I recently got this STP from rodeoh and I'm having trouble with leakage. Granted, I've only used it a handful of times in the shower, but I find my stream is too strong and it overflows the basin of the STP before it can exit the shaft and then it leaks out everywhere.

What are some tips to mitigate that? (Additional general STP tips are also highly welcome)

see OP: https://beehaw.org/post/14997523

sorry for the delay on the writeup! life is pretty busy for me. that said, the bottom surgery consult went pretty well all around, i think

as a quick note, i've been presenting and on HRT for about 4.5 years, so i don't think about it much. but the requirements for getting metoidioplasty (or the consult, even) is to be on HRT for at least a (continuous) year and (maybe optionally?) presenting male for the same amount of time (i actually wasn't clear on this, they asked me, but i'm not sure if there was a strict minimum). they also required me to get two referral letters from qualified mental health professionals (thankfully, my therapist and psychiatrist were able to write these for me)

i got shown in and talked with the assistant, who basically broke down the surgery and went over the different customizable parts (e.g. you can get different kinds of meta, you can optionally get urethral lengthening, scrotoplasty, testicular implants, etc)

after that, dr. keith came in to chat with me. after that, i had to undress from the waist down. you'll have to be comfortable with a doc poking around your bits, but i would hope you are, if you're coming to let them slice them up and re-arrange them, too. during this, he pulled my mons pubis back to give an example of how things would look if he did a mons resection (said i might even need a revision, too 😭)

after that, i re-dressed and we went into his office, which had a big fancy leather couch, and talked about the anatomy of the AFAB clitoris and its blood supplies, as well as bemoaning the current state of both scientific studies on women and trans people. he showed me pictures of his work (very good) which spans both metoidioplasty to various degrees and phalloplasty

if i were to decide to get the metoidioplasty, they would schedule 3 months of topical testosterone to be applied to the gland of the clitoris every day, along with instructions to pump every day for those 3 months. it gives them more tissue to work with, according to the doctor. it's important to note that dr. keith is making you responsible for working with your current testosterone prescribing doctor to monitor your testosterone levels, because it will elevate them, and you will likely need to reduce your dosage to account for the topical testosterone

overall, it was a good and educational visit. i didn't learn TOO much, because i have done a lot of research ahead of time, but the things i did learn were very important:

• urethral lengthening without vaginoplasty: in general, apparently urethral lengthening is, by far, the riskiest part of meta/phallo. dr. keith compared doing UL without vaginoplasty as akin to building a house on an unsteady foundation. he also cited something like a 60% complication rate from the other doctors who do UL without vaginoplasty. as mentioned in my OP, i'm not too keen on UL myself, due to a large typical ejaculation volume, so i'm not that hung up on it. although thinking about it now, i think i would potentially feel weirder about it, post-surgery, than i do now. well, i'll sort it out later...
• phalloplasty following meta: dr. keith says this is totally fine. there'll be some extra scar tissue due to the meta, but it's not a problem. he also said that it's not his first choice to do meta and then phallo, like, if it's possible for you to settle on phallo first, it is a little better. but you can definitely do meta and then phallo
• reduction of labia majora: totally possible, mons resection, might require a revision if you have a lot
• HGH treatment: a complete no, it's not studied / proven in any way and it's not legal in the US. very understandable answer, but i did have to ask LOL
• (not in the original post) ordering of hysterectomy and metoidioplasty: the order doesn't really matter, but the hysto is a big surgery, so if i did it first, i'd need to give it at least 3 months before getting the metoidioplasty. i didn't ask about the reverse order, but i think it would probably be similar
• (not in the original post) insertion of a semi-rigid prosthesis in meta patients (https://www.tandfonline.com/doi/full/10.1080/26895269.2023.2279273): i found this after my original post, but apparently there are some docs that are doing meta with a semi-rigid prosthesis. if you don't know, the clitoral bodies are wrapped by the tunica albueinea, just like in the penis, but the clitoral tunica only has one layer (whereas the penial tunica has 2); so it's more difficult to get hard for trans men. so the insertion of a semi-rigid prosthesis is an appealing option to mitigate this. i asked dr. keith about this, and he mentioned that the device is being used and implanted successfully by doctors in europe. unfortuately, they're not seeking FDA approval in the US because it's expensive and the market share is too small, but i had the option to travel over there if it was something i wanted (and he would refer me, as well)
• dr. keith also mentioned that there are similar devices which are FDA approved for cisgender men, so somewhat jokingly, i said that, if i got big enough, he would be able to put one of those in me. he said he has both never seen someone get that big (at least 4 inches) and that he's never implanted one himself, but it was at least FDA approved

so overall, a very good visit. the only thing i would want them to improve is to give their own pronouns before asking for yours. i get they're trying to be polite, but it feels a bit like asking for someone's name before you give your own, you know? but otherwise, i felt like they were very kind, professional, and knowledgeable about the whole process

as for whether or not i'm going to get surgery at this point, i think i'm gonna figure out how to go to south korea. i realized it's probably... not cheap but much more affordable if i just fly there and get the HGH, instead of flying there and getting the HGH and meta. i'm gonna call (at some point) and talk to them about it, get information about flying to south korea, see if the 2 week covid quarantine is still in effect, etc etc. if i do that, i will be sure to post here about how it goes, as well :)

hope this was informative and educational for everyone here about what your goals might be for the future!

hey y'all, i have my bottom surgery consult on tuesday, for metoidioplasty, specifically. at the moment, i'm not interested in pursuing phalloplasty, although i'm not taking it off the table entirely, it's for a later time

the doctor i will be consulting with is dr jonathan keith in new jersey

i wanted to give y'all the opportunity to post any questions you might have about it. i might be able to answer myself, but if not, i will try to ask the doctor as well

for full context, i don't expect to schedule the surgery coming out of this appointment.

• i am going to ask about the potential of HGH treatment to improve bottom growth, as one clinic in south korea is pursuing (https://www.urodoc.co/ftm-metoidioplasty.htm)
• i also plan to ask about options for reduction of the labia majora, because that's a big concern i have with my body, specifically
• additionally, i will ask about how a theoretical phalloplasty following metoidioplasty would work
• finally, i will also ask about urethral lengthening without vaginoplasty (my preferred option), although i expect the doc will confirm what the research says about the heightened risk of urethral fistula post surgery. i'm also not sure that it's something i'd want, as i think my typical ejaculation volume would be... inconvenient for sex, to say the least

also on my list, but not strictly about the surgery, is asking about the anatomy of the arterial structures that feed the clitoral cavernosum bodies (i know their penial analogues and can find decent diagrams, but finding the equivalent clitoral diagrams is challenging)

i will write a follow up post with this information, as well as my general experience at the appointment, after it happens on tuesday (probably wed or thurs)

I'm curious what yalls expierence with this is

I got this "binder" recently. I like it better than any one I've had so far (I'd estimate that I've gone through about eight from various brands).

Pros:

-Very breathable, can exercise in it without feeling like death

-Not terrible in hot weather

-Doesn't show under a lot of shirts, though if you have a shirt with a wide neck it'll show, but does look like an undershirt as opposed to a bra since the neck is high.

-Helps with hiding hip fat

-Feels natural. I forget I'm wearing this sometimes. Probably would be fine sleeping in it as well, though it's good practice to take breaks.

Cons:

-If you have a bigger chest this isn't gonna do the best of jobs binding since it's got less compression than a typical binder. It's still not the worst option in that case, but you won't look completely flat. It's worked well for me flatness wise.

-I wouldn't wear this by itself because it doesn't fit like a regular shirt. Definitely looks an undergarment.

-It smells like a McDonald's playground right out of the package. I recommend you add baking soda into the wash to get the smell out faster.

-I suspect this will stretch out the longer I use it. The solution is to dry it on low as opposed to air dry it. It's got cotton in it so it'll shrink.

I recommend you only get it in black or white if your concern is passing. A lot of cis men will wear undershirts (typically in white, sometimes black, but never in nude).

If you're in-between measurements, order a size up. I made the mistake of getting a size down and I wasn't even able to get it over my head. Had to exchange it which took a while.

If you're interested in a binder with flatter coverage I will post a review of the underworks ultimate binder if requested. Underworks is by far my favorite binder brand for many reasons.

1 month update: it still works well. Am happy with my purchase.

I found this to be helpful. I've been having a lot of anxiety around my voice changing so some sort of info on what to expect made me feel better.

Hi, I'm Zeke. I'm 32 and last year I finally came to the conclusion that I am transmasc after years of being unhappy with who I was and how I looked. I've done so much research into it, but I'm still left with questions. First off, I should say that I have opted not to do HRT. HRT has too many health risks that I can't take due to heart related issues that run in my family. It's not worth that risk to me. So I'm trying a different route.

I've decided to go the route of surgery w/ changes to how I dress and how I get my hair cut. I've lost about 18.6lbs out of 25lbs to get my top surgery and so far it has been really good for me health wise and affirming wise. I'm so close to the first step and I can't wait for the positive effects especially since my bust size causes physical discomfort and shortness of breath so it's a two in one benefit. My questions for this one is "Does silicone gel work better than lotion for scars?" and "Are you comfortable being topless for swimming/beach visits?"

Now here's where I most uncomfortable because I've heard of people being negative about it, but I plan to get vocal surgery to deepen my voice. Here's where my questions come in. Has anyone else gotten this surgery? If so, what's it like and what were your experiences with recovery? How different has it made your voice?

I just wonder if others have chosen the surgical route. I don't have anyone or anywhere else to ask these questions so I figured I'd drop them here. Thank you for any answers!

i got top surgery (double mastectomy) like 3.5 years ago now. i stuck to massaging my scars because i didn't actually want to reduce the appearance of my scars (idk why i was worried about this, they're fucking massive LOL). i was more concerned with blood flow / nerve functionality than appearance

however, that was 3.5 years ago and, due to some unrelated scarring (i scar like a mfer (i keloid a lot)), i got recommended to get some silicone tape, so i was like, what the hell, i'll put it on my top scars too

i also got nipple grafts, so i've been putting it on the edges of my nipples as well (i've noticed they're scarred quite badly on the outside)

note that my skin seems to be allergic to the glue in standard adhesives, so i've actually been using silicone gel, just applied topically twice a day, instead of silicone tape / strips (i'm also using a lot, so it would be a lot of tape to put on / take off / clean every day... the gel you just wash off)

it's a really good excuse to be shirtless more often during the day, and the results have been pretty promising thus far, 2 weeks in. my scars already feel a lot softer. i think the gel has also been helping things get cleaned out... my scars have been a little prickly and itchy, which is generally a good sign for that happening. so you might consider it for helping restore your blood flow / nerve functionality as well

also cool that it's still working after this many years... i guess 3.5 years is a lot to some people, but not a lot in the absolute scale of things

just something for y'all to think about. i've heard it does help reduce the appearance of scars, if that's something you want (i think they look badass, so i'm tryina show em off)

for the science of how this works, from what i've found, we can consistently reproduce the effects of softening / reducing scars, but we have no actual idea how it works LOL. so that's kind of interesting

have you gotten top surgery? what kind, and did / do you use silicone for treating the scars? if you haven't gotten top surgery, is this something you'd want to do?

(additional note: i'm not sure how long you need to wait after getting top surgery to apply the silicone tape/gel, but i would check w/ your doc and wait till they're fully healed at the very least)

cross-posted from: https://beehaw.org/post/13674539

Join the Trans Housing Network matrix room

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Sharing and updoots appreciated.

when it gets difficult to get gel out of the pump, i was tossing the bottle. but because of laziness, i left an old bottle for a day, and i noticed that it actually can generate enough pressure to pump more testosterone since i had left it alone for that long

so if you keep your low bottles of testosterone gel, you can get one pump out of them per day for longer than you might think they're empty, and extend the lifespan of your testosterone gel for a little while

*dependent on if your testosterone gel bottles work the same as mine

obligatory reminder that gel is just as good as injected :)

I have heard a lot of contradictory things on this subject. "It'll happen in six months" or "You have to lose weight and gain it back for it to happen in a reasonable amount of time"

What's the truth about this? What's your experience with it?

Oh beautiful hair on mine legs,

Your presence gives me joy,

Darker and thicker you spread each day,

In order to help me grow into a boy

Hi

With warm weather just around the corner, that means that the dysphoria hoodie must be retired. Any insight on styling and types of clothing that help with achieving a straight figure but won't overheat?

I'd like to grow my hair out more when the T starts to kick in. I've had my hair cut as short as can be without looking like a buzz cut. I generally pass well with this haircut.

Problem is, I'm not passionate about the cut. It's fine I guess but I don't feel attractive or self expressive with it. Definitely would rather pass than have a haircut I love, but there'll come a time where I can experiment more without risking my passing. I've got nice, wavy hair and it seems like it's going to waste being so short.

Any of you fellas have suggestions for long-ish haircuts/styles that are still very masculine? I've always been captivated by 60/70s men's fashion, hair included, but I'm open to other things too.

How do I not eat a shit ton of food every day because of my increased appetite? I feel bloated all of the time nowadays as well. Any advice on this is welcome.

I want to start packing with an STP-type packer, but I have no idea how/where to start. How do you get it to be comfortable, stay in place, and not leak? What type of packer do you use and what are your methods around it? Any recommendations/general advice?

I'm going on a seven day camping trip in a couple of months, and I'm worried about how I'm gonna bind the whole way through. None of the people I'm going with know I'm trans, and I'd rather keep it that way. Still waiting for top surgery...

The trip will consist of a lot of canoeing and hiking. It's a very isolated location with no bathrooms, trash cans, etc. Typically, my preferred method of binding is using transtape, but it only lasts about four days before it starts to come loose and noticable. On the rest days from the tape, I typically use an underworks full tank binder, but those are terrible to do any intense exercise in because it gets sweaty and hard to breathe. I have one traditional binder which I'll use when exercising on off days, but wearing that seven days straight seems like it's not gonna work because of sweat, having to take breaks at night, etc. It's also hard to hide under athletic wear and doesn't do the best job of giving me a flat chest. I have no idea yet if I'm gonna be sharing a tent or not.

Do y'all have any ideas/recommendations for a way to bind stealthily, be able to exercise, and in the middle of nowhere with people for seven days? Also any recs for a (reasonably priced) STP packer to take would be helpful.

Also of note, my chest isn't particularly big. Probably on the smaller side of B if I had to guess.

I'm having problems with the sticky residue that trans tape leaves behind. Any tips on getting rid of it?

I'm a transman who has been on T since 2011. I've recently begun experiencing bleeding despite good T levels. My doctor suggested hysterectomy, but that is not in line with my transition goals. Have any of you gotten an endometrial ablation instead? I've read studies out of medical colleges reporting good results for transmen. It seems like an easy outpatient procedure on paper.

Edit: Spoke with my doctor and she doubled my T. If bleeding doesn't stop within 3 months she's recommending me for the surgery.

Edit 3 months later: Increasing T gel worked