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so, I'm on... Estrogen

Started by Vincent E.S., October 14, 2011, 04:19:35 AM

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Vincent E.S.

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Okay, so as I mentioned in a previous thread a  bazillion years ago (https://www.susans.org/forums/index.php/topic,104347.0.html), I have something wrong with my reproductive system.
The gyn I went to six months ago ignored me, acted like I was some ignorant child, and prescribed me progesterone without ever really talking to me. When that did nothing (the goal was to make me have a period), she immediately prescribed me a birth-control pill that was specifically chosen because it didn't make girls have lighter periods without even calling to talk to me or having me come into the office for another appointment. Without knowing what it was, I took the pills like I was supposed to for two weeks, but after literally not sleeping at all those weeks(which increased my stress levels and made my hallucinations worse) and having an extreme pain in my abdomen as though my organs were being shredded, I finally read the package. Apparently, it was a fairly highish dosage of estradiol and some other form of estrogen mixed together. Also, the package noted that it would take being on the pills for about 3 months before side effects would begin to subside. Since I was only supposed to be on it for 1 month and was already going crazy and suicidal from the side effects, I stopped. I never went to that doctor again.

Then I figured out that I'm not going to be allowed to start T until we figure out what's going on inside me. My gender therapist was able to talk to a doctor friend of her's and so was able to refer me to a trans-friendly gynecologist. Even though he had never had a trans patient before and didn't really know anything about it, the doctor was very open-minded, friendly, and professional. I had to have a pelvic exam, but he was quite professional and was very fast (the exam took much less than a minute). Then, though he would occasionally turn to explain something to my mother, he mainly talked to me, and treated me as a patient and a person.

His idea was to start me on a hormone regimen that would mimic the natural menstrual cycle - 28 days of estrogen, the last 10 of which I would also take progesterone- and then a week of nothing. I was instructed to, after I've waited that extra week, call him and report whether or not anything happened (unlike the other doctor :P). If I don't have a period, then he'll do an ultrasound to see what's going on internally. If I do, then I'll get the go ahead for T. This whole time I've been fighting with myself inside my head over the estrogen, because I want to get this all over with so I can get T, but I don't want to be feminized, but it's a super low dosage and is in gel form, so that's unlikely. He chose the gel so that I won't get the terrible pain and sleeplessness like I did with the other stuff. But, when I started taking the estrogen (one packet rubbed in each morning), I started getting the same "side effects" I got whenever I had an elevated level of female hormones from actually having a period. That is, I get super cold and will be shivering even if it's in the mid-seventies(unlike my normal condition of usually being hot), and I'm just generally bitchy. Like most side effects, those started after a few days, but since those are what I was always like when my levels were elevated, I didn't mind too much.

However, just about 2 weeks into the regimen (I start the progesterone in just a few more days), I accidentally skipped a dosage of E and didn't remember until the next morning when it was time to take the next dose. I couldn't take more than one dose in a day, so I just left it alone. Strangely enough, after the brief lapse in added E, my body suddenly seemed to start rejecting the E. I started getting the way I normally am, but even more so. So, normally I'm hot at any temperature above 70, suddenly I'm sweating at anything above 50. Also, my amount of body hair started increasing along with getting several whiskery facial hairs at once along my jawline. Whereas normally, I'll occasionally get 1 whisker at a time on some random part of my face.


My question is: I know that if you take too much T, some of it can be converted back into Estrogen, but is it possible that some of this added Estrogen is being converted into T?
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emil

to answer your question: never heard of that and i don't think so

but really i just want to add: don't let them experiment on your body like that!! don't let anyone put you on hormones you don't want to get the effects of, that are meant to give you a period you never wanted to have! What the f* is wrong with these doctors....if he wants to do an ultrasound to see if anything's wrong then he should just do it and not send you on month-long hallucinating horror trips. call in, tell him what's happening, tell him again why you're objecting to taking estrogen (and any related product) and ask for another solution.
Bytheway i wouldn't know about estrogen, but testosterone gel is nowhere near a low dosage of T (unless of course you only put a thin coat of gel on half a square inch of your arm), it's what endocrinologists prescribe here when an FTM first goes on T. So I wouldn't believe E gel is by any means "harmless".
I really don't want to scare you, but there's just been too many cases where people that were intersex or had suspicious hormone levels were put on E just to e.g. develop breasts they didn't even have before and thus having to get top surgery when before that their body had spared them...
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anibioman

nope estrogen doesnt turn into testosterone. sorry bro.

Nygeel

Estrogen does not turn into T.
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dmx

#4
Nope. Sometimes that's used as a scare tactic against trans women so they won't self-medicate but it's not possible or true.
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Kohitsu

This is why I don't trust most doctors.  :P
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Felix

Vincent, stand up for yourself. Even the best doctor with the very best intentions will not be practicing good medicine if he or she doesn't first listen to what you want for yourself.

You don't want to hurt, or have mood swings, or temperature fluctuations. You don't want extra stress or sleeplessness. I'm not sure why they want you to have a period if you're not looking to get pregnant. Seems a bit unethical to induce menstruation in someone you know to be ftm (without some other highly compelling reason).

I'm also not sure that a regular gyno should be dealing with this. With the puberty you described in the other thread, it seems like you should also be seeing an endocrinologist or some other kind of specialist.
everybody's house is haunted
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JohnAlex

Maybe you should call your doctor and tell him about this weird stuff going on.  especially about body temperature.

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Ender

Soo... they want to screw around with your hormone levels to induce menstruation so you can start T, which will whack out your hormone levels again for a while and will then stop menstruation.  Sounds counter-productive.  I can appreciate that they just want to make sure everything is OK and healthy prior to T, but if you've already had a pelvic exam and nothing came back indicating cancer--what's the problem?

I had a wacky cycle since ever.  At one point, prior to knowing about the possibility of transition, it just flat out stopped working--I was happy about it until I learned that it could result in bone mass loss (nasty osteoporosis runs in the family), so I made my first appointment to a gyno.  A pelvic test revealed unusually small ovaries and a tilted uterus, but the lab tests came back OK--no cancer.  Everybody at the office was very sympathetic and kept reassuring me that it didn't necessarily mean that I couldn't have children; at the time, I couldn't understand their concern and didn't know why I should even care.  Nevertheless, the doctor wanted to try to induce menses.  I initially refused the estrogen, so she said I could try progesterone first.  Didn't work.  I dragged my feet for a couple months, but nagging thoughts of bone health made me make another appointment.  She put me on some sort of estrogen pill that just made me feel off.  It did work, though, unfortunately.  Menstruation returned to its unpredictable ways, though it gradually became more painful (endometriosis was suspect at one point).

Before I got my T prescription, the only thing my doctor (a GP but very experienced in treating FtMs) wanted to have done was a pelvic and lab test to make sure I didn't have cancer.  She wasn't so concerned about the irregularity and never once suggested taking birth control to 'regulate' things before taking T.  I don't see why an irregular cycle should be a contraindication for T, as long as there is no evidence of malignant growths or other life-threatening problems that T might aggravate.  I'm no doctor, but I would have a chat with your potential T prescriber.  If it is your gender therapist recommending this, he/she is likely not a medical doctor.  Consult a medical doctor who has treated trans patients before.
"Be it life or death, we crave only reality"  -Thoreau
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