Quote from: Gabrielle66 on May 06, 2019, 07:11:20 PM
So this is real now. After who knows how many odd hurdles I have a real appointment on Thursday morning at 10:40. Am I scared? Yes. Am I excited? Yes.
Please give me some input on what to expect from this visit? What are the most important questions that I can ask? Will she likely give me some kind of prescription on my first visit? I know that bloodwork is essential for them to understand what's going on but will they need some results of blood tests before giving me some kind of prescription for the various medications involved with HRT.
I am so scared about the future but I want this more than anything else right now. I need to have a physical sense of how I feel inside. Just knowing that I am female is not enough. I really need some physical validation for my own sanity. I don't know how much longer I can pretend and wear men's clothes all of the time. It hurts to look at myself in the mirror wearing these clothes. I know that it's vain but I really want to be able to look at myself in the mirror and feel like I am pretty.
Thanks so much to all of you who have helped me to get this far. You are my heroes. Love and faith to you all.
Gabrielle
Hi Gabby:
Congratulations.
I remember being so scared stiff (like you) such that the happiness was temporarily suppressed.
If your appointment goes anything like mine, she's going to ask about your therapy, your support system, your family and what they know and don't know, and your plans.
For example she may ask who you've come out to.
She'll also talk to you about side effects. In my case, my endo flat out asked if I wanted breasts. I sheepishly answered yes. (My wife was with me and I felt very awkward answering the question in her presence.)
My endo then brought my wife into the conversation, and asked her about her feelings and concerns. My endo patiently answered every question she had.
You probably won't get the script(s) until your lab work comes back. Your endo needs to see your natural levels of E & T as well as your Liver and Kidney function. Once those labs are back, then she'll know the dosage level to prescribe.
I got a little lucky in that my PCP 1) helped me find my endo, and 2) ordered the lab work my endo would need. So I did get my scripts coming out of my first appointment because we had basically a 2 week old lab report in my Electronic Medical Record to review.
I also got lucky in that the endo I'm seeing works with many trans clients. On my 3 month follow up, my hormones were right on target. We didn't need to adjust any dosages!
Once you get your scripts you may have a temporary hiccup with your insurance (if your involving them.) My insurance initially balked at my E script as a male. I had to get my gender marker with them changed to 'transgender.' (Yes, Aetna recognizes 'transgender' in addition to male & female - or maybe more accurately AMAB & AFAB.) It wasn't hard because everything was well documented by my therapist and PCP in the claims that had already been submitted. It just took a couple of weeks. So even after my endo wrote the script it took almost 3 weeks to get it covered by insurance and filled.
The last question my endo asked was when I wanted her to change my name and gender marker with the hospital system and on my electronic medical record. I didn't give her a concrete answer at that appointment, but I'm thinking I'll ask her to do it during my 9 month follow up. Yes I have breasts now, I let my hair grow out, and am losing weight which makes me feel I'm close to reasonably passing.
Finally, side note, when I saw her again for my 3 month follow up she asked me about my 3 daughters. (Remember I said your endo probably will ask about your family, and who you have, and have not come out to.) I have not come out to them. My endo flat out told me - It's time. Been working on how to do that with my therapist. I expect to have those conversations by Memorial Day weekend. We don't think I can go topless anymore while boating. :-p
Kate
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