Because of the experimental nature of gender medicine, doctors know very little about the long-term effects of medical transition and even less about the health-care needs of those who detransition. Surgeries, obviously, are irreversible, but hormonal interventions can also have lasting effects requiring treatment to mitigate. Testosterone caused irreversible changes to my vocal cords, resulting in daily discomfort and pain, but most ENTs [ear, nose, and throat doctors] and other voice ‘professionals’ are not informed about how testosterone affects a female voice or how to help someone in my situation.