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this post was submitted on 20 Aug 2025
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Transfem
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I wrote cis men because I’m a trans man and was talking more about a hypothetical medication that would harm me if the doctor thought I was a cis man and didn’t out myself. But yeah, I’ve never been able to get an answer from anyone on how urgent care is going to kill me if I don’t tell the doctor I’m trans before I get antibiotics 🤷♂️
🤦♀️ sorry about that mixup, I hate it when I make bad assumptions like that 😬 also, glad you're here!
and yeah, I have no clue either ... I'm open to being wrong, but my doctors aren't telling me I need to disclose I am trans. To the contrary they seem to indicate I shouldn't, and were clear the one exception was to get prostate exams past a certain age, a concern that is suspicious, and may be a bit misinformed, considering it is based on the assumption of risks from male levels of androgens. I have a relative with prostate cancer currently taking medication to block androgens to treat the cancer, for example ...
Though I am in the U.S. so my doctors might be more concerned about my disclosure given the context. I was also at the time getting care in one of the worst anti-trans states.
Yeah. The best way to lower risk of prostate cancer is to lower testosterone levels. And the best way to stop it growing if you do develop it, is to lower testosterone levels, and add estrogen. And they rarely, if ever choose surgical intervention when it comes to prostate cancer. So, despite being at the age where a cis man would have to start thinking about this, it's not something I plan on investigating, given that I've got a reduced risk profile, and I'm already on the same medication they use as treatment...
right!? I find it so strange they are treating my prostate like it's in a cis man's body ... one guess is maybe the time before transition adds risk because there was exposure to male levels of androgens? But then ... I'm already on the treatment for prostate cancer ... something just doesn't make sense here and it feels like blind policy being implemented on the assumption that I'm "male", exactly the kind of mistaken view I don't want to perpetuate by disclosing I'm trans.
No worries, this is literally the transfem community!
And yeah, I get all the relevant exams that my GP (who I’m out to) thinks I should get, I disclose what medications I’m on, beyond that it’s my discretion because it’s not their business.
Not that I'm accusing you of anything, but this is a hypothetical that I hear a lot from transphobes (ie, "would you take the medication only for "biological" men / women despite being a trans woman / man? If so, ha ha! You admit to being your AGAB really. If not, ha ha! You die).
Other than questions of what anatomy is physically present, I've never heard of (and sincerely doubt the existence of) any case where birth sex is relevant.
Yeah, I say hypothetical medication because as far as I can tell it remains that. Medicine is complicated enough that I’m not willing to rule it out as inherently impossible, but if such a thing exists I doubt we even know about it, given the sorry state of medication trials with regards to treating cis men as the default human.