Susan's Place Transgender Resources

Community Conversation => Transgender talk => Topic started by: Donna on December 02, 2016, 01:33:16 AM

Title: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: Donna on December 02, 2016, 01:33:16 AM
I am girl euphoric!  After informed consent meeting with primary care doc it looks like I am good to go for HRT, IF MY ELEVATED BLOOD PRESSURE is reduced first.
I will also have a 1-hour telephone interview with a social worker.
Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: AnonyMs on December 02, 2016, 01:38:43 AM
Spironolactone reduces blood pressure and is an antiandrogen. Why not do both at the same time?
Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: josie76 on December 02, 2016, 05:11:36 AM
That's awesome for you!  :D

I take lisinopril for my blood pressure. It used to run very high but I think my anxiety fed into that. For about five years now i see a psychiatrist and get Zoloft for the anxiety. I think it has helped a lot. I'm finding except for going out dressed that opening up my true self has really made me feel better. I wonder how much hiding my transgenderness all these years contributed to my anxiety. My blood pressure runs normal now even if I have several cups of coffee before getting it checked  ;D lol.
Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: Lily Rose on December 02, 2016, 08:18:03 AM
Quote from: Donna on December 02, 2016, 01:33:16 AM
I will also have a 1-hour telephone interview with a social worker.

  why is a social worker involved? my blood pressure is high as well from what i have been told (very high).
Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: Donna on December 02, 2016, 08:00:53 PM
The one hour phone conversation seems to merely be an insurance company formality since the physician has basically given me the green light for HRT based on simple informed consent. My insurer is an HMO, and I do believe that they are simply doing their due diligence to really help the transgender clients they serve. I have found out that a key player in the transgender services that my HMO provides is herself a MTF transgender Female Physician who seems to have paved the way for the informed consent policy together with a simple phone conversation with a social worker.

My previous primary care physician had been nagging me for years to address my blood pressure, based on family history. This physician handed my case off to my now new primary care physician who is the transgender specialist in the office. He simply wanted me to follow through on the nagging I had been given by my previous doctor to actually go back for one more blood pressure check in the office and to accept BP medication. The HMO is just keeping their ducks in line, so to speak. I am comfortable with that. The entire staff is extremely transgender friendly.

I am still overjoyed and elated with the profound Seattle-type acceptance I have received from the staff at my physician's office. The doctor never said that HRT was conditional on lowering my blood pressure first. He wanted a full blood test prior to HRT and that seems routine. The blood pressure issue seemed to be more of a recommendation than a requirement.

Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: Donna on December 02, 2016, 08:09:29 PM
One more thing:
I AM SO HAPPY I AM GIDDY!

I celebrated today by coming out to my immediate supervisor at work as an "off-the-record" person to person revelation.
OMG, as they say. She was extraordinarily warm and loving with her acceptance. Her eyes showed her tears of joy and compassion for me. Her words said the same. I know fully that my place of work loves me and many of the key players now already know the Donna story.

I am smiling as I type this.
Title: Re: Doctor gave OK for HRT on first visit IF he gets my blood pressure down
Post by: Lily Rose on December 02, 2016, 11:48:00 PM
Quote from: Donna on December 02, 2016, 08:09:29 PM
I AM SO HAPPY I AM GIDDY!

  i bet you are! congratulations, wish i could find an employer with the same hmo.