So, it's been nearly a year since I started taking estradiol and spironolactone. There have been a lot of physical changes, but not nearly enough for my taste. I should preface this all by saying that I turned 30 in November, if anyone wants to compare themselves to me. However, as has been said time and time again, your mileage may vary with hormones. What's happened in my experiences is not the same as what happens with other people. That said, some of the changes over the last year are listed below.
Physical Changes:
- Breasts, obviously. I think I range somewhere in the nearly B category, but because my chest is so wide, they just seem small to me. I am just starting to get some cleavage with the right bras, but it's barely noticeable.
- I have softer, more refined facial skin. As long as we're on face, let me say that the shape of my face has changed. People had always commented on my dimples during my "boy years". Now, I feel like my face glows and that I have a beautiful smile. A lot of the sharper angles seem shaved away. Studying some pictures from February of last year and recent photos, it's like there's more fat in my face and my dimples are more dimply. My lips also seem to have a tiny bit more plumpness to them now than they did last year. The "crows feet" around my eyes seem more pronounced, but the effect ends up making them appear more like a grown woman's rather than a man's wizened features.
- I have collar bones! This is a very marked change for me. My collar bones are quite prominent, whereas before, they were not. I think it makes my neck look less thick as a result.
- Hip fat distribution is well under way. I definitely have curves now, brought on by fat distribution around my hips. However, because I still have boy hips, the hip fat just kind of makes it look like a wine glass turned upside down.
- My ankles have lost muscle definition, but my arms haven't lost much. I sit at a computer all day long and rarely exercise. I diet, so I haven't gained any weight over the last year, but I'm definitely not building or maintaining any muscle. Even still, though I had hoped otherwise, my arms have maintained a lot of their former circumference.
- My skin seems to get dry a lot more easily. Having to constantly moisturize kind of sucks, but it becomes necessary because of dry, sometimes bleeding skin

- While I rarely have the urge to "self-love" anymore, when I indulge, there's barely any seminal fluid.
Mental Changes:
- Somewhere along the way, my sexuality flipped a 180. It was about a month and a half to two months into hormones that my interest in men increased and my interest in women decreased. Let me state that I had a wife and I loved her very much. I've always dated women in the past and I very much thought I was going to be a transsexual lesbian. Unexpectedly, that didn't turn out to be the case. Now, I crave big, manly men with muscles and I fantasize about being swept up in their arms. Some people would argue that I must have been gay or bisexual to begin with, and let me assure that that wasn't the case. I honestly never thought about men in that way until beginning hormones.
- The more I became a woman, the less sense men seemed to make to me. This could be societal training. I want to be a woman and thus I want to perceive that there is a great difference in thought processes. I'm learning womanly behavior and thinking patterns, so manly thinking and behavior becomes foreign to me. I just don't think that's the case. There are so many things that I tried to grasp (and thought I did!) as a man, even during the years when I did a lot of crossdressing, but never truly understood until I started to transition. It wasn't an epiphany or anything, just a gradual awareness of certain female thought patterns that made more sense than men's thought patterns. Now, I just kinda feel like boys are dumb and don't know anything about girls. I think the biggest compliment paid to me recently was from an acquaintance who said, after conversing with me for awhile, "We need to hang out more and talk. You think like a girl." "What about (insert gay male hairdresser's name)?" "Nah. He's fun, but he still thinks like a boy."
- Cravings seem a whole lot harder to resist now and flavorful things seem even more flavorful. This one is hard to research because taste and degrees of hunger are subjective. Before about 5 months into hormones, I could diet regularly and not give it a second thought. I had been losing weight for awhile and was at my goal weight. I was planning to lose another 10 lbs because I felt that I could and remain healthy, but something in me just couldn't do it. Ever since, it's been a battle of worrying about what I eat to the point of near-obsession, but unable to stop myself. The taste of food typically ends up driving my diet, and the things I want typically have a higher fat content than healthier alternatives.
- I feel like it's easier to get depressed. I've become a creature of moods this past year. It's so much harder not to be a bitch when something irritates me. This is understandable when my hormone dosages fluctuate, but when they're steady for several months, it's harder to comprehend. It's not that I'm more volatile per se, but it's harder to hide what I'm feeling at the moment. I do end up being a lot more aware of how my mood affects other people and I find myself apologizing because of it more often.
- Impatience seems to have a greater hold on me. This is especially evident in traffic. I really didn't have that much trouble with this before, even with a bad marriage. My wife and I would ride home from work together and bitch at each other the whole way. Or, we'd just have a comfortable car ride. Traffic jams never bothered me. Now, it's like everyone is an idiot and needs to speed the hell up or get out of the way!
- "Acting like a woman" vs. "Being a woman" - there's a difference. When I used to tell people I was transgendered and dressed in womanly attire, I thought women trusted me like they would any other woman. Boy, was I wrong. It's hard to describe, but when a woman views you as another woman, the demeanor is completely different. It's like there's a switch where it's okay to tell something to another woman that a man wouldn't have any notion to comprehend. You can read it in the body language. I get the feeling that they just saw a man in a skirt before, which makes me sad to think about because I really wanted to be perceived as a woman back then, too. Oh well. Anyway, I'm not sure where the switch for me was either. Going through transition is a lot like learning to be you all over again, or like learning a foreign language you've never heard of from scratch.
As a final note, there are probably some things that I inadvertently left off the list. If you have a question about any of it, you can ask and I'll try to answer to the best of my ability. I know that some of these mental changes can seem psychosomatic or have become learned behavior as a result of my transition. All I can tell you is that I tried to express everything honestly. I've tried to remain exceptionally self-aware throughout this process because that's just the kind of thing I obsess about. I like to examine every emotion and thought, and since I play a lot of poker, I've gotten used to picking up every little twitch and muscle movement from other people. Plus, while everything was kinda shiny and new in the beginning of transition, it's since grown banal (since about month two).