As far as I've been able to determine the main healthcare risk endocrinologists are worried about regarding DIY HRT is that you might get an effective dose without months to years of fucking around.

March 02, 2026 - 10:14 UTC

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The thing all those doctors are afraid of is that trans people might be happy & healthy, without a long torturous examinative process.

Cis people fear that trans people may exist & not be miserable.

It is the only explanation I have.
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We cannot keep treating healthcare as a one-size fits all thing. Sure, in some people with preexisting conditions or family histories of them, these medications can cause an increase for blood clots. But you can’t put that as a blanket statement for all cases that’s not how humans work.
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Like for me, my mother’s family has a history of heart murmurs. Nearly every women in her family has at least a slight one and a few of the men as well. So I have to be careful about that kind of thing. But most people don’t need to be nearly as cautious as I do.
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You might get the idea that you actually own your body and get to live in it happily
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Please correct me if I'm wrong, butv isn't the "increased risk of ischemic heart disease and stroke" from that Times article are if you're either using ethinylestradiol or taking it orally rather than transdermal or (whisper it) injecting?
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pmc.ncbi.nlm.nih.gov/articles/PMC7341440/

Uncertain. Some studies show a significant raised rate of thromboembolism with transdermal, others show none.
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Some methods of taking E can cause adverse effects on the liver function. It's why I use a gel instead of pills, as they didn't like the spikes in liver function they saw when I started taking the pills. Having said that, Liver Function checks ought to also be easy to get and free.
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Yep. Thirty years ago I was going through an NHS GIC which was progressive by today's standards. I bought pills from overseas before they'd prescribe and then when they finally did I had to explain to them that transdermal was safer 🙄. Perimenopausal levels were offered 'just in case'...
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An FtM, as was the terminology then, was threatened with exclusion for not being willing to have their vulva palpated! Personal clinician interest rather then 'patient' interest dominated. They wanted to find alternate diagnosis to GD so to be able to discharge
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