Some good news

I got my blood test results back. I have some good news and some ok news.

Good news: my testosterone is “LESS THAN 10 ng/dL” and the range is 0-74ng/dL. So at least we know my testicles haven’t mysteriously grown back 🤣.

The test is to ensure the male hormone has dropped off thus allowing feminine hormones to work their magic. This is first time my testosterone hasn’t decided to make a comeback and I find it encouraging.

Another bit of good news is my progesterone numbers (prolactin test): 15.5 ng/mL and the range is 2.5-19 ng/mL. That is excellent news as this is the hormone that developed breast growth.

Finally I got my estrogen results via paper only (for some reason it isn’t on my electronic documents). 98 pg/mL and the standard range is 30-500.

This is an upward trend (my last result was less than 20), but not where we want it (300+ is the target score, there is another test that goes up to 700 and on that one we want 400+, not sure the difference though between the two scoring systems).

I will admit I was really disappointed by this. However Dr Fields is awesome, he said we will take this progress and up my dosage to 8mg of estradiol per day (I was taking 6 as of yesterday and only 4 when I had the horrible doctor) so I feel like we are moving.

I will go get another test in November and cross my fingers.

Upgrade of HRT regimen

Things are looking up. After a pretty horrible experience with my previous provider, who told me the hormones won’t do me much good anymore… I talked with my therapist and husband (two different people) and we went to a different doctor, a trans specialist.

He saw me, totally reassured me that I am far from done. He upped my dosage from 4mg to 6mg estradiol and added in progesterone to help breast development. He believes I can get them a pretty good size and asked me to wait on breast augmentation until next April and let my natural boobs grow first, then get the augmentation. So I agreed to it.

That means I am now on a new HRT regimen and pushed back a surgery I was going to have in two months, to April. It makes me a little anxious, but I feel good about what he wanted me to do. It means only surgery in next eight months is for my lips, and only if I can get the electrolysis done.

I think it is relieving to my husband that my surgery got pushed back, but it sounds good.

In other news, I am moving my primary care back to the doctor we had in Everett. It is a long drive to get there (over 60 miles) but he was super supportive of the hubby in his transition, and since I have a transgender specialist, I want my primary to just care about me as a person. So that is good too.

I will give updates on the HRT of course, last night was the first full dose of both (3mg estradiol x 2 a day, and progesterone at night). I am hoping to get back on the hormonal changes soon.

Insomnia, Anxiety and Sleeplessness

I can’t tell you why I was awake at 12:30am specifically. I am anxious, tired, pacing the living room trying not to wake my hubby. Of course today I have to audit an agency so it isn’t like I can just veg out in my office at work.

I don’t think its the audit itself either. I am almost done with my review before I even get there. They are religious in outlook, but I haven’t had any problems yet and I honestly enjoy that kind of thing.

I wonder though if its my hormonal fluctuations. My doctor is great, but when my test results came back for my estrogen and they were basically zero, she was out sick. Now that she is back she referred it to someone else and this is taking forever.

Been hormonal, anxious and all over the place… ya it is probably the hormones. Hopefully I can keep my shit together today, work the day and come home. I am disappointed in myself, I had meant to run the hubby some of his post-apocalyptic game when I got home last night, but I was so tired… yet I can’t sleep.

Stupid hormones…

Risk Tolerance and Aversion

 

One of the unexpected results of being on estrogen and testosterone blockers (spirolactone in my case) was the change in my risk tolerance lowering and my risk aversion increasing greatly.

For the first 46 years of my life I was a very high risk tolerant person. I wouldn’t stress quitting a job on the fly. When I was younger I would hang out of a truck at freeway speeds being held by only a belt that a friend was holding (or freeway surfing in the back of that truck on the freeway). I didn’t mind jumping apartments more than once a year, and I liked a lot of change in my life.

Yes that is me in the back of a pickup, but at least we weren’t doing freeway speeds.

My safety didn’t concern me one bit, not physically, financially, emotionally or domestically. It would drive my husband nuts and I can’t say that I don’t blame him for being upset, especially now.

For the last 10 months on hormones and blockers my risk tolerance and aversion has become inverted. I get anxious driving too fast (especially if I am not driving). The idea of looking for work freaks me out. The idea of having to move is pretty intensely bad for me and finally I have developed this weird fear of our financial situation deteriorating even further that I want to stock up.

So much so that I made the husband buy a freezer and now we keep it full…

Now, part of my risk tolerance and acceptance I had before my transition can be directly laid out at how I was raised. Being raised around bikers, police involved in our lives, violence and guns (oh and living homeless for more than a year in high school) contributed. This was along with poverty and a lot of hunger made me pretty bullet proof for risk.

This of course combined with my 30 year long fight with depression (transition related along with PTSD and childhood trauma) made me really risk tolerant. I honestly never thought I would live to be this old and I didn’t really care. Not that I thought of it that way, I just assumed I would be dead by something.

This changed massively when I came out as transgender and the depression retreated back. I am in counseling for my depression, PTSD and trauma. The biggest piece though seems to be the testosterone restriction. It is a huge difference now. Some might say it is only correlation but I watched the husband go the opposite direction from before his transition (he got very anxious about risk when he was still presenting as feminine) and now he is a lot more tolerant of it. Our roles have almost flipped not just gender wise but in the risk aversion.

I realize I bought into the whole toxic masculinity when I was younger. I totally admit it. I loved (and in some cases still do love) adrenaline rushes. I love the feeling of a plane taking off and landing (just as much now, one of the weird things that hasn’t changed), but the idea of our finances and my unemployment ending freak me out. Driving in rainy freeway weather freaks me out. The idea that we might have to move yearly again makes me uncomfortable when a year ago I always looked for new apartments and new adventures.

I do feel bad though. I used to always give a hard time to my female friends and especially my husband (at the time my wife) about being such a nervous Nelly. He would be anxious driving in the rain, or other bad weather conditions, nervous about moving again or quitting jobs, etc. I just assumed he needed to get over it. I didn’t understand at all what he or my other female friends felt.

I didn’t realize how much of it is hardcoded into the hormones/position in society. I feel like a total dick because of it. Not that I was mean, but I would roll my eyes and bitch to myself.

So there it is, I am now way more risk averse to physical things, financially a bit and definitely domestically. It is amazing how much of us is dictated by our chemistry.