gingersnapwolves:

tarajeanfm:

Please I beg you

If your kids think that they’re trans

Let them take puberty blockers

It’s completely reversible

Puberty is not

Do it for the children

hey tumblr allow me to drop some knowledge on you about this subject

There are two drugs that suppress puberty: leuprolide and histrelin. If your insurance does not cover these – and there is about a 50% chance that they won’t – you have options.

The thing is, this shit is expensive. Leuprolide (brand name Lupron) is a shot that you can take either monthly or every three months. If you’re buying it out of pocket, monthly it costs about $1200. So over the course of the year that is going to cost you about 14 grand. Holy shit.

Histrelin (brand name Supprelin LA) is a once yearly implant that goes under the skin of your arm. It costs anywhere between $15000 and $18000 depending on your pharmacy. Holy fucking crap.

BUT! There is an alternative. See, Supprelin LA was specifically designed to suppress puberty in children. Histrelin *also* comes in an implant called Vantas. It’s indicated by the FDA for treating cancer in adults (suppressing testosterone and estrogens is very important for some cancers) but it is the EXACT SAME DRUG.

The Vantas implant is available from Walgreens Specialty Pharmacy in Oregon for $3200. I know that that’s still pricy, but compared to the alternatives, it is a godsend. That’s $3200 for an entire year – and often longer – of hormone suppression therapy. (There’s no consensus on how long exactly the implants last. We’ve seen them last up to 18 months.) The procedure to put it in is simple. No general anesthesia, only local. It can be done at the endocrinologist’s office and takes about 20 minutes. I’ve assisted with over a hundred of these.

I’m not a shill, I don’t work for the company that makes Vantas. But I’m posting this because the vast majority of doctors don’t know about this drug. It was designed for adults and is marketed for adults. But it is the exact same drug they use for children and at a fraction of the cost.

So there you have it, tumblr. Signal boost this shit. Help some kids with crappy insurance afford their treatment.

(credentials – I work at the office of a pediatric endocrinologst – one of only two in the entire state of Arizona that does hormone suppression therapy for transgender children. I’m happy to answer questions if anybody has any.)

Dec. 3 8:36 pm

justice4mikebrown:

madamedefur:

allo people have such a fundamental misunderstanding of asexuality and the many different ways to be ace.

some people are completely repulsed by sex and never want anything to do with it ever!!

some people enjoy sex but only once in a blue moon

some people like sex only with particular people, or only after they form a connection with said person

some people aren’t repulsed by sex but have 0 desire to engage in it

it’s not a black and white thing but it’s also important to talk about people who are sex-repulsed or have 0 desire for sex ever because often they get forgotten in the rush to assure allo people that some ace people do like sex

sex is not the be all and end all

i mean i’m probably oversimplifying this, but i’m really tired of allo people and their insistence on having every relationship be sexual. never mind that it’s forced upon us in our media too.