Some women who take it who'velost hair grow some of it back. Most trans women get thicker, glossier,hair and it curls slightly. If you're lucky that might be all you need." What if I don't like it?" I asked"You can just stop," she said. "The only thing that isn't reversible isbreast growth, but it takes months for it to happen. Other effects likeloss of libido happen really quickly and are totally reversible. Hormonereplacement therapy is slow and subtle."I sat very still for a while and looked at the fringe of my dress andcrossed my legs."Is getting it hard?" Not really," she said. "You want to find a clinic that offers somethingcalled 'informed consent.' All you need to do is sign a form and they'llstart giving you estrogen and spironolactone. You just have to ask." I'm scared," I said."It's okay to feel that way," she said. "It's a big decision and cultureis deeply disrespectul and dismissive of feminiity. That's probably whyyou keep doing this in secret with me and why you keep. ’ As if to say, there are many more Amelias, but just this one, the pregnant one, here today. Kara turned to me, her green eyes startling in their intensity. ‘Hello, I’m Alex,’ I said, introducing myself. ‘I’m with Amelia.’ That was unnecessary, but then, at this point, so was I. Kara quickly got down to business, and I learned about autonomic dysreflexia for the first time. Fuck, I didn’t like any of those words and what they meant. I paid attention, I really did. In my way of trying to understand it all, I reduced it to mean jumbled reflexes with no feedback mechanism, where an irritation below the point of spinal damage could trigger a nervous response that the brain couldn’t control. Amelia would have no control if something went wrong? Life threatening? Fuck that. Driving back home, she was quiet. ‘Did you know about the autonomic dysreflexia thing?’ I asked, worried about her response. ‘Yes. It’s something they told me about, back in the spinal unit. The thought of being.
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