#Image-Guided Therapy

[mastergarryblogs]

The Rise of Interventional Oncology: A $7.5 Billion Market Opportunity

Introduction

The global interventional oncology market is undergoing rapid expansion, fueled by the increasing prevalence of cancer, advancements in image-guided therapies, and the growing adoption of minimally invasive oncology treatments. By 2025, the market is projected to reach USD 3.9 billion, growing at a CAGR of 7.2%. With continual technological progress in tumor ablation, embolization, and targeted radiation therapies, interventional oncology is reshaping modern cancer treatment paradigms. Moreover, next-generation ablation devices, AI-driven imaging solutions, and precision-based oncological interventions are revolutionizing this domain, making treatments more effective and accessible.

With projections estimating the interventional oncology market to surpass USD 7.5 billion by 2032, lucrative opportunities exist for medical device manufacturers, biotech firms, and healthcare providers. Strategic collaborations, regulatory advancements, and sustained investments in oncology innovation are poised to further accelerate growth in this transformative field.

Request Sample Report PDF (including TOC, Graphs & Tables): https://www.statsandresearch.com/request-sample/40647-global-interventional-oncology-market

Interventional Oncology Market Dynamics:

Interventional Oncology Market Growth Drivers

Increasing Cancer Incidence: The rising burden of cancer worldwide necessitates advanced interventional oncology solutions, particularly for liver, lung, kidney, and bone malignancies.

Minimally Invasive Procedures: The shift toward non-surgical cancer treatments is driven by reduced recovery time, lower procedural risks, and improved patient outcomes.

Technological Innovations: Developments in radiofrequency ablation (RFA), microwave ablation (MWA), cryoablation, transarterial chemoembolization (TACE), and radioembolization (Y-90 therapy) are boosting market adoption.

Favorable Reimbursement Policies: Governments and private insurers are expanding coverage for interventional oncology procedures, increasing patient accessibility.

Integration of AI and Robotics: AI-assisted imaging and robotic intervention systems are enhancing precision, efficiency, and treatment outcomes.

Get up to 30%-40% Discount: https://www.statsandresearch.com/check-discount/40647-global-interventional-oncology-market

Interventional Oncology Market Challenges

Regulatory Compliance: Stringent approvals from FDA, EMA, and CE Mark create barriers for new entrants and prolong the commercialization process.

High Procedural Costs: The expense associated with interventional oncology devices and treatments may limit adoption, particularly in low-income regions.

Limited Awareness: In developing markets, lack of knowledge among both patients and physicians regarding advanced oncology interventions hampers growth.

Skilled Workforce Requirement: The execution of these procedures necessitates highly trained interventional radiologists, restricting adoption in areas with limited specialists.

Emerging Trends in Interventional Oncology

1. AI and Machine Learning in Imaging

The incorporation of AI-driven imaging solutions facilitates real-time tumor detection, automated lesion segmentation, and enhanced decision-making, leading to improved precision in interventional procedures.

2. Nanotechnology in Drug Delivery

Advanced nanoparticle-based drug delivery systems are enhancing the efficacy of chemoembolization and localized tumor treatment while minimizing systemic side effects.

3. Biodegradable Embolic Agents

Biodegradable materials for embolization, such as drug-eluting beads (DEB) and radiopharmaceutical embolic agents, are gaining traction due to their effectiveness in localized cancer treatment.

4. Expansion of Ambulatory Surgical Centers (ASCs)

The increasing shift of oncology procedures to ASCs is reducing hospital stays, lowering treatment costs, and enhancing patient convenience.

Interventional Oncology Market Segmentation Analysis

By Product Type

Ablation Devices: Leading segment, holding over 45.7% of the interventional oncology market in 2024 due to advancements in RFA, MWA, and cryoablation.

Embolization Devices: Expected to grow at a CAGR of 8.2% through 2032, driven by the adoption of TACE, Y-90 radioembolization, and DEBs.

Support Devices: Includes catheters, guidewires, balloons, and navigation technologies enhancing precision in interventional procedures.

By Procedure Type

Ablation Procedures: Dominant category, representing 48.3% of the market, with increasing demand for thermal and non-thermal ablation techniques.

Embolization Procedures: Witnessing significant growth, particularly for liver, kidney, and lung cancer treatment.

Radionuclide Therapy: Expected to grow at 7.8% CAGR, driven by Y-90 and Lu-177-based targeted radionuclide treatments.

By Cancer Type

Liver Cancer: Largest segment (37.6% interventional oncology market share) due to widespread adoption of TACE, radioembolization, and ablation techniques.

Lung Cancer: Fastest-growing segment (7.9% CAGR), driven by increasing cases of NSCLC and bronchoscopic interventional treatments.

Prostate & Breast Cancer: Gaining traction with innovations in focal ablation therapies and minimally invasive interventions.

By End-User

Hospitals: Largest market share (60.4%), as oncology centers and tertiary care hospitals dominate procedural volumes.

Ambulatory Surgical Centers (ASCs): Expected to grow at 7.6% CAGR, owing to the rise in cost-effective, outpatient interventional oncology treatments.

Specialty Clinics & Research Institutions: Playing a critical role in clinical trials, novel therapeutic research, and oncology device development.

By Region

North America: Dominant market (42.3% share), driven by high healthcare expenditure, strong regulatory frameworks, and cancer research initiatives.

Asia-Pacific: Fastest-growing region (8.5% CAGR), with increasing medical investments and rising cancer prevalence in China, India, and Japan.

Europe: Witnessing sustained growth due to regulatory standardization, advanced oncology infrastructure, and rising adoption of minimally invasive procedures.

Competitive Landscape

The interventional oncology market is highly competitive, with key players focusing on mergers, acquisitions, and technological advancements to enhance their market position. Major companies include:

Medtronic plc

Boston Scientific Corporation

Johnson & Johnson (Ethicon)

Baxter International Inc.

Cook Medical

C.R. Bard Inc.

Stryker Corporation

B. Braun Melsungen AG

Terumo Corporation

Sirtex Medical

Siemens Healthineers

GE Healthcare

Recent Developments

March 2024: Boston Scientific acquired a leading ablation technology firm, strengthening its MWA and RFA portfolio.

April 2024: Sirtex Medical launched an advanced Y-90 radioembolization platform to enhance liver cancer treatment precision.

June 2024: Terumo Corporation introduced a next-generation drug-eluting embolic microsphere for optimized TACE procedures.

Purchase Exclusive Report: https://www.statsandresearch.com/enquire-before/40647-global-interventional-oncology-market

Future Outlook

The interventional oncology market is poised for transformative growth, with advancements in radiofrequency ablation, transarterial chemoembolization, and AI-assisted oncology interventions leading the way. As global healthcare investment in oncology rises, new opportunities emerge in nanotechnology-driven drug delivery, AI-enhanced procedural planning, and bioabsorbable embolic agents.

With the demand for minimally invasive, image-guided cancer treatments increasing, the industry is set to revolutionize oncological care, making precision medicine the future of cancer treatment.

Our Services:

On-Demand Reports: https://www.statsandresearch.com/on-demand-reports

Subscription Plans: https://www.statsandresearch.com/subscription-plans

Consulting Services: https://www.statsandresearch.com/consulting-services

ESG Solutions: https://www.statsandresearch.com/esg-solutions

Contact Us:

Stats and Research

Email: sales@statsandresearch.com

Phone: +91 8530698844Website: https://www.statsandresearch.com

[market-trends-bykr]

North America Dominates Global Radiotherapy Market with Advanced Adoption

Radiotherapy Market Forecast to Surpass USD 17 Billion by 2031

The Radiotherapy Market is projected to grow from approximately USD 12 billion in 2024 to over USD 17 billion by 2031, registering a compound annual growth rate (CAGR) of 6.2%. This growth is largely driven by increasing cancer incidence worldwide, significant advancements in treatment technologies, and infrastructure investments by governments and healthcare providers.

Radiotherapy is a core component in the treatment of cancer, with more than 50% of all cancer patients receiving some form of radiation therapy during their treatment. The market is expanding with the adoption of advanced techniques including Intensity-Modulated Radiotherapy (IMRT), Stereotactic Body Radiotherapy (SBRT), Image-Guided Radiotherapy (IGRT), and Proton Therapy.

 To Get Free Sample Report :    https://www.datamintelligence.com/download-sample/radiotherapy-market 

Market Growth Drivers

Rising Global Cancer Burden The increasing prevalence of cancer particularly lung, breast, prostate, and colorectal cancers has led to higher demand for radiation-based treatment. This trend is seen across high-income and developing nations alike.

Technological Innovation in Radiation Therapy The market is witnessing major breakthroughs in precision, automation, and patient targeting. New-generation linear accelerators (LINACs), robotic systems, and real-time tumor tracking are transforming patient outcomes.

Healthcare Infrastructure Expansion Public and private investments are fueling the construction of specialized oncology centers, especially in emerging economies. Governments are prioritizing cancer treatment through national plans and public-private partnerships.

Growing Access in Emerging Markets Regions such as Asia-Pacific, Latin America, and parts of Africa are significantly increasing their radiotherapy equipment base. As awareness rises, treatment capacity is improving in rural and semi-urban areas.

Integration of AI and Robotics Artificial intelligence is increasingly being used in treatment planning and delivery, offering faster workflows, better contouring, and greater personalization. Robotic systems improve accuracy in tumor targeting.

Regional Market Insights

North America Holds the largest global share due to high cancer prevalence, well-established treatment centers, and early adoption of proton therapy and robotic systems. The U.S. remains the single largest contributor to global revenues.

Europe Continues to see steady growth, particularly in Germany, the UK, France, and Nordic countries. EU healthcare policies, aging populations, and R&D funding support further adoption of radiotherapy solutions.

Asia-Pacific Projected to be the fastest-growing region with a CAGR of nearly 7.8% through 2031. Countries like China, India, Japan, and South Korea are rapidly expanding oncology networks and adopting LINAC and proton systems.

Latin America & Middle East/Africa Radiotherapy infrastructure is growing due to rising demand, international collaborations, and improved public health funding. However, access and affordability remain uneven across regions.

Market Segmentation Overview

By Technology: External Beam Radiotherapy (LINACs), Internal Radiotherapy (Brachytherapy), and Proton Therapy.

By Component: Equipment, Software, and Services.

By Application: Prostate cancer, Breast cancer, Lung cancer, Head and Neck cancer, Others.

By End-User: Hospitals, Oncology Clinics, and Ambulatory Radiotherapy Centers.

Market Challenges

High Capital Costs Acquiring and maintaining advanced radiotherapy equipment like LINACs or proton beam systems requires substantial investment, which can limit adoption in low-resource settings.

Shortage of Skilled Personnel Qualified radiologists, physicists, and radiation therapists are in short supply in many regions, affecting the quality and scalability of services.

Inconsistent Reimbursement Policies Limited or partial insurance coverage for radiation therapy remains a challenge in some markets, particularly in middle-income countries.

Regulatory and Safety Constraints Radiation-based therapies are subject to strict safety and regulatory oversight. Adherence to compliance, training, and machine calibration standards is crucial and resource-intensive.

Emerging Trends and Opportunities

Proton Therapy Expansion Though currently limited to developed regions, proton therapy centers are expected to increase worldwide as costs decrease and clinical benefits become more evident.

Mobile and Modular Radiotherapy Units Innovative modular systems and mobile LINAC units are enabling treatment delivery in rural and underserved regions, overcoming geographic access barriers.

Adaptive and Personalized Radiotherapy Advances in imaging and data analytics are allowing real-time adaptation of radiation plans to individual patient responses enhancing efficacy and safety.

Combination Therapies Radiotherapy is increasingly being combined with chemotherapy, immunotherapy, and molecular targeted drugs, creating new treatment protocols that require integrated systems.

Get the Demo Full Report : https://www.datamintelligence.com/enquiry/radiotherapy-market

Key Players and Competitive Landscape

Major global players in the radiotherapy market include:

Varian Medical Systems (a Siemens Healthineers company)

Elekta AB

Accuray Incorporated

IBA (Ion Beam Applications)

Mevion Medical Systems

RefleXion Medical

Brainlab

Hitachi Ltd.

ViewRay Inc.

Mitsubishi Electric Corporation

These companies focus on product innovation, global expansion, training solutions, and integrated software platforms for treatment planning and delivery.

Conclusion

The global radiotherapy market is set to experience significant growth through 2031, driven by increased cancer incidence, growing healthcare infrastructure, and advancements in precision radiation delivery. As adoption increases across both developed and emerging economies, the market is being transformed by innovations in AI, robotics, mobile solutions, and personalized oncology. While challenges such as cost and access remain, opportunities in technology, partnerships, and service expansion offer a promising future for providers and patients alike.

[meditechinsight01]

Global Image-Guided Therapy Systems Market Set to Grow at 5% CAGR From Rising Surgeries by 2030

The image-guided therapy systems market is projected to grow at a CAGR of ~5% over the forecast period. Major factors driving the growth include the rising prevalence of chronic diseases, technological advancements in imaging and therapy systems, growing demand for minimally invasive procedures, rising geriatric population, expanding application of image-guided therapy in various medical fields, and integration of AI, robotics, and augmented reality (AR) into image-guided surgeries.

Image-guided therapy systems leverage medical imaging to assist in surgical procedures and therapeutic interventions, offering precise visualization and navigation. These advanced systems enable healthcare professionals to accurately target diseased tissues, guide surgical instruments, and enhance treatment outcomes, all while minimizing damage to surrounding healthy structures. Utilizing imaging modalities such as X-rays, CT scans, MRI, and ultrasound, these systems provide access to areas that previously required more invasive techniques. By facilitating minimally invasive procedures, image-guided therapy contributes to shorter hospital stays, reduced recovery times, and fewer repeated interventions, ultimately improving patient care and surgical efficiency.

Download a free sample report now 👉 https://meditechinsights.com/image-guided-therapy-systems-market/request-sample/

Expanding applications of image-guided therapy systems in different medical specialties fuel its demand

Image-guided therapy has found applications in various medical specialties, revolutionizing the way healthcare is delivered. Some of the key areas where these advanced systems are widely utilized include:

Interventional Radiology: Real-time imaging enables minimally invasive procedures to treat conditions such as liver cancer, uterine fibroids, and vascular diseases. By guiding catheters and other instruments with precision, image-guided techniques reduce recovery times and improve patient outcomes.

Cardiology: Image-guided therapy systems are essential for precise cardiac interventions, allowing for enhanced accuracy in procedures like angioplasty, stenting, and heart valve repair. These technologies help optimize treatment effectiveness while minimizing risks.

Neurosurgery: The integration of imaging in neurosurgical procedures allows surgeons to navigate intricate brain structures with exceptional precision. Image-guided therapy is widely used for tumor removal, epilepsy surgery, and deep brain stimulation (DBS), improving both safety and surgical success rates.

Orthopedics: In orthopedic surgery, image-guided therapy assists in procedures such as joint replacements, spinal surgeries, and fracture repairs. Real-time imaging enhances visualization and guidance, leading to improved accuracy and better patient outcomes.

With continuous advancements in AI, robotics, and augmented reality (AR), image-guided therapy is expanding into even more medical specialties, further transforming the way healthcare is delivered.

Growing demand for minimally invasive procedures drives market growth

Over the years, image-guided therapy (IGT) systems have transformed the way medical procedures are performed, shifting from traditional open surgeries characterized by larger incisions and prolonged recovery times to minimally invasive techniques. The introduction of advanced imaging technologies, such as X-rays, CT scans, MRI, and ultrasound, has enabled surgeons to perform procedures with greater precision, reduce trauma, and improve patient outcomes. The growing preference for less invasive treatments is driven by benefits like reduced pain, shorter recovery times, lower risk of complications, and minimal scarring.

Image-guided therapy systems play a crucial role in achieving real-time visualization, precise targeting, and enhanced accuracy across multiple medical specialties, including interventional radiology, cardiology, neurosurgery, and orthopedics. As the global healthcare industry continues to prioritize minimally invasive techniques, the demand for cutting-edge image-guided therapy systems is expected to grow, fueling significant market expansion.

Competitive Landscape Analysis

The global image-guided therapy systems market is marked by the presence of established and emerging market players such as Koninklijke Philips N.V.; Medtronic; Siemens Healthineers; Analogic Corporation; GE Healthcare; Varian Medical Systems, Inc.; Brainlab AG; Olympus Corporation; Stryker; Canon Medical Systems Corporation; and Hitachi Medical Corporation; among others. Some of the key strategies adopted by market players include new product development, strategic partnerships and collaborations, and investments.

Download a sample report for in-depth competitive insights https://meditechinsights.com/image-guided-therapy-systems-market/request-sample/

Global Image-guided Therapy Systems Market Segmentation

This report by Medi-Tech Insights provides the size of the global image-guided therapy systems market at the regional- and country level from 2023 to 2030. The report further segments the market based on product, application, and end user.

Market Size & Forecast (2023-2030), By Product, USD Million

Magnetic Resonance Imaging (MRI)

Ultrasound Imaging Systems

Computed Tomography (CT) Scanners

Endoscopes

X-ray Fluoroscopy

Positron Emission Tomography (PET)

Single Photon Emission Computed Tomography (SPECT)

Others

Market Size & Forecast (2023-2030), By Application, USD Million

Cardiac Surgery

Orthopedic Surgery

Gastroenterology

Urology

Oncology Surgery

Neurosurgery

Others

Market Size & Forecast (2023-2030), By End User, USD Million

Hospitals

Specialty Clinics

Ambulatory Surgical Centers

Research & Academic Institutions

Market Size & Forecast (2023-2030), By Region, USD Million

North America

US

Canada

Europe

UK

Germany

France

Italy

Spain

Rest of Europe

Asia Pacific

China

India

Japan

Rest of Asia Pacific

Latin America

Middle East & Africa

About Medi-Tech Insights

Medi-Tech Insights is a healthcare-focused business research & insights firm. Our clients include Fortune 500 companies, blue-chip investors & hyper-growth start-ups. We have completed 100+ projects in Digital Health, Healthcare IT, Medical Technology, Medical Devices & Pharma Services in the areas of market assessments, due diligence, competitive intelligence, market sizing and forecasting, pricing analysis & go-to-market strategy. Our methodology includes rigorous secondary research combined with deep-dive interviews with industry-leading CXO, VPs, and key demand/supply side decision-makers.

Contact:

Ruta Halde  Associate, Medi-Tech Insights  +32 498 86 80 79  info@meditechinsights.com 

[omshinde5145]

Image-guided Radiation Therapy (IGRT) Market Share, Sales Channels and Overview Till 2030

The Image-guided Radiation Therapy (IGRT) Market is expected to grow from USD 1.7 billion in 2023-e to USD 2.4 billion by 2030, at a CAGR of 5.3% during the forecast period. Image-Guided Radiation Therapy (IGRT) is an advanced form of radiation therapy that uses imaging techniques to precisely target cancer cells. The image-guided radiation therapy (IGRT) market is expected to grow significantly due to the ability of IGRT to deliver precise doses at the site of action and improve patient outcomes with reduced time of therapy. The accuracy of radiation therapy is increased when cutting-edge imaging technologies are incorporated into the treatment plan. This is especially crucial when treating tumors in motion-prone areas such as the prostate or lungs that are close to important structures.

IGRT is a medical procedure used in radiation oncology to target malignant tumors with therapeutic radiation with the least amount of damage to the surrounding healthy tissues. The integration of imaging technologies with the planning and delivery of radiation therapy treatment is the fundamental component of IGRT. This guarantees that, even in cases where the tumor position varies as a result of factors such as organ motion, anatomical changes in the patient, or respiratory motion, the radiation is precisely targeted to the tumor.

Download a Sample Copy of This Report- https://intentmarketresearch.com/request-sample/image-guided-radiation-therapy-market-3030.html

The IGRT market is influenced by several key factors:

Technological Advancements:

Continuous innovation in imaging and radiation delivery systems is driving the IGRT market forward. Enhanced imaging techniques, such as cone-beam CT, MRI, and PET scans, are enabling more precise tumor localization and treatment planning.

Integration of artificial intelligence (AI) and machine learning (ML) in IGRT systems is further optimizing treatment accuracy and efficiency. AI-powered algorithms can predict tumor movements and adjust radiation doses in real-time, ensuring optimal treatment outcomes.

Rising Cancer Prevalence:

The global burden of cancer is increasing, with millions of new cases diagnosed each year. This rise in cancer incidence is fueling the demand for advanced treatment options like IGRT.

According to the World Health Organization (WHO), the global cancer burden is expected to reach 27.5 million new cases by 2040. This surge underscores the critical need for effective and precise treatments, making IGRT a vital component of modern oncology.

Increased Healthcare Spending:

Governments and healthcare organizations are investing heavily in advanced medical technologies to improve cancer care. This increased funding is facilitating the adoption of IGRT systems in hospitals and cancer treatment centers worldwide.

Public and private healthcare insurers are recognizing the long-term benefits of IGRT in terms of improved patient outcomes and reduced healthcare costs, leading to broader reimbursement policies and greater accessibility.

Growing Awareness and Acceptance:

Awareness campaigns and educational initiatives are highlighting the benefits of IGRT among patients and healthcare providers. As more people become informed about the advantages of this technology, the demand for IGRT is steadily rising.

Professional organizations and regulatory bodies are endorsing IGRT as a standard practice in radiation therapy, further driving its adoption.

Market Segmentation

The IGRT market can be segmented based on technology, application, end-user, and region:

Technology:

Cone-Beam Computed Tomography (CBCT)

Electronic Portal Imaging Devices (EPID)

MRI-guided Radiation Therapy

Positron Emission Tomography (PET)

Application:

Lung Cancer

Prostate Cancer

Breast Cancer

Head and Neck Cancer

Others

End-User:

Hospitals

Ambulatory Radiotherapy Centers

Cancer Research Institutes

Region:

North America

Europe

Asia-Pacific

Latin America

Middle East & Africa

Get Customization on this Report: https://intentmarketresearch.com/ask-for-customization/image-guided-radiation-therapy-market-3030.html

Future Prospects

The future of the IGRT market looks promising, driven by ongoing research and development, technological innovations, and increasing adoption of precision medicine. Key trends to watch in the coming years include:

Advancements in Imaging Technology:

Continuous improvements in imaging modalities will enhance the accuracy and efficacy of IGRT. High-resolution imaging and real-time monitoring will become more sophisticated, allowing for even more precise targeting of tumors.

Integration of AI and ML:

The integration of AI and ML will revolutionize IGRT by enabling adaptive radiation therapy. AI algorithms will predict tumor responses, adjust treatment plans dynamically, and minimize radiation exposure to healthy tissues.

Personalized Cancer Treatment:

Precision medicine will play a crucial role in IGRT, tailoring treatments to individual patients based on genetic profiles, tumor characteristics, and treatment responses. This personalized approach will improve treatment outcomes and reduce side effects.

Global Expansion:

The IGRT market will expand globally, with emerging economies adopting advanced cancer treatment technologies. Increased healthcare infrastructure and government support will drive market growth in regions like Asia-Pacific and Latin America.

Conclusion

Image-Guided Radiation Therapy (IGRT) represents a significant leap forward in cancer treatment, offering unparalleled precision and effectiveness. The IGRT market is poised for substantial growth, driven by technological advancements, rising cancer prevalence, increased healthcare spending, and growing awareness. As we look to the future, continued innovation and integration of cutting-edge technologies will further enhance the capabilities of IGRT, ultimately transforming the landscape of cancer care and improving the lives of countless patients worldwide.

[probablyasocialecologist]

A comprehensive new report commissioned by the Utah Department of Health and Human Services provides one of the most detailed and exhaustive assessments to date on the medical safety, effectiveness, and long-term outcomes of gender-affirming care for transgender and nonbinary youth. And despite recent political rhetoric suggesting otherwise, the findings are clear: gender-affirming medical treatment, when guided by evidence-based protocols, helps transgender adolescents thrive. The report “Gender-Affirming Medical Treatments for Pediatric Patients with Gender Dysphoria” was produced by the University of Utah’s College of Pharmacy Drug Regimen Review Center and submitted to the state in August 2024. It arrives in the wake of Utah’s controversial Senate Bill 16, which placed a moratorium on gender-affirming medical care for minors and tasked health officials with conducting a review to determine whether the ban should remain in place. Rather than validating the restrictions, the 900-page report systematically debunks the narrative that these treatments are experimental or dangerous. Instead, it affirms what many healthcare professionals, families, and transgender individuals already know from lived experience: that access to gender-affirming hormone therapy and puberty blockers reduces psychological distress, improves quality of life, and is supported by decades of research. The Utah report is among the most thorough reviews conducted by a state agency. It draws on more than 270 clinical studies from the U.S., Canada, the Netherlands, Australia, and Europe, spanning observational studies, randomized controlled trials, and long-term descriptive research. These studies examined the mental and physical health outcomes of transgender youth who underwent gender-affirming medical care, including puberty blockers (GnRH analogs), cross-sex hormones (testosterone or estrogen), and related medications. Key findings include: Significant mental health improvement in adolescents undergoing gender-affirming care, including reductions in depression, anxiety, suicidality, and eating disorders. Improved quality of life and self-image reported by TGNB youth after starting hormone therapy. Low rates of regret or treatment discontinuation, especially when care is delivered through comprehensive, multidisciplinary teams. No serious long-term health risks found in monitored populations receiving hormone therapy, including studies with follow-ups as long as 40 years. The authors conclude that there is more evidence supporting gender-affirming care than there is for many high-risk new drugs approved for children in the U.S., including recent gene therapies.

23 May 2025

[astrologydray]

Ruler of the 10th through the houses

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

the ruler of the 10th house through the houses reveals how you chase success, legacy, visibility, and your “big life purpose.”So when we trace the ruler of your 10th house, we see how and where you rise — your path to becoming known, respected, and remembered.

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 1st House

You are the brand.

Your identity and presence are your career. You’re meant to be seen, known, and admired for being authentically you. People naturally look to you as a leader. Public image: Confident, bold, self-made. Career calling: Personal branding, influencer, leadership. “My name is my legacy.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 2nd House

You build your legacy through value.

Your work is tied to money, security, and your self-worth. You’re meant to create something lasting and profitable — whether through art, business, or slow, solid success. Public image: Reliable, successful, grounded. Career calling: Entrepreneurship, beauty, finance, resources. “I earn my legacy.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 3rd House

Your voice is your path.

You’re known for how you speak, write, or connect. You may find success through content creation, teaching, writing, media, or tech. Movement, flexibility, and messaging are key. Public image: Clever, informed, articulate. Career calling: Writing, communications, marketing, social media. “My message is my mission.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 4th House

You rise from your roots.

Your legacy is built from your past, family, or emotional story. You may be known for healing, nurturing, real estate, or helping others feel safe. You want to be known and deeply grounded. Public image: Empathic, homey, deep. Career calling: Counseling, healing, home-based work, heritage work.“My past shaped my purpose.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 5th House

You shine through creativity.

You’re known for your art, presence, charisma, or performance. You may gain recognition through entertainment, children’s work, design, or self-expression. Public image: Charismatic, magnetic, artistic. Career calling: Acting, fashion, content, teaching youth, love + art. “I create my legacy with flair.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 6th House

You rise through service.

Your work may feel humble — but it’s sacred. You’re recognized for being reliable, helpful, organized, or health-conscious. You may work in wellness, routines, or healing fields. Public image: Helpful, hardworking, healing Career calling: Medicine, therapy, systems, admin, animal care. “I serve my purpose daily.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 7th House

You’re known through your relationships.

You may be seen publicly with a partner, or your career may involve clients, law, beauty, or partnerships. You’re here to collaborate and be seen as a fair leader. Public image: Diplomatic, beautiful, relationship-focused. Career calling: Law, counseling, PR, design, client-based success. “We rise together.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 8th House

You rise from the shadows.

You’re known for transformation — healing, mystery, power, taboo topics. You may work with money, sexuality, trauma, or deep emotional truths. You’re a secret weapon. Public image: Intense, mysterious, powerful. Career calling: Psychology, finance, spiritual work, sex ed, alchemy. “My legacy is rebirth.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 9th House

You’re known for your wisdom.

You gain recognition through teaching, travel, philosophy, or spirituality. People see you as a guide, mentor, or someone with a visionary mind. You’re here to expand consciousness. Public image: Worldly, inspiring, intelligent. Career calling: Teaching, publishing, law, religion, coaching. “I lead through truth.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 10th House

Boss energy on 100.

You were born to be seen, respected, and in charge. You’re clear on your path and probably rise early in life. Your authority is part of your soul contract. Public image: Professional, respected, unstoppable. Career calling: CEO, leader, public figure, status-based roles. “Legacy is my birthright.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 11th House

You rise with the people.

Your success comes through community, tech, activism, or online spaces. You’re a changemaker, futurist, or innovator who’s meant to impact the collective. Public image: Visionary, rebellious, forward-thinking. Career calling: Tech, media, social work, entrepreneurship, online fame. “I rise when I lift others.”

⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️

10th House Ruler in the 12th House

Your purpose is sacred + spiritual.

You may work behind the scenes, in healing arts, film, or with vulnerable populations. Your legacy is dreamy, ethereal, and emotionally rich — not always tied to status or fame. Public image: Mystical, poetic, soulful. Career calling: Music, healing, nonprofits, spiritual work, film. “My purpose lives in the unseen.”

[cyberclouddream]

The Sun through the Houses

The Sun represents what motivates us and how we want to be recognized. It’s also tied to paternal influences, consequences from the past, our ability to command respect, and how we replenish energy levels.

Sun in the 1st House:

- often naturally attract followers or admirers due to their commanding presence

- have a good understanding of their personal goals

- may be deeply involved in physical health or activities

- may feel called to follow the same path as a paternal figure

- desire to leave a mark in the world can result in activism or social movements

- may suffer from identity crisis because of expectations

Sun in the 2nd House:

- fixated on [ and creative at ] making money and accumulating possessions

- have strong personal values that guide their choices

- feel pressure to meet family financial expectations

- may secretly crave more meaning then wealth

- hoarding behaviors

Sun in the 3rd House:

- can be a good public speaker, writer, or journalist

- attract sibling rivalry or support

- often feel drawn to engage in their community

- often derive their self-worth from being seen as knowledgeable or articulate

- obsessed with how they’re perceived in conversation

- often feel restless or dissatisfied

Sun in the 4th House:

- their life seems to revolve around family matters more than anything

- family matters seem to be full of drama

- deeply tied to their heritage, or traumatic past

- may be a real estate junkie

- emotional rollercoaster that stems from childhood trauma

- lots of pressure from parents or family expectations

Sun in the 5th House:

- often crave the spotlight when it comes their talents

- love experiencing romantic affairs, especially dramatic and fantastical ones

- childlike spirit

- challenges with how they’re perceived in parenthood

- their ego is tied to their hobbies

- come off attention-seeking

Sun in the 6th House:

- type to arrive first and leave last for work

- may go overboard on diets and health regimens

- taken for granted for being too focused on helping others

- perfectionist tendencies

- power struggles with bosses or colleagues

- hypochondriac or health anxieties

Sun in the 7th House:

- tie their worth to their relationships; dependency issues

- may attract partners who are passionate but prone to conflict

- have strong negotiation skills

- strong focus on marriage and commitments, with potential for idealizing and romanticizing

- partners can shape how others perceive you

- may struggle with committing due to fear of losing independence

Sun in the 8th House:

- drawn to situations that challenge your limits

- fascination with mysteries, the occult, or taboo topics

- drawn to power struggles in relationships

- inheritances, shared resources, or joint finances play a significant role in their life

- obsessive tendencies

- potential to be good at healing others through deep emotional work, like therapy

Sun in the 9th House:

- obsessed with introspection and learning, like diving into philosophy and spirituality

- addicted to traveling; romanticize adventure

- self-proclaimed guru with stubborn beliefs

- attract people from different cultures

- chronic dissatisfaction

- get caught up in superficial aspects of spirituality

Sun in the 10th House:

- obsessed with career and public image

- crave validation and recognition for achievements

- often feel overshadowed or overly rebellious when it comes to authority figures

- may feel imposter syndrome

- pressure to succeed can cause paralyzing fear

- workaholic tendencies

- relationships can struggle because too focused on professional goals

Sun in the 11th House:

- thrive best in friendships and social connections, often using them to achieve goals

- may have unrealistic ideas when it comes to aspirations, causes, and friendships

- self-worth is tied to feeling accepted and received by social circles

- friendships over family

- network over authenticity; tend to groupthink

Sun in the 12th House:

- true self often feels buried or misunderstood

- strong inclination towards introspection, preferring solitary activities like writing or meditation

- drawn to spirituality and mysteries of life

- opportunities often slip because they feel like they don’t deserve them

- may be very sensitive to the emotional presence of others

- may often feel creative blocks

- escape reality through daydreaming

[tikitakatia]

Fixer Upper — A. Putellas x Reader

"Couples Therapy"

WC: 1.4k

Summary: Alexia´s invited you to attend an impromptu therapy session that´s meant to help bring you closer together, much to your chagrin.

You should’ve known something was off when Alexia insisted on being early.

She’s never early for anything. Not brunch, not birthdays, not even her own surprise party, which she managed to be twenty minutes late for. The only time she runs on schedule is when she’s getting paid for it. So when she’s already dressed, keys in hand, and bouncing on the balls of her feet fifteen minutes before you’re supposed to leave, your internal alarm bells start softly ringing.

“We’re gonna be late,” she says.

You glance at your phone. “It starts in thirty minutes.”

“Exactly. What if there’s paperwork?”

“You hate paperwork.”

She just grins that stupid grin. The one she gets before she does something outrageous and claims it’s romantic. You eye her warily but still let her drag you out the door, because you’re a fool.

The office is in a coworking space downtown. It has exposed brick, too many succulents, and a suspiciously cheerful front desk attendant who offers you organic mints from a jar labeled "for emotional clarity."

The waiting room is... unconventional. No couch, no fidget toys, just scattered bean bags, color-changing LED lights, and a TV screen looping stock footage of couples doing yoga. You sit and wait, but as the seconds pass, you start to feel the creeping edge of concern.

“Is this a tech startup or a therapy office?” you mutter.

“Babe. Chill. It’s probably a modern approach or something.” Alexia’s already opened her complimentary LaCroix.

Before you can ask what that even means, a woman with aggressively symmetrical eyebrows and a t-shirt that says “LOVE IS A JOURNEY, LET US BE YOUR GPS” steps into the room.

“Hi! I’m Maya 😊” she says, the smiley face emoji somehow audible in her tone.

“Thanks for joining our guided couples session. If you’ll follow me, we’ll begin with a light partner diagnostic and then a few reflection prompts in the group circle.”

You blink. “Partner diagnostic?”

Alexia pats your leg. “See? Modern.”

You follow Maya into a room filled with more bean bags, a couple of ring lights, and a half-circle of already-seated couples. You take your seats. You try to stay open-minded and remind yourself that you agreed to this.

“Okay,” Maya says, clapping once.

“Before we begin, just a quick heads-up that we’ll be exploring five core compatibility questions designed to help you reflect and deepen your bond. This is a judgment-free zone, so feel free to be honest and vulnerable. Or silly! We love silly geese here!”

You watch as one couple high-fives. Another is wearing matching sweatshirts that say “Love is a Verb.” You suppress a shudder.

The first prompt comes with no warning.

“So! What’s one habit your partner has that drives you a little bit crazy but is also kind of endearing?”

You look at Alexia. Alexia is already smiling.

“She growls at her phone when she’s annoyed,” she says, without missing a beat.

“Like a little thundercloud trying to send emails.”

You stare. “I do not.”

“She does. It’s like grrrrr, but about as threatening as a pomeranian.”

“I swear to God, Alexia.”

Maya beams. “That’s such a vivid image! Okay, your turn.”

You cross your arms. “She steals my food.”

Alexia gasps, offended. “I protect you from health scares.”

“No, you order some healthy shit, decide that you don't like it, and then eat half my fries.”

“But amor, I love you.. And your fries.”

You glance around and see other couples who are nodding and laughing like this is all very charming. One woman is crying into a man’s shoulder about how she finally feels seen. You’re starting to feel... deeply unwell.

Maya claps again. “Let’s move on to the next reflection. Imagine your partner’s had a hard day. How do you support them?”

Before you can answer, Alexia grips your hands dramatically.

“Babe,” she says. “You’ve had such a long day being mean and scary. Do you want me to run you a bath or hide your laptop?”

“I will destroy every LaCroix in this building.” You hiss under your breath.

“She’s really opening up today.” She turns to the group.

You grind your teeth so hard your jaw pops.

“We love that emotional safety.” Maya nods solemnly.

The third question hits like a sideswipe: “If your relationship were a team sport, what would your roles be?”

Alexia lights up. “Well football of course! I’m still the midfielder. She’s defense. No one gets past her. Or speaks to her. Or makes eye contact.”

“I’m filing for free agency.” You deadpan.

A man across the circle pipes up, “My wife’s the goalie. She blocks all my bad ideas.”

You glance at him. He’s wearing socks with hotdogs on them and a fanny pack. You make a mental note to investigate further.

“Let’s keep the good vibes going,” Maya trills. “If your partner were a dessert, what would they be and why?”

You nearly choke. “How is that therapy?”

Alexia doesn’t miss a beat. “She’s a molten lava cake. Looks intense. Bad for your health. But if you wait it out... gooey on the inside.”

“You’re deranged.” You say as you stare her down.

“I’m romantic.”

You glance around again. One couple is whispering into a shared AirPod. Another has been feeding each other dried mango slices like birds. You feel like you’re trapped in a quack health influencer’s fever dream.

By the time Maya announces the final question, you’re already halfway to existential collapse.

“What’s something your partner doesn’t know you appreciate about them?”

You look at Alexia. And you know you could make a cutting joke. You want to. But instead, your mouth says something soft.

“She makes everything fun. Even when I don’t want it to be.”

Alexia blinks.

You add, “She’s chaos. But she’s mine.”

There’s a collective “awww” from the room. Alexia practically preens.

She says, “I was gonna say your ass. But that works too.”

You rub your eyes with both hands.

Maya beams. “Wonderful reflections, everyone. And just a quick housekeeping note, if you haven’t already, please complete the feedback form in the app so we can send you your 15€ Amazon gift card!”

You freeze.

Your brain hits a wall and reverses.

You glance at Maya. Then at Alexia. Then back at Maya, slower this time.

“Sorry,” you say, like someone testing the edge of a knife. “Did you say... app?”

“MindMatch!” Maya chirps. “Thanks again for being part of our beta testing group. Your responses really help us shape the user experience!”

There’s a faint ringing in your ears. You turn, mechanically, to Alexia.

She is suddenly very interested in the condensation on her LaCroix.

“This,” you say, with the voice of someone holding in a scream, “isn’t therapy.”

“It’s kind of therapy,” she says into her can.

“It’s market research.”

“It’s couples bonding through market research.”

“Alexia.”

She shrugs, not even a little sorry. “We got to talk about our feelings, didn’t we?”

“We got ranked on vulnerability and made to roleplay in front of strangers so someone in a WeWork could optimize user retention.”

“And,” she adds brightly, “we’re getting gift cards.”

“You are a millionaire. Why are you like this?” You ground out.

“I love prizes.”

You squint at her like you’re trying to set her on fire with your eyes. She smiles like she’s already won.

“You tricked me.”

She slides an arm around your waist as you start walking out. “And yet, you said I’m your chaos.”

“I meant that like someone might say that child has a knife.”

She leans on your shoulder. “Still counts.”

You sigh so deeply you feel it in your spine. “I want you to know I’m never trusting you again.”

“Lies.”

“I’m filing for emotional damages.”

“You smiled.”

“Out of shock.”

“You called me your chaos and said I make things fun.”

“I was having a medical episode.”

She stops just outside the building and grins at you. “Come on. It wasn’t that bad.”

You eye her. “I roleplayed a fake meltdown and told strangers about your food theft.”

“And now you’re stronger for it.”

“I hope your next smoothie explodes.”

She’s still grinning. “Wanna get dinner? I’ll let you order fries.”

“You’ll steal them.”

“Just a few. For bonding.”

You shake your head.

And you really do hate it, how easily she wins. How quickly she turns a disaster into something weirdly warm. You sigh again.

But your mouth betrays you and twitches up at the corners.

Because she may have lured you into a glorified dating app workshop disguised as therapy, and you may never recover from the secondhand embarrassment of being called “a thundercloud with trust issues” in public, but she’s yours.

And you’re hers.

And yes, she’s chaos.

But somehow, you're a molten lava cake.

And unfortunately?

She’s got a spoon.

[ladyrosemone]

Open arms

This life is amazing when you greet it with open arms

━━━━━━✧❂✧━━━━━━━━━━━━✧❂✧━━━━━━

LADS x No-Mc

Tw!: Thoughts about attempting to take one's life (superficial but there), reference to depression, reference to therapy.

━━━━━━✧❂✧━━━━━━━━━━━━✧❂✧━━━━━━

The time after a breakup shouldn't hurt this much, but you have the right to feel this way after going through five in a row in the space of half a year.

Eros must hate you, what did you do to him? Did you offend him in some way? Is it because you said Valentine's Day was a day dedicated to compulsive, capitalist buying and selling without any real love? You was kidding! You were younger and wanted to be cool, not because he should curse you like Apollo after mocking your archery skills!

Maybe if you hadn't done that, you wouldn't be in your apartment right now, eating chips and drinking sugary Coke, watching a romantic comedy that's not funny at all, suddenly crying as if your brain wanted to remind you in every scene between the protagonists that you're not experiencing that, that you're the filler character who helped the male lead realize he actually loved the female lead and leave her at the altar on their wedding day. Yes, that specific.

So what now? What's next for the poor extra in her own movie? The one who didn't ask to be the woman in the trial? What's left for her?

You don't believe in destiny, or in happily ever afters that come out of nowhere, or in all that Valentine's Day nonsense (Yes, now it's against you, Eros), but maybe, just maybe…you need a divine sign, something to push you out of the hole you've been hiding in since your last breakup.

…

Of course, nothing would happen, why would it? The universe is just a collection of molecules about to collide and cause another Big Bang at any second—

Ring Ring! Ring Ring!

- Hello? -

- Hey! - Ryan, your dear paramedic friend, whom you've unfairly been avoiding since Zayne admitted to loving someone else - How are you? I heard it didn't work out with that colonel -

There was no need to reply; your silence was the only response you'd been using lately - Look, I have this pass for a hike to Mount Huangshan, all expenses paid, the girls are going too! -

- I don't know, Ryan, I don't feel ready -

- I understand - He sighs - But it's not fair that you rot in your house while the others go off in some kind of…polyamorous relationship, It's not fair! -

- …What about them? - In the background, his friends could be heard scolding him for being so direct, for saying that over a phone call, for saying it in the first place, while the man tries to defend himself, even he sounds remorseful.

- We didn't want you to find out like this - admits a female voice, her friend Minji, the most sentimental of the five, a creative soul who, indirectly, was the one who encouraged her to go out with the artist.

- Come on! It's time to leave your cave! - Yinou's voice chimes in, strong and demanding, a leader who doesn't leave any of her people behind.

- Come on! Please come with us! - chimes in a smaller but no less strong voice. Daiki was the most protective of the five, also the most vocal in his thoughts and a guiding light on their craziest adventures, just like the one you can experience if you decide to go out.

But can you? Leave your nest, your dark but comfortable home, safe from the pain other people can cause you…

- Sorry guys, I…- The television flashes with a colorful commercial, the happy music and vibrant images catching their attention. She's a presenter, a smiling woman who talks about support groups, techniques for leaning on someone when you can't do it alone.

"And remember, if you have to lie to yourself to be happy, you have to get out of there"

Even if it was a generic phrase, a self-help brand slogan, a product being sold with a yellow phone number, those words echoed in your head.

What are you doing? Why are you letting yourself get so down? Why do you give so much weight to the pain? There's a whole world out there! But what if…

No, you shouldn't think like that even if it's the easiest thing to do, you shouldn't believe that even if it's the most comfortable thing to do, you shouldn't give up - Come pick me up first thing in the morning -

The echo of the celebration had never made you feel so happy before.

━━━━━━✧❂✧━━━━━━━━━━━━✧❂✧━━━━━━

Trust the process, you always tell yourself, trust the process.

Accepting that outing was the best decision at the time, the fresh air felt like a respite for your cramped limbs, walking made your muscles remember how to move, you'd even say you enjoyed catching up with your friends, each busy with their own lives and careers who still made room in their schedules to hang out with you.

But when the euphoria wore off, when the trip ended and everyone went their separate ways, you felt that loneliness again, suffocating you until you were breathless, with the thoughts that were once your allies now the most powerful enemies that have tormented you. You don't want the solitude of your apartment, suffocating and tense, like a horror movie playing every minute and every second. The saddest thing is to think that once this place was your sanctuary, your safe place, and now it's nothing more than a memory of things that were.

It shouldn't feel like this. You don't want to feel like this anymore, but you don't know what else to do or where to look…

Unless…no…you won't sink that low, you can do it on your own; but the way it's gone with this, taking it on yourself only makes you sink deeper into a grave you don't want to reach yet. A broken heart really shouldn't feel like this, but it feels like the world is ending, like nothing makes sense anymore and the only way out is the unthinkable.

No! Stop thinking like that! Why do you suddenly think like that?! You're not like that! You're brilliant! Smart and charismatic! You're interesting and feisty! Loyal and caring! Kind and honest! You're so much more than they thought you were worth…! Why do they keep showing up?!

You're tired of feeling like this; helpless, exhausted, and tearful, as if any breeze would knock you down, you hate how it feels, the weakness in your bones and the weight of the world on your shoulders. Seriously, of all the things that could have brought you down, was a bad love the reason? Pathetic.

- You're not pathetic - you find yourself whispering, your subconscious (or maybe conscious) trying one last time to put up a fight -Just tired…-

You should seek help.

━━━━━━✧❂✧━━━━━━━━━━━━✧❂✧━━━━━━

Years ago, you believed in fairy tales.

Obviously for your age, a child who imagined himself flying on dragons and ruling castles that were actually playgrounds. But at the end of the day, you believed in happy endings and in love that triumphs in the end.

But you had to grow up, and when you grow up, you must forget that.

You don't have a tragic story, you weren't a laboratory experiment, or an enchanted princess thief, your parents didn't die in a dramatic accident or anything like that, just one day…you decided to open your eyes, to understand that not everything is like in fairy tales where the righteous always win and the wicked are punished. Life isn't black or white, it's a blurred gray that swings like a coin about to fall, these are lessons you learned like anyone throughout their life. Perhaps what's different about you is that you hide the emotional aftereffects that come with the lesson, good or bad, you repress it inside like someone who keeps jewels in a safe.

It wasn't fair, but it was the cards you were dealt that made those relationships not work out; but if there's one thing you should be clear about now and always, it's that it wasn't your fault they ended this way; no, repeat it in your head, you did enough.

You loved enough, listened enough, cared enough, and now you've suffered enough. Look in the mirror one last time and begin your own relationship with yourself; heal yourself little by little, but return to being that person who shines on their own.

It will take time, a lot of time, but you have the patience and companionship to achieve it. You don't need a partner or a spouse, not right now.

And that's okay; now is the time to heal.

━━━━━━✧❂✧━━━━━━━━━━━━✧❂✧━━━━━━

[kpoplustzone]

Blurred Lines: Therapy and Temptation

This is going to be a very long series with a lot of Idols and actresses from the Korean industry. This is instantly updated for the Diamond Tier and only the first 3 chapters for the other tiers. 

https://ko-fi.com/epiclude/tiers

Dr. Kang Tae-joon, a seemingly normal psychologist, stumbles upon a potent power: the ability to hypnotically sway the desires of others. Soon, his consultations became legendary, leaving clients not just happy, but yearning. His growing fame unexpectedly draws in the glittering world of Korean entertainment, with Mina of TWICE as his first celebrity patient. What she and the stream of A-list idols and actresses who follow don't know is that Dr. Kang’s therapy goes far beyond talk, as he secretly experiments with his power, ready to unlock and command the hidden cravings of Korea's biggest stars, one susceptible mind at a time, turning their public images into private playgrounds of pleasure for his secret desires.

Blurred Lines: Therapy and Temptation - Chapter 1: The Revelation

By all accounts, Dr. Kang Tae-joon was a successful psychologist. He ran a private practice in a trendy district of Seoul, and while he wasn't a household name, his clients generally found his sessions helpful. Tae-joon prided himself on his empathetic listening skills and his ability to guide people to their solutions. He considered himself a rational man, grounded in science and the proven techniques of his profession.

That all started subtly shifting after a strange electrical storm rolled through Seoul one evening. Tae-joon had been working late, the only one left in his quiet office. A particularly violent flash of lightning had illuminated the room, followed by a strange tingling sensation that ran through his body. He’d dismissed it as stress, a lingering effect of a long day.

The first sign that something was different came during his next session with a long-term client, a young actress struggling with anxiety. Tae-joon found himself focusing intently as she spoke, not just on her words, but on an almost palpable undercurrent of longing beneath her nervousness. Without consciously intending to, he’d found himself suggesting, his voice taking on a slightly different cadence, a deeper resonance, “Perhaps… perhaps what you truly desire is to feel completely at ease, to crave the spotlight, to find comfort in the attention.”

The effect had been immediate and startling. The actress’s eyes had glazed over for a moment, her breathing becoming deeper. When she blinked, a serene smile had replaced her usual anxious expression. She’d simply nodded, a sense of profound agreement washing over her. The rest of the session had proceeded with an uncharacteristic calmness and a newfound confidence radiating from her.

Over the next few weeks, similar incidents occurred with other clients. Tae-joon would find himself uttering suggestions, almost instinctively, his voice taking on that strange, compelling quality. His clients, ranging from stressed office workers to struggling artists, all seemed to experience a remarkable shift during their sessions. They left feeling unusually content, their anxieties eased, often expressing a newfound clarity about their desires – desires that seemed to align perfectly with Tae-joon's subtle suggestions.

Word began to spread. Clients raved about Dr. Kang, describing his sessions as “transformative” and “strangely fulfilling.” His practice, once moderately successful, exploded. His waiting list grew exponentially, filled with people eager to experience his unique form of therapy. Soon, whispers about the “miracle doctor” started appearing in online forums and then, inevitably, in the Korean media. Tae-joon found himself the subject of intrigued articles and even a few television segments, his calm demeanor and the glowing testimonials of his clients captivating the public.

Tae-joon himself was both fascinated and slightly disturbed by these developments. He started experimenting in private, focusing his intent, trying to replicate the effects he seemed to be having on his clients. He found that by focusing his thoughts and speaking with a certain conviction, his voice taking on that resonant quality he’d noticed, he could indeed influence the desires and even the immediate moods of those around him. It wasn’t a forceful command, but rather a subtle, irresistible nudge in a particular direction.

He began to understand the true nature of the power he had unknowingly acquired: the ability to subtly manipulate the desires of others, to make them crave certain feelings, certain experiences… perhaps even a certain person. The implications were staggering, and a new kind of curiosity, tinged with a growing sense of intrigue, began to bloom within Dr. Kang Tae-joon. His practice was booming, his name was becoming known, and he held a power that could unlock the deepest yearnings of the human heart. He knew, with a thrill that both excited and unsettled him, that his work was about to become a lot more… personal.

Dr. Kang’s burgeoning reputation had begun to attract attention from circles he never anticipated. Whispers of the psychologist who could seemingly unlock hidden contentment and desires even reached the ears of the demanding K-pop industry. Mina, a member of the globally famous girl group TWICE, found herself increasingly overwhelmed by the pressures of fame and the constant scrutiny. While outwardly composed, a deep-seated longing for something more, something intensely personal, often gnawed at her.

Through hushed recommendations from stylists and industry insiders who had either been clients themselves or knew someone who had, Mina learned of Dr. Kang Tae-joon. His name was spoken with a mixture of awe and secrecy, his methods described as unconventional but undeniably effective. Intrigued and desperate for a genuine escape from the relentless spotlight, Mina, using a discreet alias, managed to get in touch with Dr. Kang’s clinic.

The day of Mina’s appointment arrived, casting a palpable buzz over the usually calm atmosphere of Tae-joon’s clinic. His small team of receptionists and assistants was practically vibrating with excitement. Though sworn to secrecy regarding the identity of their high-profile client, the hushed whispers and furtive glances were impossible to ignore. Mina’s manager, a stern-faced woman in dark sunglasses, had arrived first, meticulously checking the waiting area for any potential breaches of privacy before giving the all-clear.

When Mina finally walked through the door, even Tae-joon, usually so composed, felt a slight flicker of surprise. Despite the casual disguise of an oversized hoodie and a baseball cap pulled low over her eyes, her ethereal beauty and unmistakable aura were immediately apparent. The receptionists, trying to maintain their professional demeanor, exchanged wide-eyed glances. Today was certainly not going to be a typical day at the clinic. Dr. Kang, observing the subtle commotion, knew this session had the potential to be very interesting indeed.

[brucewaynehater101]

your posts about Tim being the parent in his time with Bruce+ Richard's parentification + Tim always planning of being a placeholder, got me thinking

What if Tim started off like that, playing parent for Bruce, ensuring he doesn't cross any lines or overworks himself

And just never stop?

His civilian life is starting to crack, and he's doing worse than he could be, but Batman has to be taken care off

In comes Jason who tries to kill him (great another Bruce) so his workload is doubled, and also Damian who has to be untaught murder

Well it's an escalation of what he's used to, but if he can deal with Batman, he can deal with his kids, time to bust out the books on therapy and deprogramming cult teachings

Besides, he's a placeholding for the two of them until they're better like Batman, so who better to teach them the ropes than him?

Let's toss in comments here and there that will clear misunderstandings between the Bats (excluding himself— he's temporary) and what about their interactions keeps the family apart

Like boy is neglecting himself to high hell, only stopping when it's literally impossible, and barely has a civilian life, but it's worth it for Gotham's betterment and the Batfamily's stabilization

Timestream? Well shit, he has to get Bruce back as per his job of keeping the family in order but the family is either not getting better or worse,

Let him just leave a bunch of personalized self-help guides and programmed schedules that'll ensure the bats are getting better while he's away

Oh hey Ra's, midn if I secretly learn everything about how Damian grew up in this fine League of yours so I can teach Damian what is so wrong about his childhood once I'm home?

So everything is getting better post BruceQuest, Richard can be a brother more (because Tim took on his job as parent-brother), Damian and his family are able to bond and understand each other (because Tim untaught an awful upbringing) and Jason feels like a member of the family (because Tim got Jason up to speed with how much he has always been loved) plus Bruce gets to be a father with his kids (because Tim kept the man out of his otherside inevitable self-made grave)

And say Batfamily, in a miracle of communication, realize that Tim has subsumed Bruce's role as caretaker and father

Not to the entire family of course, but even parenting for one sibling or parent as a kid yourself is one too many

And they remember all the comments Tim said to help the family get better subtly suggesting everybody but Tim is family

Like he's said "Your family," never "Our"

He says "You're a Wayne, a member of their family,"

He has to be referred to as Tim and Drake, never Wayne to catch his attention

And also imagine Richard saying "You can't keep being a parent to your brothers and father" and Tim going "glass houses, *tires to parent Rich*"

"NO—"

The shit storm that would happen if the batfamily realized that Tim donned Robin with the intention of always playing parent for Bruce, and then leaving once his intervention isn't need anymore

Yes! I absolutely love the ideas you incorporated with this. I didn't manage to hit all of them in my post, but I tried to expand upon them a bit:

At first, Tim wouldn't realize that's what he's doing. He just wants to help Bruce (even if that includes taking away the Batmobile keys, locking him out of the batcomputer, and using a rewards system when the man successfully takes care of his wounds).

Tim only comes to the realization that he's Bruce's parent when the YJ are being lectured by their mentors. At this point, the team has done far more dangerous stunts and missions than whatever the JL was lecturing them about. When the mentors come, Robin allows Batman to lecture him in front of the others. Tim knows they have to keep up appearances and can listen to a hypocritical discussion from Bruce to maintain the image of Batman Tim has spent so much time propping up.

After the other mentors leave, Tim pulls Batman into a private room for a chat. Bart, fearing that Robin is getting a second lecture, almost bursts in to save Tim. He's slowed down by the glare Tim sends his way. He's stopped by the conversation he overhears.

Tim, with his hands on his hips as he glares up into the cowl, lectures Bruce on all the behavior issues the man displayed the month that the YJ were away.

Bruce is just standing there, head slightly hung, as Tim goes on.

"This is why I feel I can never get away, B. I can't even leave you for a month before your excessive force statistics skyrocket! What am I supposed to do with you?"

Bart quickly leaves as he has a mental breakdown at this discovery. Two hours later, when Batman leaves, Bart asks Robin if he's Batman's father. Tim laughs it off at first, but after Bart lays out the evidence, Tim spirals for a few days at this discovery.

Once Tim accepts that he *is* like Bruce's dad, he decides to just embrace it. He and Alfred can share custody of the man-child (and this is also why Tim has the view of family that he does. His three examples of being a father are his own dad who constantly leaves, Alfred who maintains a professional distance, and Bruce who's his grieving son). Tim sees Dick as his brother, but he sees Bruce as his kid. It's confusing as hell, complicated, and Tim also doesn't see himself as part of the family at the same time.

While the teen is finally settling into his role as Bruce's parent, Jason comes back and tries to kill him. He doesn't know whether or not to laugh that Jason becomes his new responsibility at the same place Bruce officially (in Tim's mind) became Tim's.

The teen treats Jason similar to a grandson and son. He parents Bruce on how to interact with Jason, takes a few college classes and reads a few textbooks on PTSD, and interrogates LoA agents on the Pit. He slowly starts to feed them both phrases and perspectives so that they understand and interact with each other better. He almost wants to hit them both upside the head for their miscommunication.

It's not great, and Tim is so fucking tired, but they are getting closer to being a family. Tim can almost taste his retirement.

Then Damian comes into the family and tries to kill him. Tim wants to scream.

Damian isn't exactly friendly to Tim, but the teen spots a breakthrough when he catches how Dick and Damian interact. He, in what he later calls foolishly, drops some of the weight onto Dick's shoulders. Tim's tired trying to wrangle both Jason and Bruce into somewhat, even unhealthily, communicating with each other.

Then Bruce dies. It's unfair because Tim has lost someone who's both his son and his father to him. No one except Cassie could know about the amount of grief Tim is under because of that. Cassie, who Tim isn't talking to after the whole basement scientist cloning thing.

So, Tim finds evidence that Bruce is alive. He watches as Dick cracks under the weight of Batman and being a father to Damian. He's hurt (oh gods does it burn to lose his self-made but suffocating role that ties him to Bruce), but he understands why Dick gives Damian Robin.

Tim leaves, and he starts to discover himself. He became an adoptive father at thirteen. For once, even though he's heavily lost in the thralls of grief, he's free of that responsibility. He only has to take care of himself (an exhausting task he's never quite accomplished before) and he doesn't rely on anyone.

Still, despite his freedom, he sees Ra's offer for what it is. It's an opportunity to learn more about Damian. Bruce will need Tim's support when he returns, after all. If he takes down Ra's both for himself and Damian, that's neither here nor there.

When Bruce finally returns home, Tim starts to see his retirement again. He sees the progress he's enacting out of the family in all of their relationships. Like Tim's messy relationship with Bruce, Dick is both a father and brother to Damian. Jason and Bruce will occasionally meet at a diner. Damian and Bruce will have father-child outings outside of Batman and Robin. Cass returns home more often. Steph barges into the Manor for food or bugs different Bats on patrol. Babs is able to take time for herself outside of wrangling the Bats together. Duke is starting to join the family, but Tim doesn't imagine too much tension or difficulty with that transition. They'll be fine without him.

It's looking up. Tim can leave behind his the Wayne family.

Then Damian points out how Tim often uses "your" or "their" instead of "our" family.

Godsdamnit.

[utkuerdemozerblog]

UTKU ERDEM OZER (2)

Welcome to our comprehensive guide on advanced orthopedic solutions, where we address some of the most pressing musculoskeletal conditions affecting individuals today. From Dupuytren’s disease, a condition that leads to the thickening of tissue in the palm, to the complexities of a distal biceps tendon tear, we provide insights on innovative treatments that restore function and quality of life. Additionally, we delve into the advancements in hip and knee replacement surgeries, which have transformed the landscape of orthopedic care. At Utku Erdem Ozer, our commitment to excellence ensures that you receive top-tier medical expertise combined with compassionate care.

Dupuytren’s disease

Dupuytren’s disease is a progressive condition that affects the layers of tissue beneath the skin in the palm and fingers, leading to the formation of nodules and cords that can limit hand movement. Early diagnosis and intervention are crucial in managing this condition effectively. At our clinic, we specialize in tailored treatment options that cater to the unique needs of each patient.

One of the key benefits of seeking treatment for Dupuytren’s disease is the restoration of hand function. This can significantly improve the quality of life, enabling individuals to perform daily tasks with ease. Our experienced team employs a combination of surgical and non-surgical techniques to ensure optimal outcomes, reducing the risk of complications.

We understand that navigating treatment options can be overwhelming, which is why we provide comprehensive consultations. During these sessions, we discuss all available treatments, including the latest advancements in care that have shown promising results in alleviating symptoms.

Take the first step towards regaining your hand’s full functionality. If you or a loved one is suffering from Dupuytren’s disease, contact us today to schedule a consultation. Together, we can develop a personalized treatment plan that helps restore your hand’s mobility and comfort.

Distal biceps tendon tear

A distal biceps tendon tear is a significant injury that can lead to impaired arm function and discomfort. This injury occurs when the biceps tendon, which attaches to the forearm bone, is either partially or completely torn. Individuals who engage in repetitive overhead activities or heavy lifting are particularly susceptible to this condition. Recognizing the symptoms early on can greatly influence recovery time and treatment options.

The primary symptoms include sudden pain in the elbow, a popping sensation, and weakness in the arm, especially when trying to lift objects. Swift diagnosis through physical examination and imaging tests is crucial in determining the extent of the injury.

Treatment options vary based on the severity of the tear. Minor tears may heal with conservative measures such as rest, ice, and physical therapy, while more severe cases might require surgical intervention to reattach the tendon. This is where the expertise of a specialized orthopedic surgeon comes into play, ensuring that the best possible outcome is achieved.

Rehabilitation following surgery or conservative treatment is an essential part of recovery, helping restore strength and flexibility to the elbow. Engaging in a tailored rehabilitation program can significantly accelerate the healing process, allowing individuals to return to their favorite activities in no time.

If you suspect you have suffered a distal biceps tendon tear or are seeking treatment for related injuries, it's important to consult with a specialist. Early intervention can lead to a better recovery experience and prevent long-term complications. Don't let an injury hold you back—take the first step toward recovery today by contacting our expert team for a thorough assessment.

Hip replacement

Hip replacement surgery is a transformative procedure designed to alleviate pain and restore mobility for individuals suffering from severe hip conditions. Whether due to arthritis, injury, or degenerative diseases, the hip joint can significantly impact daily life.

This surgical option involves replacing the damaged or diseased hip joint with an artificial implant, providing enhanced stability and reduced pain. Many patients experience remarkable improvements in their quality of life, allowing them to return to hobbies and activities they once enjoyed.

Furthermore, advancements in technology have made hip replacement surgeries more precise and minimally invasive. With shorter recovery times and less post-operative discomfort, patients can often begin physical therapy just days after their procedure.

If you are struggling with hip pain that affects your daily routine, consult a specialist today to explore whether hip replacement is the right option for you. Regaining your freedom to move could be just a conversation away!

Knee replacement

Knee replacement surgery is a transformative procedure designed to alleviate chronic pain and restore mobility for individuals suffering from severe knee conditions, including osteoarthritis and traumatic injuries. This intervention can significantly enhance your quality of life, enabling you to return to daily activities with greater ease and less discomfort.

At the forefront of advancements in orthopedic care, the techniques used in knee replacement have evolved, offering patients minimally invasive options that promote faster recovery times and reduced hospital stays. Not only does this mean you can get back on your feet sooner, but it also often results in less postoperative pain compared to traditional methods.

After undergoing knee replacement, many patients experience improved joint function and a significant reduction in symptoms associated with conditions like Dupuytren’s disease or the limitations caused by a distal biceps tendon tear. This surgery allows individuals to engage once more in physical activities they may have previously avoided.

Choosing a skilled orthopedic surgeon is crucial for achieving optimal outcomes. When considering knee replacement, trust in the expertise provided at Utkuerdemozer.com, where patient care and advanced surgical techniques come together to ensure the best possible results. Don’t let knee pain control your life—explore the possibilities of a knee replacement today!

[our-ftm-experience]

A brief guide to Testosterone HRT

If you’d like the one for Estrogen HRT, ask in the comments and you shall receive.

Image from the Transpeak Discord - unsure of actual source (a clinic?) (if anyone knows, please tell!)

Alternate text under the cut

Alt:

What is the goal of testosterone therapy?

Testosterone has two main jobs: It causes masculinizing changes to occur throughout the body, and it suppresses the production of estrogen. Some of the changes caused by testosterone are permanent (they would remain if testosterone was stopped), and other changes are reversible.

How is testosterone administered?

Testosterone is available as injections, cream, or gel. Injections are administered either every two weeks intramuscularly (into the muscle) or every week subcutaneously (under the skin). Nursing staff provides injection training here at clinic. Creams and gels are absorbed through the skin and applied daily.

What are the irreversible effects of testosterone?

Testosterone causes voice deepening, clitoral growth, body/facial hair growth, and sometimes male-pattern balding (also influenced by age and genetics). Testosterone may irreversibly affect fertility. Desires for fertility should be considered prior to starting hormones, and for those seeking fertility preservation (or education about fertility preservation), referrals can be made to Lurie’s fertility preservation team.

What are some of the reversible effects of testosterone?

Testosterone causes increased muscle tone, fat redistribution (hips to stomach area), skin oiliness and acne. Mood changes (often irritability, having a “shorter fuse”) and heightened sex drive may occur. Menstrual cycles will change and eventually stop after some time. There may be genital changes caused by low estrogen levels.

What are some of the known side effects and risks of testosterone?

Testosterone may increase your metabolic risk profile — that is, the risk for conditions such as heart disease, diabetes, high cholesterol or blood pressure. The risk for heart disease is higher for people who smoke cigarettes, are overweight or have a family history of heart disease.

Testosterone causes hematocrit, the proportion of red blood cells in a volume of blood, to increase. This blood thickening, at high levels, can be life-threatening, causing stroke or a heart attack.

Testosterone can also cause increased appetite, headaches, and acne.

A low-detail diagram of the upper half of three bodies is displayed. From left to right, the bodies represent having been on testosterone for little to no time (a month or less), a medium amount of time (six to eight months) and a greater amount of time (a year or more).

The diagram is a visual representation of testosterone effects on the body. Hip mass shifts to the stomach area, The adam’s apple grows. Muscle mass grows and shoulders become broader. Facial and body hair grows on the arms, face, and assumably the legs not displayed in the image. The skin gets oily and acne appears on the face.

Testosterone affects: skin, muscle mass, body fat, body hair, voice change.

Increased skin oiliness and acne starts within 1-6 months of testosterone. Its complete effect can be within 1-2 years.

Increased muscle mass and strength starts within 6-12 months of testosterone. Its complete effect can be within 2-5 years. This effect is highly dependent on the amount of exercise one does.

Voice pitch deepening starts within 6-12 months of testosterone. Its complete effect can be within 1-2 years.

Body fat redistribution starts within 3-6 months of testosterone. Its complete effect can be within 2-5 years.

Facial and body hair growth starts within 6-12 months of testosterone. Its complete effect can be within 3-5 years.

Monthly periods stop within 2-6 months of testosterone.

Clitoral enlargement of 0.5 inches to 1 inch begins within 3-6 months of testosterone. Its complete effect can be within 1-2 years.

Male pattern hair loss starts when you have been on testosterone for over a year. Its complete effect date is variable. It depends on age and genetics, and can be minimal.

Sex drive also increases.

How do we monitor for safety?

Labs (bloodwork) are collected prior to starting hormones and every three months for the first year of treatment. In the second year, labs are checked every six months. Tests that are monitored include cholesterol, liver tests, hematocrit, and hormone levels. These labs can be drawn at Lurie’s or a local facility.

How quickly will changes develop?

Remember, it’s normal to want to see changes occur rapidly, but (just like in puberty) these changes take time! Most changes start to begin around 3-6 months after starting testosterone and take years to fully develop.

Will I look like my friend _____?

Remember, everyone experiences puberty differently. Factors other than testosterone (such as genes!) affect appearance. It’s impossible to predict exactly what changes will develop.

It’s important to take the prescribed dose of testosterone. Taking more increases health risks.

Always tell your health care provider if you have questions or concerns about your health.