Hormonal Visit

 My endocrinologist visit is coming up and most importantly we review my blood lab results and primarily for me, she monitors my hormonal levels. 

In many ways, my estrogen and or estradiol blood levels are my life. Years ago when I started hormone replacement therapy, I was careful to seek out a physician to help me. I did not want to follow down the path of unmonitored hormone programs I had seen other transgender women undertake. The excesses of foreign purchased estradiol are easy to see and even easier to come by on line. Plus, since I was older (in my early sixties) I very much wanted a professional to evaluate me to see if I was healthy enough to begin HRT. When I was, I was elated. I couldn't wait to begin the new hormones and experience the changes which would follow. 

Each time I write a post on HRT, I warn everyone to seek medical advice and the results you will experience will vary widely due to many factors. Variables include your age, your dosage and even how you administer the medications.  Age of course effects the hormones already in your body. At the age of sixty (plus) my male hormone testosterone would naturally be in decline. Allowing the estradiol an easier path to begin it's changes. Dosage for me, similar to many others, started at a minimum level to see how my body tolerated the changes. I even went through a period of time early into my HRT when my endocrinologist stopped me from taking my hormones all together for another health scare I went through. Finally there are several ways to administer your hormones. I started my process on pills which were advised against by my first "Endo." Then I went to patches which I am on now. The other popular way to take hormonal doses is through injections which I have heard is the most effective way to do it. Since I have never been a fan of taking injections, I stayed with my patches which have allowed me to experience the changes I so desired.

Since my "changes" were slowed with my initial minimum hormonal dosages, I still showed amazing progress. To me, in no time at all, I experienced magical changes including breast growth, softer skin and increased hair on my head which was exactly opposite of the hair disappearing from my body. Except my beard of course. In record time I went from appearing as a macho male all the way to being a very androgynous person. Even though my outward appearance was feminized, it turned out my inner feelings changed too. As I went through my initial hot flashes, at the same time my inner thermostat became broken and I was cold all the time. I found out quickly how cis women were not making things up and their emotions were real. My lifetime of not being able to cry as a man changed rapidly the first time my emotions overcame me and I cried before a summer thunderstorm. 

Through it all, I have labored under the possibility I could have problems and have to stop my hormone replacement therapy, Since I have the benefit of having two Veterans Administration nurse practitioners reviewing my blood work before it gets to my endo, I don't anticipate any problems with my HRT continuing the way it has been. Even still, I have my share of anxiety over any potential results.