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Trans people can and do have biological children, though the routes vary considerably depending on timing and what…
Biological children and fertility for trans peopleGuide · 2 Oct 2026Trans people can and do have biological children, though the routes vary considerably depending on timing and what medical steps have been taken. Sperm can be stored before puberty blockers begin…Watch and read -
In theory, a GP refers to a gender identity clinic, the GIC assesses and recommends, and the GP then prescribes and…
GP and GIC coordination: how the referral and monitoring worksGuide · 24 Sept 2026In theory, a GP refers to a gender identity clinic, the GIC assesses and recommends, and the GP then prescribes and monitors under a shared-care agreement. In practice, shared-care agreements are…Watch and read -
When your child tells you they are trans, the most important thing you can offer is belief and love. Families who…
My child just told me they're trans: what now?Guide · 23 Sept 2026When your child tells you they are trans, the most important thing you can offer is belief and love. Families who accept their trans children early see a transformation: a struggling child becomes a…Watch and read -
You do not have to come out to your doctor to get good care. You can describe your symptoms, your body, and what you…
Talking to your doctor about trans careGuide · 22 Sept 2026You do not have to come out to your doctor to get good care. You can describe your symptoms, your body, and what you need in plain terms, without labels or a prepared speech. What matters is that…Watch and read -
Parenting a trans child means navigating feelings that nobody prepared you for: grief for the child you thought you…
Parenting a trans child: what parents really go throughGuide · 16 Sept 2026Parenting a trans child means navigating feelings that nobody prepared you for: grief for the child you thought you knew, fear about their safety, and uncertainty about how to get it right. Those…Watch and read -
When HRT delivery methods fail after gender-affirming transition, the approach is the same as for any menopausal…
Menopause after transition when HRT isn't workingGuide · 13 Sept 2026When HRT delivery methods fail after gender-affirming transition, the approach is the same as for any menopausal person: try a different route, a different hormone, a different dose. Trans men and…Watch and read -
Authentic identity is who you are when you stop performing for other people's expectations. After years of living…
Finding your authentic identity after years of performingGuide · 13 Sept 2026Authentic identity is who you are when you stop performing for other people's expectations. After years of living inside roles you did not choose, finding it means learning to tell the difference…Watch and read -
HRT for trans women involves oestrogen and usually an anti-androgen, and it is safe when properly monitored. The checks…
HRT and health monitoring: what trans women need to knowGuide · 10 Sept 2026HRT for trans women involves oestrogen and usually an anti-androgen, and it is safe when properly monitored. The checks that matter most go beyond hormone levels: blood pressure, haematocrit, liver…Watch and read -
HRT is not automatically ruled out for trans people with heart conditions or atrial fibrillation. Cardiovascular risk…
HRT and heart conditions: what trans people need to knowGuide · 3 Sept 2026HRT is not automatically ruled out for trans people with heart conditions or atrial fibrillation. Cardiovascular risk is assessed individually, taking into account the type of heart condition, the…Watch and read -
Gender dysphoria in later life is real, valid, and more common than most people realise. It can surface or intensify at…
Gender dysphoria in later life: you are not too lateGuide · 2 Sept 2026Gender dysphoria in later life is real, valid, and more common than most people realise. It can surface or intensify at midlife for the first time, or it can be a lifelong feeling that finally has…Watch and read -
Transitioning is safe. The hormones used in gender-affirming care are bio-identical and the medical risks are genuinely…
Is it safe to transition?Guide · 29 Aug 2026Transitioning is safe. The hormones used in gender-affirming care are bio-identical and the medical risks are genuinely small. The dangers trans people face come overwhelmingly from outside…Watch and read -
HRT milestones are the physical and emotional markers that appear as hormone therapy takes effect: skin texture…
HRT milestones: physical changes, euphoria, and affirmationGuide · 28 Aug 2026HRT milestones are the physical and emotional markers that appear as hormone therapy takes effect: skin texture changes, breast buds, fat redistributing toward hips and thighs, hair growth patterns…Watch and read -
Most parents who struggle when a child comes out as trans are not rejecting them deliberately: they are reacting from a…
What parents get wrong about trans childrenGuide · 26 Aug 2026Most parents who struggle when a child comes out as trans are not rejecting them deliberately: they are reacting from a lifetime of poor, often negative, education about what it means to be trans…Watch and read -
Gender dysphoria is the distress that comes from a mismatch between your gender identity and the body or role you were…
Is this gender dysphoria or something else?Guide · 26 Aug 2026Gender dysphoria is the distress that comes from a mismatch between your gender identity and the body or role you were assigned. It is distinct from general body image problems, depression, or…Watch and read -
Hormone replacement therapy changes more than the body's shape and chemistry: it often reshapes libido, sexual…
HRT effects on sexuality, libido, and attractionGuide · 24 Aug 2026Hormone replacement therapy changes more than the body's shape and chemistry: it often reshapes libido, sexual function, and sometimes the pattern of who a person feels drawn to. Oestrogen tends to…Watch and read -
Sensory differences and gender dysphoria are two distinct experiences that can overlap. Autistic young people are…
Sensory issues, autism, and disliking your bodyGuide · 24 Aug 2026Sensory differences and gender dysphoria are two distinct experiences that can overlap. Autistic young people are statistically more likely to be transgender or gender-diverse, not because autism…Watch and read -
Trans men and nonbinary people on testosterone can develop vaginal atrophy because testosterone suppresses oestrogen…
Vaginal atrophy in trans men: causes, symptoms and treatmentGuide · 22 Aug 2026Trans men and nonbinary people on testosterone can develop vaginal atrophy because testosterone suppresses oestrogen, thinning the vaginal tissue. Symptoms include dryness, itching, pain during sex…Watch and read -
When someone asks whether a trans woman is 'really' a woman, they are asking which definition of 'real' counts, not…
What does 'real' mean when it comes to gender?Guide · 20 Aug 2026When someone asks whether a trans woman is 'really' a woman, they are asking which definition of 'real' counts, not settling a biological fact. There are several things gender can mean: the body you…Watch and read -
Trans people face challenges that are both deeply personal and shaped by the systems around them. Gender dysphoria…
The Reality Of Being Trans That Most People Never SeeGuide · 19 Aug 2026Trans people face challenges that are both deeply personal and shaped by the systems around them. Gender dysphoria, when it occurs, varies enormously: it might centre on voice, chest, periods, or…Watch and read -
GnRH agonists suppress the pituitary signals that drive gonadal hormone production; the gonads themselves remain…
What puberty blockers actually do to the bodyGuide · 17 Aug 2026GnRH agonists suppress the pituitary signals that drive gonadal hormone production; the gonads themselves remain intact. That distinction matters because it means the pause is genuinely reversible at…Watch and read -
Yes. A trans woman who has not had lower surgery retains a prostate and may need prostate screening, while also…
Can a trans woman need both gynaecological and prostate care?Guide · 17 Aug 2026Yes. A trans woman who has not had lower surgery retains a prostate and may need prostate screening, while also accessing gynaecological services for hormone monitoring, pelvic floor care, or…Watch and read -
Parents who confiscate hormones, withhold medical consent, or block access to gender-affirming care are causing real…
When parents block access to trans healthcareGuide · 13 Aug 2026Parents who confiscate hormones, withhold medical consent, or block access to gender-affirming care are causing real, measurable harm to their child. Young trans people are not without rights in this…Watch and read -
England's new regional Young People's Gender Services have not made their missed-appointment policies fully public, and…
Missing a gender service appointment: do you lose your place?Guide · 13 Aug 2026England's new regional Young People's Gender Services have not made their missed-appointment policies fully public, and those policies are still being established. Waiting times already run to years…Watch and read -
The finalised Medicaid ban ends federal funding for gender-affirming hormones, puberty blockers, and surgery for trans…
What happens when Medicaid stops covering trans youth careGuide · 13 Aug 2026The finalised Medicaid ban ends federal funding for gender-affirming hormones, puberty blockers, and surgery for trans minors, with existing patients given a six-month taper period before…Watch and read -
Coming out as trans changes relationships in ways that are often unpredictable: some people draw closer and some drift…
Coming out as trans: what changes in your relationshipsGuide · 5 Aug 2026Coming out as trans changes relationships in ways that are often unpredictable: some people draw closer and some drift away, and the reasons rarely follow a neat script. Family dynamics shift the…Watch and read -
When someone you care about comes out as trans, the most important things are believing them, using their chosen name…
Supporting someone who is trans: what actually helpsGuide · 2 Aug 2026When someone you care about comes out as trans, the most important things are believing them, using their chosen name and pronouns, and staying present. You do not need all the answers immediately…Watch and read -
Gender dysphoria is the distress that arises when a person's gender identity does not match the sex they were assigned…
Gender dysphoria, mental health, and what transition doesGuide · 2 Aug 2026Gender dysphoria is the distress that arises when a person's gender identity does not match the sex they were assigned at birth. It is recognised as a mental health condition because it causes…Watch and read -
Anti-trans hostile debate online frequently uses NHS safety claims, detransition stories, and activist pile-on…
Recognising bad-faith anti-trans debate onlineGuide · 30 Jul 2026Anti-trans hostile debate online frequently uses NHS safety claims, detransition stories, and activist pile-on campaigns as tools of bad-faith argumentation rather than genuine inquiry. These…Watch and read -
A cis woman is someone who was assigned female at birth and whose gender identity is also a woman. 'Cis' is short for…
What does 'cis woman' mean?Guide · 28 Jul 2026A cis woman is someone who was assigned female at birth and whose gender identity is also a woman. 'Cis' is short for cisgender, from the Latin for 'on the same side as', and it simply names…Watch and read -
Trans-competent mental health support means working with a therapist or counsellor who understands gender diversity…
How to find trans-competent mental health supportGuide · 28 Jul 2026Trans-competent mental health support means working with a therapist or counsellor who understands gender diversity without treating your identity as something to be questioned or fixed. I'd look…Watch and read -
NHS gender-affirming care in the UK involves waiting lists that commonly run to five years or more before a first…
Private vs NHS gender-affirming care in the UK: costs and timelinesGuide · 24 Jul 2026NHS gender-affirming care in the UK involves waiting lists that commonly run to five years or more before a first appointment, and longer before any prescription is issued. Private providers can move…Watch and read -
Testosterone doses for trans men are prescribed to bring hormone levels into the normal male physiological range…
Testosterone doses for trans men: how they compare to male levelsGuide · 22 Jul 2026Testosterone doses for trans men are prescribed to bring hormone levels into the normal male physiological range, typically 10 to 35 nmol/L. Because absorption, metabolism, and individual response…Watch and read -
Using they/them as a default for trans people without checking is not a neutral, safe choice. It replaces one…
When allies default to they/them instead of learning your pronounsGuide · 17 Jul 2026Using they/them as a default for trans people without checking is not a neutral, safe choice. It replaces one assumption with another and still centres the ally's convenience over the trans person's…Watch and read -
Trans people working in or receiving care from NHS and healthcare settings are protected under the Equality Act 2010's…
Trans workplace rights in the NHS and healthcare settingsGuide · 16 Jul 2026Trans people working in or receiving care from NHS and healthcare settings are protected under the Equality Act 2010's characteristic of gender reassignment. Excluding a trans woman from the women's…Watch and read -
Trans creators face a specific set of challenges online: algorithmic systems that flag or suppress gender-diverse…
Trans creators, algorithms, and staying visible onlineGuide · 13 Jul 2026Trans creators face a specific set of challenges online: algorithmic systems that flag or suppress gender-diverse content, content moderation policies that treat trans identity as inherently adult or…Watch and read -
Gender-affirming care is a broad term for any support that helps a person live in alignment with their gender identity…
Gender-affirming care is not just surgeryGuide · 13 Jul 2026Gender-affirming care is a broad term for any support that helps a person live in alignment with their gender identity. It includes social steps such as a name change or new pronouns, psychological…Watch and read -
Hormone replacement therapy affects bone density and can produce modest soft-tissue and cartilage changes, but it…
HRT effects on height, bone density and skeletal structureGuide · 11 Jul 2026Hormone replacement therapy affects bone density and can produce modest soft-tissue and cartilage changes, but it cannot alter the height or skeletal frame established during natal puberty once…Watch and read -
Transgender describes moving from the gendered role assigned at birth to the one that fits best, whether that is male…
What does transgender mean?Guide · 9 Jul 2026Transgender describes moving from the gendered role assigned at birth to the one that fits best, whether that is male, female, non-binary, agender, two-spirit, or something else entirely. It is an…Watch and read -
Trans activism and solidarity take many forms: street-level protests and Pride marches, online petitions and…
Trans activism and solidarity: how to organise and actGuide · 9 Jul 2026Trans activism and solidarity take many forms: street-level protests and Pride marches, online petitions and letter-writing campaigns, fundraisers for trans people in crisis, mutual aid networks that…Watch and read -
Anti-trans disinformation typically arrives in a handful of recurring shapes: safety rhetoric that frames trans…
Anti-trans disinformation: how to recognise and counter itGuide · 8 Jul 2026Anti-trans disinformation typically arrives in a handful of recurring shapes: safety rhetoric that frames trans inclusion as a threat, false balance that treats trans existence as a debate, appeals…Watch and read -
Informed consent HRT means a doctor prescribes gender-affirming hormones once you understand and consent to the risks…
Informed consent HRT: what it means and how to access itGuide · 8 Jul 2026Informed consent HRT means a doctor prescribes gender-affirming hormones once you understand and consent to the risks and benefits, without gatekeeping through psychological evaluation or a formal…Watch and read -
DIY HRT is hormone therapy sourced and managed without clinical supervision. The risks are specific and serious…
DIY HRT versus supervised care: risks and harm reductionGuide · 8 Jul 2026DIY HRT is hormone therapy sourced and managed without clinical supervision. The risks are specific and serious: thrombosis, meningioma with cyproterone acetate, liver stress, and dosing errors that…Watch and read -
Trans patients in NHS hospitals are protected from discrimination under the Equality Act 2010 through the protected…
Treating trans patients in NHS hospitals: what to knowGuide · 17 Jun 2026Trans patients in NHS hospitals are protected from discrimination under the Equality Act 2010 through the protected characteristic of gender reassignment. That has not changed. Trans women should be…Watch and read -
Misgendering means using the wrong pronouns or gender for someone, and deadnaming means using the name they were given…
Misgendering, deadnaming and everyday disrespectGuide · 4 Jun 2026Misgendering means using the wrong pronouns or gender for someone, and deadnaming means using the name they were given at birth after they have asked you to use a different one. Both can cause real…Watch and read -
Without a Gender Recognition Certificate, a death certificate in England and Wales will generally record the gender on…
What will they put on my death certificate?Guide · 2 Jun 2026Without a Gender Recognition Certificate, a death certificate in England and Wales will generally record the gender on the birth certificate rather than a person's lived gender. A GRC does legally…Watch and read -
The long-term effects of testosterone are well understood. It drops your voice, grows facial and body hair, develops…
What testosterone actually does long-termGuide · 30 May 2026The long-term effects of testosterone are well understood. It drops your voice, grows facial and body hair, develops and broadens your muscles and skeleton, and gives you the same hormonal profile as…Watch and read -
Testosterone causes red blood cells to become larger, denser, and more numerous, which is exactly what happens in any…
Red blood cells and testosterone: what changes and whyGuide · 30 May 2026Testosterone causes red blood cells to become larger, denser, and more numerous, which is exactly what happens in any body running on testosterone. For trans men and transmasculine people, this shift…Watch and read -
Even without hormones, the steps you can take right now, your clothes, your hair, your name, your pronouns, and the way…
Even without hormones, you can make a real differenceGuide · 30 May 2026Even without hormones, the steps you can take right now, your clothes, your hair, your name, your pronouns, and the way you present yourself to the world, can make a tremendous difference to your…Watch and read -
Counselling is genuinely helpful for trans people and for people who support them, but only when it is affirmative and…
Counselling should support you, not question youGuide · 30 May 2026Counselling is genuinely helpful for trans people and for people who support them, but only when it is affirmative and supportive. Good counselling helps you navigate real challenges: family…Watch and read -
The best way to find the right surgeon for gender-affirming surgery is to ask people who have already had the…
How to find the right surgeon for gender-affirming surgeryGuide · 30 May 2026The best way to find the right surgeon for gender-affirming surgery is to ask people who have already had the procedure. Peer networks, online communities, and support groups hold detailed, honest…Watch and read
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