Patch Day

Image from the Jessie 
Hart Archives

I am on estradiol patches I change twice a week. The hormonal patches help to make me who I am and have been fortunate to be prescribed them for years.

Early on progress was slow as I was prescribed the minimal amount of hormones by my doctor. I remember vividly the night I asked my future wife Liz out on New Years Eve when I started my gender affirming hormones. It was a very big night. Initially I began my dosage on pills which as I said were very minimal in dosage. 

Even on the minimal amounts I still felt changes beginning to take place. Possibly because I was already in my sixties and my testosterone levels were decreasing anyhow so there were fewer hormones to do battle with. At any rate, I was beginning to see (or feel) changes primarily in my breasts. Before I knew it, I was experiencing problems finding shirts which were loose enough to not show my protruding breasts. Little did I know, there was so much more to come.

What happened was, when my doctor determined I was not experiencing any ill effects from the new hormones, I was cleared for a higher dosage. With a higher dosage came more changes which I needed to deal with and the changes forced my hand on when I thought I would need to go public as a transgender woman. At the time, as predicted by my doctor, my hair began to grow as fast as my new breasts. More importantly though were the internal changes which were beginning to take place along with the external softening of my skin and facial lines. 

Of course the internal changes were less noticeable in the beginning because I was still so obsessed with my feminine appearance. All the way to the point of thinking my appearance was the reason I went through with HRT or GAH. 

The more I became one with the new hormones which were allowed to invade my old male body, the more I began to understand the process. I really began to change when I switched my health care to the Veteran's Administration and began seeing a new endocrinologist who almost immediately changed my dosage from pills to patches so the new method would provide less wear and tear on my inner organs. At the same time, we discussed upping my dosage slightly as well as how I used my testosterone reducing medication (Spiro) at the same time. 

All of this was working together to provide me with significant internal changes. Suddenly, I could cry for the first time in my life as well as feel my world around me soften. I was more sensitive to temperature changes as well as noticing a big improvement in my sense of smell. Through it all, I even experienced my first feminine hot flashes which initially made me think I was going to internally combust. Little did I know at the time I was just going through another gender puberty in my life. As far as more external changes went, finally I started to develop hips for the first time ever.

Perhaps I am a little dramatic when I think my estradiol patches helped me to become the person I am today. Plus I never forget, how blessed I was with having the health to undertake such a radical hormonal shift in my body. I know so many who couldn't. I know also, so many other transgender women who prefer injections over patches to deliver their life changing hormones. For what ever reason, I have never had much of a problem having the patches adhere to my skin and seem to deliver an overall smoother dosage over the span of a week. That of course, is only my perspective.

Then again, there are those of you who naturally have a higher level of estrogen in your body and don't require gender afforming hormones at all to help you feel secure as a transgender woman. Whatever works, more power to you. 

The Road Less Traveled

Image from
Jessica Radanavong on
UnSplash

 Every now and then, even though I follow several very popular LGBTQ and Transgender sites such as Stana's "Femulate", I wonder how many cross dressers or trans folks there are in the world.

Sometimes I think there not very many but then again more than I think. My thoughts began relatively early when I began to experience the public as a novice transgender woman. A prime example was when I first began to go to the Veterans Administration for my health care. Included in the care were the basics allowing me to begin gender affirming hormones. During my first visits, I could tell I was the main educator to the VA staff who had never seen a trans person before. I knew then, I was on the road less traveled with my gender issues. 

Over a short period of time, I found differences in how I was treated started to change. I became less of an educator and my providers were more likely to understand my needs. It is important to note how well over the years my VA health team has treated me. Plus, over the years, I have received several other comments from transgender veterans such as this one:

" It was interesting to read of your experience with the VA. Shortly after I retired I began receiving primary care through the nearest VA clinic. I was able to select a female physician and made my first clinic visit presenting as a woman. I had already indicated that I was transgender woman on some on-line forms, as to avoid any confusion. And, my first name on all legal documents is Kimberly, so that kinda sets expectation, I suppose.

Anyway, I weighed in and was roomed by the RN, a lovely young woman. She lead me through the perfunctory questions that had to be asked, and used my preferred (she) pronounce when she introduced me to the doctor. The doctor was similarly courteous. I was a bit surprised when she asked when I had GRS and how long I had been on HRT. (I have had neither and at my age consider these would offer little net benefit for me). We did talk a bit about my transition goals, which are pretty limited at this point.

I had two routine follow up visits with this physician at the VA clinic. During these visits I was always treated with not just courtesy but genuine kindness and friendliness. I had very enjoyable conversations with the staff. Perhaps it helped that I was coming from a health care admin background."

Thanks so much for the input Kimberly! I know various other VA centers vary in their care standards especially when it comes to LGBTQ vets and primarily transgender veterans. If you have a different story, feel free to comment. 

It is said, any public relations is good even though it is not well meaning. During this time in our transgender history when so many negative laws are being proposed and passed in states such as my native Ohio, when the public sees me now, I know increasingly I am on the road more traveled. Sadly, gender bigots in the world are emboldened by their ignorance and somehow are encouraged to voice their unwanted opinions of me. 

My days of existing under the radar in a larger world has gone by the wayside. It seems every night on the news I see information on ill advised politicians  coming after me and my transgender friends. Even though I am so fortunate to be surrounded by a strong group of trans allies, I still suffer from the paranoia I feel when my road into the world becomes more traveled. 

Connecting the Dots

Image from UnSplash

Throughout life, I found many dots I needed to connect to save my life as I knew it. 

The first dots were the ones I had to connect to live at all. They were the ones which connected me into an unwanted male world. As I mentioned in yesterday's post I was born into a heavy male dominated family where competition between the men in the family was a given. My Dad had two brothers who were always in a friendly battle for which one had the best job, house etc. My best guess is my only brother and I carried the competition to our own level by playing sports. All this time, I secretly would have been happy playing with the girls in the neighborhood but naturally never had the chance. 

Those days, I had fewer gender dots to connect since my main cross dressing activity was with the full length hall way mirror. I was able to hide my deepest gender dreams away and happily dress as a girl when ever I had the opportunity. When I did, I compared it to playing one of the old mechanical  pinball machines. As I viewed myself in the mirror, it was like I hit the one thousand point bumper in the machine and gender euphoria swept in. 

The older I became and the more sophisticated my cross dressing world became, the more dots I needed to connect to survive in the gender complex world I was in. As I progressed, the mirror wasn't good enough for me and I wanted to try more dots. Those were the exciting days of going to transvestite mixers in Cleveland and Columbus, Ohio. Those mixers really showed me all of the potential dots I could connect with to live my life. Was I gay, or a cross dresser, or transsexual or transgender? So many questions to ponder and answer. For once, the mixers showed me other examples of choices I could possibly have. 

Ironically, the military service I had provided me three years to pause my connection of dots to try to figure out which direction I was going to go. When I was discharged, I knew deep down I was transgender but was afraid to lose all that I had worked so hard to accomplish as my male self.  Through out my relatively short life, I had acquired two college degrees,  an honorable service discharge and fathered a daughter. All before I was twenty five. I had connected many dots except for the largest ones which concerned my gender. 

Finally, as I treaded water through the years, I took the leap of faith and connected my final gender dots. Possibly the biggest dot was being approved for gender affirming hormones. When I did connect, a whole new world opened for me. 

Now of course, as I approach three quarters of a century in this world, (75 years) , I wonder how many other dots will I have to connect to make it to the finish line.