Today is the day. What day, you ask? The day that I began the long, slow process of rearranging my body’s chemistry from boy to girl.
Now that I have begun hormone therapy I can lecture all the rest of you about how little you understand about what it’s really like being transsexual. Kidding, of course. I’ve taken one fifty milligram pill of Spiro. There is no discernable effect yet, nor am I expecting any for at least a few weeks. Even that “more frequent urination” side effect means little to someone who drinks coffee all morning and herbal tea the rest of the day. More frequent than pretty much always needing to go? I doubt that.
The plan is to leave me on this dose, then return for a checkup in three weeks time. If things look good then she’ll increase the dose. Wait another three weeks. Get tested again. Repeat as necessary for about three or four months. Only after that time would I start on estrogen.
I’m a little concerned about one of the test results my doctor went over with me before prescribing the Spiro. Everything else from my physical was fine save for elevated liver enzymes. Possible causes: heavy drinking (guilty as recently as a month ago, but not since), hepatitis (eek!), scarier things we won’t discuss in detail yet – let’s retest to make sure the numbers aren’t some one-time thing.
So anyway, I’m waiting for my retest results before worrying too much. One down side specific to me if I do have elevated liver enzymes is that my doctor will not put me on estrogen without consulting with a specialist first. Estrogen and the liver apparently have a dicey relationship as it is, so she’s unwilling to increase the danger for something already looking dubious. If the liver numbers are still elevated on the next test she’ll refer me for a CT scan to look inside me before moving on. Doesn’t make a lot of sense to worry about it yet.
Interestingly one common side effect about Spiro I didn’t know about until recent internet research is that it can begin breast development. Obviously that sucks for male patients taking it to control their blood pressure (which is the more common reason it’s prescribed). But that’s just a head start for people like me. That should be an interesting thing to keep an eye on.
It’s also supposed to decrease my sex drive, which is fine with me for the moment as I have no sex life anyway. But this does mean I get to answer lots of rather personal and intimate questions from my doctor as she checks on the side effects during my next appointment, so she warned me. Having sex chats with a doctor… my life sounds steamier than it lives.
Anyway, the big news is just that the process has begun. I’m really quite patient rather than hyper about expecting Big Results. So don’t expect daily or even weekly updates on my progress. I’ll just note the important things when I notice them and otherwise try to remain interesting.