This coming week I've got my second Dr appointment. Following my first appointment she wrote to my local GP indicating that she may prescribe T blockers following this coming appointment. I've to present female which I'm excited but also nervous about. I'm happy with other women but am petrified of male patients in the reception area.

There was no mention in my Dr's correspondence of E which I found strange. I have to present male for the next 1.5 years for family reasons but I also don't plan on transitioning socially for professional reasons until I have my beard removed. When I present female it must be very good and I plan on making a lot of effort in that regard.

The real concern I have is that she will not prescribe me E at this stage. As I feel that E would alleviate my GID and start my body on the correct path to femininity I feel strongly that I'd benefit from starting just now. In the event that I get into a debate with  her on this issue, could anyone add advantages, other than those already stated, to the case for staring E at this juncture? If there's anything else that anyone feels is relevant I'd be happy to hear your thoughts. Mr Dr is private, non NHS and is UK based.

Thanks for any replies.

J x

Taking a blocker without E will put you in menopause/andropause with all of the negative symptoms associated such as fatigue, depression, irritability, insomnia, night sweats, hot flashes, accelerated ageing (wrinkles, skin less elastic and hydrated, thinner), perhaps digestive problem and tooth problems, cognitive deficits and earlier onset of Alzheimer's, osteoporosis, increased weight gain and glucose intolerance (diabetes), etc. Some of these symptoms may never appear, some may take some time to manifest (months to years), it depends on the individual but it is not a situation I'd like to find myself in. Yuk! E naturally reduces T, by the way, the more E, the less T.

I didn't have to present female to get hormones. That was how it was done in the old times (1970's, 1980's), maybe you need to find yourself another doctor?

I started finasteride a few years before estradiol because of prostate issues. Later I went to see a counselor and within a few months of listening to my situation, she wrote me a hormone letter. I made the endocrinologist appointment a few weeks later and after a few blood tests, I had my hormone prescriptions.

There is no good reason, except for physical health reasons, to delay hormone therapy, once you have your counselors letter.