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“I don’t want to use an estrogen cream because it will aggravate my gender dysphoria!” If the atrophy is to the point of her bleeding heavily...

Didn’t Buck nearly die of sepsis because of this? Surely the bleeding and cramping would give them more dysphoria than using some oestrogen gel.

Anytime any blood other than menses is detected, especially daily, a trip to the gyno squeezer is highly recommended. Uterine cancer doesn't give...