LGBTQ+ & Gender-Affirming Care
What Is Gender Identity? Gender as a Spectrum and Its 4 Axes
Gender isn't just male and female; it's made up of several separate axes. Once you understand them, you understand yourself and the people around you better.
LGBTQ+ & Gender-Affirming Care
Gender identity, gender-affirming hormone therapy and judgement-free care.
20 articles · 5 topics
Understanding gender and identity
Gender identity, expression and roles
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LGBTQ+ & Gender-Affirming Care
Non-binary, Agender and Pangender: What They Mean and How They Differ
Not everyone feels they are a man or a woman. Get to know identities beyond the gender binary, and how to show respect in everyday life.
LGBTQ+ & Gender-Affirming Care
Genderless Fashion: Gender Expression Is Freedom
Skirts don't belong only to women, and suits don't belong only to men. Clothing is expression; it doesn't tell you someone's gender identity or sexual orientation.
LGBTQ+ & Gender-Affirming Care
Tops Don't Have to Be Masc: Sexual Roles, Personality and Real Appeal
Being a top or bottom isn't tied to masculinity, and using testosterone when your levels are normal won't make you more attractive the way you might hope, but it does carry real risks.
Starting gender-affirming hormones
First steps, baseline blood tests and pre-surgery letters
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LGBTQ+ & Gender-Affirming Care
Gender-Affirming Hormone Therapy (GAHT): Starting Safely, Step by Step
Hormones genuinely help the body align with who you are, but they should be started with a plan: assessment, blood tests, choosing a regimen and long-term monitoring.
LGBTQ+ & Gender-Affirming Care
Blood Tests Before Gender-Affirming Hormones: What to Test and When
Blood tests before starting hormones help your doctor choose a safe medicine and dose, and give a baseline to compare against during future follow-up.
LGBTQ+ & Gender-Affirming Care
Letters Before Gender-Affirming Surgery: SOC-8 and Thai Criteria
Before gender-affirming surgery you need an assessment to make sure you're physically and emotionally ready. International guidance has become more flexible, but Thai hospitals still have their own criteria, so it helps to know both.
Feminizing hormones (MTF)
Estrogen, antiandrogens, Gale dosing and the change timeline
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LGBTQ+ & Gender-Affirming Care
Feminising Hormone Therapy (MTF): Steps, Medicines and Safe Monitoring
Feminising hormone therapy mainly uses estradiol, together with an anti-androgen for some people. Starting with a plan and regular monitoring gives better, safer results.
LGBTQ+ & Gender-Affirming Care
Trans Women's Hormone Regimens: Oral, Gel or Injectable Estrogen?
Estradiol comes in several forms, each with its own pros and cons. The right regimen depends on your health, blood clot risk, lifestyle and blood results.
LGBTQ+ & Gender-Affirming Hormones
Gale (Cyproterone 50 mg) Dosage: How Many Tablets a Day? Blood Targets and Monthly Cost
Is 1–2 tablets a day too much? Guideline doses, blood targets and monthly cost by dose.
LGBTQ+ & Gender-Affirming Care
Androcur vs Gale: Are These Cyproterone Acetate 50 mg Tablets the Same?
Both brands contain the same active ingredient at the same strength. They differ in manufacturer, registration and price; the dose matters more than the brand.
LGBTQ+ & Gender-Affirming Care
When Will My Skin Soften? A Feminising Hormone Timeline
Hormone changes follow their own rhythm. Some start within weeks, some take years, and some can't be achieved with hormones at all. Knowing this helps you set the right expectations.
LGBTQ+ & Gender-Affirming Care
Finasteride: Uses in Trans Women, Trans Men and Hair Loss
Finasteride doesn't lower testosterone; it reduces conversion to DHT, so it helps hair loss in some people. It isn't a core gender-affirming hormone medicine, and it has side effects worth knowing.
Masculinizing hormones (FTM)
Testosterone for trans men, side effects and after surgery
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LGBTQ+ & Gender-Affirming Care
Masculinising Hormone Therapy (FTM): Starting Testosterone Safely
Testosterone helps the bodies of trans men and some non-binary people align with who they are. Learn about forms of medicine, the timeline of changes and the monitoring that keeps you safe long term.
LGBTQ+ & Gender-Affirming Care
Testosterone Side Effects in Trans Men and How to Stay Safe
Testosterone is mostly safe when used at the right dose with regular monitoring. Knowing the common side effects and the ones to watch closely helps you prevent problems early.
LGBTQ+ & Gender-Affirming Care
Trans Men After Oophorectomy: Do You Still Need Hormones?
Removing the ovaries isn't the end of hormone therapy. It's the point at which your body relies on hormones from outside to protect bones, muscle and mood for the long term.
LGBTQ+ health, rights and community
Recommended checks, marriage equality and safe spaces
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LGBTQ+ & Gender-Affirming Care
LGBTQ+ Health Guide: Testing, Prevention and Mental Health
Whoever you are and whoever you love, good health is everyone's right. This guide gathers what LGBTQ+ people should look after, from testing and prevention to hormones and mental health.
LGBTQ+ & Gender-Affirming Care
Anal Cancer Screening: Anal Pap and HPV DNA, Who and How
Anal cancer can be prevented and caught before it spreads, especially in higher-risk groups such as people living with HIV, men who have sex with men and trans women. Learn who should be screened, when to start and how it's done.
LGBTQ+ & Gender-Affirming Care
Marriage Equality in Thailand: Rights for Every Couple, and Health
Since 23 January 2025, couples of every gender can legally register their marriage in Thailand. It isn't just a certificate; it means rights, security and health benefits backed by evidence.
LGBTQ+ & Gender-Affirming Care
Surat Pride and Safe Spaces for LGBTQ+ People in Surat Thani
Pride isn't just a rainbow parade; it's an affirmation that everyone has equal dignity. A story from Stonewall to southern Thailand, and what safe spaces mean for health.