I have known for a while that hormone-replacement therapy(HRT) is something that I wanted as part of my transition. The wait time to get see this particular endocrinologist was many months. After research, emotional and psychological work, I got myself into position to see her. She is one of the few endocrinologists who specializes in transgender hormone-replacement therapy in North Carolina. Finally on Monday, the 10th of April, I went to my first endo appointment.
My family and I drove several hours to her office. It was an emotional journey for everyone. I had a thorough discussion with the doctor about what the therapy entailed and the risks and benefits of the medications. I would be placed on a testosterone blocker as well as estrogen. Labs would be taken frequently and dosages would be adjusted until I was in the normal range for a typical female. I would also be tested for other things to ensure my safety.
What surprised was a comment about my life expectancy. She cited a few studies about introducing estrogen to post-menopausal women, but noted that there were no studies yet on trans women, as no one has really been doing this long enough or with enough numbers to know how it will impact life expectancy. Having a similar mentality to mine, she mentioned I “could be hit by a bus tomorrow. We just don’t know.” The quantity of life is completely irrelevant if the quality is crap. If you are depressed all the time and hate a major part of your life, good health is not something to be grateful for.
The hormones would slowly change certain aspects of my body. We went over what some of these changes would be. We also spent a good bit of time on what would not be changing. There are certain traits that I could eliminate through other options if I needed to pass or if those traits caused dysphoria. The entire appointment gave me a lot to think about and was quite a learning experience. It really gave me something to think over.
During the course of the conversation, she mention I would begin to see more colors as the shape of my eye changed. I decided to do some research into this and found the shape of the eye is different between men and women, allowing for a completely different perception of the world. If not only has my body been male, but an essential part of my nervous system, then perhaps being transgender is actually a miracle. All of the input I have been receiving about my body and even the world around me has been coming in through male filters, yet something deep within has still said, “No, I’m not listening. This is not who I am.” I feel like being trans is kind of like having evidence of the soul. And as I continue on my journey, I gain more confirmation…and acceptance of who I truly am.
Love and blessings to you all,