Jump to content
  • Welcome to the TransPulse Forums!

    We offer a safe, inclusive community for transgender and gender non-conforming folks, as well as their loved ones, to find support and information.  Join today!

Janeshannon

Additions to VA Care

Recommended Posts

Janeshannon

I was at my local VA hospital this morning, and I met my VA LGBTQ VCC. She let me know the VA is now offering orchietomies. They need a letter from the mental health provider, legal name change, and one year on HRT. To get this procedure approved they basically said that MTF HRT can create a high risk of blood clots, and that since an Orchiectomy will reduce required dosages they should be performing them as part of MTF transition. Interestingly, she said the Seattle VA has been doing this for about 15 years, but they kept it quiet. 

She also said the VA is offering electrolysis and laser hair removal, but to prep for GCS. 

 

Share this post


Link to post
KymmieL

My GYN said the same thing. It is line with the MtF transition.

 

Kymmie

Share this post


Link to post
ShawnaLeigh
7 hours ago, Janeshannon said:

She also said the VA is offering electrolysis and laser hair removal, but to prep for GCS. 

OMG I was getting so excited when I started to read this last sentence.  But then saw it was for GCS surgery prep.  Darn it, I was hoping the VA would cover facial electrolysis.

Its the one thing that is my MOST dysphoric issue is my facial hair and its the one things I need done that is not covered under insurance for me.  (sigh)

Share this post


Link to post
MiraM

The hair removal from the VA is not only for GCS prep, at least not at the VA hospital I go to.  I am having laser hair removal done on my face by the dermatology department at the VA hospital.  As far as orchiectomy goes, the way I read the Trans care guidelines say that it can be done if traditional HRT methods are ineffective, or in the case where it would cause serious complications with another medical condition.

 

c. In cases when anti-androgens and/or doses of estrogens cannot be tolerated by the patient, are ineffective, or if the Veteran would be at increased risk for adverse effects, such as cardiovascular or other thrombotic events, and when an appropriate medical provider has determined that there are no other standard medical options for hormone management, surgical orchiectomy is an acceptable treatment recommendation. In these select Veterans, orchiectomy can be considered medically necessary as part of their hormone management, and not gender confirming/affirming surgery. Decisions about the appropriate use of orchiectomy should be made on a case-by-case basis as determined by the treatment team, and should include a medical provider who has expertise in the management of hormone therapy. NOTE: Transgender E-consultations and/or ethics consultations are available for case-specific consultation.

 

 

Share this post


Link to post
TammyAnne

Orchidectomy as a VA option  would be great. I will check on that with my therapist, as we move along to HRT.

Share this post


Link to post
Bree76

Just had my 1st appointment at the Los Angeles Trans clinic (run through Women's Health by docs who are doing it voluntarily on their own time turns out) and yeah laser treatment has always been turned down here and the head gal is still trying to find loopholes to get it covered but not yet successful.

Share this post


Link to post
Janeshannon

Does anyone know how much it would cost to have a VA orchi?

Share this post


Link to post
TammyAnne
8 hours ago, Janeshannon said:

Does anyone know how much it would cost to have a VA orchi?

It would all depend upon your VA classification. Those categories determine not only costs to you but also treatment priority (barring bleeding out in the ER of course).

TA

Share this post


Link to post
ShawnaLeigh
On 2/11/2020 at 8:26 AM, MiraM said:

The hair removal from the VA is not only for GCS prep, at least not at the VA hospital I go to.  I am having laser hair removal done on my face by the dermatology department at the VA hospital. 

I am not a great candidate for laser treatments as my facial hair is mostly grey at this point   Laser only really works on dark hairs follicle.  Si I have been told.  I need electrolysis to do any good and I would rather go that route as electrolysis is a permanent treatment were as laser can grow back in over time.  

If I'm going to let someone torture my face with pain it better be permanent.  LOL

Share this post


Link to post

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recently Browsing   0 members

    No registered users viewing this page.

  • Who's Online   8 Members, 0 Anonymous, 96 Guests (See full list)

    • Juelie_Atlas
    • Aidan5
    • Miss Bunny
    • secondlook
    • Jani
    • Rojebo13
    • QuestioningAmber
    • KathyLauren
  • Topics With Zero Replies

  • Forum Statistics

    • Total Topics
      70,002
    • Total Posts
      633,183
  • Member Statistics

    • Total Members
      6,295
    • Most Online
      8,356

    Carrie Davidson
    Newest Member
    Carrie Davidson
    Joined
  • Today's Birthdays

    1. Alice
      Alice
      (30 years old)
  • Posts

    • secondlook
      This is me to the letter. I hated that guy for so long, and now that I know who I am, I have nothing but forgiveness and appreciation for how hard he tried to do something impossible. He had to invent himself out of thin air and try to function as a person.
    • Jani
      OH, don't say that!  
    • KathyLauren
      I never used MySpace, but I, too, remember Compuserve.  And what a big deal it was when I upgraded my 1200 baud modem to 9600 baud.!   OK, I'm old.
    • secondlook
      Here's a particularly relevant passage from the second link:     (I removed the citations from the original paragraph to make it easier to read)
    • secondlook
      My wife is still really upset about learning that I am transgender. Just last night she was sobbing about it. But at the same time she is trying so hard to be supportive. When I mentioned that a family member had said something transphobic over the weekend, she got mad at herself for having missed it and was truly sympathetic about how it must have hurt me.    When I noted, in hopefully a non-accusatory way, that she has at times seemed a little bit skeptical about my coming out, she admitted that she was. But then she admitted that she might just be in denial. I told her it was OK if she was in denial, it's only been a few weeks for her and I was in denial for decades!   Then this morning, she came home from an appointment and shared a story she'd read online about a young teen struggling with gender identity. So clearly she's going out of her way to educate herself and understand what's going on.   The thing she was upset about yesterday was that I had shaved my legs, and she asked me not to shave my other body hair just yet. She wants time to adjust. I think that's totally fair and reasonable. I don't want to leave her behind, I want us to navigate this together.
    • TammyAnne
      Another former smoker here. I've been quit for so long that it's completely behind me. But in the early days of quitting I was very repulsed by smoke. Now I just move away from it. But then many parts of the country smoking is becoming rarer. TA
    • Jani
      I used to skate on the lake we live on when I was younger also.  So much fun!  When I was in the Navy I worked the night shift; it has a different vibe to it than days or afternoons.  Enjoy your nap later on.  Have a good day Donnie!
    • TammyAnne
      Well it's actually just a play on the Boston accent: party is pronounced "pahty" sounding like "potty." I for one don't party in the potty. TA
    • secondlook
      I found a couple of links through a cursory search:   https://www.hrc.org/blog/new-study-reveals-shocking-rates-of-attempted-suicide-among-trans-adolescen https://williamsinstitute.law.ucla.edu/wp-content/uploads/AFSP-Williams-Suicide-Report-Final.pdf https://pediatrics.aappublications.org/content/142/4/e20174218   I haven't looked closely at these to see how high the quality of the research was.
    • TammyAnne
      Hi there and welcome! I think lots of us cautiously stuck our toes in the water at the outset. It's okay to have confused feelings. It's okay to be unsure. It's okay to change your mind - more than once even. TA
    • Jani
      I remember CompuServe!  How did we ever survive on dial up??  I never had a MySpace account but my son did.  It was all the rage at the time.  We've come a long way.
    • Suzanne1
      I chose to place this post in the General Forum (i.e., as opposed to the suicide prevention forum), since relates more to simple academic curiosity.   "Most transgender people have attempted suicide at least once in their lives."   I've read the above quotation so many times.  It seems like a truism to be included in any casual reading about the transgender population.  However, it occurs to me that I've never actually seen reference to a study in any of the scientific literature.  I'm assuming that proper studies do exist, and that one can likely assume that I've just never run across any?  Seems like it could be a complicated subject though; lots of reasons for suicide attempts; probably lots of suicidal-ideations sans attempts; and, there are certainly co-morbid conditions that aren't just secondary to intra-psychic distress caused by gender dysphoria; also, .  Again, just curiosity on my part; just trying to learn something.   Anyone have any citations (i.e., other than pop-psych surveys)?  I'm a goodly distance from a university library, and there's a limit to what I can research through the internet.
    • TammyAnne
      First of all, I hope your surgery goes well and that you will feel all the better for it. Then comes the screed: The better overall physical condition you can be in, the better your outcome will be as far as resistance to pain. It's preached by the armed forces to the point of insanity sometimes, but there is some truth to it. A strong healthy body recovers from trauma faster. That shouldn't mean suddenly quadruple your exercise regimen. But having regular physical activity that is balanced between strength, cardiovascular and endurance will make things easier. For myself, between knee surgeries I had over a year to get ready for the second one, which included both weight loss and muscle strength gain. Recovery from the first surgery was prolonged and difficult. The second surgery I was up and around faster, more aggressive with physical therapy and recovered in half the time of the first. It's still going to hurt, but feeling healthy in your skin improves your frame of reference. TA
    • A. Dillon
      The same thing happens to me, I will be checking myself out in the mirror because I pass, tell my dad, and then have him tell me that I don't look anything like a guy. Then I will go back, and see everything about me that marks me as female. Suddenly, my self esteem will plummet, and I feel like a girl with short hair again. Not a good feeling, wouldn't recommend it.
    • Charlize
      What a nice morning smile.  I remember shortly before starting HRT i had invested in a pair of silicone forms from our sponsor The Brest Form Store.   I had grown quite comfortable and had been full time for some time.  One day, while working with a young man in the summer, i had gotten quite hot and sweaty.   Bending over to pick up  a tool i managed to catch the flesh colored object flying towards the ground.  Awkward!  Silicone forms should be labeled "slippery when wet".   Soon afterwards i found mastectomy bra with pockets. Loosing a wig.......that's another story for another time.  Motor cycle helmets can be awkward. I can't imagine the stories our FTM members might tell.   There are certainly humorous aspects of this journey.   Hugs,   Charlize
  • Upcoming Events

×
×
  • Create New...