AA: HRT Advice
Here is a recent Ask Abbey question that I got, my hope is to give a broad understanding of the process and hopefully get others on the right track.
Q: Hiya abbey.
I wont take up to much of your time. I just want to ask you, my doctor started me on 2mg of esteofem daily but wont give me anything else because they really don’t know what I have to take. She told me to ask around hence why I am here. The esteofem has yielded good results so far(boobs are growing fast and my waist is getting curvy) but want to be taking the right things. I have done some research and apparently I should also be on “spiro.”
Can you advise me on what else I should be taking so i can inform my doctor.
A: Hi Ashley,
The estrofem is a good start, after being on it for a while you may raise that dose a little. The average estrogen dose can be anywhere from 2mg to 8mg per day.
You are correct about Spiro, it is an antiandrogen called Spironolactone (Aldactone): http://en.wikipedia.org/wiki/Spironolactone
The tests my doctor runs are:
The first 4 are the most important, the lipid panel, TSH, and Vitamin D are more for general health. The prolactin level is important to watch at first because HRT can increase those levels, especially in someone who already has elevated levels. If you have high prolactin levels before hormones it could be explained by a Prolactinoma, which is a benign tumor on the pituitary gland. They can be treated with medication or surgery but are not an immediate cause for alarm. Spiro is a Potassium-sparing diuretic so it can cause elevated potassium levels in your blood. It is important to monitor your levels for the first year or so to watch out for Hyplerkalemia but
Now for the your testosterone and estradiol levels.
As you can see, my numbers are quite different now.
That pretty much covers the basics, some people also take progesterone, but the results are very controversial as to whether they do anything or not. They are usually claimed to help in breast development and increase sex drive, as well as make you more moody. Not surprising because it is the hormone that spikes during a females menstrual cycle during and after ovulation. My doctor does not prescribe it so I do not know as much about it, but if you do decide to research it and try it, do so after you have your estrogen and testosterone levels where you want them.
Day 863 – Just Another Day
Q: Been a while since you posted anything. How are you doing?
A: I have been doing alright, thank you. Now that you mention it, it has been quit￼e a while since I posted anything, 212 days to be exact.
Today’s soundtrack provided by Oingo Boingo.
The last time I posted anything was right around the time I was working at the music theater. I stopped doing work there when the fall semester started, but I learned quite a bit about metalwork and carpentry while I was there. It was definitely a positive experience. Now onto the present.
To be completely honest, the past four months have been hell. I will give you the incredibly abridged version as you probably don’t want to hear all the details. I started out doing okay in the semester but things quickly went downhill. I was having a hard time focusing on my work and slowly stopped going to classes, one-by-one. Throughout this my girlfriend and I were growing further and further apart. Something was missing and we were not meeting each other’s needs. We tried some different things but it wasn’t working.
I ended up failing all of my classes and things eventually culminated in our separation. It is still painful for me to think about it, and I loved her very much, but I have no choice but to move on. The future holds better things and I already see a light in the black.
Since the break up, I’ve been able to explore another side of myself in alternative lifestyle. It’s something that I’ve been interested in for a long time and I am glad to be able to now. For the record I am being responsible in my explorations and I would appreciate it if any family who read this keep to themselves or contact me privately.
Now, do you remember that light in the dark I was talking about? Well I’ve met someone wonderful who I’ve been seeing for the past month. We get along quite well and we just naturally meld. I will post a picture of us from new years.
Transition-wise there isn’t a whole lot to say. I’ve been living life as myself for over two years now and though there has been some rough water I am genuinely glad I transitioned. At the moment I am switching my anti-depressant to Zoloft in the hopes that it will help more than the Effexor and lower my anxiety levels. I am slowly realizing that my social anxiety is the root of a lot of inner turmoil. It will be at least a couple weeks until I know if that does anything for me.
That just about sums it up, I am taking two classes this semester, trying to keep my course load light. I want to try to get back into some creative hobbies such as music or chainmail as an outlet. Lets let this year be better than the last!
Day 651 – Mild Steel Bondage
Hello and welcome to this post! I will be talking about some things that have been going on in my life over the course of the past week. As you can see above, I have been spending a lot of time in the metal shop at work. Next week we have basically one day to put the new speaker system into the theater before we have a concert loading-in on Wednesday. My main focus was to get the 6 mounting brackets made and painted so that they would be ready. Each bracket is just over 3 feet tall and 5 feet long. They will hang out over the edge of the truss that hangs above the stage, the speakers will then hang at the end of the pipe. Below you can take a look at them coming together as I built them. I will try and take a picture of one once they are installed on Monday.
In other news my endo appointment went well, my levels were at reasonable levels and things are basically going to stay the same from here on out. I think my estrogen was around 67 and my testosterone was 10 or 20, the estrogen count was a bit low for my liking but the day I had the test I hadn’t taken any in the morning so that may have thrown it off.
My girlfriend and I have been experimenting with each of our different sexual sides. We love each other but there was something that was kind of lacking in our relationship. Things were just kind of… stagnant? We weren’t really moving forward in the relationship. Luckily with some mentoring from a friend of ours things are better than ever. 🙂
I also just commissioned someone to make a custom pair of leather cuffs for me so I am quite excited. ^-^
I guess that is it for now, I hope everyone is staying cool in this god awful weather, my girlfriend only has a window AC so we have been limping our way through the day, trying not to move too much!
Until next time,
Day 640 – Round House Theater
It’s been some time since I’ve really touched my blog. I blame it mostly on my new job. A new job you say?
Thats right! I am working at a music theater in the round. This is a picture of the stage, graciously taken from google. I mostly do carpentry and welding in the scene shop but I do some work for my brother in the sound department as well. It is my first time working in a theater and I have been enjoying it quite a bit. The hours are long (35-40 hours) and it can be exhausting, but it is very rewarding and I am getting a lot of experience that could be helpful down the road.
This all started during my birthday party on the 6th of May, my girlfriend and I were talking with my brother Andy and his girlfriend Maria, who both work at the theater. Somehow we got on the topic of jobs and they said they could always use extra hands during load-ins at the theater. Over the next few days I thought about it and by the end of the week I was taking a look at the theater and meeting my soon to be co-workers. My first day was the Monday after.
Growing up my brother would always talk about theater so I’ve had some background knowledge in it for a while. I helped out a few times at my high school’s theater, but I never thought I would end up working in one! I even get to go up in the catwalk above the stage 😉
All I’ve really done for the past few weeks has been working and sleeping. working from 8am to 7pm doesn’t leave room for much else, but the 3 day weekend is a plus. This past week has been especially exhausting because Hello Dolly! opens on Wednesday. That means I have worked at least 4 hours every day for the past 8 days, awesome!
That just makes it that much more exciting that I have tomorrow off because I have my 6 month checkup appointment with my endocrinologist! I am excited to see what my levels are at and make sure that they are in the proper range. I feel like things should be in the right place because I have seen a decent amount of progress since my last appointment, but it can’t hurt to see. On that note, I will be posting an updated batch of measurements this week and possibly give an update on my breast growth. I will tell you now, they seem like a healthy A cup, or a small B.
Anyways I have to get ready for bed so I can get some much needed sleep,
Until next time,
Day 588 – License To Kill
SO, since it’s been nearly a month since I got my name changed I am finally going to get a new license. I am getting ready to go with my girlfriend to the RMV today. I put it off so long because I kept making excuses, “My hair doesn’t look good”, “My face looks bad!”, “I have nothing to wear!”, but it is time I finally got this done.
This picture is from the student art show this month, I am really happy with the way it came out. Anyways, I need to finish getting ready. I may post a picture of my new license when I get it.
Have a good weekend!