By Zoe "Doc Impossible" Wendler

A really good guide to being an activist in general:

One of the most important things that trans folks need to get before their arguments can work well is that we tend to get pushed pretty hard to the political left when we come out and transition. It’s not some brainwashing thing—we just tend to be poorer, better-educated, and get hit with the shitty side of our capitalistic social structure, all of which pushes voters toward more liberal or leftist political positions. Given that we tend to hang out in groups, particularly online, we get hit pretty hard with the echo chamber effect, which reinforces socially-common political biases through self-sorting.

In simple terms? It means that by hanging out with a bunch of other trans folks, we tend to get entrenched in political stances that are common in the trans community. It’s the Fox News Grandpa effect.

And I’m guessing that it makes you feel a little uncomfortable to hear that.

This is the first and most important thing you need to face if you want to persuade people outside of your social bubble effectively: you are not immune to persuasion or propaganda. You have absorbed a lot without noticing it over the years, both before and after your transition. And those things? People have noticed them, and noticing those things has colored their view of you as a person and a rhetor.

Put a different way: if they know you have a history of arguing for what they see as hard-left stuff, stuff they think is a bad idea, they’re going to treat other things you argue for with a degree of pretty understandable skepticism.

Look at the range of those publication dates. Some are as old as I am, and only five of them were performed in the last decade. These aren’t lazy providers, for clarity! They’re doing their best! The focus on our health is just that bad. Take this study on progesterone, for example—it set out to see if progesterone affected breast growth in trans women… and ran for three months. On nineteen participants. That’s a ludicrously small sample and time period.

That, coincidentally, kind of brings us to the point: I’ve said a whole bunch that all science has a half-life, right? Well, back when most of the “recent” research was done on the effects of estrogen and testosterone on trans people, “the duration of puberty was [thought to be] 1.96 +/- 0.06 years” for cis girls, for instance, and a similar length for cis boys. In the last twenty years, however, a lot more science has been done, prying that window wider and wider, at least doubling that length, now, strong data says that puberty lasts around 10-14 years. It makes sense that doctors studied HRT the way that they did. When they did it, they thought that that was as long as puberty lasted. That part just… turned out to be wrong.

Simply put: trans folks are a marginalized, oppressed group which relies on the dominant group to research our medical needs. We, in general, don’t get a say in the research done on us, and it’s why I haven’t—and won’t—write an article about best practices on HRT that’s more specific than “stay within either male or female ranges, or work with an endocrinologist to find a nonbinary combination of estrogen and testosterone that’s right for you.”

We don’t have the research data.

And frankly? It’s not coming. I’m not aware of any meaningful, long-term research that compares different methods, doses, or approaches for HRT that’s currently in process.

There’s basically two reasons someone transitioning gets made into a Big Deal: the trans person excitedly making it a big deal, and someone who doesn’t believe trans people should exist gets upset about it.

Trans people usually make a big deal out of our transitions because a lot of us have suppressed this part of ourselves for a long time, and it feels really good to let that part of ourselves out for everyone else to see. Some of us might have known we were trans for most of our lives. Some of us, like me, might not have known until recently. Either way, we had to hold that part of ourselves in, essentially telling ourselves a lie about who we thought we were, or were trying with all our heart to be.

And living like that? Wow, it sucks.

Believe it or not, a whole lot of what you’ve heard about being trans—from this to the whole “born in the wrong body” thing to a lot of other stuff—was made up by cisgender doctors back in the 1960’s, because they believed it was their duty to keep as many people from transitioning as possible. It’s… kinda messed up.

In reality, there’s no one way to be trans. There are no rules, no requirements, no “you must be this trans to count.” If you want to be a gender that’s not your AGAB? You’re one of us. Period.