People don't just self med for the heck of it. Lab work is incredibly expensive without insurance, and some people (especially younger transitioners who are in school) simply can't afford it. Also. the risks from HRT are largely over exaggerated when someone takes a responsible dose, and doesn't increase the risk by smoking (even then, the odds of having a DVT from HRT is around 1 in 13000 if I remember correctly). Simply because the community repeats a mantra does not make it so. With proper self education and an understanding that more does not equal better and that "herbal hormones" are worthless, one practically eliminates their risk. Also, self medding and getting tested are not mutually exclusive. Some people choose to dose themselves and check with an Endo. Estrogen without these risk factors is largely harmless:
- Age
- Recent surgery
- Immobility for other reasons such as long plane rides, car trips etc.
- Obesity
- Cancer
- Family history of DVT and/or family history of inherited clotting disorders
- Pregnancy
- Smoking
- Infection
Being a doctor may increase the odds that they know something about administering HRT and blood tests, but it certainly doesn't guarantee a thing.
The warning while valid generally amounts to fearmongering. Someone who is self medding is obviously desperate. I only resorted to it because without it I would have killed myself, which is far more destructive than taking a risk of complications due to self administration. Willfully withholding information while telling people how bad and dangerous it is reminds me of abstinence only education.
Now as far as Trueselves is concerned, I find it the most balanced site for younger transitioners whose voices aren't drowned out by louder more authoritative posters.