view the rest of the comments
Transfem
A community for transfeminine people and experiences.
This is a supportive community for all transfeminine or questioning people. Anyone is welcome to participate in this community but disrupting the safety of this space for trans feminine people is unacceptable and will result in moderator action.
Debate surrounding transgender rights or acceptance will result in an immediate ban.
- Please follow the rules of the lemmy.blahaj.zone instance.
- Bigotry of any kind will not be tolerated.
- Gatekeeping will not be tolerated.
- Please be kind and respectful to all.
- Please tag NSFW topics.
- No NSFW image posts.
- Please provide content warnings where appropriate.
- Please do not repost bigoted content here.
This community is supportive of DIY HRT. Unsolicited medical advice or caution being given to people on DIY will result in moderator action.
Posters may express that they are looking for responses and support from groups with certain experiences (eg. trans people, trans people with supportive parents, trans parents.). Please respect those requests and be mindful that your experience may differ from others here.
Some helpful links:
- The Gender Dysphoria Bible // In depth explanation of the different types of gender dysphoria.
- Trans Voice Help // A community here on blahaj.zone for voice training.
- LGBTQ+ Healthcare Directory // A directory of LGBTQ+ accepting Healthcare providers.
- Trans Resistance Network // A US-based mutual aid organization to help trans people facing state violence and legal discrimination.
- TLDEF's Trans Health Project // Advice about insurance claims for gender affirming healthcare and procedures.
- TransLifeLine's ID change Library // A comprehensive guide to changing your name on any US legal document.
Support Hotlines:
- The Trevor Project // Web chat, phone call, and text message LGBTQ+ support hotline.
- TransLifeLine // A US/Canada LGBTQ+ phone support hotline service. The US line has Spanish support.
- LGBT Youthline.ca // A Canadian LGBT hotline support service with phone call and web chat support. (4pm - 9:30pm EST)
- 988lifeline // A US only Crisis hotline with phone call, text and web chat support. Dedicated staff for LGBTQIA+ youth 24/7 on phone service, 3pm to 2am EST for text and web chat.
I had emotional effects within the first week. For me I think injecting a sufficient amount of estrogen to block the testosterone from being produced is what helped my mood.
The testosterone was the problem, and the only anti-androgen I tried was bicalutamide which didn't help because it doesn't block androgen receptors in the brain very well. It was previously thought to have no effects on the central nervous system, now we know it does act on the CNS but it's not clear how much. Either way, I can confirm bica didn't help my biochemical dysphoria at all.
I have heard spiro can help with biochemical dysphoria (it helped Mia Violet), but can also harm mood (I know several trans women IRL who swear it causes problems for them).
So I would personally recommend estrogen monotherapy. The ideal would be lupron, but it's too expensive, so until an orchi is possible I think monotherapy is the least medically risky (estrogen is very safe, even in high levels), the option with the fewest side effects, and the most feminizing.
Also, mood continued to change and improve over time, and figuring out the right dose took a very long time for me. There were mood changes happening at the 3 month mark, and the estrogen does actively change your brain. I remember distinctly my intrusive anxiety disappeared somewhere in the 3 - 4 month mark.
This seems reasonable to me. Depending on dose, frequency, and route of administration, you might have some breast growth that starts around that time that could be irreversible, that is the main risk. I think stopping within two months rather than three months should avoid that, however.
I believe it is actually recommended by The TransitionChannel to try HRT first since you can stop before permanent changes around the 3 month mark.
General recommendation is that you freeze sperm first, it is a risk you will lose fertility. However, it seems to be a bit of a myth that you will permanently lose fertility, most women seem to regain fertility when they stop HRT.
You should really think through the possibility that once you start estrogen you will not want to ever go off of it, even to regain fertility. I vastly underestimated the effects of estrogen on my mood, and once I started, the thought of quitting was tantamount to suicide. It was actually unsafe for me to quit. I don't know what it will be like for you, though.
I do highly recommend injections rather than oral or sublingual routes though. I have needle phobia, so I went with subcutaneous injections with very small needles that are painless to inject.
I also recommend reading this document a few times: https://transfemscience.org/articles/transfem-intro/
Yeah, that is a concern that I have… maybe it would be better to freeze sperm first, to be on the safe side.
I’ve browsed that document before, but I’ll read it through and check out that channel, thank you!
Everyone I’ve talked to has sung the praises of injections over any other method, so it’s definitely the one I’m leaning toward most