Hi there,
I'm 55 years old and living in Massachusetts USA. I have been on a testosterone blocker for about 6 months now and it has made me feel a whole lot better. The thing is this--my gender identity seems to fluctuate thorough the day/night and this had me very puzzled most of my life and also helped me to "bury and ignore it" till a few years ago. I had thought till a couple of years ago that I was "bi" but even that didn't seem to fit my emotional state.
Then I came across this article:
http://www.ncbi.nlm.nih.gov/pubmed/22364652 and it shed light on my situation.
I have searched high and low for others who have this but haven't found any. I contacted the author of the article above and she interviewed me in depth for an hour, for her research, but I didn't think to ask her if she knew about a forum and now she doesn't respond to my emails.
When I feel male, I feel fully male and likewise when female, "fully" female though I have a male body. The only reliable part of it is that at night, I always identify as female, but towards the end of the day at work--a high intensity software development job, I find I feel very "male."
That being said, I feel much happier, calmer, and grounded in female mode. In male mode, I find I am largely "out of my body," fiercely analytical, and intellectually very "bold"--my bosses tend to call my ideas "bold."
I then went to a gender therapist with over 25 years of experience with transgender people and she hadn't even heard of it. Then she went for an international conference on gender issues and when she came back she told me that most therapists haven't heard of it and those that have discount it as "denial" on the part of the person in question that they are really transgender.
I myself think it isn't as simple as that. I am fortunate in that I have a doctor at Fenway Health in Boston who is very familiar with this issue and has suggested I try only spironolactone to see if that helps and that is what I have been doing for the last 6 months. And yes, I am at <Not Permitted>/day and it seems to help a lot, reducing the switching--I now switch only once every two or three days. I don't think this is a "placebo" effect--it has almost completely eliminated my desire for sex, which (after) would throw me reliably into male mode for a few hours.
I wouldn't mind all this switching between modes but for one thing--the switch to male mode often happens suddenly, and when it happens, I am filled with despair. Till recently I felt that I was "mad/insane," like a serial killer with an "entity" in them except my "entity" instead of wanting to go around killing women, wants to become a women...but my gender doctor at Fenway smiles tolerantly when I tell him this and replies that "mad" is for "when there is no known reason" but here, he thinks persons like me have "dual" circuits in their brain and the brain switches between them. I love my doctor dearly, but for him I don't know where I would be.
My therapist tells me it is my "social constructs of gender identity" that are driving this and discounts any brain structure talk (also smiles tolerantly). So I am torn between one dr. who says it is my brain structure and another who says it is my "social construction" of what it means to be male/female.
I feel I would like to transition to a female, but fear what may happen when I switch to male mode and now find I have made changes that are permanent...for the few hours until I switch back, there is no saying what I may do.
Anyway, there seems no forum for people with AGI (alternate gender incongruity) and I was hoping to find one here...not sure how to request that one be created. I feel I am extremely lucky in that my daughters and wife are sympathetic to my "condition" and that I have strong support from a therapist and gender specialist doctor. Still, the journey isn't easy.
best.
Polly
Mod Edit: Removed Dosage