this post was submitted on 20 Aug 2025
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I've been saying, "I was born without a uterus", which so far seems to answer honestly without directly outing myself as trans.

Any thoughts on how to best navigate this? Ideally without disclosing I'm trans 😅

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[–] dandelion@lemmy.blahaj.zone 7 points 3 months ago* (last edited 3 months ago) (7 children)

If I have concerns about medication interactions I’ll ask the pharmacist at my local LGBT health center. The odds of there being a medication only cis men can take (for reasons other than fetal health) or that the dosage is going to be drastically different because of my sex rather than my hormonal profile, medications, and weight is vanishingly small.

I assume by "cis men" you mean "biologically male" (roughly including trans women?), and while this is an idea that hasn't been revised much in the hospitals, that idea is a bit broken and scientists have moved on from the idea of "biologically male/female", either way - what I was wondering is what even is an example of such a medication? I don't know of any medication that would be so different for men vs. women that a trans woman would need to be treated differently than cis women.

Generally the drugs that metabolize differently (or are dosed differently) between sexes (broadly speaking) are going to be the same whether you are a cis or trans woman (assuming the trans woman is on estrogen), because estrogen seems to mediate a lot of those differences.

Can you think of an example? I don't know of any!

[–] Catoblepas@piefed.blahaj.zone 14 points 3 months ago (6 children)

I wrote cis men because I’m a trans man and was talking more about a hypothetical medication that would harm me if the doctor thought I was a cis man and didn’t out myself. But yeah, I’ve never been able to get an answer from anyone on how urgent care is going to kill me if I don’t tell the doctor I’m trans before I get antibiotics 🤷‍♂️

[–] lwhjp@lemmy.sdf.org 5 points 3 months ago (1 children)

hypothetical medication that would harm me if the doctor thought I was a cis man and didn’t out myself

Not that I'm accusing you of anything, but this is a hypothetical that I hear a lot from transphobes (ie, "would you take the medication only for "biological" men / women despite being a trans woman / man? If so, ha ha! You admit to being your AGAB really. If not, ha ha! You die).

Other than questions of what anatomy is physically present, I've never heard of (and sincerely doubt the existence of) any case where birth sex is relevant.

[–] Catoblepas@piefed.blahaj.zone 8 points 3 months ago

Yeah, I say hypothetical medication because as far as I can tell it remains that. Medicine is complicated enough that I’m not willing to rule it out as inherently impossible, but if such a thing exists I doubt we even know about it, given the sorry state of medication trials with regards to treating cis men as the default human.

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