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WPATH Standards of Care

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A place to discuss the existing standards of care and how they apply to us.

10 topics in this forum

  1. The Standard Of Care…

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  2. Hb Standards Say

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  3. Are There Alternatives?

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  4. Soc, Us Fed. Law

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  5. Warning About Record Keeping

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  6. APA Dumps WPATH

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  7. Just A Question On Hrt Timing

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    • 8 replies
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    • Jani
      This is nice Michelle. We can all be an inspiration to someone, whether we know it or not.   Jani
    • michelle_kitten
      A friend at work today sent me a message he wanted to talk to me.  I was leery, because he can talk on and on, and lecture if he thinks someone's done something incorrectly.  Sigh.  I asked him what he wanted to talk to me about and he replied, "Nothing. Just something personal."  Okay.  Well, that's sounds better than, "You should have done..."  So, after my shift was over I went by to see him.   He said, "I have to thank you." "What for?" I asked. "Because, of  you I went and got help for something that's been a problem for a while and I was too embarrassed to get help." Of course, at this point my mind is going.  Is he gay?  Is he trans too?  He is a bit effeminate.  "What's happened?" I asked. He tells me he's been feeling really run down, and sleeps away his weekends for some time.  He went to the doctor, and they diagnosed him with low-T.  He's on hormones now, and may end up on estrogen blockers as well.   That's exactly why I have been open about my transition with folks.  I believed if I was living a lie, by coming out others might find the courage to stop living lies as well.  I am very happy about this.  I am glad he is getting help.
    • AJ Baumann
      Thanks gennee. It is nice to find supportive community 💚 AJ
    • Nivegnal
      I ponder what I would really do if it all was just handed to me tomorrow.  Would I jump in both feet or not.  It’s easy to say you want this or that and different when you can actually get it.  I know this well enough.   I’m not in a hurry to have more surgery.  SRS is not on my scope but seems like a possible step.   Like you I’m more interested in an orchy and shed my T.   But I’m still healing from my last tangle with a scalpel.    Before I go on with that I want to understand my feelings and place in all this.  I’m hoping the therapist can show/teach/explain what’s what and why.  
    • NB Adult
      Back in the early 1990's I was fortunate being in a VA related counseling program for PTSD issues. My counselor was in a long term lesbian relationship, so when I broached the subject of what I intended to accomplish as a trans person, she had no qualms about writing me all the necessary letters. Prior to that I had been seeing Dr. Anne Lawrence, I know some people detest her, but she saw fit to put me on feminizing HRT and she also wrote me a letter of recommendation for SRS. Later it turned out that the endocrine specialist at the local VA hospital knew Anne, and he bought into my plan to transition and set me up for free meds. He also wrote me a letter recommending an orchiectomy and or SRS as I had complained about having to take Spironolactone as a testosterone blocker. So when I hooked up with Dr. Bowers I had both feet in the door but in the finale analysis decided that it wasn't the ultimate panacea for me. The reason I blathered all this past history out is that I felt at the time that if anything that you desire to accomplish is really valid and that important to you, then you will be manipulative and as devious as necessary to achieve what you need to. I am a bit embarrassed by putting all this out there, because in the end I dropped the ball entirely and in retrospect I have to concede that we should take our time going through the process step by step and not try to circumvent the system. It is what it is for our own good.
    • Nivegnal
      I am hoping to feel “the weight” lifted.   It is nice to know there are those here that understand.  
    • Nivegnal
      I wish you all the best with your conversations and your marriage.  The first time I came out to my first wife it was easy and she was totally supportive.  We shopped together and she taught me make up. It was wonderful. Then we got divorced a year later and my world crumbed.   She eventually couldn’t do it any longer even though I was not truly out still being in the military.  Still a guy in public and at work or every where outside our home.   ot was crushing.  Having to go deep in hiding again. I almost took my life.  My fear of this happening again is crippling.   I hope to work through my fear and one day tell my wife now.   Good luck this weekend ❤️
    • Amanda Thomas
      Thank you for your kind support Jani. More and more, I'm reaching the point that I realize I can't go back to my old life no matter what I do. Strangely, this is a source of courage. I have to move forward now and I feel a strange sort of calm knowing that my transition is beginning no matter what I try to do to stop it. It seems I am not letting my fear stop me from living anymore.
    • Jani
      I don't know much about Italian protocols in therapy but hopefully you can search online for therapists.  Might there be a society that they belong too (such as the APA) to search for members and qualifications?   I googled "therapists in Italy" and found this.  https://internationaltherapistdirectory.com/listings/italy-1/   Jani
    • Jani
      I love cars and all things automotive. I used to race a dedicated car; high strung race engine, full safety cage, trailered, etc.  While I no longer race since I don't have the stamina I do still have a small fleet of vehicles that I love.  I have a well equipped shop to play in.  I also love to cook and sew, always have.  While I once fretted over my "male-centric" hobbies I've found it to be a non issue.     Enjoy what you do.   Jani
    • Jani
      I was terribly nervous going in and walking on air on the way out as I had finally unburdened my soul to someone. This will hopefully be a good thing for your too.    Jani
    • Jani
      This was me too so you're not alone.  I found it difficult to explain to my wife something I couldn't explain to myself.  Counseling helped me a lot.     All my best.  Jani
    • NB Adult
      Being willing to sit down and talk through all of the issues she has is critical.
    • Jackie C.
      Best of luck Sara! My conversation was a little different from what you're going to have, but Susan and I are closer now than we've ever been before. Over the weekend she was telling an old friend how much more pleasant I've been to have around the house since I've started transitioning. Note here is that I'm OUT out. I present as female all the time, I'll happily answer questions to the best of my ability and I'm not ashamed of being transgender. I'd rather I wasn't mind you, but I think part of being trans is making the most out of a difficult situation.   Your wife sounds like a wonderful and caring individual. You're still the person she fell in love with, you're just sharing a little more of yourself. I think it's telling that you came out to her and she stuck around. I think you'll be OK.   Hugs!
    • SaraAW
      @Nivegnal  My wife is still upset I hid it from her. What she can’t grasp is that I wasn’t ready to tell her as I had almost no answers at the time and was really feeling shame. We have had only very brief conversations since as we have had people staying with us almost non stop since the initial conversation.    I honestly don’t know that I would I have really done a whole lot different if I could have a do over. It was one of the most stressful things I have ever done in my life. It took everything I had to bring it into the light. I am still stressed about it both the situation with my wife and the fact I am not out to anyone else other than my therapist, my GP and my endo.    I am going to have a much more in-depth series of conversations with my wife this weekend, as we are finally going to have some alone time. We will see how it goes.    I wish you the best of luck in coming out to your spouse. Everyone is different and will handle the news in their own way. You may end up with a super supportive partner.    *hugs*   Sara
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