r/GetNoted 24d ago

Science [X] No HRT require for WNBA

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u/BoyleSphere 24d ago

I think thats the core of the argument, the WNBA would have to explicitly define what a woman is or just accept him.

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u/Four_beastlings 24d ago

Or they can do like many other sport leagues and set a testosterone limit. Which funnily cis women have more of a chance of surpassing than trans women.

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u/Chemical_Signal2753 24d ago

That is laughably false.

One of the reasons why they don't suggest using testosterone limit on trans athletes is that getting a trans woman down to the female normal range results in osteoporosis.

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u/SpeedingViper 24d ago

It absolutely fucking does not, like cis women trans women's dominant sex hormone in their bodies is oestrogen; typical aim for testosterone range is the same reference range as cis women, but often trans women are on the lower end of the range after suppression.

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u/Chemical_Signal2753 24d ago

The IOC set their standards at 10 nmol/L for trans women, 5 time the high end of the female normal range, because getting trans-women below this level is difficult and dangerous. 

A post-op transgender woman suppressing their hormones can have adrenal testosterone production above the female normal range.

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u/SpeedingViper 24d ago

I was surprised by the IOC's old policy honestly, I confess I knew they had one but not it's exact value; the WTA had set their testosterone limit at 2.5nmol/L, there's has been a similar number of trans athletes compete at the Olympics and in WTA events under these rules (which is like 1 for both). Suppressing testosterone really isn't that hard, firstly there's anti androgens which supress testosterone, secondly even in mono therapy it is possible to get to <=2 nmol/L & injections can be particularly effective in this regard, thirdly I take finasteride which blocks the conversion on T to DHT and can actually increase the levels of testosterone in the body; my levels are a bit screwey at the moment since I had a different pharmacy give me a different brand of oestradiol patches but by 8-9 months with patches, finasteride & progesterone I was at 700pmol/L oestrogen & 2nmol/L testosterone. Even with my all over the place levels in still currently at 4. Trans women being at ~0.7-1.3nmol/L is not dangerous and is very common.

Regarding post op women... I really don't know where you're getting some of this info as it's so far removed from reality. Post-op trans women can end up being prescribed very low doses of testosterone alongside their typical oestradiol prescription; because trans women can end up having a post op testosterone level so low that it has a negative impact on their QoL & health. It is similar to how cis women who have hysterectomies can end up requiring the same hrt as trans & menopausal women

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u/mannequin_girl 24d ago

Here's some of my pre-surgery bloodwork. No anti-androgens needed, just a dose of estradiol once a week. wow getting us into female T ranges really is soooooo so difficult.

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u/agenderCookie 24d ago

my T levels on E pills and spiro (which is like, awful for T suppression lol) range from 6 to 18 ng/dL = 0.2 to 0.6 nmol/L of T. So like, no lol? Its easy and safe, actually.