15 Comments

Thank you for putting this valuable information together!

Since you mentioned Carta Monir, in case you weren't aware, she mentioned on Gender Reveal that her girth increase discussed in Napkin occurred while she was on T cream, and that her physician subsequently diagnosed her with an intersex condition. This additional context was helpful for me since without it her outcome was very difficult to understand.

Also, none of the "buy it" links on the Goodreads page you linked to work for Napkin, but readers can get a digital copy through Carta's press: https://diskettepress.com/collections/harder-disk/products/napkin

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Thanks!

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Sorry about the dumb question but should I take Viagra every night if I have bottom dysphoria? Or is 3 days a week enough for that situation too?

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Three a week *should* be enough, but listen to your body and lay attention for pain!

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I am 100% convinced atrophy is caused by estrogen. I was on only on Estrogen for roughly 8 months before my penis shrunk so that it was hidden inside. It tends to stay buried now. For me this is not a bad thing

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I mean, you're allowed to think as you please.

That position not backed by medical science, however.

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That’s because estrogen itself blocks out testosterone at a sufficient dose. That’s why monotherapy is a thing

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It's my understanding that If your estrogen use causes a reduction in available testosterone it's an indirect cause of atrophy.

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"Indirect cause" isn't "cause," though--it's the reduction in testosterone levels that is what we've documented as causing this effect. It'd be like saying spiro did it--no, not directly. It's the reduction of testosterone that, yes, spiro caused that did it. It's misleading, as a result, to say that either estrogen or spiro does it.

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I understand you when you speak in scientific terms but I think others don't get the distinction. I've never been able to get my non-science friends and customers to understand the concept of how vapor pressure in a vessel can remain constant while the volume inside changes. Sometimes the only way to go is to take liberties with the scientific definition in order to get a point across in layman's terms. I know it's messy. I constantly encourage people to just Google it but the curiosity that burns inside of us isn't always shared with others.

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To be frank: I have a doctorate in technical writing with a specialty in biomedical communications. What you're describing is both wrong and would be considered to be unethical conduct in my field.

We don't distort the truth. Period. We don't condescend to our users. Period.

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My healthcare provider responded with surprise and disbelief to my worry about atrophy, having never heard of that being a thing before nor seen it happen. The sources linked only seem to cover the case of prostatectomy, could you link the sources for "research on cis men with similarly reduced testosterone" so I can take that back to them? I've tried looking myself for a bit but with little success.

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To be honest, you should be able to take the prostatectomy-focused articles to your doc, because the cause is insufficient testosterone/penile use. The cause is irrelevant.

And if your doc won't listen, maybe it's time for a new doc.

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I don't know if you still update this document but I would do some research on testosterone gel a study done by "Doctor Powers" I know a handful of trans women that have reported this also helps with the atrophy pain that may happen and regaining size if they lost any. but it does seem the longer you let it go without those nightly erections the more you loose.

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I do keep these things updated!

I'm not comfortable with Powers' research methodology, historically speaking. As a result, I do not use his work.

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