Trans men and the menopause

To be fair, she's 21. Being 45 or 50 is something you just don't think about at that age, however you "identify".

Or you can have the attitude Red has and find the right piece of info that you think will make the right point at the right time.

and emphasise it is delivered with love and genuine concern.

The issue you have here is that you’re seeking information to back up your gut feelings - you will find all of it and much more.

but it’s unlikely you’ll be able to pass any of this on to her or her mother without damaging relationships. This is a very difficult situation.

Neurodiversity and the menopause are not friends. The symptoms of menopause can be worse if you have ADHD or autism. It's something that only just starting to be recognised.

But good luck getting a neurodiversity diagnosis as a female.

Endometriosis and PMDD are more common in women with neurodiversity too, but good luck getting a diagnosis and treatment.

Given we now now that gender dysmorphia is more common in girls with neurodiversity, you'd think people would start joining the dots and taking fucking about with hormones and hormone imbalances in any female diagnosed more seriously.

But no, the 'solution' seems to be to fuck them up even more.

If your partners family aren't taking this seriously they are monsters.

Honestly I don't have time for pandering to politeness on this.

https://www.widerlenspod.com/p/episode-175

“What really happens to the female body on testosterone”

It is hard not to feel intensely protective of these young women. The brutal truth is, they are finding their own path and there’s very little you can do except be as open as possible to them as human beings. You can definitely predict they are more likely to have significant health issues due to taking that crap, and due to consequences of surgery. So you can ask them practical non-intrusive questions about any support needed, say you’d like to be able to help if they are willing to share the information leaflets given to them. But ultimately.., I’m taking a drug that has unknown health impact in the long term and quite significant side effects (weight loss jabs) because it does something I want right now. I’d be horrified if anyone tried to prevent me taking it. She is 21, not 16.

Gussie is Elaine Miller. She specialises in pelvic floor and related health, and has had a lot to say about what she has seen of the effects of testosterone on the female body. Including vaginal atrophy and incontinence. Goes under “Gussie Grips” as well. She is brilliant!

That’s actually a really important paper I’d not seen before

Whilst trying to find one I came across this paper which compares the loss of sexual function and fertility to that experienced by cancer survivors. Given some of the drugs are cancer drugs, its pretty obvious.

i once saw a YouTube trans man describing needing to go on puberty blockers alongside their testosterone to stop their natural cycles

https://www.tandfonline.com/doi/full/10.1080/0092623X.2025.2531167

Sinead Watson

she’s done so many I’m struggling to find exactly which one would cover the lasting negative impacts of the testosterone to her body

Sinead is a very vocal female detransitioned woman. You can find her on x but it would be better to google YouTube interviews.

she’s given a lot of Frank interviews about the lasting impact of testosterone on her body and also the lack of support for detransed women from health care professionals. There will be other detransed women you’ll find once you start looking.

Ritchie Heron is a male detransitioner who also talks about it from the male perspective

And that is before you get to all the changes to brain and mental health. All science has worked out is that this is a really bad idea

No. The dangerous side effects will kick in as soon as cross sex hormones are taken. Premature menopause,
Vaginal and uterine atrophy, osteoporosis, increased risk of uterine cancer, bladder problems, pain and increased risk of fractures, incontinence, the list is extensive.
Elaine Miller is an obstetric physiotherapist who has done extensive work on this. She has produced a number of videos and papers. Her work is counted as cpd for health professionals.

Sinead and others have talked openly about the impact of testosterone on their hormone health. Gussie has too. You are right that it’s a nightmare.

it seems bonkers that’s there so much now about menopause but no one has joined the dots for trans identified females

Let's hope that your neice stops at "they" and quietly drops the further transition.

I thought it was trending out amongst the teenagers. I am a teacher and it has been a couple of years since seeing any transitioners.

I would just try to stay out of the drama. Contribute to it being a non-issue. But, yes I agree with you messing around with hormones is disturbing.

This. Hormone therapy (plus possible surgery?) means she will be going into menopause now. There is already limited research I believe on how bones suffer because of this. I wonder if she knows this. At the very least, I would want her to build up her bones before doing anything that could then destroy them. And that's without all the other menopausal symptoms she'll experience. I hate this "treatment" so much. It is beyond cruel.

I can’t believe this madness is still going on.

Out of interest, is Dneice autistic, OP?

This madness needs to end. It is shocking that some doctors refuse to tell these young people the long term health implications of massive hormone imbalances

if they go for surgery removal of the ovaries medically induces menopause immediately

It’s not thirty years down the track. She will likely experience symptoms of perimenopause when she starts taking testosterone. With all the potential increased health risks it involves.