Dear Bree,
You are absolutely correct. TG women take MASSIVE amounts of spiro compared to those who take spiro for BP control. And it may be true that prolonged periods of use MAY have some bearing on the issue. But we just don't know. In such situations it's often best to rely on things we DO know rather than speculate on things we don''t.
I am not sure how much testicles and penis actually atrophy. Again, anecdotal reports are all over the map. But it IS anecdotal only. Penis and testicular shrinking is a common buzzword around TG circles. But there does seems to be very little actual evidence about this. However, we DO know that castration results in absolute sterility.
Gatekeeping is alive and well in the TG therapeutic community. I have heard all the same things you have heard. Screaming (or just stating) that hormone therapy causes permanent sterility has not been proven and there seems to be little to no evidence to back up this statement.
Stephie
