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It's been a bit over a year since I last shared my transition progress on here so I thought I want to update you all.
Here is my last post: https://phtn.app/post/lemmy.dbzer0.com/7781431
Forgot to add:
It is such a cool thing what a fairly simple chemical can do.
Yes, it's amazing!
Do you mind sharing how old you are?
I am three months in and seeing some progress but still feeling a bit hopeless. I know three months isn't that long but still.
I don't mind sharing that, I'm 32 years old.
So right around the same age as me. This gives me hope :]
You can do it! 😊
dose, route of administration, and lots of other factors play a role as well, though
Does it? Even when accounted for blood level of E2 and T?
Yes, there are many factors and reasons for that.
Certainly dose and route of administration do determine things like E2 blood levels and does impact T, but if you are taking oral, for example, your blood E2 levels are fluctuating throughout the day much more than with, for example, injections. Your blood labs are a single snapshot, not representative of your blood levels all the rest of the time. I always try to get my blood labs done at trough, just before my next injection, when my levels are likely to be the lowest.
Even what ester you use matters, e.g. injecting estradiol valerate (which has a shorter half-life) causes your blood levels to fluctuate (higher and then lower) than an ester like estradiol enanthate, which is slower and more gradual.
All of this can influence the feminizing effects, and of course genetics, diet, hydration, exercise, age, and so many other things can play a role as well.
Most of the estrogen taken orally is absorbed by the liver, so it's an inefficient method of raising blood estrogen levels, and anecdotally I notice a slower / reduced feminizing effect from trans women I know taking oral routes rather than injections.
Whether you've had surgery also plays a role, again anecdotes, but I've read reports that feminizing effects were slower before gonad removal and increased after surgery.
Anyway - when I see progress pics I want to know what dose, route of administration, and other relevant notes to contextualize the progress.
I know trans women IRL who have been on oral estrogen for over a year and seen very little effect despite "good" blood labs (she didn't have the numbers so I don't know what she thought "good" was, and she was just repeating what her doctors told her).
I know another trans woman IRL who has been on oral estrogen for months and still has male levels of testosterone and very mild feminization.
I also have a trans woman friend and colleague who has been on oral estrogen for nearly a year and she likes her results, but I've been on estrogen about the same amount of time with injections and I would subjectively say she hasn't feminized as much in the same amount of time.
Still, ultimately it's about what your goals and desires are, my friend has no motivation to change her setup and is happy with her changes. That's ultimately what's important.
Thank you so much for the write-up!
I am on injections myself. Wish I could get EE but currently stuck with EV, since that is the only available form here.
I'm on EV as well because it's the main ester that doctors can prescribe here. I was able to get a Rx for estradiol cypionate, but the concentration was so low that I had to fill my syringe and inject three times to get a single dose and that just wasn't worth it. Maybe post-orchi when I'm no longer on high-dose monotherapy I could revisit that.
EEn is more common for DIY, and if you're in the U.S. for the next 4 years, it's probably worth figuring out how to source that (probably better sooner vs later, having a stockpile is a good idea).
For reference I take my estradiol through patches and take cypro as anti androgen.
Nice, I don't know doses well for patches but I've heard it's not a bad method. The main problems I hear are that they can come off and be expensive to replace, they can cause rashes and irritated skin, and sometimes there can be poor absorption / lower-than-ideal blood levels from patches (better than oral, though!).
I never considered patches because my skin is very sensitive and I am often rough on my body and I think I would lose patches due to daily activities (exercising, soaking in hot baths, brushing up against things when doing manual labor, etc.).
Cypro sounds better than spiro, but reading about it I don't like the idea of taking a synthetic progestogen, since it causes increased risk of blood clots and breast cancer:
https://transfemscience.org/articles/transfem-intro/#cyproterone-acetate
As CPA is a progestogen, it is associated with increased risks of breast cancer (Fournier, Berrino, & Clavel-Chapelon, 2008; CGHFBC, 2019; de Blok et al., 2019; Aly, 2020; Wiki) and blood clots (Seaman et al., 2007; Connors & Middeldorp, 2019; Aly, 2020; Wiki) even at very low doses (e.g., 2 mg/day). Higher doses of CPA, likewise presumed to be due to its progestogenic activity, are additionally associated with elevated prolactin levels (Sofer et al., 2020; Wilson et al., 2020; Wiki) as well as with certain generally non-cancerous brain tumors including prolactinomas (McFarlane, Zajac, & Cheung, 2018; Nota et al., 2018; Wiki) and meningiomas (McFarlane, Zajac, & Cheung, 2018; Nota et al., 2018; Millward et al., 2021; Weill et al., 2021; Aly, 2020; Wiki). These risks appear to be dose-dependent, and thus are likely to be minimized with lower doses of CPA. Besides risks related to its progestogenic activity, CPA at high doses has shown weak but significant androgenic effects in the liver and has been associated with an unfavorable influence on lipid profile, for instance decreased HDL (“good”) cholesterol levels (Coleman et al., 2022; Wiki). Long-term, this could result in an increase in the risk of coronary heart disease. Other potential adverse effects of CPA at high doses with unclear mechanisms may include increased blood pressure and heightened insulin resistance (Martinez-Martin et al., 2022). Additionally, CPA has been associated with abnormal liver function tests and rare cases of liver toxicity, including at doses used in transfeminine people of 25 to 50 mg/day (Heinemann et al., 1997; Bessone et al., 2016; Kumar et al., 2021; Wiki; Table). The likelihood of abnormal liver function tests with CPA, and probably of liver toxicity, appears to be much lower at doses of less than 20 mg/day (Wiki). More than 100 cases of clinically significant liver toxicity have been reported with CPA, but only two cases have been reported with CPA at doses of 50 mg/day or less (Wiki; Table). Monitoring of prolactin levels to detect prolactinomas, and monitoring of liver function to detect liver toxicity, may both be advisable in people taking CPA. Regular magnetic resonance imaging (MRI) scans have also been recommended to monitor for meningiomas in people taking CPA (at ≥10 mg/day) (Aly, 2020).
I wouldn't be too worried about it, but I'm just glad I can avoid that risk entirely with estrogen monotherapy (and in the long term with surgery).
For me patches work really good. I apply them to my butt and put a tegaderm patch over it to make it more resistant to water and movement, I don't ever have to worry about it coming off. Cost is also not really a problem since most of the cost is covered by insurance anyway. My last blood levels were 123 pg/ml for E and 39 ng/dl for T (these are my levels with my starting dose (75μg/24hours estradiol (with 2 patches per week) and 10mg cypro), since then I could decrease my cypro intake by a little bit). Regarding the anti androgen I don't really have a choice since that is whats used here in Germany and also my endo only prescribes dermal application estradiol, so spray, gel or patches and she doesn't do monotherapy as far as I know. But since I'm planning on doing bottom surgery in the near future anyway I don't worry about that too much.
Edit: And injections are unfortunately almost impossible to get here.
With how different bodies allow different speeds of change, you are definetely in the speedrunners league there. The latter one reminds of my one good collegue who was born like that, and you are already there. Get used to be an inspiration for other aspiring women and a source of tips (:
This is so crazy to me because from my own perspective everything happens so slowly 😅
The important thing is you keep pushing, like a little and fucking insufferable turtle. They all seem slow, even to themselves, but miss this fucker for a second and they are far away. I'd like you to keep saving (posting?) updates and check your older photoes as you go and see how high you climbed. I wish you well on your gender journey (:
Just started HRT 3 days ago. You became so beautiful. You're giving me motivation 💜
Thank you! ♥️ I wish you all the power you need.
You look like finnster but finnster has even nicer hair
That means I have nice hair at least 😶
you honeatly give me hope I am at 1.5 months so understandably a little bummed out at how slow it is
Starting HRT is the easy part. Waiting for results is hell.
so real
I don't really know anything about this subject, so I clicked to see what HRT actually does, and your pics totally blew me away!
The ones in this post are outstanding enough, but the even older pics in your link to the present are mind blowing.
Honestly, I think you were good looking at every step, and I'm glad you are getting to be the you that you're meant to be.
I hope none of that came off ignorant, as I said, I don't really know the proper way to talk about this, but my intent is to be 1000% positive for you.
Don't worry, I appreciate the kind words. They mean a lot to me 😊
I'm glad! I hope you keep reaching your goals.
Wow the traits of your face look so much fine and feminine. Bravo absolutely magnificent , hope your treatment go great and that you will continue ❤️❤️
Aww, thank you. I will definitely continue. I'm probably at the best point in my life and it's only getting better.
That is astonishing progress! (And encouraging? Why is everyone else so pretty)
Thank you for sharing <3
Encouragement for others is one of my goals with posts like these.
...literally goals at one month...
I think that says -1 month, meaning that was a month before HRT?
Correct!
Looking pretty good! And thanks for reminding me that I should probably do something with my hair.
Thanks and you're welcome! 😅
Wonder what sad little dreck downvoted every single comment in this post. What an unhappy life that must be.
well they can go take a long hike somewhere for all i care.
Some people just hate it when other people are happy I guess. Or it's just your run of the mill transphobe.
For what it's worth, downvotes are only viewable in other instances; lemmy.blahaj.zone (where the above post originates) has disabled them specifically because of shit like this.
well then, guess you'll never know how many downvotes I have on my comment hehe
Holy crap, your transition is incredible. You are gorgeous!
Looking good, like a completely different person. Congrats!
you look great! you should see my hair, its embarrassing as a man