Whilst disappointment with results of HRT is a major issue, I can't help but think that it is one of those things that falls into the catagory of 'that's life!' because what are the alternatives? Not transition for fear of not passing or looking as good as you like? Well, I did just that and all it got me was a couple of decades of turmoil and feeling like an alien in my own body and a complete inability to form intimate relationships. My biggest fear is that I won't get the desired amount of muscle loss rather than body fat distribution,which is frankly a little odd for a genetic male as I store fat all over, incuding my breasts, at 38 I am really not expecting miricles from HRT and think that it will probably be more benificial to my head rather than my body. Whatever happens, I will try to work with what I've got and pass as well as I can and I'm really not ruling out surgery either.
I think that sometimes it is a very human thing to focus on the impossible and make that your ideal, I was talking about this with my therapist and she was saying that she thought that I would look great and pass well,but added, you're not going to be some six foot supermodel, I thought that the last thing in the world I would want to be was six feet tall and skinny, I'd like to be even shorter than I am (I'm 5' 6") with big hips and a small waist and a great big bum. The fact that my therapist is very petite and short probably explains why she sees being six feet tall as an ideal.
HRT is a lottery for trans women at any age and the odds shift against you as you get older, we all know this,but until there is a better alternative, I'm just going to cross my fingers and try to stay positive. It could just be a total coincidence but out of the trans women that I know,the ones who have used the patches seem to get slightly better results than those who have taken oral estroegen tablets, does anyone know whether there is any fact in this?