this post was submitted on 27 Sep 2026
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Let's say I, a middle aged cis man went to my doctor, wanting gender affirming care, and my doctor wanted to provide - what, if anything, would the treatment/care consist of? Just making sure my testosterone level was up to Hegseth-approved standards?

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[–] jonalaniz@lemmy.blahaj.zone 60 points 1 day ago (2 children)

Most gender affirming care is for cis people, they just don’t want to admit it πŸ˜‚

[–] MajorMajormajormajor@lemmy.ca 17 points 1 day ago (1 children)

Are you stating that care that affirms your gender is gender affirming care?!?

[–] TheFogan@programming.dev 1 points 1 day ago

What's the difference, my opinion, the definition of gender affirming care is.

Treatment to allow your external body to match the characteristics that you feel your body should be.

Which would include, boob jobs, hair transplants. hormones, anything to build up muscle, anything to fix erectile dysfunction etc...

of course not, it would expose thier hyprocisy, of denying transgender people thier surgeries.

[–] solrize@lemmy.world 9 points 1 day ago (1 children)

I've heard multiple times that using testosterone supplements degrades your body's ability to make testosterone naturally. So once you start using supplements you always have to use them. Otherwise they sound interesting. Just a few injections and I can type in ALL CAPS whenever I want? Sign me up.

[–] Tollana1234567@lemmy.today 6 points 1 day ago* (last edited 1 day ago)

if you already naturally make low T amounts, TEST supplementation wouldnt affect that anyways. its the people who are anabolic steroids, or the rever estrogen. some people will go as far to use Synthetic INSULIN too.

[–] LillyPip@lemmy.ca 48 points 1 day ago

Yes.

Gynomastia is a thing that causes some boys to endure a lot of bullying in school. Erectile dysfunction causes issues for older men. The treatment for both of those conditions is gender affirming treatment.

Loads of others, too.

But more to the point, it should not matter why a person needs gender affirming care. That should be a decision between a patient and their doctors, not me, not you, and not the government.

[–] plateee@piefed.social 37 points 1 day ago (1 children)

Look at any tough-guy gym... There'll be testosterone offered to make you a "real man".

Or breast implants for women who want bigger boobs. Those are both designed to help cis folks feel more like they're the man/woman they think they need to be.

Which is why if gender affirming care is ever outlawed in my purple/red state, I'm going to be reporting the fuck out of the maga gym near by.

[–] dylanmorgan@slrpnk.net 14 points 1 day ago

Viagra/cialis/etc and testosterone supplements if your numbers are β€œlow” are the most common for men.

[–] isleepinahammock@lemmy.blahaj.zone 7 points 1 day ago (5 children)

Frankly, as a trans person, I'm not a fan of the term. I didn't get treatment to "affirm my gender." I changed my sex. I literally changed my sex. I didn't get "gender affirming treatment" or whatever the new entry on the euphemism treadmill is we're supposed to use this year.

[–] neidu4@piefed.social 3 points 1 day ago (2 children)

Does this mean that the older term term "sex change" is more appropriate?

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[–] AA5B@lemmy.world 24 points 1 day ago (1 children)

What about those little blue pills?

[–] thesohoriots@lemmy.world 4 points 1 day ago

Even gas stations can provide something like that. Totally unregulated, of course.

[–] Chaunticleer@lemmy.dbzer0.com 19 points 1 day ago* (last edited 1 day ago) (1 children)

Yeah, Hair restoration. Testosterone therapy. I think you might have been joking but that's what those are classified as

[–] Tollana1234567@lemmy.today 2 points 1 day ago* (last edited 1 day ago)

PENIS enlargment, which is have a very sketchy process., also people obsessed with being tall, although not common will try to get leg lengthening surgery.

[–] Xenny@lemmy.world 12 points 1 day ago* (last edited 1 day ago)

Testosterone and estrogen supplements, dick pills, breast augmentation.

Thats just off the top of my head. Trans people are demonized for things cis people do every day

Gynecomastia surgery seems like it'd fit the category.

[–] Gyrcas@piefed.zip 8 points 1 day ago

Yes it exists. It can be adjusting testosterone/estrogen if not at good level, hair transplant, etc But I only know the surface level, not really the details much

[–] southsamurai@sh.itjust.works 5 points 1 day ago* (last edited 1 day ago) (1 children)

Yes and no.

While a wide range of medical treatments could be called that with 100% real world accuracy and validity, that isn't how the term "gender affirming care" is used by doctors on a regular basis at this point in time. That might change in the future, but you're asking about now, and about asking a physician.

So, in the current world, that doctor is going to wonder what kind of fuckery you're pulling, and likely find a way to avoid you in the future.

Gender affirming care has a narrow range of definitions medically currently. None of those definitions include treatments that are related to a person that has congruency with their assigned gender. Things like hormone supplementation for cis women or men just isn't that. Gynecomastia treatments aren't gender affirming care either.

Is it in the process of changing to where that is part of the medical usage of the term? Kinda, but it's changing from the outside in, so I'm dubious it'll be a dominant usage any time soon.

See, if you're cis, all medical care is gender affirming to some degree. Some of that is stretching the concept to the breaking point, but the core of the term is about providing care that modifies the body from one's assumed gender to that which matches the internal gender. In other words, if you aren't trans or non binary, or some other flavor other than cis, the care isn't transformative in the same way. It just isn't. Hrt during menopause has a different goal and a different application than hrt for transition on a medical level.

No matter how we use the term colloquially, there is absolutely a difference between colloquial usage and in-jargon usage of any term. In this case, the colloquial usage is being shifted because it radically cruel and morally wrong to deny care to those in need of it for transition when the exact same meds and procedures are often covered by insurance for cis people. The difference between the application of modalities is irrelevant on a social level because no matter that the goal of the treatment is different, it is still a treatment that not only improves lives, it saves them.

But, again, that is not the same thing as current usages within medicine. It'll take time and effort to change that.

Edit: the other part of your question is what would that care look like. The part about the doctor wondering what kind of fuckery you were pulling is the real answer.

That being said, if it wasn't, and the terminology did change, then what you suggested is likely to be the first thing. Your hormone levels would be tested and, if not adequate for function, supplemented. Secondary to that, you would need to consult a cosmetic surgeon for any appearance related issues.

[–] GreyEyedGhost@piefed.ca 0 points 1 day ago (4 children)

Vision correction isn't gender affirming care. Diabetes treatment isn't gender affirming care. Heart transplants aren't gender affirming care. If the scope of what is commonly or medically termed gender affirming care is broadened, these will not be included, because they have nothing to do with gender.

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Erectile dysfunction medication, prostate care, testosterone suppliments and male hormone medications and treatments, and plenty of other things along those lines would certainly qualify as gender affirming care.

[–] Witchfire@lemmy.world 3 points 1 day ago* (last edited 1 day ago)

Yes. Viagra, breast implants, breast reduction, hair transplants, laser hair removal, cosmetic surgery, even Musk's botched penis job are all forms of gender affirming surgery

In fact, the US military has been pushing it for soldiers via testosterone supplements

[–] HubertManne@piefed.social 2 points 1 day ago* (last edited 1 day ago) (1 children)

well I worked at a job where a trans person was asking if laser hair removal (originally said electrolysis but see comment discussion below. sometimes my brain does wierd things) would be covered and I can only assume a woman wanting to be more womanly would want that to. Heck breast augmentation is kinda popular. I do feel stuff like that should not be limited.

[–] neidu4@piefed.social 1 points 1 day ago (2 children)

electrolysis

Autocorrect with skynet aspirations, or is this a medical procedure I've never heard of?

[–] HubertManne@piefed.social 1 points 1 day ago (1 children)

maybe I messed it up but whatever the getting rid of leg hair thing is.

[–] ryannathans@aussie.zone 1 points 1 day ago (3 children)
[–] loomi@lemmy.world 2 points 1 day ago

Not exactly. Electrolysis is a needle inserted into a hair follicle’s surrounding skin pore, and electricity is passed into the root bulb of the hair to kill the hair root. It’s permanent. Has to be done during the hair’s growth phase. It’s one hair specific and a slow process but when it works the results are permanent.

Laser hair removal is a laser light shown on patch of skin that burns an active hair bulb to kill and or stunt a hair’s growth. This is more a shotgun approach compared to electrolysis. Works better on pale skin.

[–] HubertManne@piefed.social 2 points 1 day ago

yeah. actually. that sounds more right.

Electrolysis targets individual hair shafts with electric pulses and can work where laser didn't. Mostly used on smaller areas bc it can be painful

[–] dhork@lemmy.world 1 points 1 day ago (1 children)
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[–] Treczoks@lemmy.world 0 points 1 day ago

Indeed it is. Most money in teenage gender affirming care goes into removing tits from obese boys.

[–] kibblebits@quokk.au 1 points 1 day ago

Any dude with hair plugs or a loud, powerful car would confirm that it is.

[–] Kolanaki@pawb.social 0 points 1 day ago* (last edited 1 day ago)

Guys who take testosterone supplements from the gas station becsuse they don't feel manly.

Guys who have reconstructive surgery to their penis after it gets mangled by whatever they stuck it in because not having a working dick makes them not feel manly.

Taking steroids to cheat at getting bigger muscles because it would make them feel more manly.

[–] Flax_vert@feddit.uk -1 points 1 day ago

Would saving someone's life technically be affirming their gender

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