Ryan Scout_FTM

Ryan Sallans, activist and author, transitioned from female to male in 2005 and has recounted his life experiences in his newly released memoir, Second Son: Transitioning Toward My Destiny, Love and Life.

Since he began he has been committed to education surrounding medical, legal and social issues related to the transgender community. This blog serves as a guide and resource for individuals seeking guidance in the transgender community or for friends, family, lovers and partners who are eager to learn more about how a transition may impact the individual's life and those around them.

He has maintained a transition website since 2005 with the goal of helping others through his story and experiences. People can visit his site at: http://www.ryansallans.com
Recent Tweets @rsallans
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Posts tagged "transgender healthcare"

Hi Folks,

Many people ask me if using hormones will cause long-term health problems for transgender people. I’ve said in the past that it is hard to say because we didn’t have research to show the effects of long-term hormone use. A new study has now come out showing that at least short-term use is safe and effective. This study looked at participants using hormones over the course of a year. 

I’ve heard from another colleague (who is a doctor specializing in transgender medicine) that other research from overseas is being getting ready to be released, and it shows there aren’t any long-term risk from hormone use either. Meaning we aren’t seeing an increase in cancer or other health issues due to using hormones. 

Good news. Very good news. 


New book being released to help healthcare providers learn about the transition experience and needs of post-transition transmen. You can learn more here.

New book being released to help healthcare providers learn about the transition experience and needs of post-transition transmen. You can learn more here.

The National Center for Transgender Equality #NCTE has just released a sheet that lists 9 facts about sexual and reproductive health related to transgender individuals. This is one of the many areas that I am the most passionate about, getting people into providers, and having these providers trained to competently serve the community. If you are starting conversations with organizations or providers desiring to learn more and spread more knowledge, perhaps these 9 facts will be a way to get through the door. 

In celebration of National LGBT Health Awareness Week, NCTE has released this preview of a fact sheet, Transgender Sexual and Reproductive Health: Unmet Needs and Barriers to Care.  The full fact sheet will include policy recommendations for the medical community to improve the delivery of health care. Join our mailing list to get your copy of the final fact sheet.

Key facts on sexual and reproductive health for transgender people:

1. Transgender people may have sexual partners who are men, women, or both. A transgender person’s partners or sexual history cannot be assumed from their gender identity or the gender they were assigned at birth.

2. Transgender people need preventive health screenings. Standard preventive health screenings are generally recommended for the body parts a patient has regardless of that patient’s gender identity, including breast, cervical, and prostate cancer screenings.

3. Transgender people are at high risk for HIV and other STI infections. According to the CDC, transgender people experience HIV infection at four times the national population level. African-American and Latino/a transgender people are at especially high risk for HIV and other STIs.

4. Many transgender men who have sex with men are at risk for unintended pregnancy as well as STIs. Transgender men who have sex with men report high rates of unprotected vaginal and anal intercourse. Some transgender men report being more concerned about pregnancy than HIV and other STIs.

5. Marginalization and abuse increase health risks for transgender people. Transgender people face high rates of social and economic marginalization, as well as high rates of physical and sexual abuse. Transgender and gender nonconforming youth are particularly at risk for sexual abuse and for engaging in commercial or survival sex.

6. Transgender people are often reluctant to seek sexual and reproductive health care. One in three transgender people, and 48% of transgender men, have delayed or avoided preventive health care such as pelvic exams or STI screening out of fear of discrimination or disrespect. One survey reported that half of transgender men did not receive annual pelvic exams. Reasons included discomfort with the physical exam due to gender issues (40%), lack of money or insurance (13%), lack of a medical provider they were comfortable with (13%), and thinking they did not need pelvic exams (7%). Another survey found that transgender teens, including those at risk for unintended pregnancy, were reluctant to go to a family planning clinic.

7. Transgender people lack access to relevant health information. Sexual health education for youth and adults rarely addresses transgender people’s bodies and identities. For example, transgender men who have sex with men report a lack of adequate information about their sexual health at rates as high as 93.8%.

8. Providers often lack appropriate clinical knowledge. While treating transgender patients does not require special expertise, providers often lack basic knowledge about transgender people and their health needs. In a nationwide survey, 50% of transgender people reported having to teach a health care provider about providing appropriate care.

9. Many providers still turn transgender patients away. In national surveys, 19% to 27% of transgender people report being turned away by health care providers who refused to provide care for them. Outright refusals of care occur across all types of providers, including providers of sexual and reproductive health care.

Boulder Valley Women’s Health in Boulder, Colorado will now offer transgender healthcare services! Last year I worked with Planned Parenthood of the Rocky Mountains in Denver who also provide transgender healthcare services. So for people in Colorado, you now have at least two non-profits to help assists you with your medical treatment needs. One of the reasons I continue to work with and promote receiving services at non-profit healthcare organizations is they are more affordable! Lab fees alone can break the bank but many nonprofits charge very reasonable fees for these services.

This is a great blog/reflection on access to healthcare. Not only access to healthcare but GOOD healthcare and how some of us can take this for granted.

For those of you who do self-medicate. I recommend checking out the medical protocol on the Center for Transgender Excellence webpage. This protocol will go through the side effects, expected short-term and long-term effects and complications. Even if you can’t find a provider, if you are using hormones you can still be informed and be aware of your energy, mood, changes in diet, problems with acne, etc and then adjust your dose as you go to find a balance. 

If I were ever to fall into millions of dollars, I would start a healthcare organization specifically for the trans community, both locally and nationally to address the issues we experience. It’s a pipedream of mine, but a good one…I think 


Just this week, one of the members of my local FTM group started talking about how he felt insulted by the way he was treated by another FTM when they learned he self-medicated. At first, the rest of the group and myself were shocked at how severely negative and without sympathy his treatment…

This is a quick update on the Standards of Care, Version 7. I am willing to do a video going into more detail upon requests/certain questions from folks. P.S. don’t mind the funny face this video has decided to freeze-frame on as the thumbnail…that is a bit embarrassing.