I didn't anything about this in the tags, unless it's under a different heading, so I need to ask everyone. Did any medical professional (GP, Endo, Therapist, etc) ever mention to you about getting a mammogram just to be on the safe side - moreso if you've never had one before
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You should definitely ask him for a reccomendation to a doctor he thinks will be ok with your gender status, and if it makes you feel better, he can probably call the doctor ahead of time and let them know your situation. He might think that all mammogram places will be cool with it, and they may be, but you are clearly uncomfortable, so he should be able to refer you to one he trusts specifically.
I agree that the ultimatim is not cool, but it shows he cares about your cancer risk and is determined to keep you healthy.
It probably wont be as uncomfortable as you think it will be. Most of these professionals do mammogram after mammogram all day long, and after a while, they have seen it all. Unless you do something outragious, they might not even remember you that well.
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I've had more than one, for lumps that turned out to be fibroids, scar tissue, and some sort of cartilage bump on my ribcage. I've not had one in relation to any trans-specific medical care. Personally I found them less invasive than getting a pap, but your milage may vary. They go like this:
You go to a changing booth, take off your top, and put on a robe that closes in the front. You go into the machine room, stand in front of the machine, and a nurse discreetly positions you under the camera and squashes you in a plexiglass vise. It takes a minute or two to get all the photos, then you close the robe back up, change your clothes, and leave.
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Okay, I had to say it :-P
Best of luck
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