Don't Transition
I started T at 18. Four years later I’m sterile, my voice is ruined, and I’ll never breastfeed. The drugs came from pigs and no one warned me. Please—slow down and ask why you hurt before you let them cut.
Vue d'ensemble
Mikayla Silverthorn, who began testosterone at 18 and detransitioned four years later, warns that medical transition is irreversible—voice drops, infertility, and lost ability to breastfeed cannot be undone. She details overlooked cancer risks, pig-derived hormones, and the emotional suppression that fuelled her own decision, urging therapy over rushing into drugs or surgery.
Résumé Complet de la Vidéo
Mikayla Silverthorn, who began injecting testosterone on her 18th birthday and detransitioned about four years later, opens the video by stating her goal: to give viewers the “wisdom I wish I had back when I was in your shoes.” She stresses that medical transition is irreversible—voice changes, infertility, and surgical alterations cannot simply be undone. While breast implants can replace removed tissue, she notes, “breast implants aren’t going to be a child.” She lists concrete losses: the possibility of breastfeeding, the ease of singing in a higher register, and the regular menstrual cycle she now misses even though it once caused her severe anemia and pain. Mikayla underscores that hormone therapy disrupted her ovulation for four straight years and warns that trans women on estrogen “almost never are able to have kids afterwards.” Beyond fertility, she catalogues health risks she says clinicians downplay: elevated chances of ovarian, cervical, and uterine cancers in females on testosterone, and the fact that the drugs often originate from pig hormones—something she claims she never knew while injecting herself weekly. Mikayla also describes the psychological cost of suppressing emotions: “I was shoving down all these feelings that I didn’t know how to deal with.” She argues that many transition decisions are driven by a desire to fit into a community rather than by careful self-knowledge, and she cautions that “if you cannot process your own emotions properly, can you make an educated decision on this? I don’t think so.” Instead of rushing into hormones or surgery, Mikayla urges viewers to explore the roots of bodily discomfort through therapy focused on physical and social trauma. She recounts that her own dysphoria stemmed partly from unwanted male attention and from childhood traumas she had repressed. “I wanted my chest to be flat because I didn’t like the way men looked at me,” she says, adding that testosterone alone shrank her breasts from a 34D to a 34A before she pursued top surgery. She now regrets losing the ability to breastfeed and frames the decision as trading one desire—being seen as male—for a deeper longing to nurture children. Finally, Mikayla challenges the “born in the wrong body” narrative as “toxic,” asserting that women can be authoritative or “free-spirited” without becoming men, and that altering the body does not make it biologically male or female. She closes by pleading with viewers to “love yourself and love your body” and to choose only after thorough, honest reflection, so that “your future self will thank you” rather than mourn what can never be reclaimed.