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Sarah B's Story

Started by Sarah B, January 31, 2024, 06:16:09 AM

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Sarah B

Hi Everyone

Since coming back to Susan's and helping others find peace I have reflected on my own path.  At times the following sense comes over me.  I feel at peace, contentment and serenity with a soft melancholy that endures within me.  I will never relent, let go or give up on, who I am.  I guess this forms the background to the stories I tell about myself.

Just recently I heard someone was concerned about lipid levels regarding their hormones.  That started me thinking about my own situation and the following story relates to my experience with taking hormones.  So here is my HRT story, what I had, what I want and why.

My HRT Story: What I Had, What I Want and Why.

I have been on HRT for nearly thirty six years.  I have tolerated it well with no side effects that I am aware of except for a clear episode of lactation that followed surgery.  Before surgery I was taking Premarin at 2 mg tablets two at a time twice a day which is 8 mg daily.  I was also receiving an injection of Depo Provera once a fortnight to suppress testosterone.  Depo Provera is a progestin that suppresses luteinising hormone which lowers testosterone production, basically chemical castration which I only learned recently and I cannot help grinning about it now.  It was a practical way to keep levels low before surgery.

In February 1989 I changed my life around, hormones started late February 1989 (close) and two years later in February 1991 I had surgery.  I remember it clearly which makes me smile because I was born in February 1959.  So many of my significant mileposts land in February.  So why is that? Coincidence, destiny, the universe showing off, a running gag, or the calendar having a quiet laugh at me.  I guess I will never know.  After surgery I began to lactate.  When Depo Provera was stopped the lactation ceased.  There were no further breast discharge issues once the progestin stopped.

At some point I was moved from Premarin to Progynova which is estradiol valerate.  I do not recall the exact year.  My best estimate is about fifteen years ago.  The reason for the shift was simple.  I was moved from conjugated equine estrogens to estradiol because estradiol matches the hormone a woman's body makes and much safer for my body.  Pills were easy to take and they fitted daily life smoothly.  Swallow.  Done.

My current doctor who knows my medical condition later advised me to use estradiol gel.  I tried it.  It was messy.  It took time to apply.  It did not fit me as well as a pill does.  I considered patches because they also avoid first pass liver effects.  I swim a lot which makes patches less attractive.  Patches can leave marks and can lift at the edges which is not a good match for frequent swimming.  I also considered sublingual estradiol.  Holding tablets under the tongue is simple and it avoids most first pass liver metabolism.  I was aware that sublingual levels can peak high then fall quickly which can make levels feel variable through the day.

Given all that I chose an estradiol implant.  An implant avoids the liver pass.  It is swimmer friendly.  It is set and forget for months which suits my routine.  I understand implants can be slow to adjust if the dose is a little high or low.  I accept that trade off.  In may 2025 I had an implant and I plan to do blood work to see where my level sits as the pellet dissolves over time.

For the last couple of years since coming back to Susan's I have been acutely aware that should be more aware of my hormone levels and have been trying to be more proactive in this area.  I do not want levels that mimic menopause because osteoporosis risk rises and HRT may offer possible benefits for the heart.  So an average or mid range level of hormones that females have.  I have virtually no testosterone since I have had surgery which means I do not need high estradiol doses for suppression.

So my target is clear.  I want a premenopausal female estradiol level around 400 pmol per litre, not too high and not too low, I want physiological replacement that sits comfortably in the normal range.  I guess there is a psychological aspect to this, a feeling that I want that level, so that my femaleness is not taken away from me.  This is one aspect that I'm not going to relent on, let go or give up on.  Regardless of how ridiculous that sounds.

In the beginning I was diligent about attending my doctors' appointments and taking my hormones during the first 16 years after I changed my life around.  I was still in Sydney at that stage and in 2005 I moved away from Sydney and began my teaching career and the taking of my hormones became sporadic since I lived in a country town and access to doctors was minimal at best.  It was not until late 2011 that I began to take my hormone tablets regularly again.  That was when I went home to family to look after my mother.

Even then I was still ignorant of my levels and in the following years life continued as normal.  I believe not long after my mum's death in 2022 that I began seeing my mum's doctor and I became aware of and actively engaged with my hormone levels.  That is not to say I did not have one or two blood tests that measured my levels but as far as I know nothing really came out of those tests before that time.

Since then, coming back to Susan's Forums, the inevitable discussion of hormones surfaced in the forums and as a result I tried to be more active in tracking what my hormone levels are and that is where I was able to ascertain the level of 400 pmol from my mum's doctor who thought it was a bit high but was not worried about it.  My current implant is 100 mg inserted in May 2025.  I did not have blood tests immediately before the implant or in the weeks after it since I live remotely.

So at this stage where do I stand? This morning I rang my two previous medical practices about my records and I also made a phone call to arrange a consultation with my current doctor and one aim is to determine if those previous records have been sent to her and if not to obtain them.  In addition I will be seeking current blood tests.  So what I am trying to achieve is to get the records of my hormone blood tests and with that information I will be able to plot them on a chart and actively monitor my levels.

I had a conversation with my doctor today and it was revealed I had a level of 1000 pmol in a previous blood test, why such a figure I do not know, but here I am and I never noticed any side effects that I can tell.  In addition she was only concerned about the current levels not past and I did get a referral for blood works.

I have thought about breast cancer risk in relation to long term HRT use.  I considered my genetics and the fact that women spend roughly forty years with normal ovarian hormones before menopause.  I judged that my personal risk from physiologic estradiol replacement was very small, given studies of HRT replacement have linked it to a higher risk of breast cancer.  That judgement has been supported by my lived experience across decades with no red flags.  I still support routine screening and common sense monitoring with my doctor.

Why this path makes sense for me is simple.  I want the ease and consistency of a long acting method that suits a swimmer.  I want to avoid unnecessary liver problems.  I want levels in the normal female range not at a menopausal level.  I have decades of experience with my own body on HRT.  I listen to that experience.  The implant with sensible monitoring best matches my goals today and should I consider anything wrong I will be taking myself to the "doctors".

So yes,  this is what I had, what I want and why.

Take care of yourselves and listen to your body.

Best Wishes Always
Sarah B
Global Moderator
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

Sarah B

Hi Everyone

Just another day in my life, so I pick up the keyboard and let my fingers go walkabout once again.

Just another day

I woke up just before 06:00 hrs don't you just love using 24 hour or military time?  This morning nature's call is usually the first thing, then letting out my mum's cat Tia to wander the rural block where I live.  Then it's the magnetic pull of the internet saying come to me Sarah, reluctantly, maybe hesitantly.  Then with a rush of adrenaline I sit down with aplomb to perform a quick cursory look at my usual websites and of course look in upon Susan's Place to see what mayhem has occurred while I slept on the other side of the Pacific Ocean and of course most certainly down under, or to translate that term, the southern hemisphere.

I never hurry and I guess this is one of my personal traits that has resided within me.  Anyway still not awake and not feeling quite myself, I guess this is a result of spending my nights watching YouTube videos of various descriptions on my tablet.  Then fall asleep, only to wake up and continue watching what I was watching.  I guess therein lies my problem.  I had cereal and continued my perusal of what was on the internet.

The weather has gone back to being cold in the mornings to below 10° Celsius that's 50° Fahrenheit to those who live in the land of the free, or to put it another way, "Murican measurements".  I was still feeling tired and cold so I put on a cardigan and went back to bed to sleep for another hour and a half.  I still woke feeling groggy or tired and my musings wonder why, maybe it's my hormone levels.

Just a day or so ago I had a Telehealth call with my doctor and I asked for some pathology tests.  She queried whether I received them and she said, she sent me the required paperwork to my phone on my previous call with her.  I thought she sent the paperwork to my email account.  However when I checked my phone it was not there.  Anyway, she sent me a new one and when I go into town next time I will attend a clinic and get the blood work done.

I digress as usual.  I proceeded to do morning chores like emptying my cat's litter tray.  Tia has always been an indoor cat during the night and allowed out during the day.  Especially now that I reside on a rural property, where cats in the open tend to be treated as feral and next door neighbours could treat any cat as such.  So she stays in at night regardless.

I got a new rubbish bag ready, a thick plastic bag from our local food shop, Woolworths and I also put in a new bin liner, a thin plastic bag from ALDI, another local food shop.  So much for recycling bags.  The attempt to ban single-use plastic shopping bags was futile and I believe pointless because those single-use bags were used as bin liners and when they were banned people just bought other plastic bags to compensate.

For my routine, there is a clear difference between the bin liner and the thick plastic bag.  I use two bags: a bin liner for wet stuff and a thick plastic bag for other items.  When the bin liner is full I tie it up and put it in the thick plastic bag; eventually that all goes into the kerbside bin.

Then I sorted out my laundry ready for washing day, whites and colours are separated of course.  The reason I do so is that over time the whites tend to go greyish in colour.  This chore takes a minimal amount of time to prepare as does a quick vacuum of the floors.  So what does one do for the rest of the day?  I'm basically retired at the moment and in about six months I will be officially retired.  I guess whatever tickles my fancy.

A couple of things come to mind I know I have a couple of introductions to do for new members on Susan's which have been put into the background due to taking care of spam problems that crept up on us out of the blue.  Then I know I have to write a macro script for LibreOffice for my open-source program that I use to write my documents.  Doing so will make life easier by having consistent formatting as cutting and pasting to produce the documents I work on tends to have different fonts and sizes.

It is now 11:15 hrs my time and during that time I have checked various websites and I have made myself a coffee which I made while I was doing my daily chores, taking my time to drink it.  At the moment I have been listening to music on my Shokz headphones (MP3) player which I use for swimming and of course when I'm not.  One of the tasks I thought of was to add a new song to the list that is currently on the Shokz player and for a moment I forgot which song I was going to look for.  Yes, music gives me peace and calmness in my life.  But the problem I have at the moment is Tia is butting her head up against my leg.  I wonder what she wants.

Lunchtime approaches so what do I want for a light snack? I guess it will be a curried egg sandwich which is made with my favourite Heinz salad cream.  I have thought about trying other mayonnaises, with some potato chips the sandwich is something I would tend to get if I'm away from home, along with a glass of full cream milk.  Milk, the so-called bane of my existence, yet I always line up for seconds.  I remember when I was in England we would have milk for morning playtime in a carton if there was any leftover, guess who would drink it?  So I will always drink milk yes I drink other drinks as most tea or coffee is mostly water with just a bit of flavour added and milk is no different.  After lunch I lie down to have an afternoon nano nap.

I got around to looking at adding a macro script, but my brain forgot that I had already implemented the font I want in my documents.  I have just realised that the afternoon has flown by and I have not really done much.  I am currently making a list of some items that I will need to buy at the shops the next time I head into town as part of my routine.  The thought of what I'm going to do for the evening crosses my mind.  I know I will be watching "Wednesday" on Netflix, for the second time and while I'm watching I will be crocheting a shoulder strap to finish off a coloured handbag, a trait I picked up from my mum.  I watch someting while crocheting.  Like mother like daughter and that is not the only trait I have inherited from her.

While watching one of the episodes last night, I mused whether there will be a third season as I'm stunned by the dialogue consisting of: deadpan delivery, morbid jokes, macabre wordplay, gothic satire of school life and family roles with sardonic one-liners that put down one's opponent.  What more could one ask for?  I did have a look to see if a season four would eventuate and there is a distinct possibility.

It's now 17:00 hrs and I need to call Tia in to feed her and shut up shop.  I'm not feeling that hungry so I'm leaning towards a simple cup of soup with some buttered bread fresh of course with real butter.  There is dessert already in the fridge an easy standard to go by and that is jelly yes one that wibbles and wobbles on the plate and the flavour is of course orange.  Usually I have thickened cream poured over the jelly; it is simple and it is not heavy.  So just plain jelly tonight.

It's now 17:25 hrs and Tia is inside, her evening meal is ready and the door is shut.  I'm ready to settle down for the evening, so I will change into my nightgown.  Did I get all the things done that passed my mind?  No and that is not a problem because I know they will be there for me to think about again and if it is really important I will take the time to take care of them.

After checking for clarity, flow, grammar, spelling and minor word adjusts, I believe what I have written will pass muster and I will definitely sign off for now.  Ahem it's now, 18:25 hrs.

Take care and I hope your day was just as busy as mine and you enjoyed it.  If not then there is always tomorrow to change things around.

Best Wishes Always
Sarah B
Global Moderator
PS Oh, I forgot to tell you I wrote this blog entry, during the day!
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

Northern Star Girl

@Sarah B

Dear Sarah:

I really enjoyed reading your wide-scoping and very interesting treatise
describing your day, your journey and your life events which resulted
in a very busy day for you.

I can absolutely relate to the draw that you feel to light up your computer
and/or phone to get on Susan's Place and the Forum.  Definitely something
inside me says I need to login to the site often and find out what is happening
or rather, what has happened while I was sleeping. 

My time zone here in Alaska is 6 hours earlier per my local clock time
and a day earlier than yours...
...(thanks to the (International Date Line) so your midnight is my 6:00am morning...
and therefore as I am composing this reply here to your Blog posting .... for me
it is 8:55am on Thursday morning and for you it is 2:55am a day later on Friday morning.
        NOTE:  Alaska Daylight Savings Time (AKDT)  ...then on November 2nd we will
                    lose an hour and go back to Alaska Standard Time (AKST).


Of course since you are on Earth's Southern Hemisphere, you are soon heading for
warmer weather and longer days and here where I am on the Northern Hemisphere
the opposite is true.

Thank you for keeping your Blog thread updated...  I very much enjoy keeping
up to date with your daily adventures.


Many Hugs, Danielle [Northern Star Girl]
****Help support this website by:
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I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com

Lori Dee

One thing about Susan's Place is that you are never alone in your addiction to hang out with loving, like-minded people.

🙃 <--- Australian smiley face. 😄
My Life is Based on a True Story <-- The Story of Lori
The Story of Lori, Chapter 2
Veteran U.S. Army - SSG (Staff Sergeant) - M60A3 Tank Master Gunner
2017 - GD Diagnosis / 2019- 2nd Diagnosis / 2020 - HRT / 2022 - FFS & Legal Name Change
/ 2024 - Voice Training / 2025 - Passport & IDs complete

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#264
@Lori Dee  cc:  @Sarah

EXACTLY correct....  I am in FULL agreement !

HUGS, Danielle


            🙃 <--- Australian smiley face. 😄 


Quote from: Lori Dee on September 25, 2025, 05:25:35 PMOne thing about Susan's Place is that you are never alone in your addiction to hang out with loving, like-minded people.

🙃 <--- Australian smiley face. 😄
****Help support this website by:
Subscribing !     and/or by    Donating !

❤️❤️❤️  Check out my Personal Blog Threads below
to read more details about me and my life.
  ❤️❤️❤️
             (Click Links below):  [Oldest first]
  Aspiringperson is now Alaskan Danielle    
           I am the Hunted Prey : Danielle's Chronicles    
                  A New Chapter: Alaskan Danielle's Chronicles    
                             Danielle's Continuing Life Adventures
I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com

Sarah B

Hi Danielle and Lori

Okay you big bullies, I'm done, going home and I'm taking all my marbles (I don't have any) with me.  So there.
😛

😅🤣😂

You both literally cracked me up.

Best Wishes Always
Sarah B
Global Moderator
@Northern Star Girl @Lori Dee
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

Sarah B

Hi Danielle and Lori

This is where my home is:

So Goodbye


Best Wishes Always
Sarah B
Global Moderator
@Lori Dee @Northern Star Girl
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

Northern Star Girl

@Sarah B   cc: @Lori Dee

Dear Sarah:
Very nice picture. 
Looks like a Black Hole in the center....
if you get too near that, it will certainly be "goodbye"

Please stay far away from it so that you don't get sucked in.

HUGS, Danielle
****Help support this website by:
Subscribing !     and/or by    Donating !

❤️❤️❤️  Check out my Personal Blog Threads below
to read more details about me and my life.
  ❤️❤️❤️
             (Click Links below):  [Oldest first]
  Aspiringperson is now Alaskan Danielle    
           I am the Hunted Prey : Danielle's Chronicles    
                  A New Chapter: Alaskan Danielle's Chronicles    
                             Danielle's Continuing Life Adventures
I started HRT March 2015 and
I've been Full-Time since December 2016.
I love living in a small town in Alaska
I am 45 years old and Single

        Email:  --->  alaskandanielle@
                             yahoo.com

davina61

Susan's is my go to whenever I go on the net, dash I think your black hole sucked my coffee cup dry--------
a long time coming (out) HRT 12 2017
GRS 2021 5th Nov

Jill of all trades mistress of non
Know a bit about everything but not enough to be clever

Sarah B

Hi Davina

I will make you another one before I go.

Best Wishes Always
Sarah B
Global Moderator
@davina61
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

Sephirah

It's not really military time if you don't use the word "Zulu". 😉 Which is phonetic for the letter "Z", as in Zero. GMT. the 0 degree line of longitude. Basically the time Brits invented. Which is very different to your actual time, lol. Useless fact of the day. ;D

Woolworths is still around in Oz? Was a massive UK shopping chain back about 15 years ago but went under here. Aldi is also here in the UK. I believe it's a German shopping chain.

*monster hugs*
Natura nihil frustra facit.

"You yourself, as much as anybody in the entire universe, deserve your love and affection." ~ Buddha.

If you're dealing with self esteem issues, maybe click here. There may be something you find useful. 🙂
Above all... remember: you are beautiful, you are valuable, and you have a shining spark of magnificence within you. Don't let anyone take that from you. Embrace who you are. <3

Sarah B

#271
Hi Everyone

This post is in response to the following thread: Re: What does it actually feel like now that you are (rearranged)  I thought it would be more appropriate to place it here as another part of my life.

What does it actually feel like post op?  One word?  Heaven.

To be honest, I never thought of what it felt like after I had surgery, I was too busy working, living, studying and socializing to even worry or consider the implications of what I had done.  Or to put it more succinctly I just got on with my life.  But I was already doing that for just nigh on two years.

However, I guess the first realization after surgery with regard to this question can be answered in this way, that in my mind there was this perpetual fog or the lingering thoughts of longing or wanting to be a female and there was an indifference to what I had down there.  After I woke up from surgery the second time, I was now in the ward where I was to spend a week recovering.

I realized that something went away when I had surgery.  I remember I looked down and what I saw was a bundle of bandages and thought, "it's gone"!  Yet, I guess it felt surreal or nothing there anymore, just by looking at those bandages.  Then a peace and contentment came over me like a fog that had been lifted from my mind and I went back to sleep and that has been the way ever since.

In terms of clothes fitting I mostly wore skirts and dresses, clothes fit, the only thing that really changed was I no longer needed to hide what was down there.  I never hated what was there and I knew instinctively that it was going to be needed when I finally had surgery.  The biggest difference was not having to wear two pairs of swimming bathers when I was training.  Then again wearing two never really went away because my left breast used to poke its head out if my bathers got too old.

Safety was always a consideration in my mind although it was never front and centre.  Even before I had surgery, I knew in a sense I was more vulnerable that only changed when I finally had surgery, not to say that I was not careful after and of course the worry decreased.  However, as I lived my life I have always felt safe.  This is also one of the reasons why I never tell anyone about my past, it keeps me safe.

I had been sitting down to go to wee virtually or nearly always since I was in my twenties.  So after surgery this was nothing new to me except to wipe myself.  For a little while after surgery it was messy when I went to the bathroom.  However, with healing and in conjunction with leaning slightly forward, it was never messy again. The stream sat closer to my body because of the shorter urethra so that a slight lean forward kept everything tidy.

In the first few weeks after surgery, new sensations were present and daily life quickly returned to normal within those early weeks.  Within a few months I no longer noticed the change.  Day to day moisture or discharge was minimal for me although coughing with a full bladder sometimes caused a brief leak which improved over time with pelvic floor exercises. 

As for spending time dilating and fun with boyfriends, a liner was used for hygiene afterwards.  In terms of how did I cope with all of this, to me it was just a part of my life, so I never really considered any aspects of how it affected me.  Well I will grant you one concession, I enjoyed those moments.

I have mentioned that I was not active prior to changing my life around and I guess not much can be said about this aspect of my life.  It was not until one year after having my surgery that things changed dramatically, other than getting back to work after two weeks off, beating others like me in the process.  There was a delay in achieving or putting back the one hindrance that hung around my neck for over 33 years, when finally I was deflowered, I suppose literally and figuratively.

Yes, that memory is so vivid, it seems as if it only occurred yesterday.  The feelings and sensations coursing through my body and that final moment?  It certainly opened my eyes and I guess it remains one of the most important memories after surgery, yes there were many other moments like the first one.  Before surgery I did not fully understand the procedure.  I recall only a brief mention of possible loss of sensation if that.  Regardless I chose to proceed anyway.  In my case sensation was there after healing and I believe at the time I was happy with it.  Intimacy, when it happened, felt natural.

Post surgery I suppose there was another aspect that I did not have to cringe when it happened.  The two years before surgery as far as I can recall there were fewer episodes and I put that down to the hormones that I was taking.  Post surgery gives one a sense of freedom you can get aroused just looking at a hunk of a man, well for me that is and there is nothing to show for it and it most certainly puts a smile across one's face with that undeniable blush.

So nearly 35 years later and coming back around to the initial question "What does it actually feel like post op"?  It is no different from the first day.  The only thing that stands out to me is the peace and contentment that have prevailed for all of those years. It was about nineteen years after surgery that I finally knew that I was a female and finally I put that issue to rest.

My lasting answer is simple, peace.

Best Wishes Always
Sarah B
Global Moderator
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.

davina61

Yes its that feeling of being "whole", how it should always have been. A couple of weeks and I was out and about as well, mind you it took a good few months for things to settle down.
a long time coming (out) HRT 12 2017
GRS 2021 5th Nov

Jill of all trades mistress of non
Know a bit about everything but not enough to be clever

Sarah B

Hi Davina

I never thought of what I had done as being "whole".  It was just a case of some surgery and then it was back on the hobby horse of life.  Yes, the details of my recovery were just hot showers, not drinking enough to be able to pee, remembering to sit down carefully and some dilation, which took a couple of months for things to settle down and finally, of course those shooting pains or zaps, which I think lasted about a year.  I knew what they were and the waiting for that final moment, I guess, to get that final yoke off my neck was certainly on my horizon!

Best Wishes Always
Sarah B
Global Moderator
@davina61
Be who you want to be.
Sarah's Story
Feb 1989 Living my life as Sarah.
Feb 1989 Legally changed my name.
Mar 1989 Started hormones.
May 1990 Three surgery letters.
Feb 1991 Surgery.