We felt we had to make this :FediverseSymbol: 🤭 #WhatPrideFlagIsThat #SoAreYouGayOrSomething #sarahmhops #meme #memes #fediverse

Gay night fedi 🩷

Pssst. You're amazing and lovely. Just thought you should know / be reminded of this 🩷

Hey folks We all know [how shite the Cass Review was/is](

Press release: The Cass Review is bad science and should not be taken seriously by policymakers – TransActual

), and how it's been [universally discredited and rejected](

Critiques of the Cass Review – TransActual

) :PleadingFace: Alas, NHS England has now set its gaze firmly on a [review of adult trans+ healthcare services](

NHS commissioning » Review of adult gender dysphoria services

NHS commissioning » Review of adult gender dysphoria services

) 😞 We would love to believe that this is being done in good faith, but NHS England has **never** been on the side of trans people.¹ As such, we believe that the best we can realistically hope for at this stage is damage limitation :FaceExhaling: To this end, we wish to highlight that the page linked above links to an [**Adult Gender Services Review survey**](

Snap Surveys

), which is open to:<li>current, and recent, patients who have been seen at one, or more, of the [Gender Dysphoria Clinics] in the past five years</li><li>family and friends of patients who have used services in the past five years</li><li>current staff members, and those who have worked at one, or more, of the centres in the past five years</li> Even if it doesn't change a thing, we should make our voices heard loudly and defiantly ✊ :TransHeart: :NonBinaryHeart: :AgenderHeart: :BiGenderHeart: :GenderfluidHeart: :GenderqueerHeart: :DemiBoyHeart: :DemiGirlHeart: So let's go all out and tell them what we actually want:<li>Depathologisation.</li><li>Desegregation.</li><li>Informed consent.</li> We don't want **better** gender clinics: we want them to be **dismantled entirely**, in favour of desegregated healthcare. We don't want to be **forced** to get a formal medical **diagnosis of being trans** to access basic GAHT / HRT, to have the right to consent to gender-affirming surgeries, or to change our legal gender. We want **world leading** gender-affirming healthcare, beyond the nonsense, unscientific biases that still exist even in [WPATH SOC8](https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644 ). They don't **want** to offer us this, and will do everything in their power to ignore us, but that doesn't mean that our voices shouldn't be heard. Maybe trans liberation won't come today, but we need to fight for it at every stage :AnarchySymbol: Boosts are very welcome and will be very much appreciated, by the by :BoostsOKPrideSymbol: #trans #transgender #NonBinary #agender #bigender #DemiBoy #DemiGirl #genderfluid #genderqueer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #queer #TransLiberation #TransLiberationNow #TransRights #TransRightsAreHumanRights #NHS #CassReview #LevyReview #depathologisation #demedicalisation #desegregation #DesegregateTransHealthcare #InformedConsent #survey ¹ You can read all about the awful history of trans healthcare provided by NHS England in [The Transgender Issue: An Argument For Justice](

The Transgender Issue

Trans people in Britain today have become a culture war 'issue'. Despite making up less than one per cent of the country's population, they are the...

) by Shon Faye.

We don't know who needs to hear or read this today but: <li>You are <strong>not</strong> alone. </li><li>You <strong>are</strong> loved.</li><li>You <strong>are</strong> wanted.</li><li>No matter how dark everything seems right now, there is still light and hope. </li><li>We will continue to try to help as many of you as we can whilst we are able and have the means. </li> And remember: existence is resistance ✊🩷

Pssst. You're so much more than the sum of your struggles, physical and mental abilities, and support needs 🩷 Your worth is not tied to how productive you are judged to be by others and yourself 🥺 So, the next time you start spiralling, just remember that we told you that you're valid, you matter, and you make our life better by being in it 🫶 Keep on being you, because you're genuinely lovely :BlahajWithLoveHeartsAbove:

Pssst. You matter :MentalHealthFlagButterfly: You probably know this already, but we just wanted to give you a friendly reminder, just in case you've forgotten, or are struggling right now :MentalHealthFlagHeart: Sending love and hugs to any folks who want or need 'em, especially with everything going on in the world :GirlInTransHoodieHuggingFurry:

Hey folks :FediverseSymbol: For those considering fleeing the US to Europe in light of the 2024 US election results, we recommend that you check out these resources:<li>The <a href="https://transhealthmap.tgeu.org/" target="_blank" rel="nofollow noopener noreferrer">Trans Health Map 2024</a> by <a href="https://tgeu.org/" target="_blank" rel="nofollow noopener noreferrer">TGEU (Trans Europe and Central Asia)</a>.<ul><li>You can view it in map or raw data format.</li><li>It is a good starting point to help you determine whether you could even get care there for yourselves, and it highlights where having a disability, being neurodivergent, and/or struggling with mental health may hinder your access to healthcare.</li></ul></li><li>The <a href="https://rainbowmap.ilga-europe.org/" target="_blank" rel="nofollow noopener noreferrer">2024 Rainbow Map</a> produced by <a href="https://www.ilga-europe.org/" target="_blank" rel="nofollow noopener noreferrer">ILGA-Europe</a>.<ul><li>This is particularly useful for seeing how poor LGBTQIA+ rights are in many countries, against what the common perception might be from a US viewpoint.</li></ul></li> There are **lots** of other considerations you will need to take into account, but we wanted to make you all aware of these resources to help you along 🇪🇺 Boosts welcome to spread the info to others :BoostsOKPrideSymbol: **Edit:** Here is some additional relevant context, as pointed out by a lovely comment :PinkHeart: These maps are essentially display the **legal** situation, which does not necessarily reflect how things are done by hospitals, doctors, federal officials etc. These maps also do not, by themselves, show how many extra hurdles there can be to obtaining healthcare, especially trans+ healthcare, as a migrant, especially if you do not speak a native language fluently. Please also note that some countries might have healthcare monopolies or a figurative geographical lottery on healthcare. Basically, you **really** need to do your research before moving, including asking other migrants what their experiences have been. #USPol #USPolitics #politics #LGBTQ+ #LGBTQIA+ #queer #trans #transgender #TransRights #TransRightsAreHumanRights #ILGAEurope #TGEU #TransHealthcare #TransHealthMap #TransKidsDeserveBetter #TransKidsDeserveToGrowUp #TransKidsDeserveToThrive #TransYouthAreLoved #MentalHealth #disability #neurodivergent #neurodivergence #EU #EuropeanUnion #Europe #OvertonWindow

Hey folks Whilst we are fine doing our own manual injections, we know a lot of people really struggle. We know that some folks, especially in the trans DIY HRT community struggle with their injections. Some even have needle phobia. So, what auto-injectors do you use and why? The only ones we're vaguelly aware of are by [Union Medico](

Home | Union Medico

UnionMedico - We improve injection safety

), but it's not really clear to us how they even work. We'd like to be able to make informed recommendations to people who want to use an auto-injector along with DIY / homebrew HRT vials, particularly for those who might want to do less frequent injections (e.g., estradiol undecylate every 3-4 weeks). Any tips / recommendations folks? :TransHeart: #trans #transgender #DIYHRT #OpenHRT #injections #AutoInjectors #queer #LGBTQ+ #LGBTQIA+ #LGBTQIA2S+ #HRT #healthcare