There are a number of ways your doctor could help.  Your dose could be modified for both spironolactone and estrogen.  If you have insurance, you could do the patch estrogen, which is a more potent form.  Then, there are other pharmaceuticals that could lower T as well.  Doctor has to work harder.

However, you look good right now.  Like really good.

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yeah... that's true   . It didn't came to my mind till you mention.

Some people don't get the results from HRT they expect and it happens for a variety of reasons.. Diet and genetics are just 2. I've had fairly good levels all along and after almost 2 years, I still don't fill a AA. My gyno suspects that I'm either E-receptor deficient or the receptors are 'odd'..

Quote from: Stephanie G on February 12, 2013, 01:02:33 AM
The only thing I wanted to add is that there is a medication that most endos dont know about. Its called suprefact, it is actually a cancer medication designed to eliminate hormone production at the source. That would help you t levels if your worried, plus it doesnt have the duretic effect and potassium retention that spiro has. Though have to say you looked pretty feminine before hrt so the changes are going to be subtler than most.

The issue with buserelin, is that it's not suitable for long term use. It's use with other sex hormones is also contraindicated.

It is? I have read alot on it just to know about what im taking and I have read no contraindicated effects. Do you have a link or anything? Now im kinda curious.

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Quote from: Stephanie G on February 12, 2013, 01:45:29 AM
It is? I have read alot on it just to know about what im taking and I have read no contraindicated effects. Do you have a link or anything? Now im kinda curious.

Sorry, cribbing from a family members Mims account..

It might reduce the natal estrogen production but the majority of the estrogen comes from the medication which has no direct correlation to the gland that is supressed if anything it offsets the side effects due to lack of sex hormones. At least thats what I have extrapulated from all the information I have read on it.

I'm assuming you are posting this because you want opinions. My thought is welcome to the world of hormones. To be really really honest as someone who has taken hormones for a very long time, they don't do much. It's a nice mental state. I feel like I am very balanced person. Yes I can fill out a pair of jeans nicely but I attribute that to diet and exercise. The real physical changes come from surgery not hormones. I know that's not going to win me any popularity points for saying that, but that's my opinion. They are way over rated as a tool of change. Forget all this my hormones levels are x, y or z. It just doesn't matter. All it may say is that your doctor is doing a good job, or maybe a lousy job. Who are any of us to say. I'm sure not a doctor. I do my estrogen by injection, only because that's what my endo suggested. He knew my goal, and that's what he said I should be taking. If you want real change you need to go under the knife, it's pretty much that simple. To be honest, I personally think you look fine. The only thing you need to learn is "the secret smile of women". That smile that says yes I'm a female, but we still rule the world 🙂

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When your face is starting out so feminine, I think the best you can hope for is subtle changes.  When I go back to my pre-HRT pictures Idk, there just isn't that huge of a diff.  I have to find weird camera angles to be able to see it.  Straight on pics of me,  like the ones of you above, make me feel like nothing's even happened.

The breast growth is your proof that something is happening though.

9 months is still a really short time and you already look feminine to begin with. Female puberty lasts on average 5-6 years!

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Oral estrogen is estradiol.  Better is ethinyl estradiol as it's more active but it would need to be as a patch or injected.  However, the patch is expensive, can cause skin difficulties and injections aren't fun.  Most forms of estrogen will also lower testosterone so once there is enough in the body, estrogen will help further lower testosterone. 

A rather odd option could be depo provera.  One injection each month in addition to your current meds.  It helps lower testosterone and as a derivative of progesterone, there MAY be some additional feminization effects. 

My doc targets estrogen to be between 200 and 400, testosterone less than 50.

Talk to the doc.....