Damn its Hot in here

 

Image from Jon Tyson
on UnSplash. 

It is “patch day” for me. One of the days during the week when I change out my Estradiol hormonal patches. Every time I do it, I take the time to remember the changes I went through when I started gender affirming hormones or HRT.

Of course there were the much-publicized changes such as breast growth, changes in skin, and generous hair growth. Very quickly, I was able to put my wigs away and have my own hair styled professionally and begin to use much less makeup to present well. What I did not count on was the internal effects the HRT had on me. All of a sudden, I had emotions I had never had before, and I could cry.

One of the more humorous experiences I had was the night I experienced my first ever hot flash. I was out to be alone that night and was completely caught off guard when the heat hit me. In fact, I had just stopped thinking about how chilly it was in the venue and how I might have to put on my jacket to stay warm. Something I never had to do back in my male years. Suddenly my own thermostat seemed to be ruined, and I was paying the dues for all the times I thought the women around me were just making it up when they said they were cold. Then, I did not need my jacket at all when all hell broke loose, and I felt as if I was on fire. I quickly looked around to see if anyone else noticed my predicament, but no one did. I wondered at the time how they could not, but my heat must have been internal in nature. Later on, that evening, I tried to explain what had happened to me to my cisgender friends and they just laughed me off saying welcome to their world.

Now patch day once a year comes down to my annual mammogram. Since my maternal grandmother passed away years ago from breast cancer, my primary medical provider at the Veterans Administration makes sure every year I have a mammogram to be safe. If you have never experienced a mammogram, there is some brief discomfort but nothing like the alternative. So, I consider it a rite of passage when I have one.

It turned out for me there were many rites of passage to come as I went through a male to female transition. I had taken the appearance aspect of transitioning just about as far as I could and then faced a real decision in my life. Should I seek out a doctor to prescribe gender affirming hormones. I went to my local Dayton, Ohio LGBTQ resource guide and found a doctor and decided to make an appointment to see if I was healthy enough to begin HRT. This was way back in the days before the VA decided to include hormone therapy as a choice for gender dysphoric vets, so the doc I chose was the only logical choice. He asked me a few key questions about what I was prepared to lose of my male lifestyle and then approved me for a minimum dosage of medications to start my journey.

I started on pills and very soon they became a lifeline for a better world for me. Fairly quickly, after I showed no ill effects to the new hormones, I was prescribed larger dosages, and my body took to them naturally.  Then it got hot with my thought pattern of what I was going to do about all the changes which were happening to me. I was appearing very androgynous which was noticeable to others who knew me, so I needed to change my transition timetable because I was running out of time. In short, hormones slammed the door shut on my male life I had worked so hard to achieve. It was mine to give away, and I gladly did it.

Now, as I change my hormonal Estradiol patches out, I stop to remember the old male days and how I felt in my body and say a silent prayer that I have suffered no ill effects in my decade plus journey on HRT. I always take time to urge everyone considering femininizing their body through hormones, to seek guidance from a doctor before you do it. As I have seen the results of unregulated hormone therapy. The process is nothing to play with.

As I look back on the benefits of all the therapists and doctors I have seen over the years (and continue to see), being able to feel the heat of becoming a transgender woman was worth the effort.