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“I think a lot of people, when they think of trans females, they think ‘a girl with a penis,’” she said.

We experience discrimination disproportionately to the rest of the community. But according to my friend Nomi Ruiz, this has inadvertently created a taboo in the trans community: Nobody talks about sex.

Since I was already on estrogen, the endocrinologist felt morally/ethically obligated to continue that same protocol and at least monitor it and prescribe it legally. ” The recently published WPATH Version VII has simply allowed the medical community to open the “floodgates” for this very tragedy to unfold. Maybe, maybe not, depending on your circumstances, occupation, etc. The psychiatrist, psychologists, and surgeons will enjoy a wonderful life.

I received my first letter for surgery after a year and the second after two years. To get on cross gender hormones and then have surgery has become almost as simple as going to the convenience store for a pack of gum. It is a billion dollar industry that thrives on your illness. You, however, could end up with a tortured life, ending up penniless, possibly unemployed, without family or friends and maybe even homeless.

Our unemployment rate is twice the national average [ . Nomi is a transgender singer and host of the podcast .

“Right now there’s a lot of sensitivity around trans issues,” Nomi told me recently.

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