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Fast track to hormones?

Started by Sophia Hawke, October 12, 2013, 05:32:27 AM

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Sophia Hawke

                  So im going for my first eval with a therapist/psychiatrist next week.    While i wont get to discuss much there since its just an interview, i will on the following visit.   How can i get on the fast track for hormones?   I dont want to game the system, but i dont want to be able to show them that im pretty damn serious.   Coming out to my friends and family has been the best thing ive ever done.   In addition to that, transitioning into femme clothes has been a huge confidence booster and too a degree eliminated some of my anxiety, although in some situations i see it increasing it.  I've thought about this moment every day for last 15+ years,  there isnt even an option of turning back to me.  Im turning 28 next month and really feel like i cant wait anymore, esp with HRT feminization can take up to 5 years to reach its full results and the wait time for surgeries due to backlogs on the best surgeons and time it will take time to come up with the money.   
                 I should also mention that im going aswell for issues with some anxiety, which ive tried to manage on my own for years, as well as my own self medication, so fast track to me is 3-6 mos.  I am also a smoker.   I should note,  my cigarette smoking and self medication are a result of my anxiety, something ive know for some time.    I began the search for a therapist/psychiatrist in my area of any kind early in the year, when i was unable to find anyone in my range of mobility and no GP would consider helping me, i turned to self medication out of desperation for some kind of relief, whereas cigs had been my only real coping mechanism prior.   I know that these things have to come first, and once i find a proper psychiatrist prescribed medication regimen, i can finally quit smoking.  I've tried to quit smoking now for several years, each time anxiety has cropped up and gotten in the way, i cant wait for the day im smoke free.
           At any rate, changing my clothes isnt enough, and the things that give me GD the most are driving me nuts.    If anyone has had experience with this or has any good advice/support please share.  I really just cant wait a year or multiple years to get started on HRT and then have to wait even longer for surgeries ontop of that.  I already waited so long that i had to face the fact that i either needed to come out and transition or i was going to hang myself.  i realize this post is a bit long winded and i must sound a bit impatient/overeager, but just seeing the light at the end of the tunnel now has me wanting to get started right away, even know the whole process is going to be minimal 5years from HRT to post op.   I just want to see on the outside what i feel on the inside....

I'm rambling now, but any advice would be great.
             
  •  

Jenny07

Hi

Like you, I have waited a long time and finally took action recently. I expected it to be very protracted, boy was I in for a surprise.

For me I started with my GP.
Lucky for me my local she has had ample experience with people with GD issues which I knew in advance. This is such a big help.
It took some courage but I opened up to her and she took care of the rest. She knew exactly what to do and who I should see.
She was so supportive and did everything, from blood work to referral letters and details. Before I knew I had an appointment with an endo organised by my GP and 5 weeks from opening up to a therapist for the very first time I had E in my hand.

Is this fast enough?
I had no expectations or put pressure in any way for it.
While E will take time to do its magic, the sooner you start a proper regimen the better and being 28 you will still very receptive to it.
I would recommend to quit smoking as it was one of the questions my endo asked. From what I read it is bad for HRT.

So far my reaction to E has been wonderful to say the very least. Anxiety has lessened, GD has eased and life is for once not one dark cloud. I am now looking forward to the changes in the wind and the day I can just be me.

Find the right people and the rest is history.

J
So long and thanks for all the fish
  •  

Sophia Hawke

Quote from: Jenny07 on October 12, 2013, 06:01:07 AM
Hi

Like you, I have waited a long time and finally took action recently. I expected it to be very protracted, boy was I in for a surprise.

For me I started with my GP.
Lucky for me my local she has had ample experience with people with GD issues which I knew in advance. This is such a big help.
It took some courage but I opened up to her and she took care of the rest. She knew exactly what to do and who I should see.
She was so supportive and did everything, from blood work to referral letters and details. Before I knew I had an appointment with an endo organised by my GP and 5 weeks from opening up to a therapist for the very first time I had E in my hand.

Is this fast enough?
I had no expectations or put pressure in any way for it.
While E will take time to do its magic, the sooner you start a proper regimen the better and being 28 you will still very receptive to it.
I would recommend to quit smoking as it was one of the questions my endo asked. From what I read it is bad for HRT.

So far my reaction to E has been wonderful to say the very least. Anxiety has lessened, GD has eased and life is for once not one dark cloud. I am now looking forward to the changes in the wind and the day I can just be me.

Find the right people and the rest is history.

J


Yes, ive been a heavy smoker for some time now, i know that it has to go in order for me to do HRT.  Although with that, i do intend to investigate the ability to get on a "starter" setup for HRT before even quitting smoking.   The biggest things im looking for out of  HRT is the emotional change, and my male libido to drop off.   My penis often gets hard when i dont want it to, am not horny ect.   This to me is one of the biggest things that bother me about my body.  I've had a bit of sex over the years, and this has always gotten in the way, simply unable to orgasm without disconnecting from the act and fantasizing.   Alot of women seem pretty confused as well when i try to sleep with them like another woman does, since emotional connection(even causual sex) and sensuality are a huge part of sex for me. 
This has made some of my best relationships having been with gay women, who just seem to get it when were in bed(and else where).    I'm really curious to see how my sexual orientation will turn out too after being on hormones for a while.    I do have thoughts of men, but without having the body to express myself, things just dont work for me.  Ive tried to explore this with men, it just doesnt work for me, without the parts to match or the hormones.   Do many people wind up bisexual or switch to men exclusively after hormones?
  •  

Cindy

Many endos will not put you on HRT if you smoke. It is a big no no in that it increases the risk of DVT. Your erections may be due to high blood pressure which is also a negative.

To be honest have a think. You want a new body with all the works, well condition yourself to be the best woman you can be. Good looking woman are fit and healthy! You have to be able to wear the guys out!!
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Sophia Hawke

Ive had my BP taken quite alot this year, most usually its 120/80 on the dot.  The erections almost always due to visual, physical stimuli.  Even if im not mentally into it.   A thing that makes this difficult is that i often see naked/semi naked girls at work and sometimes they can be a bit extra friendly.  The exception to this is when another girl is treating me like another girl in a non sexual way.

Smoking is going by the wayside very soon, as its my first goal with a therapist/psychiatrist.
  •  

Jenny07

Please listen to Aunt Cindy regarding the smoking, it's very important.

I can say I had the same issues with sex with my ex wife. Never really worked at all and always fell short.
Yes it confused her as she was very attractive and I had dirk diggler assets.

My libido has always been very low so no changes on E so far.
However I am much more at ease with myself.

Regarding sexual orientation from what I have read it differs for everyone. From me I have removed myself from this by not being in relationships at all for a long time but I love women and at this point could not see this changing. Stranger things have happened though so who knows how this will turn out as there are many that on E there preference changes. I will have to wait and see what E does to me in this department. ;)

Hope this helps a bit. Jen
So long and thanks for all the fish
  •  

JaneNicole2013

Here's what I would recommend:

- Along with the others, quit smoking and get your BP under control.
- Since you are younger, I think your therapist will do his/her due diligence to make sure you know what you are doing. At my age (48) I think they take the attitude that we've had plenty of time to think about it so I pretty much got a free pass--that and I went through therapy for this a few years ago. But my therapist did tell me that the younger the patient, the more they explore the issue.
- Make sure your GD is well documented. If you haven't done so already, write down key dates/ages. When did you start feeling like you were more female? What was your childhood like? Did you try on your mom/sister's clothes? How did you feel? Did you have male friends or female friends growing up? What has your relationship history been like? Before I went in for my first appointment, I had created an "Emergence of Jane" timeline.
- Expect, at a minimum, three appointments with your therapist. Maybe more because of your anxiety issues. Your therapist needs to confirm the GD (as opposed to being a crossdresser or transvestite) so be HONEST with him/her. When I went in the first time, I went in wanting to make sure that transition is what I NEEDED (instead of what I wanted--if that makes sense). Your therapist also wants to make sure that you have other issues (such as anxiety) under control (unless they're related to the GD, in which case HRT and transition will help).
- As for your sexual orientation, my guess is that if you are attracted to men, this will come out more with hormones. Before HRT I was attracted to both men and women and now, after only a month on HRT, I am almost exclusively attracted to men. However, even before HRT, I wasn't attracted to women in a manly sort of way (my current g/f, who is bi, said that I kissed more like a woman than a man which is why she wasn't surprised when I came out to her)--I think my attraction to women was more a biological thing.

Hope this all makes sense and I know at your age 3-5 years seems like a long time but it really isn't. I'm gonna be a woman in my 50s by the time I finish. Do it right--don't do it sloppy.

Jane
"The privilege of a lifetime is being who you are." -- Joseph Campbell



  •  

JaneNicole2013

Oh, and do your homework--make sure your therapist specializes in or has experience with gender issues.
"The privilege of a lifetime is being who you are." -- Joseph Campbell



  •  

anjaq

Hi.

First of all a short question - are you "fulltime" as they call it? Your post read a bit like that:
Quote" In addition to that, transitioning into femme clothes has been a huge confidence booster and too a degree eliminated some of my anxiety, although in some situations i see it increasing it. "
If so, thats a huge asset I think for the fast track. Now every therapist is different and YMMV - so it is important to choose the "right" one or change if it is not so.
QuoteSince you are younger, I think your therapist will do his/her due diligence to make sure you know what you are doing. At my age (48) I think they take the attitude that we've had plenty of time to think about it so I pretty much got a free pass--that and I went through therapy for this a few years ago. But my therapist did tell me that the younger the patient, the more they explore the issue.
I guess this may be true, but 28 is not that young anymore in these days. I was 23 and that was in the 1990ies - I was YOUNG in comparison. But I got my letter for SRS after 18 months. Now I did work with a GP to get HRT sooner than the therapist would have agreed upon, so I was kind of cheating maybe, if you can find a good GP this can help, but there are not many. So when I went to the first therapy session, I was already "out" to everyone I knew and dealt with in daily life and I basically presented as myself and not as a guy, which however did not mean I was overly femme. He approved for endoc appointments soon after as I was already doing something with the GP and I think it showed my desparation/dedication. I was also not at all into heels, skirts and makeup and I think it may actually helped me with this therapist as he always suspected transvestism if people are too much "dressing". I think a big asset was that I was "just me" and did not pretend to be more femme and I did not any longer pretend to be a guy. He liked that, I think. I made it very clear to him that this is what I want, that I am already doing it, with him or not. He had me write up a multipage life history first thing, so Janes suggestion is good  to go into yourself and write down a biography of your female self and how it affected your daily life, your emotions, special situations and all that in the past. Do that - it will help you to see more for yourself, become more certain of your self and it will serve as a major piece for the therapist. Write down everything from when you looked at the girls playing in the playground in elementary school playing fun games but were not able to join to how you felt about your body when you had puberty...
One negative issue is the anxiety. I would say that this may pose a problem as therapists tend to look at the "manageable" things first before they touch gender. They seem to think that GID can be caused by other problems. Maybe try to work out how you see this anxiety is or is not connected to gender issues. If you want to talk to this therapist at all about it. I did not talk that much about anyting not gender related to my gender therapist. I did that with someone else. But probably it is smarter to have only one therapist, if he is good and you can present well that your GID is not connected to the anxiety, then it should be fine, I think.

Smoking is bad - endocs dont like it at all, but many people I know did smoke during HRT and they still got it, it is a minus though.

One thing that may also help is, that it is a tad bit easier to get anti androgens than Estrogens. Those are considered to be reversible and are used for other issues as well. They can stop at least any further masculinization, if that is a main concern for you, but of course they do not really produce the changes E does. But maybe you can get them first, they will definitely take care of any sexual crap that is going on with erections and such. It can be such a relief and that alone is then a big sign again for the therapist that you are on the right track. Therapists use such reactions to hormonal changes to support their GID diagnosis.

Re sexual orientation I cannot say much. I was asexual before, during transition I was having some lesbian relationships, even post-HRT, but later I was asexual again I guess. Now I am mostly confused as I basically have two ways to be attracted - one is more focussed on being touched - I get in a way aroused when some guys are nice to me and touch me in a nice way. I fantasize a bit about hetero sex as well. This was so before HRT as well, but it became stronger so. OTOH I cannot really imagine being with a guy in a long term realtionship or marriage at the moment - I dont know why - I dont trust them I guess. Plus my actual experience in sex is as a lesbian and that was quite nice actually - interestingly I would have loved a long term relationship there, but it never happened. So I guess it can be confusing. Other girls go through puberty and are set to the hetero path and if they find this is not working but they like girls they come out - for us it is like there are all these possibilities and uncertainties and ideally we would have to explore them all and then pick whats best but I am not like that, maybe you are though :) - can be a fun time then ;)

Good luck

  •  

Tessa James

Quote from: SoapiSophie on October 12, 2013, 06:23:47 AM

Yes, ive been a heavy smoker for some time now, i know that it has to go in order for me to do HRT.  Although with that, i do intend to investigate the ability to get on a "starter" setup for HRT before even quitting smoking.   The biggest things im looking for out of  HRT is the emotional change, and my male libido to drop off.   My penis often gets hard when i dont want it to, am not horny ect.   This to me is one of the biggest things that bother me about my body.  I've had a bit of sex over the years, and this has always gotten in the way, simply unable to orgasm without disconnecting from the act and fantasizing.   Alot of women seem pretty confused as well when i try to sleep with them like another woman does, since emotional connection(even causual sex) and sensuality are a huge part of sex for me. 
This has made some of my best relationships having been with gay women, who just seem to get it when were in bed(and else where).    I'm really curious to see how my sexual orientation will turn out too after being on hormones for a while.    I do have thoughts of men, but without having the body to express myself, things just dont work for me.  Ive tried to explore this with men, it just doesnt work for me, without the parts to match or the hormones.   Do many people wind up bisexual or switch to men exclusively after hormones?

Sophie your honesty is intriguing and your curiosity very understandable.  I cannot speak for others, of course, but basic sexual preference or orientation has not changed for me or any trans person I know.  I have been bisexual all my life and that has not changed on HRT.  My ability to attract gay or bi male partners has changed and I get more attention form seemingly straight guys now.  Some trans people I know feel significantly more confident being with men after having the "right" parts.  I have typically felt feminine during intimacy and that is a much stronger and now congruent identification for me as my body and outlook change.  With a very new presentation we do encounter the culture from a different perspective.  For most women I meet there is comfortable interaction while my relationship with some men is more challenging.  Even basic eye contact with guys takes on a whole new depth. The world provides us a wealth of choice and a banquet of possible lovers.  Enjoy the feast
Open, out and evolving queer trans person forever with HRT support since March 13, 2013
  •  

Jessica Merriman

Every one here knows what they are talking about so use that knowledge for yourself. As a paramedic I know that Estrogen in the smoker is a very big deal. Along with DVT as Cindy indicated it also puts your chance of a stroke up 60-70% along with cardiac and circulatory issue's.

Before I started transition and was in male form I was totally hetero. I went to three different public safety academies and never once checked out another males junk, had thoughts about them or any other interest in them. After about two months into HRT I had a very vivid dream which changed all of that. Now I cant stop thinking about them and my BFF Gina has her hands full constantly telling me to calm down. I believe "E" can rewire our concepts of who we prefer because I am living it. I started HRT at 47 years old and it was not a big deal to the therapist because I went in prepared. I proved to them a thorough knowledge of all the aspects of transition such as process, medications, procedures, social/family impacts and post care and follow up. I made up a timeline for transition showing how I would implement new changes and deal with all other issues we deal with. Do the same and even if young it will impress them that you did your homework and it was not an ill conceived idea to transition. You will get a better, faster response to your request. Have a great day baby. :)
  •  

Tessa James

Hi Jessica,

I am fascinated by your candid observations and new outlook.  Previously considering yourself hetero and now feeling different you push back on the politically correct dogma that suggests our orientation is immutable.  There is considerable literature out there by people who have tried to change or even "cure" our homosexuality with hormones and worse like electroshock therapy.  PC dogma also suggests we are unable to make some one gay.  Hmmm, how unchangeable are we?

I would never challenge your or anyones self identification but am intrigued by others experience with HRT and how it effects orientation---perhaps for another thread?
Open, out and evolving queer trans person forever with HRT support since March 13, 2013
  •  

Jessica Merriman

It does deserve exploring that's for sure. Am I an aberration, abnormal or what? I just know that before "E" only females, after "E" wow, total change. Relations with men seem normal to me know and with females, no way. Intriguing isn't it? Love ya Tessa!
  •  

Tessa James

Open, out and evolving queer trans person forever with HRT support since March 13, 2013
  •  

anjaq

That is interesting, Jessica. I did notice that things shifted for me in some ways - the physical attraction of men was nearly zero before transition and now I can get quite nervous about it at times. I found however that I find women also very attractive and I kind of liked the lesbian intimacy quite a bit, but I have no comparison. I think if anything, then the whole process made me from asexual to bisexual, though I am still not running around looking for it, I am kind of thinking that if I get into such a situation now, I would like to try...
I think maybe it was less being on E that changed things in me (and maybe you, Jessica), but rather to be oneself and express ones true feelings. Kind of like coming out to oneself in terms of sexual preferrence. Kind of like allowing feelings to happen.

One notable thing is that I heard not seldmonly is that transwomen like to make out with men because somehow they "fell more like women" when being with a man, while in lesbian intimacy they kind of are reminded of previous experiences in boy mode (at least in the case that they ever did it that way).

Jessica also describes that it may be a good idea to go in there well informed and having all planned out (by the way did you follow your plan? ;) ). I guess this may work with some therapists and with 40+ year old TS, but I am not sure it works always. Be well informed- yes, that is definitely a plus. Having it all planned out - not so much unless you are obviously a very good planner. If I had come to my therapist with a full plan on when to do what he would have a) felt overrun in that it is him who decides when to get letters and name change and everything and not his patient and b) would not trust my timeline at all because I obviously was young and had not much experience in managing a "project" of this magnitude. I know some 40+ people who did that and they could pull it off and got all done. I think the therapist basically knew that whatever he would do, his patient would just find a way to get this done. He also had no chance of doing a proper diagnosis really by then, because these people knew the SOC and DSM to the dot and would give him any answer needed to make their plan work. This is not for everyone. I know someone who did something like that - doing a timeline himself and giving the answers the therapists needed to hear for the diagnosis of TS - but it was not the right diagnosis, so... I am not sure it is the best way - one should really explore all of this thoroughly. I get the NEED for early HRT and the NEED to present fulltime fast, but other than that I think it is not a bad idea to talk through some stuff...

  •  

PrincessDayna

Ive been with the same woman before HRT and even after HRT we are still together. I still consider myself a happy little lesbian, but- I *do* notice men more. Before they repulsed me, now? I just notice them....still, no attraction to them in any other manner than friendship....but that also varies person to person and I think the noticing them part is more due to a change in my sense of smell as well as a pheremone thing, not 100% sure.

Fast tracking? Lets see, being full time prior definately helps as it shows you are dead serious on the weight of the issue in full! Of course, this all varies time to time with therapists.

Prior to HRT i didnt see any therapists, i did in my youth though, and each one diagnossed me as Gender Dysphoric of which, making that note helps tremendouslly.  When I told my PC doc about my feelings, he asked a ton of questions, and I had that letter to a geneticist as well as my endo that same appt. When my endo read my results, he was astonished this issue wasnt adressed wayyyyy sooner in life, i.e:birth! Also, be sure to shop around for the right endo, not all of them are Trans friendly. Of course, it helps your PC already knows about the right ones. Mine, never dealt with trans people, and he said its good my results showed what they did, or I wouldnt have gotten that referrel, and more so, would have had to shop around doctors for primary care as well as return to therapy, which is something I dont need...as Ive seen enough therapists in my youth over all this.

Umm, as far as age? You are still prime for effects, trust! I started late in the age of 29- Im four months into HRT and let me say the changes were tremendous soooo fast and already. Plus, after you get that script, time reallly reallly flies, as you dont have anticipation of finally getting started! Of course with effects, ymmv based off genetics, diet and excersize regimen, dose, anda s well as my finalized point:

Smoking! Now, I will say 100% it is best to stop, in full. I still smoke, but i dont reccomend it, and tbh, I myself need to stop as well! I am very very very very lucky I even got my script, and to be honest, my endo knew I was a smoker that first meeting. I do not think that he even would have gave me my script tbh, if I wasnt IS and he decided need outweighs risk. And trust, the first three monthes I was on four times the usual max of E, too! I was put on spiro, just to control BP as my T levels were already in a decent range.  My bp he noted was high but is atypical to my condition as well as attributed to being nervous for my first appointment.

But ya, best of luck, and stop smoking while you can, you have an 80/20 chance of getting E while smoking, and that 20 is the chance of getting it. 80% of endos wont prescribe if you do, and more so, asside from the health risks, it interferes with E as well, reducing its over all potency due to messing with blood viscosity. If you desire a stronger chance of good, positive results from E, then your best option is to not smoke. And unless you have been a non smoker for a few monthes, most endos will do a smaller doseage of E for a bit to start you off. Many,many, many endos do low E to start, as it is, due to seeing how your body adjusts to it.  So be prepared, shock HRT is very rare, and is usually dependant on conditions of your bloodwork and/or genetic testing in orderto ascribe to a level of risk aversion. Now I am on a double the regular dose of E for trans women, and I think he only is doing it once more due to my condition as well as expressed desire to dive in for fastest track possible- due to having been full time off and on for years prior to HRT.

Best of luck, and welcome aboard the journey! I will keep you in my thoughts and prayers doll!
"Self truth is evident when one accepts self awareness.  From such, serenity". ~Me  ;)



  •  

Jessica Merriman

My plan has been followed and it was good, at least in my case, that I had one as I was the first transsexual my therapist had seen. It showed him commitment and logic and also gave him something to compare to the WPATH SoC's. It may not work in all cases, but it did in mine. Being a paramedic was a big plus as I had the medical terminology vocabulary, the pharmacological knowledge as well as protocol knowledge.
  •  

Randi

The simple answer for hormones is to use the informed consent model.  WPATH recognizes this in it's latest edition of the SOC (standards of care).  There are clinics in many major cities, as well as individual practitioners that use this model.

Callen-Lorde in NYC, Fenway Health in Boston, Howard Brown in Chicago are good examples.

You can learn more here:  https://www.susans.org/wiki/Informed_consent

You must be a responsible adult and knowledgeable of what the effects are, but you can get on supervised hormones in as little as three visits.

As you know smoking, as well as your anxiety issues could close this door for you.

My one caution is that if you think that changing your sex will somehow make other issues in your life go away, you are bound to be sorely disappointed.

Best wishes,

Randi 

Quote from: SoapiSophie on October 12, 2013, 05:32:27 AM
   How can i get on the fast track for hormones?   
  •  

Sophia Hawke

                I do know i need to quit smoking.  This is in fact priority number one for me. as well as eliminating my self medicating and getting on a proper medication regimen.  I do not want to smoke at all, ive been trying to quit for 3 years now, that is how i discovered that my cig smoking was linked to my anxiety.   My anxiety is primarily social in nature and is DEFINITELY caused by GID.  Im also very certain that transitioning wont completely eliminate my social anxiety as much of the damage in that area has already been done.  I personally intend to continue long term therapy and medication for this, likely for the rest of my life.   For a long time i tried to manage my anxiety on my own, this kept me trapped at home at my computer where i felt comfortable.
        The thing about my social anxiety is this, when im out with people, they way i want to behave/speak/be treated is that of a girl.   So when im out with friends, i get anxiety about the way i behave or speak, and being treated like a man makes these issues twice as hard.   I'm really lucky that i have friends who wont let me sit at home and hide, and they make every effort to include me in things going on.  This of course is what made it possible for me to come out, and coming out has eased some of that anxiety big time.   Being able to express myself as a girl when im with friends is hugely relieving.   However, ill also say, that with years of self isolation, this has damaged many of my social skills, that will be an ongoing process of relearning to a degree, but is also a source of anxiety.
      As far as clothes go, i do not have all the clothes i need yet.  I'm going shopping with my sister and her gf next week, im also trying to include some of my friends in this experience as well, after all, who doesnt love to shop:-).  Becoming full time in clothes is something im doing with or without HRT.  Living as a man is completely unworkable for me at this point.  If i cant transition, i personally have zero desire for continued existance.   It is the hope of today and the days after today that have kept me going all these years.   My coming out happened because i could no longer hide or stuff down how i was feeling and i felt that if i didnt come out and start the process of transitioning i was going to either kill myself or drown myself in a haze of drugs until they eventually took my life.  Once i have enough clothes and makeup i will move into full time girl clothes/presenting.   I have just as much of a feeling of urgency about the clothes as i do HRT, at the same time i know i need to give the people around me some time to adjust to whats going on with me.  The people ive spoken too so far(and the ones that make it obvious without saying anything that they know) have been incredibly supportive, more than i had ever hoped.   Im trying to get myself into FT clothes before the new year, and i think a month or two should be plenty of time to give people in adjusting.  I will also be,(other than my first eval visit since i dont have the clothes/makeup yet) be going to the therapist/psychiatrist in my girl clothes for every visit(something im quite happy about).

   Over the years ive prolly spent thousands of hours looking into transitioning if not tens of thousands.  I've honestly felt this way about being a girl for longer than i can remember.   Earliest i can remember was being a kid, maybe 7/8 and thinking and feeling i should be more like the girls i played with.    It wasnt until middle/high school, however, that  i discovered what ->-bleeped-<- was when i met a friend who was transitioning.   At the moment she and i met and learned about it, i knew right away what the feelings i was having was.   This is where i first explored this, and at the time i took every opportunity to wear girl clothes/makeup, and too some degree over the years being involved in the goth scene at times made this easier for me.   It wasnt until I discovered the social stigma (and at times violence against me) that i started actively suppressing these feelings, and exploring them secretly.  Many people who've been close to me,(family mostly) for an extended period of time, were not at all surprised by my coming out. I've been almost unknowingly feminizing for a couple years now.  While my GD has always been ever so apparent to me, i hadnt linked some of my actions to it.  Things like growing my hair long and straightening my hair, the way i behave with others, and the way i groom among other things.   Now that im out, many of my family often point out indicators of this that i hadn't  even noticed.   This transition for me feels far more natural than even i had expected.    Tonight as an example,   i wore my usual lace panties(which i love btw, the comfort is absolutely incredible compared to boxers.) my girl socks(just some teal socks i got in a multipack at walmart and the new waist training/tight lacing corset i bought on glamourbotique.  Nobody can see my panties usually(which is how i like it and always will, since those are for anyone i might become intimate with,(the exception here is when im exploring fashion with female friends/relative, which now that im out, those situations have had me feeling a level of comfort and lack of anxiety, im not sure ive ever experienced, not even with self medicating/and or drug use.)   I often let my socks show without fear, even the pink ones, and even with friends who i know dont support my transition and are even against it, but still my friends none the less, with little/no anxiety about it.    My corset however, is quite obvious even underneath my baggy mostly unisex clothes(pretty sure i need a smaller corset as the one i have is overlapping where it laces and im even tying the long laces around my waist tightly to  make things a bit more fitting, and to stop i from riding up.   Im also working with the great folks at glamour botique to find a  corset that fits just right.  Anyways, its incredibly obvious, most due to the fitting i think, that im wearing a corset, as well as my improved posture and the way it feels when i wear it.  Again, wearing the corset, feels incredibly comfortable to me, despite being tight and a little physically uncomfortable,  i know now, that corsets, even beyond waist training/tight lacing is something i want to make part of my regular wardrobe, simply due to the sheer comfort.  I will note, that my personal preference on clothes, is generally quite conservative, although fashion is something that im currently heavily exploring.  One thing i dont want is too look like a slut/whore.  I do however want to sometimes be/feel a bit sexy whilst still being somewhat modest, and enjoy the attention i receive from that.  (and i dare anyone to say that's something that would barr me from HRT/full transition)  I've surrounded my self with GGs for most of my life(and have often been jealous at times of them too lol), since on a friendship level i can often feel comfortable with them, especially at times when i feel like one of the gang. 
         Simply starting to transition into girl clothes has even been enough for me to want to truly explore romantic relationships with others and has given me the motivation and comfort to do so.  This is truly a first for me in my since all my previous relationships just kinda happened and i was single for long periods in between.   Up until now ive also suppressed personality traits that i feared were feminine enough that i might be ostracized for letting them out.  Now, that im out, much of that is slowly coming out now on its own.   Some of the things that ive recently noticed, and to a degree often enjoy is being sassy/snarky, giggling and sometimes snorting haha(ive been doing this for the last year or so, i am however no longer embarrassed about it and it feels normal to me), as well as the ability to be more assertive with others due to the gradual increase in my self confidence and self esteem.   Much of these things are stuff i really want to explore with a therapist, ive been actively and in some cases unconsciously suppressing my outward personality and the things im interested in that are feminine, like as an example, i recent got Ellie Goulding's 2cd Halycon days and i absolutely love it.  Its been in my cd player for the past few days and ill likely be listening to it for the next few weeks till ive worn it out,(which i often do with music i love, and listening to music is something i truly love.) I've also noticed that my energy levels have been increasing since coming out and not suppressing this stuff.   I had no idea how much effort i was putting into suppressing this all and the anxiety of being found out, with how it was wearing me down emotionally and physically.
          Since, i came out, ive also been exploring via the internet(for what thats worth), any and all reasons why i should consider not transitioning, either into female clothes, or surgeries.  While i dont have any doubts in the slightest about wanting to transition via clothes and surgeries, i do want to explore things in this area i hadnt considered.   I havent really read anything so far that gives me pause about transitioning, but i want to discover why it is that others have regretted transition, so that i can make sure that i dont transition and unknowingly put myself into a worse place than when i started.  Just playing a bit of devils advocate and challenging my very steadfast feeling about transitioning so that i can know that i considered as many possible outcomes and situations ect as i possibly can.
          As far as sexual orientation goes, i know from experience that i prefer and feel very comfortable with gay women.   This is far more so than with straight women.  There is a definite connection for me there on an emotional level, which for both sex/relationships is a must for me or it becomes a no go.(not that i havent had casual sex sought out when i have been truly horny)  I also wont say i havent had thoughts about men either.  However these thoughts are pretty centered on me having a female body, although now that im out, i dont mind the occasional attention from certain men.   I've tried to explore this in the past with guy, but with the way my body is, it just felt unworkable.  So as far as men are concerned im more or less shelving that until im done transitioning and can thoroughly explore that avenue the way id like to.   I really dont know how hormones will effect my sexual orientation and i am a bit curious about this.  I know that witht his male body, that sometimes i feel as though i can almost smell the pheromones from some women, leading to semi interest despite my thoughts/feelings on their looks/personality ect.  I can only imagine that it will be that way for men when im on estrogen.   To some degree i really believe theres an area of unknown for me right on orientation despite my current personal preferences and that only hormones will really answer that question in the end.
            Now, as far as therapy/psychiatrists are concerned.  I'm going to a local standard therapist office which also has a psychiatrist via tele psychiatry.  The only specialties they really have their are womens issues and substance abuse, although its open to everyone in need of mental health services.   This is basically my only option atm due to money and time restrictions.  It took me 6 months to even find this place, and its already an hour drive one way.  With a business to run that often requires my constant attention, traveling far out of the area is also a bit cost prohibitive.  I'm going to be going to my appts en femme, esp since i really want them to see for themselves and know that im pretty damn serious about this.  And at the very lease i can deal with some of my anxiety even if they cant help me much with my Gender identity issues.(although i know several people who go there, including a few family members, all of whom have said that its the best mental health services they have gotten anywhere)
                   This has been a pretty damn long post, but i just want to summarize briefly.  Where i am at now is this,  i really dont want to continue living if i cant transition.   I'm not in crisis, having the ball rolling on this process has been a huge source of hope for me.    Something im considering however is going to an inpatient somewhere for some time that specializes in Gender issues.   Having a truly safe environment to deal with all this would be great, as well as having professionals nearby to help deal with anything that could come up(im not really thinking anything specific here, but transitioning is a difficult process, as well as being just as simple as it is complicated, and who knows what can come up)  If anyone has any info on this, please do share it, as im clueless about this, and would like to explore it as an option, especially since i will have a couple months this winter(do to tourist area) where i wont have to work and being in an inpatient wouldnt really disrupt my life, not to mention lack of access to cigarettes for a time giving me the ability to adjust to life without smoking.(i seriously dont want to smoke anymore, its gross and expensive, and bad for my health)


After writing this entire thing, i feel like maybe i should print it out and just give it to my therapist haha.   Anyone think thats a good idea?
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LordKAT

Printing it out for your therapist is a perfectly good idea!
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