this post was submitted on 17 Jul 2023
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Don’t You Know Who I Am?
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It's more complex because they're related, but not always.
Genetic sex is the basis for some epigenetic status, which causes some organs to develop more in this or that way, including structures in the brain, which in turn impact behavior, which tends to cause some social preferences.
But none of those steps is written in stone. While "usually" and "if everything goes as expected" an XY and XX will develop following certain patterns all the way from genetics to social preferences, there are also a lot of cases where either one of the steps didn't go as expected: maybe it went the opposite way, or only worked partially, or not at all, or whatever else.
It's basically unpredictable, and the worst thing is to get stuck in a status where part of you says one thing, while another part says something else. HRT is just one way to change the part that's easiest to change in a particular case to keep things as close to harmonized as possible.
Tbh, this doesn't feel like a response to my post. All I was getting at is that gender is more complex and inherent than just social structures. There are social, psychological, and physiological aspects to gender. A lot of people reduce it to a social/cultural phenomenon, which inevitably leads someone to question the necessity of medical transition. Many trans people, myself included, will/would permanently struggle with chemical dysphoria our whole lives if we relegate the condition and its treatment to psychology and sociology. That's all I wanted to say. To me, HRT is that science so advanced as to be indistinguishable from magic. Spironolactone was a revelation in me, and my first few estrogen injections were all but religious experiences.