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Extended 4tran Survey (2025.2)

Page 4 - Transition

Transition

Years Since Realizing

This is a box plot of how many years its been since people realized they were trans. Honestly I'm not sure people properly converted months into years since I'm not sure if those outliers are real or not. I'm thinking next time it might be better to have separate fields for years and months to avoid confusion.

Years Repressing

This is a box plot of how many years people have been repressing being trans for. Again, not sure if people properly converted months into years, and etc so it might be best to take this data with a grain of salt or whatever the phrase is.

Reppressers

There are slightly more male reppressers than female (not a massive difference), though seemingly a lot of nonbinary people are repressers.

Social Transition

Men have socially transitioned a lot more than women. It's likely due to a mixture of the effects of testosterone being harder to hide and the fact that men are more likely to pass and be stealth.

Medical Transition

However, women are more likely to have medically transitioned than men, likely due to the effects of estrogen being much easier to hide. As far as I know MtF HRT tends to be easier to obtain through both DIY and official sources, which could also be a contributing factor.

I didn't expect nonbinary people to have a pretty high amount of medical transitioners though.

Time on HRT

Honestly pretty even, with women being a bit more likely to have been on HRT for longer compared to men. Interesting that the minimum for men is 0.002...

Age Started HRT

Unfortunately, I didn't think to add a question asking the age you started specifically, so I had to calculate it by subtracting time on HRT from current age. This means that there are likely people who put in the wrong number of years for the time on HRT input (there were outliers with negative ages for example). This also doesn't take into account people who stopped HRT for a bit and then started again later.

DIY or Prescribed

Interestingly, men are more likely to be prescribed HRT. In fact, men are the only group thats majority prescribed. I'm guessing its probably due to FtM diy hrt being a bit harder to get and severely stigmatized in FtM spaces.

Method of HRT

Honestly I did not expect only 21% of women to be on pills (oral or sublingual), I wonder how this compares to more mainstream communities which I'd assume would be majority pills.

It's also interesting how with men, IM and SubQ injections are almost the same, while with women/nbs its mostly SubQ. Theres also 1 man who uses patches apparently which I didn't know was a thing. I'd also expect the amount of gel users to be higher in more mainstream communities, like how pills would likely be for women.

Supplemental HRT

Minoxidil being the most common thing taken by men makes a ton of sense. I didn't expect DHT to be second most common for them though, since I've seen people say its hard to get, but then again what other supplemental HRT would men take? Also why are there men on progesterone?

With women the results are pretty expected, since most supplemental HRT is for women. It's pretty interesting to see that by far spironolactone is the most common AA taken, which I guess makes sense though hopefully in the future more people will be on bicalutamide or just on monotherapy. It's also pretty cool that Pio is pretty common, which I didn't expect.

Voice

Voice Passing

Pretty expected results tbh, testosterone affects voice while estrogen does not.

Voice Training

The differences between genders here is pretty expected, however I didn't expect so many men to have voice trained.

Now time to put them together.

Once again pretty expected results, training is much more important for women. The 35% of men who voice passes woithout voice training is still crazy to see though regardless.

I had to remove the outliers for this one since people were putting in super large numbers, I think all the year input questions are all a bit broken due to people not putting in the right numbers. For some reason this didn't happen with the first survey though.

Interestingly, men have voice trained for somewhat longer than women, despite needing it less.

Passing

Current

This question was rating your current passability a scale of 0-10, where 0 is completely unpassing and 10 is completely passing.

Pretty expected once again, men pass better since testosterone does a lot more for passing. It is interesting how the most common answer for women was 0 (completely unpassing), while for men it was 6 (mostly passing).

Future

This question was where on the 0-10 scale do you think you'll end up, i.e. your max potential. Men are GMI.

Change

By subtracting current from future, we get the expected change in passing scale. The data isn't what I expected at all, men and women are generally the same here, I expected men to lead here again. What's even more surprising is how there are people who expect to go down in passing scale.

Years on HRT vs Passing

This chart shows the relationship between years on HRT (x axis) and current passing scale (y axis). Pretty clear trend of being on HRT for longer meaning better passing, though for some reason that trend is less clean with men. This also shows that trans women generally need to be on HRT for longer to achieve the same level of passing as men, and that men rarely stay at a 0 after about a year of HRT.

Stealth

Unsurprisingly, men are way more likely to be stealth.

Dysphoria

Has Dysphoria

99% of binary trans people here have dysphoria, which is pretty cool to see since I'd assume that number would be much lower in mainstream communities. For nonbinary people its a bit lower, at 89%, but still a pretty solid majority.

Types of Dysphoria

It's interesting seeing how the order changes between men and women. Number 1 for both is body, Number 2 for men is genital while for women its voice, and etc. Its also interesting to see the dysphoria types that men have more often than women, the most notable being Genital (8% difference), Chest (12% difference), Sexual (12% difference), Height (14% difference), and etc.

Normalized ratio is a ratio bar graph where the total of men vs women is normalized. This means so that, for example, if a type of dysphoria was perfectly 50/50 on the chart, it would mean that the same proportion of men and women have that type of dysphoria (50/100 men and 100/200 women for example).