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Starting out!

Started by GiantRobotVictoria, August 10, 2013, 11:57:07 PM

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GiantRobotVictoria

Well before I start out I think it'd be proper I give a little little introduction of myself, My name is Victoria(Given-name was Andrew at birth) And I've been knowledgable of my ->-bleeped-<-, or at least my confusion about my gender identity and sexuality since I was about 11 years old, my mother noticed it before that. I came out  her when I was 16 and now I'm 19, 20 in December.

Anyway I started taking Estradiol at a low dose a day two days ago, however my doctor did not prescribe an Anti-Androgen. Is this typical of when starting out on hormones? I'm pretty androgynous in appearance naturally so I'm not sure if he forgot or if it was just he think I didn't need it right away. I identify as a woman completely, and I get irked a little when my family still calls me a male more often then female, even when I kindly remind them I prefer to be have feminine pronouns used in relation to me.(She/her instead of he/him) I guess I will just have to live with that, for now since I am currently saving up money to move out on my own with my more open-minded cousin. I plan to go the whole deal, the surgery and all after I save up the funds for it.

Sorry for rambling and all but anyway, my questions are this. Is it fine not to be on an Anti-Androgen right away? Do you think my doctor may have just forgotten to prescribe them as well and should I contact him about prescribing those as well or should I just see how the estrogen supplements work on their own before getting anti-androgens. I do want Anti-Androgens so the effects are more noticable and happen at a nicer pace.

Another question I have is currently, I live at home with my mother, older brother, little sister and step-father. My step-father and Little sister accept or are indifferent toward the transition even though they know I'm on hormones and I wear women's clothing almost-always. Some days I have a lazy day and just sit at home in pajamas or something but I think that's natural. Anyway do you think when it comes to my brother and my mother that I should try to do more to encourage them to at -least- use female pronouns? I don't mind my family calling me Andi since it is a unisex shortname for both Andrea and Andrew, I just don't want to be called 'He' constantly at home when I've been wearing girl clothes for at least a year now. My family would never kick me out or get physically violent with me over it, it's just the are kinda stubborn with their ideals. I also have a (Small)stable income that helps pay for my hormones food and other household expenses.

And I think my final question relates to the time difference of signs the hormones are working properly with and without Anti-androgens backing them up? Should I ask my doctor if he might have just slipped up and forgot to get the Anti-Androgens? The day he prescribed them his office was rather busy so his mind seemed to be in multiple places at once and its possible he might have forgotten. I'd like to get replies from both girls who have been on estrogen with and without anti-androgens and tell me how it's effected them physically/psychologically, to see if the anti-androgens are worth the extra cost or if I'd be just fine on estradiol alone.

Sorry if this is a little long and disorganized I'm not the best at organization x.x
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Jamie D

Victoria, welcome to the site.

Let me quickly address your concerns.  Many doctors, when prescribing MtF HRT, will only start one medication at a time.  This is to see how well you tolerate it.  Sometimes it is an anti-androgen; sometimes the estrogen.

They will then test your blood chemistry and liver function after a time (in my case, 3 months) to see how things are going.  With my prescribing doctor I had worked out a plan on escalating dosages ahead of time, pending the blood tests.

One more thing - we don't post dosages of HRT meds on the site.  It is in our Terms of Service.  Not to worry.  I edited it.
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Ltl89

I started on a low dose of estradiol without an anti androgen.   My endo increased the dose of my estradiol and gave me spiro after one month.  I think that is common.  No need to worry.
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judithlynn

When I started back on HRT last November, I had to have monthly tests of the blood work up. After 2 months on the basic dose, He tested me and the T levels had dropped below 5, so he doubled the dose. I then had monthly visits  for 2 months and tests each visit. After 2 months he upped the dose again, then after another 1 month, my T level had dropped to 0.9 so he then said I could add another dose, but as I was about to travel to the UK, he said make sure about getting retested after 1 month, because of the possibility of blood clots.

He also gave me 4 months supply of my Progynova E.

Basically he reckoned that with the final doubling of my dose he believed my T levels would probably drop to under 0.2 leaving Oestrogen as the dominant hormone in my body

But I decided to stick with my existing dose for the 3 months I was overseas. Now that I am back I plan to increase it in September, but get tested again then, although I have enough prescriptions on the existing dasge to last till end November (or end September if I increase it).

Interestingly on my last visit in May before I went oversas both my Therapist and Doctor stared that they thought I well adjusted now and didn't need monthly visits , suggesting that a visit once 3 months was all that was needed.

Judith
:-*
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