not entirely human

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Joined 7 months ago
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Cake day: April 20th, 2026

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  • I understand your position, and even and agree with what you are trying to say about a level of virtue signalling so intense and removed from reality that it is disingenuous and toxic. I see it in many of the ‘chronically online’ types, particularly those who need to look after themselves a bit better. However, none of that is relevant to anything prior in this comment thread. I do think you may have categorised me as being in a certain ‘camp’ and then run off with it a bit, if I am honest.



  • im pretty sure transitioning doesn’t affect that Do you have a source for this?

    There is one set of heart attack symptoms, but what differs between male and female populations is their relative incidence. For example, (cis*) women are over 2x as likely to experience pain between the shoulder blades, compared to (cis*) men, and ~33% more likely to experience shortness of breath.

    HRT, as part of transitioning, impacts both cardiovascular physiology and pain processing, to become more aligned with the person’s gender. This is of course dependent on the duration of treatment, and also on hormone levels actually being within the healthy range for males/females. Whether “more aligned” means “fully aligned” or just “closer to” is an open question and likely also depends on the specific metric. Whether there are sex-based factors that impact cardiovascular physiology and symptom presentation, that do not respond to hormonal treatment in transitioning adults , also needs further research. There are obvious conclusions to be drawn from the fact that feminising HRT in adulthood does not shrink bones to a more ‘typical’ female build for example, but at that point we’d really be talking about the impact of bone size & stature on cardiovascular health, rather than sex necessarily.

    (And then, of course, we have some populations who started transitioning before completing the puberty associated with their natal sex, or who were fortunate enough to be put on puberty blockers before transitioning and so never went through the ‘wrong’ puberty.)

    *: research around heart attack symptoms in men vs. women, like most medical research, has historically used data from cisgender patients

    Definatley an interesting field to talk about I think, and one most people aren’t educated enough in.

    Absolutely! I found this meta study on the topic, although the main conclusion is that the studies it covers have various limitations be it in sample size, consistency of the inclusion criteria (some include nonmedical transitioners for example…), or simply the fact that trans populations experience minority stress and socioeconomic differences that have measurable impacts on health. tl;dr way more research needs doing.


  • I am socially a woman, sexually a woman, and biologically a woman. There are a few… Remnants, and you could consider them hormonal disorders, but hey let’s be real, most women have some medical issues. Bigger forehead here, ovarian issue there, reproductive challenge here, little bit of hair there… That’s part of being a real human in the real world.

    There is no perfect.

    Basically nobody is truly average. You’ve hit the nail on the head here :) Thank you for chiming in.

    I can’t give a cis man a child. I’m sorry. But, there are millions of wonderful women just like me. Slight tangent, but I do wish that I’ll live to see the first successful uterus transplantation into a trans woman anywhere in the world. Science is awesome.


  • Both are relevant, absolutely.

    unless you were lucky enough to only go through one puberty, your body has went through some irrrversible changes

    For transsexual men, the only irreversible change from first puberty is impact on bone structure/stature. Being smaller is not an exclusively female trait though, or 5’2" cis men would not exist.

    Not to disagree that birth sex isn’t any more medically relevant than gender though, and all of that should be part of your medical record and doesn’t need to be elsewhere for that purpose.

    Yep, this.


  • Correct; FTM transition.

    If that’s the case, first of all isn’t it relevant to a doctor that you take hormones? One of the first questions most doctors ask is if you’re on any prescription, and to a doctor wouldn’t your genetics+hormones give a more correct picture than either male or female would?

    I absolutely agree with you here. A holistic understanding is infinitely more useful than any one-liner or discrete classification; this is true of everything, not just sex. However, the reason we have sex as a binary classification for patient data is because for 99% of patients this is more succinct (and therefore time-saving) for doctors, than going through a medical history to determine hormone profile and organ inventory. In an ideal world, these factors should be considered carefully for all patients, not just those they perceive to be ‘outliers’ in some way.

    It might be ignorance on my part but I can’t see a situation in which being medically treated as a female would be life threatening, but I can see several where being treated as a male would.

    Reference ranges for blood testing is the most pertinent example. Interpreting the results w.r.t a female baseline would be misguided and cause them to miss certain anomalies, causing delays if not outright blocking diagnosis and treatment. That can be life-threatening depending on the specific condition. The opposite can happen too, i.e. a false positive, when the result is normal for men.

    Hospital wards are split by gender not sex, so you should still be put into a male one.

    This is unfortunately no longer true in the UK as of yesterday.




  • Counterpoint to those saying ‘biological sex’ is medically relevant information but gender isn’t: have you heard of [medically] transitioning?

    If I were treated as female (what I was assigned at birth) in a medical context today, depending on the situation it could kill me. Never mind the distress of e.g. being in a female ward as a man.

    The whole “gender is social; sex is biological” thing that’s cropped up in the past decade or so is straight transphobia made to sound woke.

    Yes, for some people, transitioning only involves being called something else. This is not categorically true however.

    Then again, I don’t use the term transgender for myself. I am transsexual.