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Health Issues and starting T

Started by HuntersandKings, October 07, 2010, 01:14:45 PM

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HuntersandKings

So I had my first gender therapy appointment this week. To give a back story, I'm not going just for a T prescription but I am interested in exploring my identity and the possibility of partial transition, hopefully sometime in the near future. I may choose to transition fully at a later point but right now, I'd like to consider trying T for a few months to get some growth/voice drop or at least trying get my low T levels up to average female or slightly higher than average female levels. My therapist however, said that because of my pre-existing health problems, I'd probably have a difficult time getting a prescription. Obviously you guys arn't doctors and I do want to make informed decisions about my body but I figured I'd post something to see if anyone had any advice.

As far as what my health problems are...
I have hashimotos thyroiditis which is the most common form of thyroid problem and will be on medication for the rest of my life. It's a very very common problem, uncommon only because I got it so young rather than durring menopause. My levels have been stable for the past two years.
I'm prone to anemia, low white blood cell count, low adrenaline, and low hormones across the board. None of these levels are abnormal, just on the low side of normal.
I have chronic insomnia, which in combination with all of the above, makes me really tired durring the day and often fall asleep in class.

So obviously with the thyroid and low levels I would want to meet with an endocrinologist and discuss how testosterone could affect them and carefully monitor any changes. I already do this to deal with my thyroid. With their approval, my only issue is the insomnia, which, while problematic, doesn't seem like a fair reason to be denied T. I'm actually already on it, and with my doctors approval, but at a very very small dosage.

What do you guys think? Should I be concerned? Should I find another therapist? I want one who's willing to tell me things I don't want to hear, but this one told me that I might never get T on my first visit, in the last five minutes when I couldn't ask questions, and before seeing any of my medical records, leaving me to freak out for a week and a half before our next visit. She's supposedly one of the most highly qualified trans friendly therapists in the area, but admits that she doesn't know much about hormones.
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kyril

As far as I know, thyroid issues aren't a counterindication for testosterone therapy. This is a therapist, not an MD (let alone an endo) - consult with your endo, and if necessary have them contact your therapist.

I wouldn't say that you should necessarily get another therapist just because of this. She probably shouldn't be talking about things this far out of her realm of expertise, and the timing was bad, but that doesn't mean she can't help you explore your gender identity.


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Sarah Louise

I take thyroid medication daily and it didn't interfere with my taking E or spiro.
Nameless here for evermore!;  Merely this, and nothing more;
Tis the wind and nothing more!;  Quoth the Raven, "Nevermore!!"
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Greg

When I had my blood tests before starting T, I was told I was borderline anemic. Haven't had my iron levels tested since but my doc said that T raises the red blood cell count so it was possible the T would sort out the anemia.

Can't comment on your thyroid and other stuff but I can't see why you would be denied T. People with much worse health conditions are still given T, you might just need to have blood tests more frequently.
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KamAus

My thyroid plays up and I may have to take medication for it after this next blood test in 2 weeks. My GP knows about my trans issues and wanting to start T and see's no problem himself. So I wouldn't be too worried.


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Fencesitter

Don't change your therapist cause of that. She's no expert for hormones, but rather seems to be a non-expert with awareness. It's okay that her inner "warning bell" rang and that she says - well you have hormone problems, might be it's a clear contra-indication. Let the endocrinologist decide.

Testosterone increases the level of red blood cells. It could even be that that will help you with your anemia.
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zombiesarepeaceful

Alot of guys either develop thyroid issues on T or had them before t, and only find out at their first blood work. Me, I've had hypothyroid since my first puberty and only found out when I was 18...started T at 19...and my doctor said t seems to be driving it more into hypothyroid, but that he'll adjust my meds as needed. Thyroid can easily be worked with regardign T. I have increased insomnia on t, but I don't mind..that happens to even the healthiest of us. Anemia..my best friend is anemic and hypo thyroid and he's on T..oru doctor is very understanding and willing to do whatever it takes to keep us on T...find a competent doctor..and you'll be set.
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HuntersandKings

Glad to know the thyroid isn't the issue. Is insomnia a common side effect?
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Silver

My insomnia seems to have improved on T. Maybe I'm more relaxed or something.
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