Exactly, you would be surprised how many cis people really are confused about the medical and biological situation, they assume your chromosomes are more relevant for everything, when it’s mostly the hormones!

The main exceptions I can think of are:

• trans women who have prostates, though it’s debatable how much prostate cancer risk exists when living with estrogen dominance (and usually androgen suppression or absence)
• trans men who can get pregnant

Those still aren’t pharmacologically relevant, except maybe screening drugs that could harm a fetus?

Would love for medicine to catch up and become more “trans and intersex sensitive” in its training and application (and let’s be real: its research), but that reality feels increasingly distant to me.