds an upside down bottle like a necklace around the parent’s neck. From the mouth of the bottle, a tube runs and is taped with its end on the parent’s nipple. The baby is sucking on the nipple, and the tube.]

Slide 8. Title: “What is it like to be a pregnant man?” Underneath: “ I don’t know. I’ve never carried to term, and I’m a cis woman, so I cannot begin to understand what it is like for men to become pregnant. However, there are resources online. My favorite blog is:

www.milkjunkies.net

the blog of a trans man who gave birth to his son and has been breast-feeding him ever since.”

Slide 9. Title: “Will my provider respect my decision?” Underneath: “All healthcare providers are different in the way they interact with their patients and understand their patients life histories. If you don’t have a provider you trust, try interviewing a few different ones as you start this process. Here are a few questions you can ask: [as a bulleted list] ” have you had a transgender patient before?

Do you understand what transgender means?

How would you support me if I had a complication and needed to go to the hospital?

What are your C-section, epidural, epistotomy, and successful breast-feeding rates?

Have you worked with the a doula before?

I would not like to have unnecessary vaginal exams how will you help me achieve that goal?

How will you explain my situation to your staff members? Can I expect to be called by a preferred name and pronouns when I enter your clinic?“

Slide 10. Title: ” Resources “ Underneath: ” [as a bulleted list] www.milkjunkies.net

www.LGBTQparentingconnection.ca

www.facebook.com/groups/transgengerparents/

www.bfar.org/index.shtml

www.facebook.com/groups/449750635045499/

midwifethinking.com"

[Addition in bold] “Have more questions? Visit: themidwifeisin.Tumblr.com”

[END IMAGE DESCRIPTION]

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transgenderteensurvivalguide
#reblog#pregnancy#medical#breasts#breastfeeding#menstruation#periods#genitals m#ovaries m#uterus m#vagina m#penis m#testicles m#caps
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Anonymous asked:

POSSIBLE TRIGGER WARNING I told my nb friend that I want my uterus and ovaries out of my body, and they said that they didn’t because they “don’t gender their uterus.” This kind of hit me harder than it should have; I’m not gendering my uterus, it gives me dysphoria. Am I wrong for being offended? How do I bring it up with them that this remark hurt me? Tysm for answering my questions, y’all are the best! -Trans dude

Kii says:

It sounds like your friend is talking about their own uterus, not your uterus or the uteri (uteruses?) of everyone who has one, and trying to explain why they may not be pursuing a hysterectomy like you may be. 

“I don’t gender my [body part]” is a fairly common explanation given by trans people who are trying to explain why they don’t want a certain transition step (hormones. surgery, etc).

If you’re concerned that they said that to hurt you, you should ask what their intentions were behind the statement.

#kii says#caps#genitals m#uterus m#ovaries m#Anonymous
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Anonymous asked:

Weird question but if you got bottom surgery, where it would gives u the penis, and your period comes back. Does it come out the penis?

Kii says:

The majority of people who get phalloplasties and metoidioplasties get their uterus and often their ovaries removed (hysterectomy), so they don’t have the body parts that cause menstruation anymore and therefore wouldn’t menstruate out of their penises. 

If someone opts to keep their vagina, uterus, and ovaries, the vaginal opening is still separate from the urethra (where you pee) so they would continue to menstruate out of their vagina, not their penis.

Reminder: In asks like this, it’s best to use descriptive terms for procedures and body parts, so we know specifically what you’re talking about!

#kii says#penis m#vagina m#uterus m#ovaries m#genitals m#hysterectomy#phalloplasty#metoidioplasty#periods /#menstruation#medical#surgery#Anonymous
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