There was hand-wringing piece in the Independent yesterday about an Essex pharmacy that provided a journalist with HRT. It’s so bad and on so many levels that I felt it worthy of mentioning here specifically. However, this is hardly an isolated incident – the media have a very long history of trying to scupper trans healthcare, including David Batty’s persecution of doctors practicing trans medicine and past efforts by the BBC, similar to this one, to shut down entirely legal sources of medicine.
Turning back to the Indy piece, sources such as the pharmacy they mention are often a lifeline for people who can’t get medication in any other way. Even having had to wait, sometiems years, to get help many people subsequently find their GPs refuse to prescribe drugs because it goes against their religion, even when recommended by a specialist. Or they live somewhere where they can’t access specialist care without long journeys – there is no Gender Identity Clinic anywhere in Wales, for example. (Fortunately, there are moves afoot to remedy that particular problem)
This isn’t due to a lack of evidence of the effectiveness of health care – research has shown that blocking health care for those seeing transition is extremely dangerous, with the suicide attempt rate for those unable to access services at around 50%.
The Indy also plays up the risks of HRT, which if you believe the tone of the article must be incredibly dangerous, and state that it shouldn’t be “used unmonitored”. However, amongst the long-term-transitioned trans women I know of who have been able to find a stable supply via cooperative and responsible GPs, none are being monitored – because the real world risk for most people is not high enough to make it worth the GP’s time. Progynova is even an over-the-counter medicine in some countries, such as Spain.
In case you’re wondering, the side effects list of an over-the-counter drug in the UK such as Ibuprofen includes difficulty breathing, vomiting blood, stroke, liver failure, heart failure and heart attacks. If there’s a lesson here, it’s “don’t read the side effects list on the leaflets”.
Finally, the headline cites “Fears of ‘DIY transitioning’“. DIY transitioning is exactly what people have been doing for decades because the press and medical establishments have a long history of making it as hard as possible to access treatment.
To be clear, having to defend grey market medication is a far from ideal situation to be in. But it is disingenuous to harp on about the “dangers” of these sources, while ignoring the effects of cutting off that supply. And trawling forums for “exclusives” like this is terribly dangerous and will just force desperate people further and further underground, where they’ll end up being taken advantage of or finding sources of supply that are really dangerous. I imagine many people will be wary of asking for help on that particular Reddit forum after it was cited by the paper.