Sarah explained to me that many doctors, endocrinologists and trans women erroneously believe that after taking antiandrogens and hormone replacement therapy for a relatively short period of time depending on who you're talking to, they may say something between six months and two years , a trans woman will be permanently infertile, despite not having had 'bottom surgery'. Transgender inequality , Transphobia , Transgender rights , and Transmisogyny Trans women, like all gender variant people, face a vast amount of discrimination and transphobia. Bettcher, based on her own experience as a trans woman, has critiqued the notion of "autogynephilia," and "target errors" generally, within a framework of "erotic structuralism," arguing that the notion conflates essential distinctions between "source of attraction" and "erotic content," and " erotic interest" and " erotic attraction," thus misinterpreting what she prefers to call, following Serano, "female embodiment eroticism. Wow, how lucky that you were both nursing then! Also, I'm taking half of my pre-breastfeeding dose of estrogen, which is not recommended while nursing because it can have a negative effect on milk supply. This was an attempt to provide a diagnostic category for gender identity disorders. When I was preparing to induce lactation [and taking progestins], my moods were so fantastic. There are surgeries that can make trans women's faces look more female, but may not always be necessary, as some trans women have faces that do not look very male. One of the types of transsexuals described within the theory is known as homosexual transsexuals. I found though that if I took less than four 10 mg tablets per day, then my supply really suffered. A major component of medical transition for trans women is estrogen hormone replacement therapy , which causes the development of female secondary sex characteristics breasts , redistribution of body fat, lower waist—hip ratio , etc. In the early weeks, the amount that a baby nurses and draws milk helps to determine the gestational mother's milk supply later on. Havelock Ellis used the terms eonism and sexo-aesthetic inversion in to describe similar cross-gender feelings and behaviors.