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Abnormal reaction to T? And what would explain it?

Started by Xren, August 15, 2010, 07:57:35 PM

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Xren

I've been off testosterone for a few years now.  When I was on it, I reacted to it in a way which several doctors and laypeople with personal experience found strange.  Those years were torturous, and though I'm in a much better place now, I still can't figure out why I would have such a weird (and awful) reaction to it.

Before I went on T, I'd tried birth control pills and Lupron.  They made me crabby, hungry, depressed and so on, but long after I stopped taking them it only got worse.  I didn't miss menstruating...far from it, I was glad to not deal with that.  On T, I had the usual masculinization, I grew more body/facial hair, my parts got bigger and my voice got lower--all of which I was pleased with--but I started having irregular menstrual bleeding.  This was on a normal dose.  I also had an appetite increase, which is an understatement.  I could not stop eating.  When I could not eat, it was like having a gnawing worm in my gut that would not calm down, to the point where I couldn't think about anything else.  This, of course, caused dramatic weight gain.  My fat packed in all the typical female places, though.  My cheeks, my chest (especially my chest, which ballooned to gross-out proportions,) my backside and my legs, in addition to my stomach where I guess it "should have."  I was always tired.  I had no energy.  I could barely leave bed without my entire body aching.  Every time I moved, I ached and ached.  If I thought the gloomy mood was bad before, it got worse.  I was pretty much suicidal.  I cried all the time.  Sometimes I feigned anger, but it was more of a hysterical sobbing sadness than the anger I'd experienced before--this from someone who once wrote about how "rage made me strong."  I'd had absolutely NO history of real depression prior to this, either.  I tried medication after medication, and none of them did anything helpful.  No noticeable libido increase happened either.

Someone I was dating at the time commented, half-jokingly, "are you sure that's testosterone they're giving you?"  As opposed to estrogen, she later clarified.  I got lots of "hmm, that's odd" responses from endocrinologists when I told them about my symptoms, too.

When the dosage was lowered, nothing changed except a tiny bit less soreness and the menstrual periods from Hades.  Completely irregular, copious amounts of blood, and PMDD that lasted for three weeks.  After weaning myself off completely, the irregularity stopped but the three-week PMDD didn't.  The hungries kept going, except for the single week out of every month when I had a normal appetite.  Luckily, I had a total hysterectomy and it's not an exaggeration to say it saved my life.  No more hungries, no more crushing depression, no more of the crappy things I'd been dealing with since I was eighteen and maybe longer.

What are the possible reasons I would react to T like this?  Is this reaction even abnormal at all, or does it fall within the scope of normal?
I've had no caffeine but I'm wired
The computer goes whizz-click and beep
It's twelve and I'm not even tired...
So WHY in the [SQUEELP] should I sleep?
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Flan

http://en.wikipedia.org/wiki/Endometriosis is the only thing I can think off top of head of that fits the symptoms, T shouldn't have caused the problems.
Soft kitty, warm kitty, little ball of fur. Happy kitty, sleepy kitty, purr, purr, purr.
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rejennyrated

In you have an abnormal level of aromatase your body might well convert any excess T into estrogen almost as fast as you could pump it in.

In my old age I have become increasingly fascinated by the complexities of the interactions of the human endocrine system as it has become progressively clearer that my own system also has some rather peculiar responses which result in very low does of estrogen translating into sky high blood levels. Like the absolute minimum dose gives me over 3 times the normal levels for nearly 24 hours, and that is definitely strange.

The thing I have learned is that while there are generalities which fit perhaps 90% of people, we are all very individual and that is why something like changing gender or adjusting your hormones really IS best done with the help of an expert. And that is said by someone who for years was needle phobic and resisted all attempts at blood tests and the like. I now realise I was wrong!
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Xren

I've had no caffeine but I'm wired
The computer goes whizz-click and beep
It's twelve and I'm not even tired...
So WHY in the [SQUEELP] should I sleep?
  •  

rejennyrated

Yes. There are many tests for the various different issues that can occur. Some focus on establishing genetic traits, others on levels of various things. Go to an endocrinologist and ask them to give you a through work over. For example Aromatase excess syndrome represents a mild to severe intersex condition when present in a male - but would sometimes not be spotted or even looked for in a female.

Only when you started changing would the symptoms have become really obvious. So they need to check you for aberrant P450 aromatase gene transcription. If you are fairly short that would be an additional clue that you may be affected as people of both sexes who have the condition often undergo early puberty and epiphyseal closure, while females may exhibit menstrual disruptions or abnormalities.

Hope all that helps - feel free to let me know if it leads you anywhere useful.
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lilacwoman

a full blood test for a TS needing HRT runs to about 60 different compounds and quantities on my last test sheet.
My doctor didn't know what most of them were as I'm the only TS he and all other doctors have seen. 
The endo confirmed that most of them don't really matter but that the E was high and the T was low which is what is needed.
So for last and future tests we agreed to only look at E and T and something that showed my liver was working coreectly.
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