Well... I thought I was going crazy but I don't think I am.
After Wednesdays nasty pain episode I did some thinking. Really sore breasts, absolutely rotten mood, no energy very pms like. I checked out the moon phase... full. I thought about last month around the same time, same issue. I'm going to check but I bet around the 22nd of December the same thing will happen. I checked the web, lots of trans women get pms like symptoms monthly.
I don't think I'm going crazy I think you can have period like symptoms as a trans woman. Going to gather some data over the next six months noting daily severity of breast pain, energy, and mood. I think I'll see a definite cycle.