In my 20s, nobody minded messing around with my hormones. Like most uterus owners who sleep with testicle owners, I was shoved on the pill at an early age. For me personally, one dysphoria* trumped another – my absolute terror of pregnancy meant I would do anything to ensure sex was safe.
The pill seriously screwed me up, physically and emotionally. In my early 30s, a doctor figured out that I was naturally low on oestrogen, and the modern oestrogen-low pills were just making things worse. She prescribed me one of the old-fashioned pills, higher in oestrogen.
I read through the side effects and dire health warnings nonchalantly. For a very short while I felt a little better, but my body had other ideas.
Deep Vein Thrombosis (DVT) happened, and that was the end of me taking any kind of hormonal contraception, or any other oestrogen-based drug.
DVT meant not being able to walk, months of medical messing around and eventual surgery. More frightening than that, the clot could have travelled and caused a fatal embolism.
Needless to say, I don’t take any medication lightly now.
A decade or so later, and I am contemplating taking another hormone – testosterone. Of the physical dysphoria I experience as a transgender person, hormonal dysphoria is quite the most persistent. Ever since puberty, I have felt as if my hormones were slowly poisoning me.
The desired effect of testosterone is that I will feel better, and I admit this is an experiment – it may not be true, but I believe the anecdotal and scientific evidence stacks up enough to give it a try.
I may take it and not like it, and that’s okay. I can always stop taking it.
Like the previous hormone, I may be one of the few that suffers undesired side effects, even though the therapy has been proven to be very safe. That’s a risk I am willing to take. It frightens me – I suppose it should frighten me, but I am well informed and this is my body, my risk to take.
The side effects I am ambivalent about are the visibly masculinising effects of testosterone. I want them up to a point – as a non-binary person, I would love to be able to press “pause” at the point where it is impossible to tell whether I am “male or female”, and nobody will gender me ever again. In reality, I know from my transitioning friends that there is no such point – people will always seek to gender you, and I have friends who have been ma’am’d and sir’d on the same day.
I don’t believe that testosterone will “turn me into a man”. I don’t “want to be a man” – I am who I am, and always have been; no amount of testosterone will change who I am. There’s a chance that it will make my outside appear more congruent with who I am, because if gender was on something as simple as a line (it isn’t), then I fall on the more male end of that line.
So, a possibly beneficial side-effect of testosterone is it may ease my social dysphoria, as well as my physical dysphoria. Quite honestly I would prefer to ease my social dysphoria by challenging and changing this cissexist, sexist, heteronormative and binarist society. Sadly, changing myself turns out to be a tiny bit easier than changing the entire world – who knew?
If I get read as a man it is also quite possible I’ll feel I’ve exchanged one lie about myself for another. Only time will tell, and many people in my situation have to moderate and stop/start their testosterone dose in order to get where they need to be.
Other folks may not be entirely comfortable with the fact I don’t know exactly how (and if) things will work out for me, but I am over being certain for other people’s benefit – all of life is one experiment after another, and this is no different – it’s a thought-through, talked-through and well researched experiment, but it’s still an experiment.
I want to take testosterone and I suspect the internal map of who I am will match up to that hormone with a click, as it has for the many other trans folk who have felt the need to take it.
If it doesn’t click, well I just stop – no harm, no foul. It’s my body, my choice.
But the hormones that could have killed me, they were handed over to me with no fuss or preamble – no year of waiting, no searching questions, no psych diagnosis, no “are you really really sure?” – given to me like candy, there was a carte blanche to mess with my hormones as much as they liked as long as it was “women’s hormones” I was given.
Even that’s a lie – we all have the same hormones – men have oestrogen, women have testosterone. In no way are we as divisible, separate and binary as we love to think of ourselves.
So, next time someone speaks in hushed tones about whether a trans person understands the enormity of what they are doing, here’s the challenge – is the “enormity” really about health and psychological consequences, which have been proven time and time again to be highly favourable for trans people who seek medical treatment, or is it simply because we are screwing with a simplistic, binary picture of nature and sex?
Because I think what I am doing is no more screwing with nature than the contraceptive pill is screwing with nature. No more unnatural than anaesthetic, or abortion, or any other surgery or medical intervention that is known to prolong, preserve, or improve quality of life as medical treatment for trans people has been categorically proven to do.
I don’t want my identity to be medicalised – my identity is what it is no matter what treatment I seek, but I want the option to access healthcare that can help me.
There’s a good chance hormones will make me healthier and happier – all the evidence points that way. I hope one day my right to bodily autonomy will be fully recognised, and that folks will accept that healthier happier people do not make the world a lesser place.
*I’m on the fence about the word dysphoria – given its true meaning, the opposite of euphoria, it feels apt in my case, but I dislike the medicalisation of it and it’s relationship with diagnosis and mental health – my apologies to those who might prefer I used a different word.