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Just discovered I can likely only get low dose t because I have a pfo (patent foramen ovale, aka a hole in my heart), even just low dose t puts me at significant risk for blood clot complications. It’s not fucking fair.
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Anonymous 2d

And by blood clot complications I mean, at best, having a blood clot in one of my limbs and at worst, stroke

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Anonymous 2d

that really sucks. how is pfo typically treated in cis men?

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Anonymous replying to -> #1 2d

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-

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Anonymous replying to -> OP 2d

-be enough to get surgeons to agree to close it

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Anonymous replying to -> OP 2d

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.

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Anonymous replying to -> OP 2d

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.

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Anonymous replying to -> OP 2d

either way, whatever you decide, i’m sorry that you’re dealing with this.

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Anonymous replying to -> #1 2d

I don’t know that I necessarily have a care team, but I’ll think about bringing this up with my pcp and will definitely bring it up to my therapist. Thanks for the advice

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