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@sim @iceloops I found this.

“CAN HORMONE REPLACEMENT THERAPY (HRT) MAKE YOU STERILE?

For some transfeminine individuals who are transitioning, the hormones you take during your transition may make it impossible for you to have biological children.

Procedures like orchiectomies (removing your testicles) can also cause fertility problems.

Researchers don’t know exactly how these hormones can affect sperm in transfeminine people:

estrogen progesterone spironolactone flutamide finasteride other anti-androgens

But taking even a short course of these medications may permanently change or stop your body from making sperm. This can make it impossible to have biological children.”

As far as the other subject, obsessing about your body keeps you from loftier goals. We can have thoughts and feelings without having to do a single thing about them. Assuming even obsessive thoughts demand action is assuming every impulse we possess is worthy. They are not.