
Idk for cis men specifically, but I know in general it can be closed surgically, but only AFTER a complication’s occurred. I know e can cause similar complications and my mom told me a friend of hers was unable to get on hrt for menopause because of her pfo. She was eventually able to get it closed, but idk if a complication occurred or if wanting to be on hrt for menopause was enough to get surgeons to agree to close it. If it was the latter, I kind of doubt me wanting hrt for transition would-
definitely talk to your care team about it if that’s something you would be open to/want. they know your situation best and can advocate for you. hrt is medically necessary care, so approaching it as this care is non-negotiable now how do we manage the side effects generally has better outcomes than being like “welp guess i just wont take it” until all other options are exhausted. it sounds like there’s a pretty clear treatment that would also reduce lifelong risk whether you’re on hrt or not.
i asked how it’s treated in cis men bc like, no one’s giving cis men estrogen to reduce their risk, so when t is just a fact of life how is managed instead? it’s pretty common for trans people with conditions influenced by hormones to be told to just not take them, but that’s not an acceptable standard of care. cis people with those conditions are almost never given opposite sex hormones to manage it.