[-] fracture@beehaw.org 1 points 3 hours ago

that's so crazy they're really double dipping in that the shooter hates queer ppl and then the media calls him queer to slander queer ppl

STOP, pick one ffs

[-] fracture@beehaw.org 3 points 19 hours ago

i think this one starts with you

one half of the equation is to be comfortable and firm in your boundaries. if someone asks something of you that you're not comfortable with, don't do it. say you're not comfortable. if they insist, or say it's normal, decline again and leave the interaction

this is the bread and butter of navigating these encounters. if you're not comfortable with this, try to practice with a mirror, a trusted friend, or a therapist

the other half of the equation is to get in touch with your own feelings and emotions. the best way we understand others is by understanding ourselves. take some time to practice mindfulness meditation and spend that time listening to and observing how you feel. as you practice more, this skill will come more naturally to you in day to day interactions. soon, you'll be able to tell when people are being fake or manipulative by understanding how you feel in relation to it

you may think this won't help you understand others, but humans are wired with very good mirror neurons which are very perceptive of how others are feeling. when you understand how something feels for you, you will understand how it feels for someone else, and you'll be able to notice more subtle things like a missing emotion - for example, a lack of joy when feigning interest in something you're interested in

both of these take some time and dedication to develop, but i think it will help you with your problem

an additional skill you will probably want to pick up is breathing practice. check out 4-7-8 breathing (the first number is the count for inhaling, the second is for holding, the third is for exhaling; so breathe for 4, hold for 7, exhale for 8; if this is too hard, you can try 4-4-4). this is to help keep you calm when asserting boundaries or remaining patient with your feelings during meditation

[-] fracture@beehaw.org 36 points 1 month ago

idk dawg this seems pretty sound according to the article

The FDA and its advisors identified flaws in the design of the clinical trials, missing data, and a variety of biases in people involved with the trials, including an alleged cult-like support of psychedelics. Lykos is a commercial spinoff of the psychedelic advocacy nonprofit Multidisciplinary Association for Psychedelic Studies (MAPS).

FDA advisors also noted the public allegations of a sexual assault of a trial participant during a Phase II trial by an unlicensed therapist providing the MDMA-assisted psychotherapy.

...

On Saturday, using the existing data and scientific literature to support MDMA therapy got a little more difficult for Lykos. The journal Psychopharmacology posted retraction notices for three studies that involved Phase II clinical data of the therapy. The studies included a 2019 rationale for a Phase III trial design, a 2020 pooled analysis, and a 2020 study on how antidepressant use may affect the response to MDMA therapy.

The retraction notice cited two reasons for the retractions, including "protocol violations amounting to unethical conduct" at one of the clinical trial sites—a reference to the sexual assault allegations—and undisclosed conflicts of interest by the authors.

like. these are pretty good reasons for not going ahead. it's on lykos and the scientists running the trials for not keeping their paperwork straight and, you know, not warning people about the risks of the study

from an article cited within (https://qz.com/1809184/psychedelic-therapy-has-a-sexual-abuse-problem-3):

A few years ago, a therapist working in a MAPS MDMA study publicly spoke about his challenges dealing with a patient’s sexuality. Early in his career, Richard Yensen was working with a “lovely young lady who became very sexualized in her relationship around the [MDMA] sessions,” he told an audience at California Institute of Integral Studies in 2016. “It got so intense,” said Yensen, that the chair of his department saw him mid-therapy session and told him to leave the room, warning him to always have another therapist alongside him during sessions. “And thank god, because she became more and more and more activated sexually,” said Yensen. “I don’t think I could have handled it.”

Not long after, Yensen was accused of sexually assaulting a PTSD patient, Meaghan Buisson, during a MAPS clinical trial on MDMA

like. even GENEROUSLY assuming that nothing truly unethical happened. this is a huge issue that will only get worse if it's made publicly available

i'm not taking a position on whether or not it should be made available as a treatment. i don't know and i'm not qualified to determine that. but given what's been said, it feels reasonable to want more data and perhaps go "hey think you could run a trial without getting accused of assaulting people?"

17

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!

16

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)

[-] fracture@beehaw.org 33 points 2 months ago

i would have appreciated hearing how the author, personally, found capitalized pronouns to be affirming, because, absent that reasoning, it really does seem like it's to set up a deferential power dynamic. i don't really mind respecting the pronouns anyways, but it does mean i don't really want to be friends with Them until i understand what's going on there better

[-] fracture@beehaw.org 27 points 3 months ago

it's highly personal, so ideally you ask the individual and include their consent in your article. that said, generally speaking, trans people will use their current pronouns, even referring to their pre-transition selves. this is also what's generally considered polite if you don't know them, so it's pretty suspect that the article is not doing that

still, something about malice and incompetence....

[-] fracture@beehaw.org 18 points 3 months ago

it's crazy how those comments are aging like milk precisely because google/web search is going to shit (in addition to being dickhead comments ofc)

just weird to look back and think about how we thought it would never change

10
submitted 3 months ago by fracture@beehaw.org to c/ftm@lemmy.blahaj.zone

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)

[-] fracture@beehaw.org 24 points 4 months ago* (last edited 4 months ago)

i had to google this because i am not a tiktok-er, and apparently women (? sample size?) are commonly stating that they would rather encounter a bear than a man if they were alone in the woods

interesting point that men often also chose the bear for the question of if they would rather have their wife / daughter stuck in the woods with a bear or a man, so that says a lot about men, as well, i think

we can derive some other mildly interesting points from this, like viewing sexual violence as potentially worse than non-sexual but fatal violence. or like, that one might have to live with societal judgement of having been sexually assaulted because there's still a lot of assumptions that you initiated it somehow (rape culture) vs people universally having sympathy for the victim of an animal attack

overall, the unfortunate reality is that women generally view men or people who look like men as dangerous. i'm a transgender man and i've observed this phenomenon in a very real way as women have gone from generally friendly or neutral to detached. it sucks, but it's not personal

however, if this really bothers you, there are actually some things you can do to help women feel more comfortable around you. this is not like... a guarantee. at the end of the day, you're gonna have to live with jumpscaring some women if you round a corner too quick at them. that's how life is. but, if you want to give them some signs you are not a violent person, not as a way to trick them into trusting you, but as a genuine attempt to help them feel safe:

if you change your style to be more feminine, even in subtle ways, like wearing a pink shirt or pink shoes. if you have a man purse. you don't really need to go full femme but if you express yourself in a way that makes you look like someone secure in your masculinity (actual), it will help women understand you're not really a threat

which i think, generally, reflects that women understand that patriarchy isn't about men as a whole, but rather that most men haven't confronted the ideas they were raised with in order to "be a man", and those are the dangerous ideas they need to avoid to be safe

i think there is also an idea that expressing yourself as a softer or more feminine man will make it harder for you to get laid, and i think this may be true. however, i would suggest that women who only wanna fuck you because you're traditionally masculine are not really the women you wanna be fucking, because they're (probably) going to bring their own ideas of toxic masculinity to enforce on you. those are the women who are more concerned with whether or not e.g. you can change the oil on their car, that you are a "real man", and hopefully it goes without saying that those are the ideas you want to avoid reinforcing / internalizing, even if that means turning down a sexual partner

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submitted 4 months ago by fracture@beehaw.org to c/196@lemmy.blahaj.zone
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submitted 5 months ago by fracture@beehaw.org to c/ftm@lemmy.blahaj.zone

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 :)

[-] fracture@beehaw.org 17 points 5 months ago

this was a really funny article to me because the author really doesn't seem that attached to being a man. i want to be clear, that's fine and valid. but it seems weird to then speak to the want of men in general to have more positive role models of masculinity, and say, well you should just want positive role models

like? yeah, you can have role models of any gender, but isn't it nice to have role models who look like you? isn't that the entire point that people make when saying representation is important? that doesn't stop being true just because we're talking about men now

he's missing such a basic and fundamental argument that the entire thing just becomes, at least for me, an externalized argument about how he feels about his own gender, which appears to be disconnected and largely not good

also he picked like, apparently the worst examples of masculinity he could find and said, yeah this is why we don't need positive masculinity?? like c'mon

i like being a man, it's cool. there's a lot (A LOT) of shit i have to reconcile with being a man. but imo that's part of the duty that comes with it. so yeah, author, it would be pretty cool to see men who had done that, who expressed their masculinity in unique and authentic ways that sometimes conform and sometimes don't

you know. like people

(i want to take a moment to say that i have several women role models and also people whose gender identities aren't so easily captured by the binary. but those people, generally speaking, don't need to reconcile with the long history of people of their gender doing harm to those around them, nor with the present day scars from that harm. it's a LOT to come to grips with understanding that you scare a lot of people just by existing, and frankly, that's just an experience that a man is more commonly going to have to experience. exclusively? of course not. obviously, there's a racial bias here as well. but due to the commonality, having readily available examples of how to handle it well, and even gracefully, would be nice)

[-] fracture@beehaw.org 28 points 6 months ago

if you want to talk about women's issues, why don't you go to communities dedicated to that? we're not taking away from them; we're also feminist. we're allied, and it's important to have a space for men to talk about, from a feminist perspective, how the patriarchy impacts them

i don't understand why you think space on lemmy is somehow limited?

nor do i see how your second paragraph is relevant at all

it seems like you view this community as a stereotypical MRA/MGTOW kind of place, which it definitely isn't. and getting rid of it would leave it so men looking to talk about their issues only have those shitty places to go. that would only lead more men down the alt right rabbit hole

there's enough space on the internet for everyone

[-] fracture@beehaw.org 18 points 7 months ago

yeah. rich. short for eldrich.

[-] fracture@beehaw.org 17 points 1 year ago

idk this story really wants to paint the duplex lady as sympathetic, but she's living the high life to have an entire separate house attached to hers to do what she pleases with. i don't really feel bad that she can't make money off airbnb with it, she can still ~~exploit people~~ make money off it by having long term tenants. you know, like she wasn't just arbitrarily taking an entire housing situation off the market. sure, she's not as much of a problem as big corpos making bank on airbnb, but i fully feel like she's more in that category than not

i'm open to hearing other opinions on this, though. i've never lived in a duplex. maybe they're really intimate with consideration to the other people living there? but from my view, this seems just like someone who owns two apartments and is now upset they can't get their airbnb slice of the pie for the other one

[-] fracture@beehaw.org 65 points 1 year ago* (last edited 1 year ago)

yeah having read the thread, i'm inclined to agree you come across as someone trying to pick a fight, when you have a semantic disagreement with them at most

i understand that you found what they wrote triggering and harmful, but i don't think you were very kind with your posts. i feel like, in your haste to protect trans people, you were not considerate of the human being you were actually speaking to

i know you're not a member of beehaw, but you're posting it to our instance, so that's the standard i'm applying

if you had empathized with them (her?) that they sometimes need a space where they can just be a person, instead of being trans (or a woman or however abigail identifies), they (she?) might have been more receptive to your point

it also would have helped if you had been direct to the point - for example: "hey, would you mind saying "i don't like debates around my fundamental rights to exist" (or whatever alternative) as opposed to saying "i don't like politics"? this way you still allow space for discussion of important matters related to human rights, while clearly communicating what it is you dislike" (this is my best understanding of your point, but hopefully you can see how to tailor it to better represent what you truly want to express)

as it is, you spent like five posts nitpicking semantics when you knew what was intended and could have just directly stated what you disagreed with

and if you didn't know, well... i guess this is a reminder that words don't mean the same thing to everyone, and your definitions aren't necessarily more valid than someone else's

ultimately, you were argumentative with someone who was absolutely not advocating for transphobia, and policing someone's language without even making the barest effort to engage with what they were actually saying. in both the original poster's position, and in the admin's position, i completely get why they reacted how they did

i don't personally agree with your point, but i hope these recommendations help you more clearly communicate it, and foster healthier interactions about it, in the future

24
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fracture

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