Hi Alana Feeling nervous before meeting a new doctor is completely normal. Here are a few approaches that have worked for me over the years. Take whatever feels useful and leave the rest.
Lead with your medication historyAt my very first appointment decades ago I presented as female, had breast forms in but did not show them or my chest. The doctor knew what I was and what I needed so no physical examination was required. I explained that I was already taking estrogen. Sharing your current prescription and any recent blood work lets the doctor see that this is established care rather than something new.
Choose (or change to) a clinician who knows the fieldRecently I sought out a physician who specialises in my medical condition. At the first visit I simply handed over my surgical letter and full history. Because she treats many patients on hormone therapy she could focus on routine monitoring without extra gatekeeping. If you have the option finding a doctor experienced in this area can reduce stress.
Answer identity questions in your own wordsOnly one doctor has ever asked how I identify. I told her, "I am female." You can keep it that straightforward if that matches how you see yourself. You might also add, "I prefer not to be recorded as transgender given the current climate." Medical records do not need to carry labels you reject.
State the key fact plainlyYou can open the conversation with a sentence such as: "I am mindful of privacy given the current climate surrounding transgender issues. I prefer to share only what is clinically necessary. I take hormone replacement therapy and I need ongoing prescriptions and monitoring."
That single statement tells the doctor what matters: current treatment and continuing care. If you do not wish to discuss labels you can say so politely and steer back to medical needs.
Practical tips for the appointment- Bring a printed list of all medications and dosages
- Have copies of past lab results if available
- Note any side effects or concerns to discuss
- If you have a surgery letter or specialist report take that along
Doctors are used to many situations and clear information helps them give the safest care. If a physician seems unfamiliar with hormone management ask for a referral to an endocrinologist or a clinic that routinely handles this kind of therapy. Above all keep communication open so your treatment stays consistent and well monitored.
Wishing you a smooth appointment tomorrow and steady progress with your dreams.
Best Wishes AlwaysSarah BGlobal Moderator@Alana Ashleigh