What should primary care physician be checking

[Arianna Valentine]

So basically I'm going to see my primary care physician next week today well Wednesday which is today now I have to go in for a fasting lab work but my question is Monday when I have the general appointment what should I be asking her to check with me being on estrogen and spironolactone and allergy medicine and a few other things what should I be mentioning to her I know prostate is definitely one because I have heard of issues with that

If you can't accept yourself,  how can you expect others to accept you?

[Arianna Valentine]

I almost forgot to mention my primary care physician knows nothing about transitioning but is very interested in it and fact whenever she does my blood work she also checks my estrogen levels and testosterone levels so she wants to know more of what two be paying attention to I guess is the word

If you can't accept yourself,  how can you expect others to accept you?

[dee82]

My endocrinologist makes a big deal of cholesterol and vitamin D because they can get elevated and reduced respectively when on HRT. Or so she says.

~Dee

[TonyaW]

Your GP should be watching it all cause that's what they do. Shouldn't be necessary  to repeat tests that your endocrinologist is doing, they ought to be sharing that info.

If you're on spiro,  they'll both be looking at electrolytes, particularly potassium and sodium.  They'll check liver enzymes also due to the estrogen.  Not sure at what age they start checking PSA for prostate, 40 I think. 

My GP does my HRT and my full load of tests are

CBC or complete blood count
BMP or basic metabolic panel
PSA or prostatic specific antigen
Prolactin Assay
Testosterone
Estrogen
Liver panel
Lipid panel (cholesterol)

Had some issues on mine last week. Glucose, prolactin and creatinine were high  so get to do those again in a month. She's hoping they were flukes as I never had issues before and weight is down so no reason for glucose to be up. Testosterone also up but not out of female range and estradiol was way down. Not in male range but not a transition level. Testing those again in 3 months.



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[sarah1972]

My GP checks everything except my hormones. She leaves that for my OBGYN to handle. So she does the regular blood tests, including sodium and potassium since I pointed out to her that this needs to be checked.

She also agreed to do all my pre-surgery testing.

Lastly she is involved in treating some of my anxiety and depression and handles the medication for that as well as my elevated triglycerides.

My OBGYN and my GP use the same online health portal so both can see all the tests. While my GP looks at my hormones, she does not know enough to make any suggestions.

Both are mentioning mammograms but say I have another year or two - mammograms are recommended to start 4-5 years after starting HRT.... and I need to bring up PSA testing on my next annual check due to family history.

So in a nutshell: she does the regular tests and monitoring and everything else is left for my OBGYN to do.

Long term the only variance to a cis woman is the PSA test I still have to do and a closer monitoring of my hormones.

[Devlyn]

Yeah, that prostate testing throws a big wrench in the "I'm gonna go stealth" program. 

[Arianna Valentine]

My endocrinologist makes a big deal of cholesterol and vitamin D because they can get elevated and reduced respectively when on HRT. Or so she says.

~Dee

I take prenatal vitamins for vitamins lol but god are they horse pills but they are cheaper than multi vitamins

If you can't accept yourself,  how can you expect others to accept you?

[Arianna Valentine]

Yeah, that prostate testing throws a big wrench in the "I'm gonna go stealth" program. 

Yeah I figured that would kinda throw off the I'm a woman hear me roar effect lol at least only few ppl know

If you can't accept yourself,  how can you expect others to accept you?

[CindyLouFromCO]

Yeah, that prostate testing throws a big wrench in the "I'm gonna go stealth" program. 

My friend had hers removed for stealth reasons.  She said it shows up on xrays.  Her gynecologist did not know for 7 years until she had to tell him for some reason.

[TonyaW]

Yeah, that prostate testing throws a big wrench in the "I'm gonna go stealth" program. 

Unless you stop going to doctors (TERRIBLE IDEA),  not really possible to go completely stealth.  Even if you have it removed doctors can figure it out if they really look at you. 

Really,  your doctor is the only one that needs to know. And I suppose my insurance company so they pay for the PSA test and stop telling me I'm overdue for a cervical exam.

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[Devlyn]

My friend had hers removed for stealth reasons.  She said it shows up on xrays.  Her gynecologist did not know for 7 years until she had to tell him for some reason.

Yeah, that male pelvis really shows up on an X-ray, too. And they don't remove those.

[Colleen_definitely]

But what if you ask nicely?

[Devlyn]

I don't know how to do that. 

[Rayna]

Bad idea to remove the prostate for cosmetic reasons. It can cause ED. Oh wait...

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[CindyLouFromCO]

Yeah, that male pelvis really shows up on an X-ray, too. And they don't remove those.

I think it was more about having one less thing to clock her.

No one is truly stealth.  Especially if you have had a name change.  Court records are all online these days.