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Strange Doctor's Appointment

Started by Vicki, April 15, 2014, 03:16:09 PM

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Vicki

Hello again everyone!

So, let me preface this by saying that I went to my doctor's appointment today to discuss HRT and to see what steps I needed to go about getting the hormones. This was a strange appointment to begin with as my doctor is actually a OBGYN, so you can only imagine my embarrassment going into an OBGYN clinic as the only guy (on the outside) there. I was actually referred to this specific doctor by my transgender support group, it seemed natural to talk to her about it.

So, I had to fill out a bunch of forms and fill information out about various topics that don't pertain to me. I sat in the waiting room with a bunch of children running around, while I quietly filled then forms and later messed around on my phone (to prevent looking up). After sitting in the waiting room for what seemed like an eternity, I was finally called back to be weighed and asked a bunch of questions. I actually lost 10 lbs, which is really odd, I went from 175 -> 165 at 6 feet tall. Additionally, it seemed I had high blood pressure at the time as well, it was 150/90. This kind of surprised me, as I'm an active runner, I work a physical job and tend to watch what I eat. Regardless, high blood pressure runs in my family, so I suppose there is always a possibility that I actually have it, although I was super stressed out at the time.

Anyways, I talk to the doctor about my past and how long I've been in therapy, as well as bunch of personal stuff. She asked me how I intended to transition and what my goals were. She said I was being pretty realistic about my expectations and my goals. Before I left, she tested my blood pressure again, which was still high, so I'm not sure what is up with that. I'll get it tested later on to make sure it wasn't the situation, but needless to say, I got both estrogen and spironolactone. I'll be checking up with her next month and she will adjust my dosage then.

I'm happy to finally be on the path that I should have been on a long time ago. :)

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Jennygirl

Congrats Vicki!

Yeah I wonder if perhaps the setting made your blood pressure spike a little bit... Certainly seems possible. And then just knowing you're about to start hormones is exciting in itself :)
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fusstangtroy

All right for you .Your on your way ..In past year when i go in doctors office it goes up ..Stress but go figure it just started out of blue reading high blood pressure.My strange thing with hrt was when i  was filled my prescription and the pharmacist came up with my patches and he started telling me about how and when to change it .he was 15 seconds into it when looked up to see a guy and not a lady .his look was like what the hell but he was great about it. he did'nt miss a beat he just told what need  to know .
Life begins at 50 ..  if the boys only knew what there missing being girl ! The worst day being girls is still best day i have ever had ..(oh yea)..If being rich in life is have friends i hope you will join !!
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stephaniec

shouldn't be to concerned about your blood pressure  because spiro is also a blood pressure medication.
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Jill F

Ahh, white coat hypertension.  I always have it checked again after trying to calm myself down.

Why do they always seem to do it after they weigh you and you react suddenly when you realize how much you've put on.   Yes, the Jill-ism for that is "flabbergasted".
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Ms Grace

Congrats! Doesn't sound too strange to me, that was probably standard.  :)
Grace
----------------------------------------------
Transition 1.0 (Julie): HRT 1989-91
Self-denial: 1991-2013
Transition 2.0 (Grace): HRT June 24 2013
Full-time: March 24, 2014 :D
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luna nyan

Congrats on braving the den!  I think I would have run away screaming (from the kids!!)  I hope the meds agree with you and don't do anything untoward  )

With your blood pressure, the main reading I'd be focused on is the diastolic.  That's only 90 so it really isn't that far out from the target range so it's not much cause for concern at this point.  It's just something to keep an eye on at this point.  Hopefully the spiro will bring it down for you - it is a funny sort of situation to be in - you're on spiro for the T blocking effect, and the side effect for you may be better BP. =)
Drifting down the river of life...
My 4+ years non-transitioning HRT experience
Ask me anything!  I promise you I know absolutely everything about nothing! :D
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FrancisAnn

Why was that strange? It seems like a normal visit & it's good for you on scrip for HRT. Good luck.
mtF, mid 50's, always a girl since childhood, HRT (Spiro, E & Fin.) since 8-13. Hormone levels are t at 12 & estrogen at 186. Face lift & eye lid surgery in 2014. Abdominoplasty/tummy tuck & some facial surgery May, 2015. Life is good for me. Love long nails & handsome men! Hopeful for my GRS & a nice normal depth vagina maybe by late summer. 5' 8", 180 pounds, 14 dress size, size 9.5 shoes. I'm kind of an elegant woman & like everything pink, nice & neet. Love my nails & classic Revlon Red. Moving back to Florida, so excited but so much work moving
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Eva Marie

I know someone MAAB that goes to an OBGYN so don't feel weird about it - it sounds like your OBGYN is very qualified and good docs that treat transgender issues are hard to find. We take them where we find them.

As you transition there will be a lot more uncomfortable situations ahead for you as you adjust to being in traditionally female identified places filled with women; places such as cosmetics strores, restrooms, and nail/hair salons  ;) I am early in my transition and I still struggle with the idea of being in some of these places, but then again I am a woman and I have a right/reason to be in those places.
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mac1

Vicki,

You might feel more comfortable going to a OBGYN if you dress more feminine.
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AnneB

I agree, your BP was likely Lab Coat anxiety.. happens to all of us.. did you have any coffee earlier tho?  I found that if I forgo my coffee before the apt, my bp, while a bit higher than normal/resting is only due to being in the office, but higher still with my normal java..

I know the nervousness abt being in the OB office, not to worry.. Eva's right too, nervous?  Wait till you go in to buy underware!  *giggles*  :D
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ErinWDK

Part of the higher BP issue may just be from being in the doctor's office.  My guess is a lot comes from the fact it was an OBGYN office and you felt out of place.  This may be a case where home monitoring might be useful to let you know if you have a problem that needs to be addressed.

I am about to have what to me will be a strange doctor visit.  I will see my Psych next week, and I have been dared to show up in female form.  We see what this does to BP!

In the last two weeks I have seen my Dentist who said my BP was low, my Endo who said my BP was too low, and my Primary Care Doctor who said my BP was WAY too low and cut my medications.  So, it remains to be seen what going into a medical office as Erin will do to my BP.

What do we call this - anticipation?

Congratulations on starting HRT and being on the road.


Erin
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HoneyBunny

I am lucky because I go to a doctor that is pretty famous for treating transgender people.



However, I did go to an OBGYN once as a guy and that was pretty weird. It was not as weird as going to the emernagy room though. Being trans and the emerangcy room does not mix well. It was weird because they had to treat me like a guy because that is what I legally am for the time being, until an up coming court date, but since I have boobs and other stuff they had to keep me ultra covered up and away from the guys.
We're born naked, and the rest is drag.
-RuPaul
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devon14

I'm so happy to hear that you have started your journey on HRT! After knowing that HRT was right for me, I've felt nothing short of amazing after starting it. I've been on HRT for two weeks now.

My blood pressure is always a little high when visiting the doctors for any issue. I have a bad case of white coat syndrome.

I hope your journey is filled with happiness! :)
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Vicki

Thanks for the advice and support ladies. I did find the experience strange because it was at an OBGYN office, in addition to the high blood pressure and weight loss. I'm glad to hear that the blood pressure is likely due to white coat syndrome, which I had speculated. I haven't had the opportunity to check it out yet, but I will try to make time for that this weekend. In any case, my doctor did not seem concerned with it as spironolactone is used to treat high blood pressure anyways. It just sort of bothered me since I strive to be as healthy as possible.

Quote from: Eva Marie on April 16, 2014, 09:06:56 AM
I know someone MAAB that goes to an OBGYN so don't feel weird about it - it sounds like your OBGYN is very qualified and good docs that treat transgender issues are hard to find. We take them where we find them.

As you transition there will be a lot more uncomfortable situations ahead for you as you adjust to being in traditionally female identified places filled with women; places such as cosmetics strores, restrooms, and nail/hair salons  ;) I am early in my transition and I still struggle with the idea of being in some of these places, but then again I am a woman and I have a right/reason to be in those places.

She came highly recommended, everyone in my transgender support group sees her which definitely speaks to how awesome she is. I'm definitely not looking forward to being placed in future awkward positions, but I suppose it comes with the territory.

Quote from: fusstangtroy on April 15, 2014, 07:25:03 PM
All right for you .Your on your way ..In past year when i go in doctors office it goes up ..Stress but go figure it just started out of blue reading high blood pressure.My strange thing with hrt was when i  was filled my prescription and the pharmacist came up with my patches and he started telling me about how and when to change it .he was 15 seconds into it when looked up to see a guy and not a lady .his look was like what the hell but he was great about it. he did'nt miss a beat he just told what need  to know .

Actually, when I picked up my prescription the pharmacist had a similar reaction - she began by reading off the spironolactone, then when she came to the estrogen, she asked. "Is this right?". I nodded and she proceeded to carry on with the transaction like nothing happened. Oddly enough, it didn't really bother me at all that I was talking about this with the pharmacist, particularly since I work at the same store she does. I imagine this will lead to staring in the future, but luckily I work overnights, so...

Quote from: mac1 on April 16, 2014, 10:09:10 AM
Vicki,

You might feel more comfortable going to a OBGYN if you dress more feminine.

I actually considered doing this for my first visit, but I wasn't familiar with the staff, so I didn't want to go overboard. As somewhat of a tangent to this point - I actually went to my old companies' Halloween Party dressed up like a female, everyone said I passed and everything. It was actually kind of funny, my team sent out a termination email with name on it and said to welcome the new girl on the team. My old supervisor passed me and when I caught up to her later she mentioned that she just thought I was one of the girls. The somewhat creepy part was everyone was curious what bathroom I would end up using, therefore I used the men's bathroom at the end of the unoccupied part of the building. Thank goodness I was working overnights and the west wing of our building was unoccupied.
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Sydney_NYC

Quote from: devon14 on April 16, 2014, 03:20:10 PM
My blood pressure is always a little high when visiting the doctors for any issue. I have a bad case of white coat syndrome.

I have the same issue, sometimes as much as 20 points higher. Also because I have a cyst in my upper right arm, my blood pressure will register 15-20 points higher on my right arms vs my left arm. My doctor didn't believe me when I told her and she tried it out and I proved it to her. Just happens that the cyst is near a vein and gives a false reading.
Sydney





Born - 1970
Came Out To Self/Wife - Sept-21-2013
Started therapy - Oct-15-2013
Laser and Electrolysis - Oct-24-2013
HRT - Dec-12-2013
Full time - Mar-15-2014
Name change  - June-23-2014
GCS - Nov-2-2017 (Dr Rachel Bluebond-Langner)


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Allyda

Congrats on getting started on hrt. You have many new and wonderful experiences waiting for you including sore boobs (yes, I consider my sore boobs wonderful cause that tells me they're growing). I find the shopping to be the most fun though, enjoy!

Here's where I'm wierd I guess. My blood pressure is always low. But then again due to my accident in 91 and spending nearly two years in hospital learning how to walk, talk, etc., all over again I sorta got over the White Coat Syndrome long ago. As for my blood pressure it's always been on the low side even before hrt. In fact, my combination of hrt meds actually brings mine up a little into the low normal range. What I really dread is the bloodwork. They can never find a vein in my arm which, as skinny as I am it amazes me. Also it seems before I go in for bloodwork my veins are sticking out everywhere, but when I'm brought back into that cold room (it's always cold even in mid summer) my veins go into hiding. It's like they know what's coming and have a mind of their own saying "nope, not having any of that needle," lol!

Anyway I'm very happy for you that you've started your journey, and I agree with others here your high BP was probably due to the surroundings. :icon_bunch:
Allyda
Full Time August 2009
HRT Dec 27 2013
VFS [ ? ]
FFS [ ? ]
SRS Spring 2015



  •  

skin

Quote from: Vicki on April 16, 2014, 03:42:02 PM
Actually, when I picked up my prescription the pharmacist had a similar reaction - she began by reading off the spironolactone, then when she came to the estrogen, she asked. "Is this right?". I nodded and she proceeded to carry on with the transaction like nothing happened. Oddly enough, it didn't really bother me at all that I was talking about this with the pharmacist, particularly since I work at the same store she does. I imagine this will lead to staring in the future, but luckily I work overnights, so...

I wouldn't assume it would lead to staring or anything like that.  Remember, it is her job to make sure everything is right, pharmacists are the last line of defense on catching prescription mistakes, so I would think confirming someone presenting as male that they were in face supposed to be getting estrogen is her doing her job correctly.  Congrats on finding a good doctor and moving forward.
"Choosing to be true to one's self — despite challenges that may come with the journey — is an integral part of realizing not just one's own potential, but of realizing the true nature of our collective human spirit. This spirit is what makes us who we are, and by following that spirit as it manifests outwardly, and inwardly, you are benefiting us all." -Andrew WK
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