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ChiGirl: First allow me to second the comments of the others here. This is for you and you will be a better person for this, with all due respect to your wife. You can still be there for her as she needs to be there for you. Your imperative is to move at your schedule. Jessie Ann makes a good suggestion that your wife should see her own therapist to understand your endeavour if she does not want to work with yours on a 'family' counselling basis.
Marie adds to that point that this is for you to be a better you. If you married 'for better or worse', well here comes the 'better' and there should be no spousal 'blackmail' cajoling you against your will. During the bad ol' days before marriage equality, even the best marriages were forced into crisis. Nowadays, you can remain married, unless your wife is looking to use your transition as her excuse to leave you.
Depending upon your dosage and your body's receptivity, you will soon know whether you are doing what you want and need to do, whether you love all the changes and new sensations, or whether you choose another process.
My endocrinologist first tested me on low-dose birth control pills a couple months to determine my initial responce. I took well to those developments so he started me on my day's full dose taken at morning breakfast. I developed what I later learned was 'morning sickness', so he told me to spread the pills throughout the day. That gave me two benefits - no more morning sickness and I maintained a steady ERT balance (no different than your patch).
I have heard from those who take the patches that the hormones do not pass well through the skin plus you are surely paying a premium for them. I now take plain old generic ERT commensurate to my menopause age (59) that the commercial / chain pharmacies dispence at three-month special pricing and then MediCare reduces further to less than $3 for three months. Those estradiol pills are not any special dissolving formula, they quickly dissolve under my tongue. My semi-annual labs show good health 35 years and counting. So, yes, get in shape and stay healthy.
Enjoy! and HUGGSS.
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