Community Conversation => Transsexual talk => Male to female transsexual talk (MTF) => Topic started by: Umiko on May 31, 2014, 05:26:16 PM Return to Full Version

Title: OB/GYN
Post by: Umiko on May 31, 2014, 05:26:16 PM
well i have to see an OB/GYN, knowing that, i dont know what to say when i call them. i have my referral from my doctor. any advice?
Title: Re: OB/GYN
Post by: JLT1 on May 31, 2014, 05:42:32 PM
Unless there is a problem, treat it like any other doctor's visit and let them take the lead/  Engage in a conversation after they start. An OB/GYN is just another doctor.

Hugs,

Jen
Title: Re: OB/GYN
Post by: Umiko on May 31, 2014, 06:08:05 PM
now my other question is, my endo said i needed to start high dose estrogen, thus she said i needed to see an OB/GYN. what that mean? usually i here people on start low does than work their way up  ???
Title: Re: OB/GYN
Post by: mrs izzy on May 31, 2014, 07:28:50 PM
Are you pre op or post?

I know its a great idea to have one ready when you have your surgery.

Izzy
Title: Re: OB/GYN
Post by: Umiko on May 31, 2014, 08:10:58 PM
Quote from: mind is quiet now on May 31, 2014, 07:28:50 PM
Are you pre op or post?

I know its a great idea to have one ready when you have your surgery.

Izzy
my endo wants me to go to one to start my hormones so i'm pre hrt right now lol
Title: Re: OB/GYN
Post by: JLT1 on May 31, 2014, 08:35:48 PM
Generally, they start low dose and go up from there. However, I cannot think of a reason why you need to see an OB/GYN for HRT.   I know of an OB/GYN who prescribes hormones but that seems different a you are seeing an endo.  Maybe I'm missing something.  Could you go through this with a little more detail?

Jen 
Title: Re: OB/GYN
Post by: TaoRaven on May 31, 2014, 08:40:07 PM
this sounds kinda....wonky?? O.o
Title: Re: OB/GYN
Post by: Umiko on May 31, 2014, 08:52:31 PM
hell, like i would know why i need to see one lol. she sounded serious. i'm in the low normal range, my mental stability i can tell you its out the window and i'm not even considered mental ill anymore. all i know is that my doctor talked to my endo and she said i need to be put on high dose estrogen so i need to see an ob/gyn
Title: Re: OB/GYN
Post by: BunnyBee on May 31, 2014, 11:46:45 PM
My hrt dr is an ob/gyn, so they can multi-task hehe.  Maybe they are just referring you to an ob/gyn that has more hrt experience than them?

Mine is so awesome I cant even tell you and a cool bonus is she has told me that after surgery (if I ever can afford) she can help me with making sure it heals right and everything.  Kind of a one stop shop deal, which can be a nice adv over a regular endo :)
Title: Re: OB/GYN
Post by: Cindy on June 01, 2014, 12:15:50 AM
My endo is an OB/Gyn, they are use to dealing with menopause symptoms so are use to HRT
Title: Re: OB/GYN
Post by: Umiko on June 01, 2014, 12:23:54 AM
i just dont want this to be like my endo lol. i have all my blood work, my letter and what not. i know they might want to draw blood again but since i have this, would i get my script the first day?
Title: Re: OB/GYN
Post by: Cindy on June 01, 2014, 12:31:16 AM
Who can say! I did
Title: Re: OB/GYN
Post by: Umiko on June 01, 2014, 12:40:43 AM
well i hope the doctor can see me this coming week. cant believe its finally happening. after all these years, countless trips to the impatient facility, 2 death attempts, and hell from other people, its finally happening. but like always, i cant help but get wary for every time i gain a little hope, i get thrust back into reality and fall flat on my face. story of my life; go figure
Title: Re: OB/GYN
Post by: BunnyBee on June 01, 2014, 01:38:52 AM
Quote from: Grim Reaper Brianna Terryal on June 01, 2014, 12:23:54 AM
i just dont want this to be like my endo lol. i have all my blood work, my letter and what not. i know they might want to draw blood again but since i have this, would i get my script the first day?

Depends on the Dr. fo sho.   Mine didn't even care to see my letter, just had me sign informed consent forms.  which was good cause I didn't think to bring it in, she is not my first.
Title: Re: OB/GYN
Post by: JoanneB on June 01, 2014, 08:55:29 AM
Quote from: TaoRaven on May 31, 2014, 08:40:07 PM
this sounds kinda....wonky?? O.o
+1

An Ob/Gyn pre-op makes no sense. Pre HRT even less.

Like what are they going to go besides send you a bill?
Title: Re: OB/GYN
Post by: victoria n on June 01, 2014, 12:41:59 PM
 From what I know hrt is not that simple.        why a high dose??    those protocols are old. Anne Lawrence is 1 of those who recommends high doses but Dr. is not an endo or oby/gn     was  an anesthesiologist, but fired for inappropriate behavior.   
A high dose doesn't  make your breasts grow any larger than a normal dose.   If that was the case everyone  would go on  high dosages and have giant boobs. 
You might be ok or  High dosages   can make you moody , tired, depressed .   It  can make the triglycerides way too high. Can cause gallstones or make them worse.       all the doctors  know  estrogen  causes gallstones.    If you eat  high  fat foods that is even worse.   Post Op gallstones can get worse.     some had to have their gallbladders removed or stopped taking E
  the pills go through the liver and are converted into  cholesterol.     a normal dose of E in pill form can raise your good cholesterol (GC). As Julia Child would say everything in moderation.
   
THE PATCH and shots  does not seem to cause these problems    but they don't raise your (GC)
  The problem w/ shots is the spike in E then it levels out. The shots are powerful meds and does lower T quite a bit. but it needs labs.    All E needs labs. 
    long term use of HRT when you are over 65 and post op or a cis woman is a big concern.  Pre op or Post
who knows.  IMO   pre op long term is not as bad.
Title: Re: OB/GYN
Post by: Umiko on June 01, 2014, 01:11:17 PM
my current T level is 678 and my estradiol level is 15. all i know is my endo told my doctor to send me to an OB/GYN and my doctor gave me a referral to an oOB/GYN. maybe there's something my endo knows and isnt telling me or i'm just so messed up that i need a certain kind of hormone to pick up the pieces.
Title: Re: OB/GYN
Post by: Umiko on June 02, 2014, 09:58:26 AM
is it better that i go with a women or male OB/GYN?
Title: Re: OB/GYN
Post by: BunnyBee on June 02, 2014, 10:14:43 AM
I would strongly prefer female.  i would not feel ok even with a male dr doing a breast exam, which they will do, let alone post op stuff.  But really, I think the most important thing is whoever will treat you with dignity/is capable.
Title: Re: OB/GYN
Post by: Umiko on June 02, 2014, 11:03:51 AM
UGH! i may not get one until the end of july -.-
Title: Re: OB/GYN
Post by: Umiko on June 03, 2014, 12:26:21 PM
Got my date. June 17 i see my ob/gyn. Sadly its a male doctor but my primary is a female so i wont feel so uncomfortable. With the lack of bottom bit dysphoria, i should be ok....i hope lol
Title: Re: OB/GYN
Post by: Ryan55 on June 03, 2014, 05:48:39 PM
I have a male obgyn too, there actually nicer and quicker, they know not to linger in that area to long, the obgyn is the one who put me on birth control (when I use to use it), its normal to be nervous, I was that's for sure, if your just going for hrt reasons and you didn't have bottom surgery, I wouldn't worry to much
Title: Re: OB/GYN
Post by: kelly_aus on June 03, 2014, 06:05:03 PM
Quote from: Cindy on June 01, 2014, 12:15:50 AM
My endo is an OB/Gyn, they are use to dealing with menopause symptoms so are use to HRT

Strange, mine's a OB/GYN too..
Title: Re: OB/GYN
Post by: Umiko on June 03, 2014, 06:14:52 PM
I just hope that i have everything needed. I know he may want bloodwork down but i really wanna walk out with my script in hand or at least wen i get home, my pharacy has it filled since i would ask him to call it in
Title: Re: OB/GYN
Post by: Beth Andrea on June 03, 2014, 10:26:27 PM
Tip: Always ask questions when a dr. gives you instructions that you don't know the how and why of the wherefores.

"You need to see an OB/GYN in order to start high-dose HRT."

"Umm...why? An OB/GYN is primarily for female 'parts', and I don't even have boobs yet."

Be pro-active in your education and knowledge of this process.
Title: Re: OB/GYN
Post by: kelly_aus on June 03, 2014, 10:29:44 PM
Quote from: Beth Andrea on June 03, 2014, 10:26:27 PM
"Umm...why? An OB/GYN is primarily for female 'parts', and I don't even have boobs yet."

An OB/GYN is also more likely to have a much better idea of hormones than an Endo.. After all, many specialise in HRT for menopause - which is not all that different to the treatment for trans women. And it's not just about 'parts', it's about a whole system..
Title: Re: OB/GYN
Post by: Umiko on June 03, 2014, 10:38:23 PM
OB/GYNs now treat women and trans patients whether pre or op or post op. apparently i need high dose becuz it'll stop my body from becoming flooded with testosterone because i'm in the last leg of puberty; everything went in reverse order. other than that, i dont know the reason because my doctor was only relying what my endo told him. he probably knows but for some reason isnt telling me. anyways, i called today and i was automatically given a really early appointment ( his schedule wasnt allowing him to see new patients until the 3 week of july) i got in June 17.