Trans women may face a higher risk of breast augmentation complications compared to cis women

Breast augmentation is a common gender-affirming surgery sought by transgender women and transfeminine people. Even with feminizing HRT, trans women typically do not experience the same degree of breast growth as cisgender women (Reisman, Goldstein, & Safer, 2019), and studies have indicated that 60% of trans women seek to undergo breast augmentation. Continue reading “Trans women may face a higher risk of breast augmentation complications compared to cis women”

Further publications on BRCA1/2 variants and their impact on transitioning

Disclaimer: I am not a doctor and this is not medical advice.

Last year, I wrote about case studies of pathological BRCA1 and BRCA2 gene variants in trans people, and how clinicians take these mutations into account during transition treatment. While harmful BRCA mutations are best known for their effect of drastically increasing breast cancer and ovarian cancer risk in cisgender women, these variants represent a concern for transgender women as well, as transitioning with hormone therapy produces the growth of breast tissue considered histologically identical to that of cis women. Trans women can get breast cancer – UCSF Transgender Care has even published recommendations for when trans women should begin receiving regular mammograms – and having a harmful BRCA1/2 variant can increase their risk. (BRCA1/2 variants are also a concern for transgender men, who may still have breast tissue or ovaries, and even for cis men, who can face a higher risk of various cancers from these harmful variants as well.) Continue reading “Further publications on BRCA1/2 variants and their impact on transitioning”

Boston Children’s Hospital establishes a framework for gender-affirming surgeries on minors

Throughout the past decade, there’s been no shortage of popular alarmism surrounding the spectre of “children being given sex changes” – a misconception borne of either incidental or deliberately cultivated ignorance about what transition entails at various ages, suggesting the image of five-year-olds being given irreversible surgeries. In response to this, trans people and allies point out for the thousandth time that young transgender children undergo social transitions consisting of nothing more than changes of names, attire, and presentation, only those adolescents whose gender dysphoria persists past the onset of puberty are given puberty blockers that pause development without producing any permanent changes, and only legal adults aged 18 or older are able to access any irreversible gender-affirming surgeries such as vaginoplasty or chest surgery.

And this reply is largely accurate – just not entirely. Continue reading “Boston Children’s Hospital establishes a framework for gender-affirming surgeries on minors”

Gender-affirming chest reconstruction surgery is highly effective for nonbinary patients

Even in the context of transgender identities and gender-affirming care and medical treatments, gender norms and stereotypes received from a cissexist society can still be uncomfortably prevalent, and this is particularly visible in the hostility with which nonbinary people trans people are often met. From within trans communities, “transmedicalist” factions often argue that the authenticity of one’s transness is defined by one’s desire and willingness to undergo certain gender-affirming medical interventions; from outside, “gender-critical” trolls characterize being nonbinary as merely adopting a superficial identity for the sake of distinguishing oneself as “special” or “different”, while wider society often has little awareness of the possibility and reality of genders outside the female/male binary at all.

None of these notions reflect the reality of nonbinary trans people’s lives – and one instance in which this becomes particularly clear is in nonbinary trans people’s pursuit of gender-affirming surgeries. Continue reading “Gender-affirming chest reconstruction surgery is highly effective for nonbinary patients”