FTM's and Transitioning

[Leigh]

Thanks Thinker, it was awesome to finally get it today :)

[Sam]

9 days away, im just wallowing in my own happiness. i know there will be alot of pain with this experience, but it will be physical. cause my mental state is ready and my emotional state is on stand still.

i'm totally excited, ready. i think the only stress factor right now is missing my marlboro's. but its been over a week and im doing ok on the most part.

i have started v blogging, i will get the site up and running by oct 27th, just my personal journey.

ftmsam.com theres nothing there yet, but its being built up. crazy life, crazy experiences. but they are all mine

[Leigh]

9 days away, im just wallowing in my own happiness. i know there will be alot of pain with this experience, but it will be physical. cause my mental state is ready and my emotional state is on stand still.

i'm totally excited, ready. i think the only stress factor right now is missing my marlboro's. but its been over a week and im doing ok on the most part.

i have started v blogging, i will get the site up and running by oct 27th, just my personal journey.

ftmsam.com theres nothing there yet, but its being built up. crazy life, crazy experiences. but they are all mine


I've been thinking about v-blogging, but through youtube since alot of guys seem to post videos there. I haven't gotten around to posting anything yet since I've been busy with training at work and stuff, but I hope to start making videos soon and when I do I can give everyone the link :)

[Sam]

I've been thinking about v-blogging, but through youtube since alot of guys seem to post videos there. I haven't gotten around to posting anything yet since I've been busy with training at work and stuff, but I hope to start making videos soon and when I do I can give everyone the link :)

i upload everything to youtube, its a great tool. i just got a website to post all the youtube video's on makes life a bit easier lol

[Jet]

Sam,
I think you're really blessed to be so free and excited about this change in your life, and I'm very happy for you. We'll have to get together after you have your surgery. I've stopped T after 15 weeks. The only changes are more body hair and my voice. I had a long talk about health with the doctor i saw about my shoulder and prescriptions and so forth. I went to a gay/gay friendly practice and I felt very comfortable. He was concerned that I wasn't involved with a trans support group which I probably should have been.

At bothers me that, at 54, I feel bound by family and jobs. I came to the conclusion that I don't think I can face my family or tell them in a way that they could understand. This isn't etched in stone by any means, but it's a huge stumbling block for me. I'm gun shy because I've been in one physical fight with an uncle and I've never forgotten it.

The other thing that weighs heavily is the kind of work I do. I'm in the communications industry and I'm trying my damnedest to go from freelancing to a full-time position as a senior designer or art director. The market sucks, the competition is high and I don't want to jeopardize my chances of landing a job. Being a designer in advertising involves working with 3rd party clients. and it's always about impressing them and selling them on concepts. That's if I work at an agency. If I work corporate side, which I have, there's that uptight structure that's always there in PR and marketing. It's a very different baby and a difficult one.

I don't think I was as prepared as I should be. I miss taking T because even the minor changes that I gone through, I like. I haven't given up the idea and time will tell. I just think it would be better if I went through the change after I get a job. I could work out of the industry, but after 30 some years of being in the field, it's all I know.

I'm also working through an 18 year bout with severe PTSD. Now, I feel more like myself than I have in years. This is about coming back after such long dark struggle. What saddens me is that if things hadn't happened to me, I'm sure I would be much more ready to go through a transition. I was TG when TG wasn't even heard of in my 20s and 30s. Now it's at the forefront and I'm not able to go through it—at least not right now. Life is damn funny.

So Sam, I think you're very blessed and I'm happy that you don't have these kinds of obstacles. Best to you, bro.

[Sam]

John

thanks i totally appreciate your words. i'm sorry your going thru all thios, i wish it was easier on you and for you. and maybe things might fall into place.

just be you.

Pre Op is over
EKG done
blood work done

wed the 27th i go in to get marked up
thursday i go under the knife
fri i wake up being me

[Logicaly]

Video blogging is awesome for those of you that feel comfortable doing it. I plan to try and video blog as much as I can as well once I start the process.

I have an appointment on the 15th to meet with a doctor to do a general health exam and find out what I need to have done in order to start hormones. I hate doctors, but they are a neccessary evil in this situation.

[atomiczombie]

A recent new effect of the T: I'm perpetually hard. Oy. Nothing seems to make it go away. I feel like a 13 y/o boy. O.o

[T D]

A recent new effect of the T: I'm perpetually hard. Oy. Nothing seems to make it go away. I feel like a 13 y/o boy. O.o


I was like that for a while, but then it eventually passed. I was a walking hard-on.

Hang in there, Drew!

[Sam]

Hey ya'll

i havent said much, but my surgery was last thursday the 28th, everything went great. by saturday i was walking around, i had alot of discomfort from the drain area. But NOT much pain at all. I had alot of clotting on friday morning.

I was suppose to go back to get drains out on monday, but he had an emergency so i went in today to see him.

Had my dressings taken off, drains removed and saw my graphs. i absolutely love the results so far, i do have some swelling, may get more.

But overall, im extremely happy.

Thanks for all the well wishes. if you are on my facebook i have uploaded some pics and will be uploading more.

just ask sam.jankowski on fb, have a great week.

Thanks Liam, i have been to GNC.

Sam

[sweetfemme247]

this isnt a place for me, but congrats sam

[Ebon]

Congrats Sam!!

Has anyone tried the T Cream? I know it takes longer but I'm interested to know what people thought about it.

Thanks
OB

[Sam]

OB i never tried it, but they say it takes forever to soak into your skin.

Good luck

[lipstixgal]

I'm not transitioning but good luck to those who are...:byebye:

[Corkey]

Congrats Sam!!

Has anyone tried the T Cream? I know it takes longer but I'm interested to know what people thought about it.

Thanks
OB


Brother O, I had some good effects with the T cream, it gave me more energy, and the chin hairs grew a bit. I'm a pluckin fool anyway but it did make some more pop up. I'm off it until I get my blood work done, my Doc is checking on my hormone levels, He said I had low T the last time he looked. The T cream is homeopathic and not regulated under the FDA, so the contents of how much organic T one gets is up for grabs, but it also did help the libido. Your mileage may vary as with all things.

[Jesse]

Organic,

Corky has already given you some good advise on the cream. I just want to add that if you use it you need to be careful and make sure it has absorbed completely into your skin, before hugging on Gemme, otherwise it can get on her skin and she will absorb it. Can't have Gemme growing goatees and such! Lol!

P.S.This is especially important for women who are pregnant.

Congrats Sam!!

Has anyone tried the T Cream? I know it takes longer but I'm interested to know what people thought about it.

Thanks
OB

[Jet]

Hey ya'll

i havent said much, but my surgery was last thursday the 28th, everything went great. by saturday i was walking around, i had alot of discomfort from the drain area. But NOT much pain at all. I had alot of clotting on friday morning.

I was suppose to go back to get drains out on monday, but he had an emergency so i went in today to see him.

Had my dressings taken off, drains removed and saw my graphs. i absolutely love the results so far, i do have some swelling, may get more.

But overall, im extremely happy.

Thanks for all the well wishes. if you are on my facebook i have uploaded some pics and will be uploading more.

just ask sam.jankowski on fb, have a great week.

Thanks Liam, i have been to GNC.

Sam

thumbs up Sam.

[atomiczombie]

I am now on a higher dose (twice as high as before) of the daily Androgel. My doctor finally increased it. I hope something dramatic starts to happen soon, cause it has been since May that I have been on T and not much to show for it at all. :(

[Leigh]

it'll take a little time Drew, but I'm sure things will start happening soon. I've been on the injections now for about 1 1/2 months, and I'm noticing some changes ~ mostly chin hair. I've always had a fair amount of chin hair but it was never dark always fairly light but I knew it was there, and now not only is it longer and more noticeable but its darker in some areas. I get My third injection this morning and will be hoping for more changes in the future!

[The Oopster]

I am now on a higher dose (twice as high as before) of the daily Androgel. My doctor finally increased it. I hope something dramatic starts to happen soon, cause it has been since May that I have been on T and not much to show for it at all. :(

Unfortunately drew the process is really slow for topical T. I did not do the androgel but the creme and was on it for i think 3 years before I started injections. I can tell you i have great body hair on my inner thighs where i applied it the most ... and my voice and some features changed a tad. Also for a time my sex drive increased. Major changes in body hair, voice, and that monthly crap didn't happen til I went on injections and even there they didn't happen on the initial low dose ...

What the creme mainly did for me was it provided me a safe slow platform to see how my body would adjust. Maybe it can be the same for you. I know there are concerns you and your drs have about the T and maybe this is just the pathway to the changes you desire.

[atomiczombie]

Unfortunately drew the process is really slow for topical T. I did not do the androgel but the creme and was on it for i think 3 years before I started injections. I can tell you i have great body hair on my inner thighs where i applied it the most ... and my voice and some features changed a tad. Also for a time my sex drive increased. Major changes in body hair, voice, and that monthly crap didn't happen til I went on injections and even there they didn't happen on the initial low dose ...

What the creme mainly did for me was it provided me a safe slow platform to see how my body would adjust. Maybe it can be the same for you. I know there are concerns you and your drs have about the T and maybe this is just the pathway to the changes you desire.

I can't do the shots. Ever. My doctors are adamant about that. So this is my only path to transitioning. However, I don't have a uterus or ovaries so there is no Estrogen there to fight with the T. There is no speeding this up anymore than the new dose for me. *sigh*

[The Oopster]

I can't do the shots. Ever. My doctors are adamant about that. So this is my only path to transitioning. However, I don't have a uterus or ovaries so there is no Estrogen there to fight with the T. There is no speeding this up anymore than the new dose for me. *sigh*

Then just be patient ... some of the changes even if you could do the shots might not look the way you expect. I still am on the low end for facial hair but i wouldn't put my brother or dad or even grandpa as being overly hairy.

One of the things I did/do and really don't know if it makes a difference is i would rub a tad of T in the areas I'd like hair to produce... for example when i've done my shot the little left around the syringe I rub on my upper hands ...I do have hand hair coming in. Now whether or not this is occuring because of this I don't know. Likewise when I was on the creme like I said my inner thighs are extremely hairy. I really never have rubbed any on my face because i'm pretty neutral on facial hair. Occasionally i will do my sideburns though .. cause I would like those.

The point is I don't think facial hair is what my body is thrilled to produce no matter of what my dosage .. now nose hair ... uncontrollable eyebrows yes, and god i'm still hoping my dads ear hair stays away.

However even with the creme and still today on the shots my voice seems to drop ... I have a pretty low man's voice trans or no trans

Also look to other people to access the changes in you. I remember immediately after I started the creme and I was on a dose just to get my levels up to the normal levels for females there were changes and people already had a hard time recognizing me. Even today I have to look at photos of myself to see how much i really have changed. It is harder for me to see the changes others can easily see

[atomiczombie]

Then just be patient ... some of the changes even if you could do the shots might not look the way you expect. I still am on the low end for facial hair but i wouldn't put my brother or dad or even grandpa as being overly hairy.

One of the things I did/do and really don't know if it makes a difference is i would rub a tad of T in the areas I'd like hair to produce... for example when i've done my shot the little left around the syringe I rub on my upper hands ...I do have hand hair coming in. Now whether or not this is occuring because of this I don't know. Likewise when I was on the creme like I said my inner thighs are extremely hairy. I really never have rubbed any on my face because i'm pretty neutral on facial hair. Occasionally i will do my sideburns though .. cause I would like those.

The point is I don't think facial hair is what my body is thrilled to produce no matter of what my dosage .. now nose hair ... uncontrollable eyebrows yes, and god i'm still hoping my dads ear hair stays away.

However even with the creme and still today on the shots my voice seems to drop ... I have a pretty low man's voice trans or no trans

Also look to other people to access the changes in you. I remember immediately after I started the creme and I was on a dose just to get my levels up to the normal levels for females there were changes and people already had a hard time recognizing me. Even today I have to look at photos of myself to see how much i really have changed. It is harder for me to see the changes others can easily see

I really don't care so much about the hair to be honest. My dad and other men in my family aren't all that hairy, and that's fine. I just want my voice to drop and my body fat to re-distribute to a more masculine frame.

[The Oopster]

I really don't care so much about the hair to be honest. My dad and other men in my family aren't all that hairy, and that's fine. I just want my voice to drop and my body fat to re-distribute to a more masculine frame.

Just know that how those things happen are hard to say ...even if you were on injections. I think some of it depends on where you are to start with. I have always had a more masculine frame .. could never really fit in women's clothes my butt was made for men's pants ... and I sang tenor in choir .. so already had a fairly low voice.

I see ftm's and cismen that are hippy and have higher voices ... so just be aware there are no promised to what T will do for a given person irregardless of the dosage

[atomiczombie]

Just know that how those things happen are hard to say ...even if you were on injections. I think some of it depends on where you are to start with. I have always had a more masculine frame .. could never really fit in women's clothes my butt was made for men's pants ... and I sang tenor in choir .. so already had a fairly low voice.

I see ftm's and cismen that are hippy and have higher voices ... so just be aware there are no promised to what T will do for a given person irregardless of the dosage

Well my ass is already changing shape lol. I've developed a plumber's crack issue that I never had before, and my belly is sticking out more.

[Sam]

I really don't care so much about the hair to be honest. My dad and other men in my family aren't all that hairy, and that's fine. I just want my voice to drop and my body fat to re-distribute to a more masculine frame.

Man, thi is a great discussion. My weight and love handles didnt redistribute until year 3 on inj T. THIS YEAR, little by little it just kept changing. I still have my belly which i just got ok'd to stop the vaseline on graphs and i can return to work and exercise. i'm way excited. i have been stir crazy.

i have talked to other guys injecting and they have the weight disdtribution thing not happening.

Koop, im gonna try that extra T on this one spot on my face where hair does not grow, right in the middle of my beard. thanks

Otherwise life is great.

Happy Holiday's to you all

[MasterWolf]

Just know that how those things happen are hard to say ...even if you were on injections. I think some of it depends on where you are to start with. I have always had a more masculine frame .. could never really fit in women's clothes my butt was made for men's pants ... and I sang tenor in choir .. so already had a fairly low voice.

I see ftm's and cismen that are hippy and have higher voices ... so just be aware there are no promised to what T will do for a given person irregardless of the dosage

My experience is that a lot of what your body does, depends on what it already is, as you said.
Ive always had shoulders larger than my hips, not much hips or ass, and relatively hairless arms and legs.

After being on T since late 2006, (first the patches for a 7 mos, then shots), my voice went from a 2nd tenor before T to a bass after. I still have very little arm, leg, belly or chest hair... the facial hair is not worth mentioning, but at least i have no receding hairline...whew...

My ass and hips are even smaller, my shoulders larger in proportion to them, and whatever little i had in my ass is now in my belly. I've lost 110 # in the past two years...not sure how, it just happened, so unfortunately, due to my chest NOT reducing except in inches, I am now read even more as a "WTF is that" than before. Which is usually fine...until I try to find a public restroom! LOL

peace

Wolf

I'm also on a lower dose of T than what they usually give guys who are transitioning, so that might make a difference.

[theoddz]

Much of how you're going to look, post transition, depends on your heredity. I was adopted when I was 3 months old and my adoption went through the state of Florida in the early 1960's, so there's really no way for me to find my birth parents. Florida's adoptions were "closed" back then and my birth mother never left word or her permission for my sister and I to find her at a later time, when we came of age. There's always been a big hole in my heart where this is concerned and I have often wondered what my birth father must have looked like.

Transitioning has given me a bit of a window, or a "peek" into that missing side of my bloodline. I now look in the mirror and I can almost see my birth father. I have more than ample body hair and I've been able to grow a good crop of facial hair, thanks to T. My voice has dropped well into the lower octaves and my body shape has, well, changed. All that was "in the trunk" is now around the waist and I fight that all the time.

I'm kinda thinking that my birth father must have looked a hella like a Scandinavian Viking, because my (adopted) mother is full Swedish and I look just like her side of the family!! All big, strapping Swedes.....with some German thrown in from my Uncle Bud's marriage to my German blooded Aunt Nadine. My cousin David and I look like we could have been twins, and he and I have always been very close, having grown up together and only a year apart in age. Oh, and he's nearly fully bald now....while I am "thinning" on top and definitely have the receding hair line. :|

I do have to say that, for me, transitioning put more than just a few pieces of "me" together. It's been a time of revelation, really, on many levels. It's definitely made a happier me. :winky:

My best wishes go out to all the Brothers here, for a wonderful holiday season, full of love, joy and the best life has to offer. :thumbsup:(f)

Happy Holidays!!!

~Theo~ :bouquet:

[atomiczombie]

My voice is finally starting to change.

[Ebon]

The wheels are in motion. I contacted a therapist today so that I can get started on that. I'm kind of nervous and excited all at the same time.

[Sam]

The wheels are in motion. I contacted a therapist today so that I can get started on that. I'm kind of nervous and excited all at the same time.

I'm so happy for you. keep us up on changes.

All the best in this New Year, new Adventure/Journey for you

[Rufusboi]

Good luck Ebon. Keep us updated.

Rufus

[Leigh]

This month will mark 3 months on T and not only has My voice changed but I'm also growing facial hair ~ I'm loving it :D

Yay congrats Ebon, its gonna be a great journey for you :)

[Berlmeister]

"The T cream is homeopathic and not regulated under the FDA, so the contents of how much organic T one gets is up for grabs, but it also did help the libido. Your mileage may vary as with all things."

does that mean this can be obtained without a prescription? I cannot find a endocrinologist or physician in My state or outlying area that will prescripbe this to Me since I was born female. there is no trans healthcare or treatment in sc. My primary provider siad she would consider it in a dose appropriate for a woman with diminished libido, but from what I understand it isn't enough to get a T level anywhere near male ranges. sadly My care provider is a nurse practitioner and doesn't feel she is suited to help Me with transitioning even though she is willing to continue care for any health issue including gyno.

[Corkey]

"The T cream is homeopathic and not regulated under the FDA, so the contents of how much organic T one gets is up for grabs, but it also did help the libido. Your mileage may vary as with all things."

does that mean this can be obtained without a prescription? I cannot find a endocrinologist or physician in My state or outlying area that will prescripbe this to Me since I was born female. there is no trans healthcare or treatment in sc. My primary provider siad she would consider it in a dose appropriate for a woman with diminished libido, but from what I understand it isn't enough to get a T level anywhere near male ranges. sadly My care provider is a nurse practitioner and doesn't feel she is suited to help Me with transitioning even though she is willing to continue care for any health issue including gyno.

If you are looking to transition and take T then you should consult with a doctor who will treat you appropriately. I am in the rare position of not transitioning due to many factors, and homeopathic cream is the only recourse left to me. You may need to move if you find that you want to transition and have no recourse in your state to be treated. Homeopathic T cream can be obtained without a prescription and the effectiveness will vary as with all OTC medicines and remedies. There are online stores that sell this cream.

Welcome to the site and good luck in your journey.

[Sam]

"The T cream is homeopathic and not regulated under the FDA, so the contents of how much organic T one gets is up for grabs, but it also did help the libido. Your mileage may vary as with all things."

does that mean this can be obtained without a prescription? I cannot find a endocrinologist or physician in My state or outlying area that will prescripbe this to Me since I was born female. there is no trans healthcare or treatment in sc. My primary provider siad she would consider it in a dose appropriate for a woman with diminished libido, but from what I understand it isn't enough to get a T level anywhere near male ranges. sadly My care provider is a nurse practitioner and doesn't feel she is suited to help Me with transitioning even though she is willing to continue care for any health issue including gyno.

I know SC has not much community and there are many states and counties near big cities that do not understand the transition process.

but i can help you find suitable help in the GA area. let me know.

good luck, happy new year and welcome

[Berlmeister]

the only thing I found in GA was in atlanta which is 6hrs away. I will however be moving to california in 3-6 months top so I can seek treatment.

[raising2alone]

Would have loved to have had this thread 10 years ago or more. If I can help, I will give my information. As someone else pointed out, the process, while similar, will be different for everyone but perhaps just the support helps.

Where are you in your transition? I am finished with all I will do in my transition. Started 11 years ago. Had my name legally changed immediately prior to starting T.

How long have you been on T? 10 years.

How much T do you take on a bi weekly or monthly basis? I am not taking any at the moment and doing fine.

How does your body react to your shot intake? I really didn't have any reaction.

Are you pre or post op top and or bottom? Top surgery is done, had complete vaginal hysterectomy, no scars there thank goodness. Won't have lower surgery at my age, mostly because of the cost and phaloplasty is just not proven to me to be a good alternative. After my surgery had my gender immediately changed on my birth certificate and drivers license.

Where and Who did your surgeries? My surgery was done by a great plastics guy in Kansas City. He is not on any list and not sure he even does any others. If you live in the area, I can find out for you if he does. He doesn't want his name out there in forums.

I used to do diversity training and was a pretty big advocate in the community on trans issues. I still get called to do some but since I have kids now I am semi retired ;). I would be happy to share information if it will help anyone.

[Jet]

the only thing I found in GA was in atlanta which is 6hrs away. I will however be moving to california in 3-6 months top so I can seek treatment.

Drag. Good luck. I'm in GA and had no problem getting T here in Atlanta. I have 4 10mL vials I haven't even touched because I stopped taking it during the summer. I'm going to start again soon though. In 15 weeks, my voice had changed and there was more hair growth.

[DamonK]

There are no absolutes...

Due to private issues, I must transition a slightly...different..way. For me, rather than just one, it will be two surgeries.

I'd thought to myself on Monday.."need to call the doc to set up an appointment to talk about ....". Apparently when I had my physical last year, I'd already set up this year's appointment and I got a notice of rescheduling.

Therefore, next month I go to the doc, and I will broach the subject for the first surgery.

As for T, my doctors are all through a Catholic hospital. Therefore, I know the chances of finding a doctor to guide my transition are extremely slim. My insurance will cover the first surgery, as it will alleviate health issues. However, I don't wish them to be..suspicious. Later, I will go for T, paying out of pocket as to not have ins involved. I'm hoping the first surgery could possibly be done this summer.

But..won't know more until I see the doc and find out what he suggests.

[The Oopster]

"The T cream is homeopathic and not regulated under the FDA, so the contents of how much organic T one gets is up for grabs, but it also did help the libido. Your mileage may vary as with all things."

does that mean this can be obtained without a prescription? I cannot find a endocrinologist or physician in My state or outlying area that will prescripbe this to Me since I was born female. there is no trans healthcare or treatment in sc. My primary provider siad she would consider it in a dose appropriate for a woman with diminished libido, but from what I understand it isn't enough to get a T level anywhere near male ranges. sadly My care provider is a nurse practitioner and doesn't feel she is suited to help Me with transitioning even though she is willing to continue care for any health issue including gyno.

When I first started I started with creme at the levels for a women whose levels were low. Primarily because I wasn't sure what transtional path was for me and because my levels were low! My dr. was different and gradually increased the dose. However even though you won't get the effects you want it is a place to start, but it isn't cheap it was like 80 t0 90 dollars for a month ...now with the shots i can go ateast three months on 45 dollars. Just something to think about until you get into another situation

[atomiczombie]

There are no absolutes...

Due to private issues, I must transition a slightly...different..way. For me, rather than just one, it will be two surgeries.

I'd thought to myself on Monday.."need to call the doc to set up an appointment to talk about ....". Apparently when I had my physical last year, I'd already set up this year's appointment and I got a notice of rescheduling.

Therefore, next month I go to the doc, and I will broach the subject for the first surgery.

As for T, my doctors are all through a Catholic hospital. Therefore, I know the chances of finding a doctor to guide my transition are extremely slim. My insurance will cover the first surgery, as it will alleviate health issues. However, I don't wish them to be..suspicious. Later, I will go for T, paying out of pocket as to not have ins involved. I'm hoping the first surgery could possibly be done this summer.

But..won't know more until I see the doc and find out what he suggests.

Damon, hang in there bud. You will find a way. It is SOOOO hard to be patient when you know what you want and you are ready for it. I have been there myself and I still am. Just don't give up!

[Logicaly]

So I thought I would share. Started seeing a doctor to get a health checkup, etc so I could get started on T. How long did it take everyone after they first saw their doctor and say hey, I want to start T?

I had all my blood work done, results where a bit off in one or two areas that they are now running more blood work and im waiting on those results hopefully any day now. It seems you go in for one thing, and instead, they find something else wrong.

[Greyson]

So I thought I would share. Started seeing a doctor to get a health checkup, etc so I could get started on T. How long did it take everyone after they first saw their doctor and say hey, I want to start T?

I had all my blood work done, results where a bit off in one or two areas that they are now running more blood work and im waiting on those results hopefully any day now. It seems you go in for one thing, and instead, they find something else wrong.

Initially I had to get a referral from my primary care physician to see the endroconologist. My primary care gave me a list of potential endos told me a little about each one and let me make a decision as to which one I wanted to see.

I went home did a little background research on the proposed doctors, chose the one I wanted to see and got back to my primary care. About three weeks later I had my first appointment with the Endroconologist and about 4 to 5 weeks later, I had my first T shot.

Part of the wait for me was giving my Endroconologist educate himself a bit on Trans stuff. I knew I would be his first "FTM" patient and needed a little time to make a decision to take me on as a patient. I specifically stayed within the group of medical doctors affiliated with my primary care physician because I wanted to do what I could to educate and bring "transitioning" into the conciousness of mainstream medicine here in the SF Bay Area. Up close and personal so to speak.

I get my levels of T and other blood work done quarterly. So far, so good. Good luck to you. It will happen.

[Corkey]

When I first started I started with creme at the levels for a women whose levels were low. Primarily because I wasn't sure what transtional path was for me and because my levels were low! My dr. was different and gradually increased the dose. However even though you won't get the effects you want it is a place to start, but it isn't cheap it was like 80 t0 90 dollars for a month ...now with the shots i can go ateast three months on 45 dollars. Just something to think about until you get into another situation

The OTC Testosterone Cream is between $26 and $33 depending on where one gets it. It can be purchased online with a shipping charge of aprox $4.99.

[DapperButch]

There are no absolutes...

Due to private issues, I must transition a slightly...different..way. For me, rather than just one, it will be two surgeries.

I'd thought to myself on Monday.."need to call the doc to set up an appointment to talk about ....". Apparently when I had my physical last year, I'd already set up this year's appointment and I got a notice of rescheduling.

Therefore, next month I go to the doc, and I will broach the subject for the first surgery.

As for T, my doctors are all through a Catholic hospital. Therefore, I know the chances of finding a doctor to guide my transition are extremely slim. My insurance will cover the first surgery, as it will alleviate health issues. However, I don't wish them to be..suspicious. Later, I will go for T, paying out of pocket as to not have ins involved. I'm hoping the first surgery could possibly be done this summer.

But..won't know more until I see the doc and find out what he suggests.

Well that stinks (only having one place you can go for care). :-(

When you say suspicious are you saying that you are trying to get it done under a "breast reduction", as your insurance won't pay for top surgery? I have often wondered if there are doctors willing to do that. Then many more people would have the means to get it done.

The only insurance I know that pays for top surgery is Aetna. Does anyone know of any other insurance company that now pays for it at this point?

[The Oopster]

The OTC Testosterone Cream is between $26 and $33 depending on where one gets it. It can be purchased online with a shipping charge of aprox $4.99.

I'm guesiin I wasn't on the OTC because I needed a prescription for mine. The cost varied on the strength

[Corkey]

I'm guesiin I wasn't on the OTC because I needed a prescription for mine. The cost varied on the strength

Nods it isn't the same thing.

[Jet]

There are no absolutes...

Due to private issues, I must transition a slightly...different..way. For me, rather than just one, it will be two surgeries.

I'd thought to myself on Monday.."need to call the doc to set up an appointment to talk about ....". Apparently when I had my physical last year, I'd already set up this year's appointment and I got a notice of rescheduling.

Therefore, next month I go to the doc, and I will broach the subject for the first surgery.

As for T, my doctors are all through a Catholic hospital. Therefore, I know the chances of finding a doctor to guide my transition are extremely slim. My insurance will cover the first surgery, as it will alleviate health issues. However, I don't wish them to be..suspicious. Later, I will go for T, paying out of pocket as to not have ins involved. I'm hoping the first surgery could possibly be done this summer.

But..won't know more until I see the doc and find out what he suggests.

Good Luck Damon.

This is going to be hard isn't it?
As for T, my doctors are all through a Catholic hospital.

Are you in KC, would it be possible to find a doc there? My ins pays for my T. The doc set it up that way as the T being necessary (for something)

j

[DamonK]

To answer the questions,

Yes, I have Aetna. However, no trans-friendly docs that I'm aware of. My psych doc is trans-friendly, but that's another story. He's hilarious.

In fact, when I changed jobs, I kept the docs at the Catholic hosp just so I could keep my psych doc. He means THAT much to me. I will "happily" struggle with the rest as to keep him on my medical team.

Seeing as my docs are based of Catholic hospital, it could potentially be difficult for me to just go straight to top surg. Since I do NEED the other surg, I don't want to cause issues to get it, such as asking about top surg.

If I can't win them all, I might as well win at least ONE.

Likely for T, I will end up in SL or KC.

[raising2alone]

Hi Damon,

If you live in KC there is a Trans friendly doctor in KCKS. Dr. Lee has a clinic off of SW Blvd and would probably be able to refer other doctors in the area if you didn't want to go there.

[DapperButch]

To answer the questions,

Yes, I have Aetna. However, no trans-friendly docs that I'm aware of. My psych doc is trans-friendly, but that's another story. He's hilarious.

In fact, when I changed jobs, I kept the docs at the Catholic hosp just so I could keep my psych doc. He means THAT much to me. I will "happily" struggle with the rest as to keep him on my medical team.

Seeing as my docs are based of Catholic hospital, it could potentially be difficult for me to just go straight to top surg. Since I do NEED the other surg, I don't want to cause issues to get it, such as asking about top surg.

If I can't win them all, I might as well win at least ONE.

Likely for T, I will end up in SL or KC.

Oh, well, seriously Damon, if your insurance covers top surgery, then there is a physician in your network that will do the work. It shouldn't matter where your therapist or psychiatrist work in order for you to get a letter for surgery. If you are certain it is top surgery you want, you really should look into it instead of settling for a breast reduction. One less surgery! Lots would kill to have your insurance to cover their top surgery. You're lucky!

Glad you found a psych doc you like!

Good Luck with whatever route you take. :)

Just my thoughts, for what they're worth.

[DamonK]

Oh, well, seriously Damon, if your insurance covers top surgery, then there is a physician in your network that will do the work. It shouldn't matter where your therapist or psychiatrist work in order for you to get a letter for surgery. If you are certain it is top surgery you want, you really should look into it instead of settling for a breast reduction. One less surgery! Lots would kill to have your insurance to cover their top surgery. You're lucky!

Glad you found a psych doc you like!

Good Luck with whatever route you take. :)

Just my thoughts, for what they're worth.

That's the problem. The docs in my network are NOT trans-friendly. Therefore, the majority will NOT do top surgery.

[Linus]

Oh, well, seriously Damon, if your insurance covers top surgery, then there is a physician in your network that will do the work. It shouldn't matter where your therapist or psychiatrist work in order for you to get a letter for surgery. If you are certain it is top surgery you want, you really should look into it instead of settling for a breast reduction. One less surgery! Lots would kill to have your insurance to cover their top surgery. You're lucky!

Glad you found a psych doc you like!

Good Luck with whatever route you take. :)

Just my thoughts, for what they're worth.

Actually, DamonK is in the same boat as me. You have to get two doctors to write that it's a medical necessity. Although Aetna covers it, it doesn't explicitly say just go and do. There are some hoops to go through. My company recently switched to Aetna (thank you Anthem for trying to jack up rates 800%!) and the doctor I'm seeing (out of network) is good and very trans friendly but I may try to find a doctor that is in network and trans friendly (not always possible). At the least, this doctor I'm going to ask if she can recommend a surgeon or two since she's known to the transmen community here.

I'd like to go to the one that Theo recommended but I don't know if that would then be covered by insurance or not.

[DamonK]

Actually, DamonK is in the same boat as me. You have to get two doctors to write that it's a medical necessity. Although Aetna covers it, it doesn't explicitly say just go and do. There are some hoops to go through. My company recently switched to Aetna (thank you Anthem for trying to jack up rates 800%!) and the doctor I'm seeing (out of network) is good and very trans friendly but I may try to find a doctor that is in network and trans friendly (not always possible). At the least, this doctor I'm going to ask if she can recommend a surgeon or two since she's known to the transmen community here.

I'd like to go to the one that Theo recommended but I don't know if that would then be covered by insurance or not.

Exactly. And since the docs work at a catholic based place, it makes it even harder for me.

[Linus]

Exactly. And since the docs work at a catholic based place, it makes it even harder for me.

Since the therapist is trans friendly would they perhaps know of a doctor that is also trans friendly that could help?

[Greyson]

To the guys who may be getting the "Run Around" from your insurance companies regarding Top Surgery. I experienced some of the same frustrations. I am not trying to be insensitive to your plight and here is how I got around it. I decided to save up the money and pay out of pocket. It took a few years to put the money together but in the end, for me, it was gratifying. I took back the control over my own body.

I know this may not be an immediate solution while you are negotiating your way through the maze of documentation, paperwork required by medical providers. It may seem impossible to save that kind of money, the cost is approximately $10,000 but just putting something aside may also offer you some sense of control over your own individual life and the direction your life moves forward. Good luck.

[DapperButch]

Actually, DamonK is in the same boat as me. You have to get two doctors to write that it's a medical necessity. Although Aetna covers it, it doesn't explicitly say just go and do. There are some hoops to go through. My company recently switched to Aetna (thank you Anthem for trying to jack up rates 800%!) and the doctor I'm seeing (out of network) is good and very trans friendly but I may try to find a doctor that is in network and trans friendly (not always possible). At the least, this doctor I'm going to ask if she can recommend a surgeon or two since she's known to the transmen community here.

I'd like to go to the one that Theo recommended but I don't know if that would then be covered by insurance or not.

Yes, I am aware of that. I am also a member of WPATH.

This may be helpful, Damon, to find providers, including doc #2 for a letter/other resources for finding a provider.

http://www.wpath.org/ (formerly HBIGDA).

http://wpath.org/Documents2/Referral%20Sources-01-05.pdf

[Thinker]

To the guys who may be getting the "Run Around" from your insurance companies regarding Top Surgery. I experienced some of the same frustrations. I am not trying to be insensitive to your plight and here is how I got around it. I decided to save up the money and pay out of pocket. It took a few years to put the money together but in the end, for me, it was gratifying. I took back the control over my own body.

I know this may not be an immediate solution while you are negotiating your way through the maze of documentation, paperwork required by medical providers. It may seem impossible to save that kind of money, the cost is approximately $10,000 but just putting something aside may also offer you some sense of control over your own individual life and the direction your life moves forward. Good luck.

Same here. Insurance coverage was not ever going to be an option for me.....not at that particular point in my life anyway. And like you, I totally get how daunting (and possibly impossible) it may be. I gave up everything but the basics for a while in order to save the money.

I also know of a guy who said 'screw it' and took out a loan. He got himself in a position with his budget where he could make the monthly payments and went for it.

In the meantime, I wish you all the very best with your efforts to make this happen.

[T D]

Same for me, I have no intentions of even trying to get my health care insurance to pay for top surgery. It's just not going to happen. Soooo, working on getting the money together to pay for it myself. Kaiser does have someone on board now in S.F. who can perform such surgeries, but it's like their cosmetic surgeries where the patient is responsible for the costs. Not covered by insurance.

[Jet]

Same for me, I have no intentions of even trying to get my health care insurance to pay for top surgery. It's just not going to happen. Soooo, working on getting the money together to pay for it myself. Kaiser does have someone on board now in S.F. who can perform such surgeries, but it's like their cosmetic surgeries where the patient is responsible for the costs. Not covered by insurance.



Other than that, how's your progress, TD?

[DamonK]

Well, like I said.. the doc is trans-friendly. It doesn't mean he's THAT trans-friendly, and quite frankly, top surgery is the least of my worries.

The health related one, which also will lead to transition, is.

[Leigh]

I went today and paid for My name change so within 4-6 weeks I'll officially be Matthew :D

[Linus]

I went today and paid for My name change so within 4-6 weeks I'll officially be Matthew :D

Congrats! It's must be a great feeling.

[Leigh]

Congrats! It's must be a great feeling.


Its an amazing feeling Linus, today is a good day :)

[Sam]

Same for me, I have no intentions of even trying to get my health care insurance to pay for top surgery. It's just not going to happen. Soooo, working on getting the money together to pay for it myself. Kaiser does have someone on board now in S.F. who can perform such surgeries, but it's like their cosmetic surgeries where the patient is responsible for the costs. Not covered by insurance.



this is exactly where i started. we had the best insurance. and although they picked up all Avery's surgeries, because he was born with cleft/cranio, instead of fighting i just finally did it on my own.

insurance doesnt even pay for the T. i pay out of pocket for everything.

there is a dr in nyc that does some surgeries for a fraction of the cost if you can prove you dont have the resources and sometimes doesnt charge you at all.

[Packin'Boi]

this is exactly where i started. we had the best insurance. and although they picked up all Avery's surgeries, because he was born with cleft/cranio, instead of fighting i just finally did it on my own.

insurance doesnt even pay for the T. i pay out of pocket for everything.

there is a dr in nyc that does some surgeries for a fraction of the cost if you can prove you dont have the resources and sometimes doesnt charge you at all.

I'd like to know who this doc is in NYC... do you have anymore info,Sam?

[Sam]

I'd like to know who this doc is in NYC... do you have anymore info,Sam?

Packin, good to see you.

I will find out his name. i read the story a few months back about him doing a free surgery to a ftm from philly.

i will find it and put it out here.

it said if i remember correctly he does 3 a month for the "less fortunate"

i just took it as the ones that can only go so far, with wanting/needing surgery

[Thinker]

Same here. Insurance coverage was not ever going to be an option for me.....not at that particular point in my life anyway. And like you, I totally get how daunting (and possibly impossible) it may be. I gave up everything but the basics for a while in order to save the money.

I also know of a guy who said 'screw it' and took out a loan. He got himself in a position with his budget where he could make the monthly payments and went for it.

In the meantime, I wish you all the very best with your efforts to make this happen.

This article reminded me of the conversations here about saving for something so meaningful.

A "spending fast"!!!! I love it!

http://money.cnn.com/2011/01/14/pf/anna_newell_jones/index.htm?hpt=Sbin

[Logicaly]

So I went into the doctor's today for a follow up, they have done tons of blood work lately and while my cholesterol is a little high, 9 points over what they would like, I got my first T prescription today!

I just need to wait for it to arrive in the mail, and I have an appointment on Tuesday to learn how to self inject, and for my partner to do it as well.

In the mean time, I also need to work on getting my cholesterol down more.

[atomiczombie]

My voice is really changing now. People are noticing and commenting. Yay!

Way to go Logicaly, good luck with the T. :)

[Rufusboi]

So I went into the doctor's today for a follow up, they have done tons of blood work lately and while my cholesterol is a little high, 9 points over what they would like, I got my first T prescription today!

I just need to wait for it to arrive in the mail, and I have an appointment on Tuesday to learn how to self inject, and for my partner to do it as well.

In the mean time, I also need to work on getting my cholesterol down more.

Logically

Glad to hear you were prescribed T.

After having all my blood work I also found out I had high cholesterol. When my doctor prescribed my T six months ago he also prescribed cholesterol pills. The last time I had a check-up with blood work my cholesterol was lower and my T level was fine. Get your cholesterol lowered and you will be fine.

Rufus

[theoddz]

I don't remember if I've posted this before and if I have, I'm sorry for being redundant.

A good natural, non-prescription way to control cholesterol is Niacin . You can buy it over the counter at any drug store, health food/vitamin store or...ugh...Walmart. You should get the timed release or long acting type, such as "Niaspan". A typical therapeutic dose of this stuff is usually around 500 mg. Twice a day. Even the sustained release stuff can cause hot flashes or flushing, but if you stick to it, your body should get used to it after awhile. I found that my cholesterol went down appreciably after adding niacin to my diet.

Good luck to everyone fighting the cholesterol war!!

Theo :bouquet:

[Logicaly]

Thanks for the advice Theo. I'm not too bad, im only 9 points over where they want me to be, so I figure with a good workout schedule and improving my eating habits that I should be able to get it fixed. So I would like to try and do it without any pills first. Doctor said I have 3 months to get it to go down or they will put me on a prescription for it.

[Logicaly]

So I got my first shot today. A cute medical assistant did it for me while teaching my girl and I how to do it. They have me taking only .25ml every two weeks to start while we watch my cholesterol for 3 months. After that they will talk with me about upping the dosage.

[Leigh]

So I got my first shot today. A cute medical assistant did it for me while teaching my girl and I how to do it. They have me taking only .25ml every two weeks to start while we watch my cholesterol for 3 months. After that they will talk with me about upping the dosage.


This is amazing news bro, I'm very happy to hear - this month it'll be four months for Me being on T and I couldnt be happier so yay for you :D

:dance2:

[Logicaly]

What kind of changes have you noticed so far in yourself Matthew and whats your dosage like?

[Leigh]

What kind of changes have you noticed so far in yourself Matthew and whats your dosage like?


My dosage is .5ml every two weeks and I've been on T for almost four months now. What I've noticed is that I'm starting to get some hair where sideburns usually go, some hair on My upper lip, and quite abit of hair on My chin and on My neck (atleast the top part of it below My chin anyways). My voice has definately gotten deeper, even after a couple of months one of My very closest friends noticed it had gone down an octave or two. I'm definately noticing a spike in My sex drive (not sure how this will be for you) but personally its like I want it *alot* more than I did before. The biggest thing that I've notived is I'm much more comfortable in My own skin, even when I talk and I hear the deepness in My voice I cant help but wanna talk to actually hear it *LOL* :canadian:

[Logicaly]

So I am participating in a study that someone is doing on FTM voices for their grad project. Every two weeks or however often I would like he is going to record my voice in normal conversation as well as having me read the same script every time. At the end of it, I get a cd with all the recordings and 50 bucks. The recordings will go on for a year.

I think its pretty neat, and I really like that I am getting the recordings so I will have recordings for the first year. I also like that I am able to help someone out.

[SelfMadeMan]

So I got my first shot today. A cute medical assistant did it for me while teaching my girl and I how to do it. They have me taking only .25ml every two weeks to start while we watch my cholesterol for 3 months. After that they will talk with me about upping the dosage.

:thumbsup: Congrats! It's an exciting journey!

[atomiczombie]

My top surgery date is May 4th. *happy dance*

[HerDaddy]

My top surgery date is May 4th. *happy dance*

Congrats, you feel more at peace with yourself.

[EnderD_503]

My top surgery date is May 4th. *happy dance*

Drew, that is so awesome! Total congrats, dude! You must be excited as all hell! I don't think I'd be able to sleep until May 4th if I were you right now, lol!

[SelfMadeMan]

My top surgery date is May 4th. *happy dance*

AWESOME!!! Congratulations! You're going to feel like a million bucks!

[Thinker]

My top surgery date is May 4th. *happy dance*

Wow!!!!! How friggin' exciting!!

I'm happy for you, Drew!

[Mister Bent]

I don't know if it's been brought up here before, and my apologies if it has, but when it comes to changes in your voice it also helps significantly (for some, maybe not all?) if you retrain your voice (as a singer might) so that you speak "out of your chest," as male bodied people naturally tend, instead of out of your throat, as is common for female bodied people. You'll find doing so even without the assistance of T will drop your range an octave or two. I wish I could give more technical input, but that's all I've got!

While the T will drop the normal range, still speaking out of their throats is why many transmen have that "strangled chipmunk" sound. I mean no offense, this is simply how a few of my friends refer to it.

Anyone else have any experience with this?

[Thinker]

I don't know if it's been brought up here before, and my apologies if it has, but when it comes to changes in your voice it also helps significantly (for some, maybe not all?) if you retrain your voice (as a singer might) so that you speak "out of your chest," as male bodied people naturally tend, instead of out of your throat, as is common for female bodied people. You'll find doing so even without the assistance of T will drop your range an octave or two. I wish I could give more technical input, but that's all I've got!

While the T will drop the normal range, still speaking out of their throats is why many transmen have that "strangled chipmunk" sound. I mean no offense, this is simply how a few of my friends refer to it.

Anyone else have any experience with this?



Heh... I know the "voice" you're talking about. I never knew the reason that occurred so often, but what you're saying makes total sense.

I admit that I made a conscious effort to speak differently when my voice started to change. What I did NOT want to happen was for me to start sounding flat and lifeless, so it's been quite an effort to strike that balance.

Good stuff, Mr. B...

[Logicaly]

So, question for everyone whose doing the shots. Today was the first day my girl gave me the shot, rather then a nurse doing it. My thigh now hurts big time. The nurse supervised the shot, and said she did every thing right. So I am wondering if y'all that are doing it in the thigh, end up hurting a lot sometimes? The entire thigh muscle is sore and even just sitting here, I can feel it hurting. Its 6:30 now and the shot was done at 11 to give you an idea of how long it has been too.

What do you do for the pain? Besides the obvious of popping an advil, as I try to avoid any medication if at all possible.

[Thinker]

So, question for everyone whose doing the shots. Today was the first day my girl gave me the shot, rather then a nurse doing it. My thigh now hurts big time. The nurse supervised the shot, and said she did every thing right. So I am wondering if y'all that are doing it in the thigh, end up hurting a lot sometimes? The entire thigh muscle is sore and even just sitting here, I can feel it hurting. Its 6:30 now and the shot was done at 11 to give you an idea of how long it has been too.

What do you do for the pain? Besides the obvious of popping an advil, as I try to avoid any medication if at all possible.

I'm sorry to hear about the pain, T. I don't have anything personal to contribute here because I get mine in the gluteus and don't have any discomfort.

Perhaps an ice massage will help. In college we used small paper cups to make ice "popsicles" and used those to give ice massages to affected areas. That will allow you to go deeper and stimulate circulation as opposed to simply laying ice on the area.

I'm sure others will have better feedback for you. I hope you feel better.

[princessbelle]

I'm not sure if I can post in here or not. I get confused sometimes as who can post where. So, i'll make this brief or ummmm, try to.

Logically,

Since i am a nurse and i read your post i wanted to offer some thoughts to you.....

I have never given T injections but have read that you can give these IM (in the muscle, bigger needles) or SubQ (small needle just under the skin)

Not sure which way you are taking it. However, I have a few thoughts on why this hurt you today and it hasn't normally.

1. You may have been tensed up. Especially knowing this was her first time giving it. If it is an IM injection and your muscles clinch, it will certainly hurt worse and it will be more sore. Sorta like clinching your jaw while having dental procedures and then feeling how sore the muscle is after.

So.......moral of that is....relax next time.

2. She *may* have, not saying she did, but being new to giving injections, she may have "moved" the needle around a tad not meaning to while it was in your muscle. Almost EVERYONE does this at the beginning. I'm sure she was nervous somewhat at least, and had to aspirate (making sure she was not in a vessel) and learning to do this takes practice.

So... moral to that is.....practice makes perfect.

3. Nerves. Not the kind that make you nervous. Nerves as in the ones located on and under your skin. You can't see them. Ever hear someone who has just had blood drawn say "wow i didn't feel that" or "omg that nurse hurt me bad". Honestly, a lot of it is luck. You can't see nerves and yes they are everywhere, however the nerve base or root when it is hit by a needle.....it HURTS. You have no contol over it. It's just luck.

Moral to that is......you have about a 40/60 shot (not pun there) to not hit a nerve root. That is my opinion from experience that's not scientific.

Just a few things i wanted to mention.

I hope that helps.

ps. ice is good for pain but remember this....it slows down the travel of the medication that is put into a muscle. The med will eventually get into the blood stream but icing it may slow it down just a tad.

pss. I would suggest messaging that muscle, NSAIDS and a hot bath.

I hope i haven't overstepped by posting in here. I'm just honestly trying to be helpful.

Peace all....

[Logicaly]

You certainly haven't over stepped at all! I do very much appreciate the advice! I was using a heating pad, but it seems everyone suggests ice, but I don't want it to travel any slower than it already does, ha.

There is a good chance she may have moved the needle, I know I felt her inject, and then pause, and then she felt like perhaps she might have moved deeper, but I am not entirely sure, so its highly possible.

I might take that hot bath though, as it sounds completely relaxing altogether.

Thank you very much for the advice!

[DomnNC]

My top surgery date is May 4th. *happy dance*

Congrats Atomic!!!

[DomnNC]

Another natural alternative to Niacin in lowering cholesterol is Red Rice Yeast capsules, available in the vitamin section in most drugstores, Walmart, etcetcetc. Just an FYI.

[Logicaly]

Another natural alternative to Niacin in lowering cholesterol is Red Rice Yeast capsules, available in the vitamin section in most drugstores, Walmart, etcetcetc. Just an FYI.

Thanks for the tip! I am finding that if I read the label, just about everything has niacin in it, especially since I eat a lot of pasta. I've also been eating a TON of cheerios, and I am going to be adding flax seed to my diet by basically putting it into anything that I can when cooking or anything of that nature.

[DomnNC]

Hi Logicaly, try oatmeal as well, it's good at lowering cholesterol as well!

[Logicaly]

Hi Logicaly, try oatmeal as well, it's good at lowering cholesterol as well!

Will have to get that a try. So all this talk of lowering cholesterol. How does one raise the good cholesterol? Cause thats the only low cholesterol I got apparently, lol.

[Corkey]

Will have to get that a try. So all this talk of lowering cholesterol. How does one raise the good cholesterol? Cause thats the only low cholesterol I got apparently, lol.

Eat lots of wild salmon, not the farmed stuff, it isn't sustainable. Fish, primarily ones in high omega 3 fatty acids, you can find a list by googeling omega 3 fatty acid fish. Oh nuts as well, almonds and sunflower seeds.

[Logicaly]

Fish makes me want to vomit, I have never been able to stomach it unfortunately. Any other suggestions to raise good cholesterol? You mentioned Omega 3, I suppose I could always find things that have that added in it.

[Corkey]

Fish makes me want to vomit, I have never been able to stomach it unfortunately. Any other suggestions to raise good cholesterol? You mentioned Omega 3, I suppose I could always find things that have that added in it.


There are fish oil capsules you can take with out the taste of fish.

[DomnNC]

I take fish oil pills, the Omega-3. I take 2 1200mg pills a day and my good cholesterol rose about 12 points over a 3 month time period. The Omega-3 I find doesn't give you those fishy burps if you know what I mean, lol. They even make them Entric coated just in case fish does give you indigestion. Also, there is the Schiff MegaRed Omega-3 Fish Krill oil, which is a one a day dosage and costs significantly more than just the Omega-3's. Also, there is a new prescription one that your Dr can give ya but it generally runs in the higher tiers of most insurance policies. I order all mine online from Puritan's Pride, they run a lot of specials, buy 1 get 1 free, buy 2 get 3 free, buy 5 get 5 freei. They ship out quickly and via UPS or Fed Ex, I think UPS.

Here's the link. http://www.puritan.com/

They sell tons of supplements, vitamins and other stuff.

God Luck!!

I was typing too slow, lol.

Puritan's has Enteric coated fish oil pills Logicaly that do not upset your stomach or give you that fishy aftertaste. link---> http://www.puritan.com/fish-oils-056/coated-omega-3-fish-oil-1200-mg-016885?NewPage=1

[Linus]

So I've finally got a consult scheduled. Apparently this surgeon (Dr. Jewell -- Theo, I know you recommended Dr. V but he doesn't work with insurance and I wanted to see if I could get some if not all of this covered) has done top surgery before for FTMs. I'll ask her if she has before/after photos but I was curious if others have used this surgeon before.

She is interested in helping me work with my insurance provider (they listed her so I'm hopeful that they will cover majority of it.

I'm thinking of asking her the following:

1. What do I need to do to prepare for the surgery (e.g., weight loss, hormones, etc.). I expect weight loss to be on there since I'm 5'1" and 220 (it's already a goal for me anyways and once my back is better I'll be able to really pursue this more)

2. What procedure would she use and what the risks involved?

3. Expected time for recovery

4. Time in hospital; length of time for the surgery itself

5. If revisions needed (e.g., dog ear effect) will she do this?

6. post-op care for reducing scars and such

7. estimated costs (granted this will depend on insurance and such)

What else should I ask? What generally happens during the first consult?

[Thinker]

So I've finally got a consult scheduled. Apparently this surgeon (Dr. Jewell -- Theo, I know you recommended Dr. V but he doesn't work with insurance and I wanted to see if I could get some if not all of this covered) has done top surgery before for FTMs. I'll ask her if she has before/after photos but I was curious if others have used this surgeon before.

She is interested in helping me work with my insurance provider (they listed her so I'm hopeful that they will cover majority of it.

I'm thinking of asking her the following:

1. What do I need to do to prepare for the surgery (e.g., weight loss, hormones, etc.). I expect weight loss to be on there since I'm 5'1" and 220 (it's already a goal for me anyways and once my back is better I'll be able to really pursue this more)

2. What procedure would she use and what the risks involved?

3. Expected time for recovery

4. Time in hospital; length of time for the surgery itself

5. If revisions needed (e.g., dog ear effect) will she do this?

6. post-op care for reducing scars and such

7. estimated costs (granted this will depend on insurance and such)

What else should I ask? What generally happens during the first consult?

I really hope this works out for you, Linus!!

I would be super clear about what you want. The not-so-great stories are that the patient ended up with, essentially, a double-mastectomy. There is some reconstruction that occurs to get a more "male chest", so I would make sure she's clear that that is what you want (assuming, of course, that *is* what you want).

I'm happy for you. :)

[Linus]

I really hope this works out for you, Linus!!

I would be super clear about what you want. The not-so-great stories are that the patient ended up with, essentially, a double-mastectomy. There is some reconstruction that occurs to get a more "male chest", so I would make sure she's clear that that is what you want (assuming, of course, that *is* what you want).

I'm happy for you. :)

I was clear in my request that this is chest reconstruction for an FTM but I will be diligent with the surgeon when I see her on Friday about that.

[atomiczombie]

I was clear in my request that this is chest reconstruction for an FTM but I will be diligent with the surgeon when I see her on Friday about that.

Get before and after pics and ask if you could talk to any of her patients who have had this done by her. I am gonna get my surgery from Michael Brownstein in San Francisco and he has provided pics and references to me. Show her some pics of guys chests that you would like to look like, if you can. If she is a good surgeon, hopefully she can provide you with these things. Good luck!

[The Oopster]

So I've finally got a consult scheduled. Apparently this surgeon (Dr. Jewell -- Theo, I know you recommended Dr. V but he doesn't work with insurance and I wanted to see if I could get some if not all of this covered) has done top surgery before for FTMs. I'll ask her if she has before/after photos but I was curious if others have used this surgeon before.

She is interested in helping me work with my insurance provider (they listed her so I'm hopeful that they will cover majority of it.

I'm thinking of asking her the following:

1. What do I need to do to prepare for the surgery (e.g., weight loss, hormones, etc.). I expect weight loss to be on there since I'm 5'1" and 220 (it's already a goal for me anyways and once my back is better I'll be able to really pursue this more)

2. What procedure would she use and what the risks involved?

3. Expected time for recovery

4. Time in hospital; length of time for the surgery itself

5. If revisions needed (e.g., dog ear effect) will she do this?

6. post-op care for reducing scars and such

7. estimated costs (granted this will depend on insurance and such)

What else should I ask? What generally happens during the first consult?

I'm surprised because Dr. V wasn't willing to try with the insurance. I just chose not to because of my particular situation. Did you do an initial consultation with Him? There isn't any charge for it. I highly recommend him. Like atomic said ask to see pics... if she doesn't have any take pics of people to show what you want. I'm skinny but had over 5lbs removed so was quite big ... I'll send you before and after pics if you want.

I'd ask if she uses drainage tubes? Most people have come to expect them and if the surgeon does a really good job they aren't needed. Dr. V said he prefers to take any extra fluid out with a syringe if needed. Less chance of infection. Luckily that wasn't necessary for me.

I'd ask about follow up. Since newport was still a good hour away I stayed overnight and went in the next day then didn't have to go back in til the stitches were taken out.

from what I remember at my initial consult is I asked my questions ... looked at pics of previous patients. They did take pics and he drew on my chest roughly what he would do. I'm not sure if they took pics because I did go ahead and schedul surgery.

http://www.butchfemmeplanet.com/forum/showthread.php?t=1184

is a thread where I posted my questions and experiences. It's hard for me to remember now a lot of the stuff but I posted right after the surgery while i remembered.

[theoddz]

So I've finally got a consult scheduled. Apparently this surgeon (Dr. Jewell -- Theo, I know you recommended Dr. V but he doesn't work with insurance and I wanted to see if I could get some if not all of this covered) has done top surgery before for FTMs. I'll ask her if she has before/after photos but I was curious if others have used this surgeon before.

She is interested in helping me work with my insurance provider (they listed her so I'm hopeful that they will cover majority of it.

I'm thinking of asking her the following:

1. What do I need to do to prepare for the surgery (e.g., weight loss, hormones, etc.). I expect weight loss to be on there since I'm 5'1" and 220 (it's already a goal for me anyways and once my back is better I'll be able to really pursue this more)

2. What procedure would she use and what the risks involved?

3. Expected time for recovery

4. Time in hospital; length of time for the surgery itself

5. If revisions needed (e.g., dog ear effect) will she do this?

6. post-op care for reducing scars and such

7. estimated costs (granted this will depend on insurance and such)

What else should I ask? What generally happens during the first consult?

Linus, it's all in what you're comfortable with. Remember, this is something that you're going to have to live with and be comfortable with. When I was ready for surgery, it was my goal to have a physician who had lots of experience working with FTMs and doing the reconstruction surgery. You want something that's going to look reasonably decent and the results are, largely, dependent not only on your body build and health, but on the surgeon's skill. The more experienced the surgeon, the better job you're going to get. If you're not satisfied with the results, how important is it going to be that your insurance paid for it??

Another thing to consider is this. Is the surgeon you choose willing to provide you with the necessary letters and/or documentation that will allow you to legally change your gender markers?? Some surgeons who might be less experienced with doing top surgery as legal GRS (Gender Reassignment Surgery) might be hesitant to sign affidavits attesting that their work now determines that you are, in fact, legally male. In other words, it's good to get a surgeon who is familiar with the legal aspects of gender reassignment surgery and is willing to provide you with appropriate documents, post op.

The only reason I can think of that Dr. V would not be willing to go the insurance route is that he is a board certified cosmetic/plastic/reconstruction surgeon. Most of the procedures he specializes in, like tummy tucks, face lifts, botox and other procedures done for strictly cosmetic reasons, have traditionally been considered to be purely elective and not "medically necessary" under traditional legal definition and therefore, not covered by most insurance policies. When you deal with insurers, you need staff in your office who are familiar and proficient with medical coding, because this is how doctors bill for their services.....ICD-9 Codes. If you don't know what you're doing with these codes, or the intricacies of medical coding, you can get yourself into some really deep trouble with mail and/or insurance fraud......and it doesn't have to be intentional. So yeah, I can understand why Dr. V doesn't want to be involved with trying to bill an insurer. One thing he did do for me, however, was to send the tissue samples from my procedure to a pathology lab that my private insurance DOES work with. This saved me nearly $500 out of pocket for pathology fees.

Anyway, do what you feel comfortable doing. I think that, ultimately, that's what we all do!! Good luck to you on this leg of The Journey!!! I hope your experience is as great as mine was. Having my top surgery completed was one of the best things I've ever done for myself and I am soooooo much more comfortable, physically, mentally and emotionally. :winky:

~Theo~ :bouquet:

[DapperButch]

OWN network (Oprah Winfrey) on right now (9pm)transgendered folks. Have seen it before. Don't know the title. Loren Cameron on right now. I think that is his name.

[T D]

OWN network (Oprah Winfrey) on right now (9pm)transgendered folks. Have seen it before. Don't know the title. Loren Cameron on right now. I think that is his name.

Comes on here in 45 minutes. Thanks for the reminder!

[Miss Scarlett]

FYI - today (Sat 3/5) at 2pm (EST) on OWN (Oprah Winfrey Network) they will be showing the "Transgender Lives" episode of Our America with Lisa Ling...

[theoddz]

My top surgery date is May 4th. *happy dance*

Hey, you know what??? That's the anniversary of my top surgery, back in 2009!!! :D

One of these days, we should get together on that date and celebrate together!!! :clap::wine::danceparty:

Good luck to you, Drew!!!! I hope your experience is as wonderful as mine was!!! :winky:

Keep us posted, willya??? :)

~Theo~ :bouquet:

[DapperButch]

Hey, Linus, is the issue that you want to go with someone "in network", or do you not have out of network benefits with your insruance?

If you don't find this woman to have enough experience and you do have out of network benefits, maybe it would be worth the percent you will have to pay for the surgery (and deductible, if that is how your insurance works).

Even if this Dr. V won't bill the insurance for you, I don't see why he wouldn't give you a paper saying what work you got done. he should provide you with a receipt and this should include diagnosis and ICD-9 code. Then you could just sumbit it to your insurance, yourself.

I have an out of network physician that I pay up front and then he give me a receipt that I send to my insurance company. They have a form specifically for it. I have to make sure I have the doc's Tax ID number on it and license number. I send in the form and receipts and get back a percentage that I paid.

If you do not have out of network benefits and your company does offer them (usually a more expensive health care plan than the regular HMO one/EPO one), if your years renewal isn't too far way, maybe you want to wait until then and make sure you sign up for a plan that has the out of network benefits (that of course will still pay for SRS).

Anyway, just a thought!

[Linus]

Hey, Linus, is the issue that you want to go with someone "in network", or do you not have out of network benefits with your insruance?

If you don't find this woman to have enough experience and you do have out of network benefits, maybe it would be worth the percent you will have to pay for the surgery (and deductible, if that is how your insurance works).

Even if this Dr. V won't bill the insurance for you, I don't see why he wouldn't give you a paper saying what work you got done. he should provide you with a receipt and this should include diagnosis and ICD-9 code. Then you could just sumbit it to your insurance, yourself.

I have an out of network physician that I pay up front and then he give me a receipt that I send to my insurance company. They have a form specifically for it. I have to make sure I have the doc's Tax ID number on it and license number. I send in the form and receipts and get back a percentage that I paid.

If you do not have out of network benefits and your company does offer them (usually a more expensive health care plan than the regular HMO one/EPO one), if your years renewal isn't too far way, maybe you want to wait until then and make sure you sign up for a plan that has the out of network benefits (that of course will still pay for SRS).

Anyway, just a thought!

It's the paying up-front part that is the challenge. I can cover out of network but it's the initial amount: 10K. I can cash in some stocks to do it or some of my 401K but I want to avoid that. I've been trying to pay down some debt (from my move and other things) but it's been a bit of a hard slog. I'm waiting until after taxes to see if I get anything back from last year (thanks to the move). I might be able to figure something out.

[atomiczombie]

It's the paying up-front part that is the challenge. I can cover out of network but it's the initial amount: 10K. I can cash in some stocks to do it or some of my 401K but I want to avoid that. I've been trying to pay down some debt (from my move and other things) but it's been a bit of a hard slog. I'm waiting until after taxes to see if I get anything back from last year (thanks to the move). I might be able to figure something out.

Wow 10k dollars, that's a lot of dough. My surgery will cost 8k. Wonder why the difference.

[Linus]

Wow 10k dollars, that's a lot of dough. My surgery will cost 8k. Wonder why the difference.
I always assume a higher cost. Either way, whether 8 or 10 thousand, it's still a lot of money.

[theoddz]

I always assume a higher cost. Either way, whether 8 or 10 thousand, it's still a lot of money.

You know, when I had my surgery, Dr. V quoted me $7750 for everything. That was HIS charge (including surgery, anesthesia, meds and followups), which I thought was very reasonable and I still do. But, by the time I figured up the travel expenses from here (Las Vegas) to Newport Beach, CA, plus lodging in a nice facility (I'm a bit of a hotel snob, but for this I was also willing to pay more for the comfort and convenience to Dr. V's office), meals and various other comfort expenses, it came out pretty close to $10K. Plus, L was with me, thank Jeebuz, and she's a trained and experienced paramedic/EMT. :winky::stillheart:

Oh, and I was able to totally deduct ALL of these expenses, including the surgery, off on my taxes at the end of the year, so I got a lot of that $10K back. I would heartily recommend figuring *high* on your budget, just to be on the safe side. This is something that you must plan for, even if you have to save a little longer for, because you can't put a "price" on a job done well and/or being in a comfortable environment, post op.

The hotel where L and I stayed (The Ayres Hotel www.ayreshotels.com/costamesa/) was definitely one of the most comfortable hotels I have ever stayed in, and L and I had one of the suites. We stayed 4 nights there, until Dr. V cleared me to return to Vegas. It was a very pleasant and comfortable experience, and I guess this is why I so highly recommend Dr. Voloshin for top surgery. His office and staff is second to none!! And no, I'm not getting any kind of "bonus" for referring other guys to him. He may give YOU a bit of a break for mentioning my name, tho. One of my buddies here in Vegas (Caidyn) referred me to him and he gave me the same price as he did for Caidyn, so that helped. I think there is power in our referrals, both service and sometimes, pricewise. We should use the strength of our friendships and referrals to help each other, whenever possible, I think. We're all in this together and every bit helps!!!! :thumbsup:

~Theo~ :bouquet:

[Linus]

Oh, I agree Theo. But I also believe in checking out what's around and what might be coverable by network. If this surgeon proves to be capable and supportive, then it may be to my benefit as well as a benefit to the community as a whole (more surgeons who can do this and do it well so we do not limit ourselves to a select few).

I won't make my final decision until I've checked everything out, which is why I asking for advice for more questions (to be thorough). I would be just as thorough with Dr. V or even Dr. Brownstein. I haven't excluded Dr. V yet; just haven't heard back from my first email query so I'll have to book a consult later in the month (my back being screwed up limits travel for me a bit)

[DapperButch]

It's the paying up-front part that is the challenge. I can cover out of network but it's the initial amount: 10K. I can cash in some stocks to do it or some of my 401K but I want to avoid that. I've been trying to pay down some debt (from my move and other things) but it's been a bit of a hard slog. I'm waiting until after taxes to see if I get anything back from last year (thanks to the move). I might be able to figure something out.

Yes, I understand this Linus, I didn't even think about the up front cost..duh!

And yes, try to stay away from taking from that 401K! In the long run it will actually cost you a heck of a lot due to penalties, but ALSO of course the money that you would be making it if was still in there. If you have to go that route so, I would look to see if your work would let you qualify to get a loan from the 401K, not a "withdrawal" (that may be a long shot, though)

Sounds like you are indicating that you have a separate stocks in some account. I personally would take from that and then when you get money back from the insurance, buy back into the market.

Ok, so I am probably telling you things you already know!

With that said, I think sometimes it comes down emotional and psychological level. Sometimes what we need emotionally and psychologically outweighs what we would like our financial situation to look like (not taking money from 401k, for example).

Good luck with your decision making. :hangloose:

[Rufusboi]

Has anyone on here heard of Dr. Charles Garramone in Florida.

Rufus

[Thinker]

Has anyone on here heard of Dr. Charles Garramone in Florida.

Rufus

I've heard of him quite a bit, Rufus. I have only ever heard stellar reports too!

http://www.youtube.com/user/drgarramone

[Linus]

Has anyone on here heard of Dr. Charles Garramone in Florida.

Rufus

I'll second what Thinker said. He's cheaper than most (when talking just surgery costs -- not including things like flight, hotel, etc.) On a lot of the transsexual/gender boards I've noticed he's extremely popular with FTMs along the East Coast and I don't think I've seen a complaint yet about his work.

[The Oopster]

Oh, I agree Theo. But I also believe in checking out what's around and what might be coverable by network. If this surgeon proves to be capable and supportive, then it may be to my benefit as well as a benefit to the community as a whole (more surgeons who can do this and do it well so we do not limit ourselves to a select few).

I won't make my final decision until I've checked everything out, which is why I asking for advice for more questions (to be thorough). I would be just as thorough with Dr. V or even Dr. Brownstein. I haven't excluded Dr. V yet; just haven't heard back from my first email query so I'll have to book a consult later in the month (my back being screwed up limits travel for me a bit)

Best to phone their office ... for some reason the email address they have on their website hasn't been fixed yet. Thought they fixed it but apparently not. If you want to continute to inquire with them by email atleast call to make sure you have the correct email address and inform them what email address you used ... they've had problems with this before.

[Linus]

Best to phone their office ... for some reason the email address they have on their website hasn't been fixed yet. Thought they fixed it but apparently not. If you want to continute to inquire with them by email atleast call to make sure you have the correct email address and inform them what email address you used ... they've had problems with this before.

Ah.. that would probably explain why they didn't reply to me. LOL I'll call them later this week or early next.

[The Oopster]

Ah.. that would probably explain why they didn't reply to me. LOL I'll call them later this week or early next.

They are really good with phone calls. I had a friend that had used the email on the website and they had no idea who it went to ... they think it's the same address that all their junk mail goes to.

[The Oopster]

Oh, I agree Theo. But I also believe in checking out what's around and what might be coverable by network. If this surgeon proves to be capable and supportive, then it may be to my benefit as well as a benefit to the community as a whole (more surgeons who can do this and do it well so we do not limit ourselves to a select few).

I won't make my final decision until I've checked everything out, which is why I asking for advice for more questions (to be thorough). I would be just as thorough with Dr. V or even Dr. Brownstein. I haven't excluded Dr. V yet; just haven't heard back from my first email query so I'll have to book a consult later in the month (my back being screwed up limits travel for me a bit)

I think it's great that you are checking out a variety of drs. I would have like to have given someone not as known in the community a chance but the way my situation worked out that just didn't happen.

Where is Dr. Jewel... I believe that is who you intitially talked about? I know there is someone in Laughlin or somewhere like that. I can ask a friend if he knows who that is.

[Linus]

I think it's great that you are checking out a variety of drs. I would have like to have given someone not as known in the community a chance but the way my situation worked out that just didn't happen.

Where is Dr. Jewel... I believe that is who you intitially talked about? I know there is someone in Laughlin or somewhere like that. I can ask a friend if he knows who that is.

Torrance. I'm in the South Beach Cities area (I think that's what it's called). Dr. Jewell is a 30 min bike ride from my house.

[Linus]

I had my appointment. Very nice doctor. She answered every question and had answered some before I had even asked (e.g., drains, nipple reconstruction, etc.) She was very professional and admitted she hadn't done this surgery before, at least not for FTM. She has done gynecomastia and has done female breast surgery. She has said that breast surgery and reconstruction is her specialty. She also said whatever revisions that would need to be done she'd do. She talked about recovery time as well as post-care (vis-a-vis reducing scarring and such).

I was surprised that she said it was out patient surgery and that it would be 4 hours (not the 4 hours but the out patient part of it). She did say there would be no need for overnight unless there are complications. Does that sound right?

Anyways, I did mention that I would be seeking other doctors to get an idea of what fits best for me and what I'm most comfortable with. They did say that they would help with insurance filing and such if I decided to go with them and if the insurance approved or if I paid out of pocket I'd be looking at a date somewhere between 4-6 weeks from doing the "security deposit".

On Monday I'm going to try to book an app't with Dr. V to get a different look at things. The one somewhat huge downside is the cost to get there. I don't have a license (and even if I did, we only have one car which car uses to get to and from work). I'll be plunking down about $200-240 just in cab ride fare to and from. UGH

I so wish this city had a decent train system.

[Thinker]

Hey Linus...

Yes, outpatient sounds right and is, from all the stories I've heard, the norm.

Another thing to mention... I don't know how your system handles anesthesia, but it makes me nauseous. Most of the time I spent in recovery was because of the throwing up. :( If you are sensitive to it too, mention that to the anesthesiologist so he/she puts something in the drip to combat that. I learned that trick for my hysto and fared MUCH better. :)

Anyway... I do believe my surgery was right at 4 hours...maybe about 3 now that I think about it, and I spent about 2 hours in recovery.

I was still a groggy mess when I left there, but most of that was because of my stomach.

I'm sure you've researched the transportation piece but thought I'd ask about shuttle vans or buses???

[Linus]

I'm going to ask K's brother (with payment being gas money and lunch) if he can take me there and back.

And I've had day surgery before (when I had all 4 impacted wisdom teeth out). I was ok and had minor nausea but that was because of swallowed blood from the former teeth locations.

[The Oopster]

I had my appointment. Very nice doctor. She answered every question and had answered some before I had even asked (e.g., drains, nipple reconstruction, etc.) She was very professional and admitted she hadn't done this surgery before, at least not for FTM. She has done gynecomastia and has done female breast surgery. She has said that breast surgery and reconstruction is her specialty. She also said whatever revisions that would need to be done she'd do. She talked about recovery time as well as post-care (vis-a-vis reducing scarring and such).

I was surprised that she said it was out patient surgery and that it would be 4 hours (not the 4 hours but the out patient part of it). She did say there would be no need for overnight unless there are complications. Does that sound right?

Anyways, I did mention that I would be seeking other doctors to get an idea of what fits best for me and what I'm most comfortable with. They did say that they would help with insurance filing and such if I decided to go with them and if the insurance approved or if I paid out of pocket I'd be looking at a date somewhere between 4-6 weeks from doing the "security deposit".

On Monday I'm going to try to book an app't with Dr. V to get a different look at things. The one somewhat huge downside is the cost to get there. I don't have a license (and even if I did, we only have one car which car uses to get to and from work). I'll be plunking down about $200-240 just in cab ride fare to and from. UGH

I so wish this city had a decent train system.

Mine was a day surgery and 3 to 4 hours sounds right I honestly can't remember. Most surgeries and procedures these days are done outside of hospitals in days surgery facilities I think to help prevent spread of infection. Sick people are in hospitals so they try to keep you away from the sick people. Even with my back surgeries they generally have you out in 24 hours and honestly if I wanted to my dr. would have had me out the same day.

If K's brother can't take you Linus .. send me a message and if You pay for gas and lunch I'll take you! My schedule is fairly open this month. I can tell you i don't work the 16, 17, 18, 24, 25, 29, 31. Some of the other days are part days so they might work also .... can't remember what days dr. V sees people.

[Linus]

So Tues (March 22) I have a consult with Dr. V. I'm still trying to get my original doctor from Callen-Lorde to send me a letter. On a plus side, the former leader of a support group I was part of in NYC has agreed to write a therapist's letter for me and has even offered to help me navigate Aetna's hoops and such. He actually does this as part of his job and has done it around the US for those in need.

Hopefully I'll be able to decide by end of the week and then get a date set. It would be nice to have this hurdle out of the way and allow me to move forward.

[Linus]

So K has decided to take me to Dr. V on Tues. And, as an added bonus, my tax return for this year may actually be enough to cover all the cost! Sweet! I had some money set aside for possible tax payment but looks like I won't need it. And if I can get Aetna to pay for some or all of the surgery, then I'm using the money for geeky things! :)

[Thinker]

So K has decided to take me to Dr. V on Tues. And, as an added bonus, my tax return for this year may actually be enough to cover all the cost! Sweet! I had some money set aside for possible tax payment but looks like I won't need it. And if I can get Aetna to pay for some or all of the surgery, then I'm using the money for geeky things! :)

It's all coming together perfectly.

I'm excited for you! :)

[Linus]

Welp. I just got back from my consult with Dr. V. Based on Koop's and Theo's recommendation along with my comfort level, I've decided to go with him. I put a deposit down and booked the surgery date for May 23rd! :) I'm still hopeful that the insurance can cover some of the costs, even if only a 25-50% of it.

I'm really excited but at the same time, somewhat scared. It's a big step and still somewhat scary.

[Thinker]

Congratulations and good luck!

[The Oopster]

Welp. I just got back from my consult with Dr. V. Based on Koop's and Theo's recommendation along with my comfort level, I've decided to go with him. I put a deposit down and booked the surgery date for May 23rd! :) I'm still hopeful that the insurance can cover some of the costs, even if only a 25-50% of it.

I'm really excited but at the same time, somewhat scared. It's a big step and still somewhat scary.

Congrats!

I totally identify with everything! I had no intention when i went in to be scheduling surgery but was so comfortable that i did.

To me in the transition process probably the scariest but most rewarding step. Even in pain I was so much more comfortable after surgery in my body in spirit then I had ever been in my life.

My biggest problem a few monthes after was learning self control and not flashing my chest to everyone. I was just so happy I was like a little kid!

[DomnNC]

Welp. I just got back from my consult with Dr. V. Based on Koop's and Theo's recommendation along with my comfort level, I've decided to go with him. I put a deposit down and booked the surgery date for May 23rd! :) I'm still hopeful that the insurance can cover some of the costs, even if only a 25-50% of it.

I'm really excited but at the same time, somewhat scared. It's a big step and still somewhat scary.


That's awesome Linus! I wish you nothing but the best on your new journey!

[atomiczombie]

Welp. I just got back from my consult with Dr. V. Based on Koop's and Theo's recommendation along with my comfort level, I've decided to go with him. I put a deposit down and booked the surgery date for May 23rd! :) I'm still hopeful that the insurance can cover some of the costs, even if only a 25-50% of it.

I'm really excited but at the same time, somewhat scared. It's a big step and still somewhat scary.

This is so awesome Linus, we are gonna get our surgeries in the same month - mine is May 4! Woohoo for us!!

[EnderD_503]

Congrats, Linus! That's amazing news! Best of luck :goodluck:

[Logicaly]

Grats Linus! I am very happy for you!

[The Oopster]

So this seems like a no brainer but just in case my brain is on the wrong page.....

Once chest surgery is completed there is no longer any need for mammography's correct? I just keep getting the notices and thought before I call and ask them to take me off the list I would double check!

[Thinker]

So this seems like a no brainer but just in case my brain is on the wrong page.....

Once chest surgery is completed there is no longer any need for mammography's correct? I just keep getting the notices and thought before I call and ask them to take me off the list I would double check!

I was told by my primary care physician and also by a surgeon who specialized in mastectomies (she did some basic post-op care for me since my surgeon was in Canada) that a mammogram isn't an option (for obvious reasons) but that I should still receive manual check-ups along with ultrasound.

Even with this type of surgery, we are still left with breast tissue.

[The Oopster]

I was told by my primary care physician and also by a surgeon who specialized in mastectomies (she did some basic post-op care for me since my surgeon was in Canada) that a mammogram isn't an option (for obvious reasons) but that I should still receive manual check-ups along with ultrasound.

Even with this type of surgery, we are still left with breast tissue.

Thanks. I know men can get breast cancer so that's why i wondered.

[theoddz]

Thanks. I know men can get breast cancer so that's why i wondered.


It is true that XY males can and do get breast cancer, but when I asked Dr. V. about this following my surgery, he told me that, when we undergo this surgery, most of the milk glands (which is where cancer usually occurs) are removed. Biological males tend to have only the milk ducts, and these are seldom affected by cancer. Still, he told me, I would have to do manual exams and seek medical attention if I noticed any suspicious lumps.

Good luck to you, Linus!! I think you're going to be extremely happy with Dr. V and I don't think you could possibly get a better surgeon or surgical staff at any price. I think you're going to be very pleased. I know I am. :thumbsup:

~Theo~ :bouquet:

[atomiczombie]

The acne on my back, shoulders and sides of my torso is getting absurdly bad. It's so annoying. Now it's on my neck too! My face isn't too bad but I got some there too. I never had it like this when I went through puberty the first time. There's even a little on my ass. :( Oy.

[Thinker]

The acne on my back, shoulders and sides of my torso is getting absurdly bad. It's so annoying. Now it's on my neck too! My face isn't too bad but I got some there too. I never had it like this when I went through puberty the first time. There's even a little on my ass. :( Oy.

Bummer. Sorry to hear that.

Your doctor should provide some help for it. Talk to him/her about switching brands of testosterone too. I've known people who have had to do that because of acne.

Good luck.

[Logicaly]

The acne on my back, shoulders and sides of my torso is getting absurdly bad. It's so annoying. Now it's on my neck too! My face isn't too bad but I got some there too. I never had it like this when I went through puberty the first time. There's even a little on my ass. :( Oy.

I get it just on my face thankfully, and on one side of my neck I have noticed. Ive been trying multiple different acne products and finally found Clean N Clear seems to work well for a face wash to help with it.

[Jaques]

I dont know you have the same T as in England, i was lst put onto Sustanon, i did have a few spots, though not many, but my bp was high and i transferred to Nebido which is "smoother" and causes much less problems.............

[atomiczombie]

I don't know if there is any other kind of T gel besides Androgel. Does anyone know? I can only use the gel, the doctors won't let me do any other kind.

[The Oopster]

I don't know if there is any other kind of T gel besides Androgel. Does anyone know? I can only use the gel, the doctors won't let me do any other kind.

T also comes in a cream form that is what I started on before the shots

[Rufusboi]

The acne on my back, shoulders and sides of my torso is getting absurdly bad. It's so annoying. Now it's on my neck too! My face isn't too bad but I got some there too. I never had it like this when I went through puberty the first time. There's even a little on my ass. :( Oy.

Atomic

I tried everything then discovered Stridex, it is great. I saw a big difference after only a couple of days. I use it on my face and back once a day now and very rarely have any acne.

Rufus

[theoddz]

I don't know if there is any other kind of T gel besides Androgel. Does anyone know? I can only use the gel, the doctors won't let me do any other kind.

Drew,

The other topically applied T gel goes by the brand name of "Testim". I used it before I started injecting. The physician who prescribed it said that it had better clinical test results than Androgel when it came to the rate at which it was actually absorbed by the skin. I don't know if that is particularly true or not, because those clinical trials are often sponsored/paid for by the drug companies who market this stuff. That can put a definite slant on things, you know.

I'm sorry to hear that you're having such a difficult time with the acne and such, but remember that you're going through puberty again.....only this time, it's male puberty. The oil glands in your skin are being activated and put into "hyperdrive" and you are also going to note that you're sweating more than you used to. These are some of the effects of T. The key to keeping the acne down right now, though, is keeping those pores scrubbed and clean. Get a loofah, first off. Then get a bottle of a good exfoliating scrub/soap. My loofah is on an elastic cord, and I can really get a good scrubbing in with it. Also, I happen to be one of those guys who comes from a lineage of hairy people, so I have hair all over.....including my back. Some of the acne I get on my back, from time to time, has everything to do with new hairs coming in, ingrown hairs, infected hairs, etc. My girlfriend is also a trained aesthetician, and has been kind and patient enough to do a waxing on my back/shoulders and man, has that helped!!! It almost cleaned up my back acne instantaneously. :|

Good luck to you!!! :)

~Theo~ :bouquet:

[atomiczombie]

Drew,

The other topically applied T gel goes by the brand name of "Testim". I used it before I started injecting. The physician who prescribed it said that it had better clinical test results than Androgel when it came to the rate at which it was actually absorbed by the skin. I don't know if that is particularly true or not, because those clinical trials are often sponsored/paid for by the drug companies who market this stuff. That can put a definite slant on things, you know.

I'm sorry to hear that you're having such a difficult time with the acne and such, but remember that you're going through puberty again.....only this time, it's male puberty. The oil glands in your skin are being activated and put into "hyperdrive" and you are also going to note that you're sweating more than you used to. These are some of the effects of T. The key to keeping the acne down right now, though, is keeping those pores scrubbed and clean. Get a loofah, first off. Then get a bottle of a good exfoliating scrub/soap. My loofah is on an elastic cord, and I can really get a good scrubbing in with it. Also, I happen to be one of those guys who comes from a lineage of hairy people, so I have hair all over.....including my back. Some of the acne I get on my back, from time to time, has everything to do with new hairs coming in, ingrown hairs, infected hairs, etc. My girlfriend is also a trained aesthetician, and has been kind and patient enough to do a waxing on my back/shoulders and man, has that helped!!! It almost cleaned up my back acne instantaneously. :|

Good luck to you!!! :)

~Theo~ :bouquet:

Thanks Theo. This has nothing to do with hair for me. My Dad doesn't have very much body hair at all and he can barely grow a thin goatee. It's turning out that I am the same way. I Have been on T since last May and I have barely enough whiskers on my upper lip to shave once every week and a half, and only a handful of whiskers on my chin. Nothing on my back or chest. Slightly more hair in my pits and legs, but nothing major. No more hair on my arms. It's not even thicker. So hair isn't whats driving the acne.

I have an appointment with my doctor next week so hopefully she can help me. This is really getting ridiculous.

[Logicaly]

I got my dosage upped on Friday to .50ml every two weeks, its still low but their waiting on blood work to come back to see how I am doing cholesterol wise and everything.

My only noticeable change for me, im eating, all the time, I am never not hungry. Its only been about 3 months since I have been on T.

[Quintease]

My only noticeable change for me, im eating, all the time, I am never not hungry. Its only been about 3 months since I have been on T.

My bf is hungry all the time and he's been on T for about 2/3 years, in fact he became a feeder as he was not only hungry all the time, he was also trying to feed me! He's still changing though, he's changed since we got together even. It's quite weird looking at photos of him from only a year ago.

[The Oopster]

I got my dosage upped on Friday to .50ml every two weeks, its still low but their waiting on blood work to come back to see how I am doing cholesterol wise and everything.

My only noticeable change for me, im eating, all the time, I am never not hungry. Its only been about 3 months since I have been on T.

My bf is hungry all the time and he's been on T for about 2/3 years, in fact he became a feeder as he was not only hungry all the time, he was also trying to feed me! He's still changing though, he's changed since we got together even. It's quite weird looking at photos of him from only a year ago.

Appetite was one of the first noticeable changes for me and i actually gained muscle mass fairly quickly once I went on the injectable T. People are very shocked at how much I can eat. I swear I eat 10 times what my roomie eats I don't know how he gets by (he is a cismale.)

when I went to .5 but every week that's when things did really start to change. Now I do .25 every week because i'm happy where things are at with that dose.

[Logicaly]

Appetite was one of the first noticeable changes for me and i actually gained muscle mass fairly quickly once I went on the injectable T. People are very shocked at how much I can eat. I swear I eat 10 times what my roomie eats I don't know how he gets by (he is a cismale.)

when I went to .5 but every week that's when things did really start to change. Now I do .25 every week because i'm happy where things are at with that dose.

Yeah, I am hoping to start seeing some changes now hopefully. I have a gym membership, so I am doing the gym thing as well in order to make sure all my extra weight doesn't just shift around to other places.

I've been checking my weight, and its the same as it was 3 months ago, even though I am eating a ton more, doctor says that is good that its not going up, so I guess that is a good thing.

[atomiczombie]

So, tomorrow's the big day! By this time tomorrow I will have my new chest. :D The surgery will happen at 7:30am in San Francisco and my surgeon is Dr. Michael Brownstein. I would say wish me luck, but I know I won't need it. He is an excellent surgeon and these procedures are the only ones he does. When I can I will come back and let you all know how it went.

[Ebon]

So, tomorrow's the big day! By this time tomorrow I will have my new chest. :D The surgery will happen at 7:30am in San Francisco and my surgeon is Dr. Michael Brownstein. I would say wish me luck, but I know I won't need it. He is an excellent surgeon and these procedures are the only ones he does. When I can I will come back and let you all know how it went.

That is so awesome man congrats!!!

[Ebon]

I'm really struggling with taking T because I really don't like doctors but I cannot take it without being under a doctors supervision apparently.

[Thinker]

So, tomorrow's the big day! By this time tomorrow I will have my new chest. :D The surgery will happen at 7:30am in San Francisco and my surgeon is Dr. Michael Brownstein. I would say wish me luck, but I know I won't need it. He is an excellent surgeon and these procedures are the only ones he does. When I can I will come back and let you all know how it went.

Wow! Wow! Wow! I am so happy to hear this!

Here's to you, Dr. B, and his colleagues!!!!

[Camo Eagle]

So, tomorrow's the big day! By this time tomorrow I will have my new chest. :D The surgery will happen at 7:30am in San Francisco and my surgeon is Dr. Michael Brownstein. I would say wish me luck, but I know I won't need it. He is an excellent surgeon and these procedures are the only ones he does. When I can I will come back and let you all know how it went.


Way to go AZ! Im happy to hear that you are finally able to do this. Know its something youve wanted forever. Keep us updated.

[wolfbittenpoet]

Gratz about the surgery. You'll do great. I am very jealous.

[atomiczombie]

Sooo, I got through the surgery just fine, and the doc said it went well. I woke up very tired and sore, but the pain meds they gave me helped a lot. I have 2 drains, one on each side that need to be cleared every 6 hours, and the amount of fluid measured and recorded. It has already gone down a lot since yesterday. They put a big binder on me with lots of gauze underneath, and lemme tell ya it is ITCHY under that gauze. I can't move my arms around very well because of the incision stretches all the way under my arms (to prevent dog ears). I am trying to be really good about not moving my arms much, but there are those moments when you forget and you reach for something and the pain reminds you that you aren't supposed to do it. Haha. Overall, my energy is up since yesterday and the oral pain meds are working fine. It doesn't take all the pain away, but it does make me a lot more comfortable. I am only taking the prescribed dose. I get my drains removed next Tuesday, and then Thursday I get my stitches out.

That's all I have to report today, I will come back soon and fill you guys in on more details. Thats for all the support and well-wishes. It makes a big difference! :)

[atomiczombie]

It's my 4th day after surgery. Yesterday was the first day I decided to go all day without my pain med. I was uncomfortable, but not so much that I couldn't tough it out. I had to take one when I went to bed, however. My pain gets worse then since I have to lie in one position all night (on my back).

There's a lot less fluid coming out of my drains. The first 2 days it was about 10cc's per side every 6 hours. Now it's down to 5cc's per side every 12 hours, so there's a lot of healing going on. Tomorrow I will go in and get them removed, and I am glad because the place where the drains go in gets sore if I move too much. I have more and more energy each day and feel the need to get up and walk around frequently. It is still very itchy under my dressings, but that sort of comes and goes. The place where I have the most pain is under my arms. I have absolutely no pain in the center or sides of my chest.

That's all for now, I will check in tomorrow and let you all know how it went getting the drains out.

[Linus]

Congrats, AZ! Glad to hear things are going well. It's interesting that Dr. V has said that I won't need drains because of the way he's doing the surgery (this has me puzzled as I've always heard that double incision requires drains.. Theo? Koop?)

Anyways, I do have a question: for those that got a recliner, what kind (manufacturer/make?) did you get? I tend to sleep on my side and a recliner might be a good way to avoid that -- plus I've always wanted one. :cheesy:

[atomiczombie]

Congrats, AZ! Glad to hear things are going well. It's interesting that Dr. V has said that I won't need drains because of the way he's doing the surgery (this has me puzzled as I've always heard that double incision requires drains.. Theo? Koop?)

Dr Brownstein told me that drains lessen the possibility of infection and speed up the healing process. If your doc has a better way, then that's cool because they are a pain in the keester.

[EnderD_503]

Congrats again, Atomic! :D

Congrats, AZ! Glad to hear things are going well. It's interesting that Dr. V has said that I won't need drains because of the way he's doing the surgery (this has me puzzled as I've always heard that double incision requires drains.. Theo? Koop?)


I dunno exactly why it is that the way some docs do it don't need drains, but apparently the doc I'm looking at using in Mississauga, if I ever manage to save enough money, (Dr. McLean) doesn't use drains either. Maybe someone who knows more can shed some light on why some docs use them and others don't...?

It's weird that you mention that Atomic, cause I heard the opposite...blah, I dunno lol Edit: I've heard of very few who don't use drains though, so I dunno if no drains is actually something new/better or just unorthodox.

[Linus]

Congrats again, Atomic! :D



I dunno exactly why it is that the way some docs do it don't need drains, but apparently the doc I'm looking at using in Mississauga, if I ever manage to save enough money, (Dr. McLean) doesn't use drains either. Maybe someone who knows more can shed some light on why some docs use them and others don't...?

It's weird that you mention that Atomic, cause I heard the opposite...blah, I dunno lol Edit: I've heard of very few who don't use drains though, so I dunno if no drains is actually something new/better or just unorthodox.

Is OHIP not covering this? I thought SRS was covered? or did it get delisted, like Alberta?

[Thinker]

Congrats again, Atomic! :D



I dunno exactly why it is that the way some docs do it don't need drains, but apparently the doc I'm looking at using in Mississauga, if I ever manage to save enough money, (Dr. McLean) doesn't use drains either. Maybe someone who knows more can shed some light on why some docs use them and others don't...?

It's weird that you mention that Atomic, cause I heard the opposite...blah, I dunno lol Edit: I've heard of very few who don't use drains though, so I dunno if no drains is actually something new/better or just unorthodox.

Hey Ender... Dr. DuPere in Toronto was my surgeon. I had the full-on bilateral male chest reconstruction w/ nipple grafts, and he opted not to use drains too. I was under the impression he made that decision during the course of the surgery though.

The first question I remember asking him was about the drains, and his reply was that he didn't feel they were necessary. I took that to mean I wasn't draining a whole lot. ??? I also took it to mean that it could be case-by-case with him.

I've read quite a bit on the subject, and most of what I've seen indicates that the use of drains is like what Drew said......to increase healing time and reduce the possibility of infection. All I've really seen on the flip side is that the surgeon feels they aren't necessary.

I would hope that if the surgeon determined the patient was going to sit with a lot of fluid buildup over the next 3 or 4 days, he/she would opt to use drains.

Of course, this is all just speculation on my part based on what I have read.

[T D]

Dr Brownstein told me that drains lessen the possibility of infection and speed up the healing process. If your doc has a better way, then that's cool because they are a pain in the keester.

I'm curious about how much help you've needed post surgery. Are you able to take care of your needs alone, or have you had someone come in or around to help you out? This is always a question for me when considering any surgery.

Hope things are going well for you, Drew!

[atomiczombie]

I'm curious about how much help you've needed post surgery. Are you able to take care of your needs alone, or have you had someone come in or around to help you out? This is always a question for me when considering any surgery.

Hope things are going well for you, Drew!



Oh, I definitely need a lot of help. Just think about all the things you can't do if you aren't supposed to bend over, carry anything heavy or move your upper arms away from your body. You will need 24hr care for several days, at least a week I'd say. I am lucky to have my parents around to care for me. They feed me and empty my drains and help me get around, manage my medications and help me with embarrassing stuff too. Make sure you have someone staying with you with whom you aren't embarrassed too much to have help you with the most basic functions. I will be giving detailed updates on how my recovery process is going for those of you who haven't had the surgery but want to know what to expect. :)

[Camo Eagle]

AZ, great to hear that you are doing so well. Again, Congrats.

[The Oopster]

Congrats, AZ! Glad to hear things are going well. It's interesting that Dr. V has said that I won't need drains because of the way he's doing the surgery (this has me puzzled as I've always heard that double incision requires drains.. Theo? Koop?)

Anyways, I do have a question: for those that got a recliner, what kind (manufacturer/make?) did you get? I tend to sleep on my side and a recliner might be a good way to avoid that -- plus I've always wanted one. :cheesy:

When I asked Dr. V about drains ... he said it had been quite awhile since he had to use them .. that there was an outside chance but if there was a fair amount of fluid that he preferred to take it out by a syringe. He feels that with drains there is an opening and with an opening that there is a better chance of infection.

The nurses that I know made an inference that if you have a good surgeon they shouldn't be needed and also that there would be less risk of infection. These are nurses that would be more familiar with general mastecomies versus those for ftms.

I took arnica prior to my surgery I don't know if that helped or didn't but I do know that on the front of my chest there was very little swelling or bruising. Any swelling or bruising was on the sides and was due to the lypo. That is where a majority of the pain was also

As far as recliners go ... i looked at them all and I wouldn't get anything but a lazyboy. I thought a lazyboy would be too expensive but found the opposite that it was cheaper then a lot of the others out there and much better made. Quite a variety also. I love my lazyboy and it was the best investment i've ever had. (I got it prior to my last neck surgery) I would sit in it during the day but at night lie on my back... i do recommend getting some memory foam ... that made lying on my back all the time more bearable and I was able to transfer to my sides a bit earlier then I would have otherwise

I'm curious about how much help you've needed post surgery. Are you able to take care of your needs alone, or have you had someone come in or around to help you out? This is always a question for me when considering any surgery.

Hope things are going well for you, Drew!





I think this all depends on the person and really upon whether or not you have drains. If you don't have drains there isn't as much do do. I had to change bandages I think but I figured out a system to do it on my own.

It also depends on your experience with surgeries. I have had 5 spinal surgeries and really know how to move and not move.

I also made sure to put anything I thought I would need at a reachable height ... i determined this by locking my arms next to my side and just reaching from the elbow. Also made sure i bought things in small packages.

I have a roommate and neighbors so I did make sure there were people around a lot of the time but I can't really think of anything I needed instantly. I could wait til they were around.

I know some people have said they had trouble wiping after going to the bathroom, I had no trouble here. I had bought some moist wipes in case but still didn't use them.

I had all my food planned out for about two weeks after surgery so I could just pop it in the microwave or grab it out of the fridge. again any packaged items i put on the table or counter instead of in the cabinets so I could get it easily. Also bought paper plates and bowls and just placed them on the table where I could reach them easily.

For keeping clean I bought some of the bath/shower wipes they sell that you heat in the microwave. Some hospitals use them after surgeries and they eliminate excess water getting on your bandages and I think they work pretty well. I know rite aid has their brand which is a bit cheaper then a nonstore brand.

[Goofy]

Congrats Drew! I'm glad to hear your surgery went well.


Anyways, I do have a question: for those that got a recliner, what kind (manufacturer/make?) did you get? I tend to sleep on my side and a recliner might be a good way to avoid that -- plus I've always wanted one. :cheesy:

Linus, I'm a side sleeper too and that was the main factor in getting a recliner. I wanted a Lazy Boy, but couldn't get one delivered in time for my surgery. I went to a ton of furniture stores and tried out a ton of recliners. I wanted to make sure it was comfortable in a reclined position as well as upright. I don't remember the actual manufacturer, but I got it from the Room Store, I think. I slept in it for a month or two before I was able to sleep on my side comfortably.


I'm curious about how much help you've needed post surgery. Are you able to take care of your needs alone, or have you had someone come in or around to help you out? This is always a question for me when considering any surgery.



I need help. I had drains on both sides and there's no way I would have been able to take care of them by myself. My arms were pretty much pinned to my sides at the elbow for at least two weeks. I was also a little paranoid about doing anything that would stretch the incision sites. Arwen came down and stayed with me for 2 weeks, I think, and was an invaluable help. As Oopster mentioned, it is really helpful to put things you will need at counter height. One thing I didn't take into consideration after Arwen left was that my microwave was over the stove. I could put food in there, but had a hell of a time getting it out. I eventually got a step stool that eliminated that problem. Also, gallon jugs of milk or juice and things like that were troublesome for me too.

[Dakota]

Drew
Hope things are going well for you! Congrats!:hangloose:

[EnderD_503]

Is OHIP not covering this? I thought SRS was covered? or did it get delisted, like Alberta?

Technically it is, but you need to get referred by a bone fide gender therapist if you want OHIP to cover it whereas I'm mainly just working with a counselor and doc. Anyways, because there is a huge ass lineup to see a "certified" gender therapist I initially decided I'd just save up and pay for it myself...but now with the number of financial setbacks there have been I'm seriously considering just putting myself on the damn list since I'd probably already have had it by now if I'd just done that in the first place.

Hey Ender... Dr. DuPere in Toronto was my surgeon. I had the full-on bilateral male chest reconstruction w/ nipple grafts, and he opted not to use drains too. I was under the impression he made that decision during the course of the surgery though.

The first question I remember asking him was about the drains, and his reply was that he didn't feel they were necessary. I took that to mean I wasn't draining a whole lot. ??? I also took it to mean that it could be case-by-case with him.

I've read quite a bit on the subject, and most of what I've seen indicates that the use of drains is like what Drew said......to increase healing time and reduce the possibility of infection. All I've really seen on the flip side is that the surgeon feels they aren't necessary.

I would hope that if the surgeon determined the patient was going to sit with a lot of fluid buildup over the next 3 or 4 days, he/she would opt to use drains.

Of course, this is all just speculation on my part based on what I have read.

Thanks for the clarification! With McLean he seems to never use drains rather than do it case by case, something to do with how he performs the procedure or something. I dunno.

[theoddz]

I'm going to hop in here and just say that I have a leather LaZyBoy recliner and wouldn't have anything else. My living room furniture is also all LaZBoy and it's very comfy, too. You do get what you pay for, though, and this is as true with furniture as with anything else. If you can't swing the $$ for LaZBoy, however, then do some shopping around and find something you find comfortable with, physically and financially. A good recliner is an awesome investment and will be with you for many good years. :winky:

Good luck, Linus!!!

~Theo~ :bouquet:

P.S. When I had my surgery, Dr. V did give me 2 penrose drains, but they were only in for a day or so, as I didn't have much significant drainage.

[The Oopster]

~Theo~ :bouquet:

P.S. When I had my surgery, Dr. V did give me 2 penrose drains, but they were only in for a day or so, as I didn't have much significant drainage.

Your surgery must have been the last or about the last that he used them. When I went in for my consult he said it had been about a year since he had used them.

[Linus]

I'm going to hop in here and just say that I have a leather LaZyBoy recliner and wouldn't have anything else. My living room furniture is also all LaZBoy and it's very comfy, too. You do get what you pay for, though, and this is as true with furniture as with anything else. If you can't swing the $$ for LaZBoy, however, then do some shopping around and find something you find comfortable with, physically and financially. A good recliner is an awesome investment and will be with you for many good years. :winky:

Good luck, Linus!!!

~Theo~ :bouquet:

P.S. When I had my surgery, Dr. V did give me 2 penrose drains, but they were only in for a day or so, as I didn't have much significant drainage.

I think we'll go Friday to get one (Lazy Boy).

Theo, did you have to go back to get the drain removed or was this something you could remove on your own?

[Liam]

Anyways, I do have a question: for those that got a recliner, what kind (manufacturer/make?) did you get? I tend to sleep on my side and a recliner might be a good way to avoid that -- plus I've always wanted one. :cheesy:

I love my Barca Lounger which is a leather recliner, you might want to test drive one, before you purchase that Lazy Boy, Linus. I think you might like the scale of the Barca better, although it is a little more expensive than the Lazy Boy.

[Greyson]

I love my Barca Lounger which is a leather recliner, you might want to test drive one, before you purchase that Lazy Boy, Linus. I think you might like the scale of the Barca better, although it is a little more expensive than the Lazy Boy.


Barca Lounger? I have never heard of this one. I too did my recovery after my top surgery in a Lazy Boy. I had drains that were removed by my sister the nurse, and did go in for follow up with Dr. Brownstein one week after sugery.

Glad to hear you are doing well Drew and Linus, good luck to you. Do you have a scheduled date yet for your surgery Linus?

[The Oopster]

I think we'll go Friday to get one (Lazy Boy).

Theo, did you have to go back to get the drain removed or was this something you could remove on your own?

Whether you have the drains or not he does do a follow up visit. Since I stayed down there and didn't have drains he did mine the next morning and I left for home from his office. If I had immediately gone home he would have seen me I think on monday and my surgery was on a thursday.

Did you ask him about drains? Because I did. At the time of my consult the only person I had heard of not having drains was Thinker. When we did the consult and he had said nothing about drains and the follow up care. I asked "what about the drains?" That is when he said he couldn't remember when he had to use them last because it had been awhile. Since my surgery was almost a year after Theo's I'm guessing his was the last.

[Leigh]

Hey guys, sorry its been awhile but My laptop has been out of commission for abit but I'm borrowing My mom's computer for a few. I have an appointment this month with the psychiatrist who will determine if I will be eligible for top surgery and if the meeting goes well then it will be covered by MB Health ......... I go on May 20th so wish Me luck that all goes well :)

[Linus]

Whether you have the drains or not he does do a follow up visit. Since I stayed down there and didn't have drains he did mine the next morning and I left for home from his office. If I had immediately gone home he would have seen me I think on monday and my surgery was on a thursday.

Did you ask him about drains? Because I did. At the time of my consult the only person I had heard of not having drains was Thinker. When we did the consult and he had said nothing about drains and the follow up care. I asked "what about the drains?" That is when he said he couldn't remember when he had to use them last because it had been awhile. Since my surgery was almost a year after Theo's I'm guessing his was the last.

I did ask him about that and he had said he didn't think I'd need them. Which, when I had first heard that, I was surprised. He said that if I was "smaller" then perhaps but since this is more of an explicit removal than anything else, I wouldn't need them. So unless something happens during the surgery that warrants them, I may not need them. Mine's on a Monday so I suspect my follow-up will be the Thursday of that week. I may have to ask K's brother to help me out there.

[The Oopster]

I did ask him about that and he had said he didn't think I'd need them. Which, when I had first heard that, I was surprised. He said that if I was "smaller" then perhaps but since this is more of an explicit removal than anything else, I wouldn't need them. So unless something happens during the surgery that warrants them, I may not need them. Mine's on a Monday so I suspect my follow-up will be the Thursday of that week. I may have to ask K's brother to help me out there.

I was larger also.

It doesn't hurt to have things lined up for it. I did have some nurse friends lined up to help empty just in case. I figured it was easier to be prepared for it. I also had made sure the person staying the night with me could handle gross things in case I had them. That person later confided that he was glad I didn't have them, he was a little apprehensive of having to deal with the gross stuff but would have.

Wow you must be getting excited and nervous! Next week is a busy one for me but let me know if you need anything. In LA terms your place isn't that far from me!

[Linus]

I was larger also.

It doesn't hurt to have things lined up for it. I did have some nurse friends lined up to help empty just in case. I figured it was easier to be prepared for it. I also had made sure the person staying the night with me could handle gross things in case I had them. That person later confided that he was glad I didn't have them, he was a little apprehensive of having to deal with the gross stuff but would have.

Wow you must be getting excited and nervous! Next week is a busy one for me but let me know if you need anything. In LA terms your place isn't that far from me!

It's not next week but the week after (week of the 23rd). If you're not busy that week, you're welcomed to visit with me and pugs. We'll probably be sitting outside if the weather is nice. :)

[The Oopster]

It's not next week but the week after (week of the 23rd). If you're not busy that week, you're welcomed to visit with me and pugs. We'll probably be sitting outside if the weather is nice. :)

I'll check in with you closer to then. Currently, besides the weekends and a quick equipment pick up on monday and friday I only work Thursday that week!

[atomiczombie]

I just got back from Dr. Brownstein's office and had my drains removed. It kinda stung for about a second and then I was fine. He said I lost 2.5lbs of tissue. What a great way to lose weight! I got to see my chest today and it is so flat I love it! and the nipple graphs look fantastic. I couldn't be happier with the job he has done. The pathology report said I have no cancer too. :D

I also found out that he is the doc who did Chaz Bono's chest, and he will be in the documetary about Chaz that will be on the Oprah Winfrey Network tonight at 9pm. So if you guys want to see Dr. Brownstein in action, check it out.

I feel a lot better with the drains out and he said I can move my arms around as much as I want and bend over now, no restrictions. That's a relief. Thursday I get the sutures around my nipple graphs removed so I am looking forward to that. :)

[theoddz]

Your surgery must have been the last or about the last that he used them. When I went in for my consult he said it had been about a year since he had used them.

Well, he did tell me beforehand that he didn't think I'd need them, so I was a bit surprised to see them there when I woke up from the anesthesia.

I think we'll go Friday to get one (Lazy Boy).

Theo, did you have to go back to get the drain removed or was this something you could remove on your own?

Linus, since I had traveled there (Newport Beach, CA) from Las Vegas, I had made arrangements to stay in the Newport Beach/Costa Mesa area (at the Ayres Hotel) for a few days. I had 2 followup visits with Dr. V following my surgery. One was a day after and the other was 3 days after, just before returning to Las Vegas. I think I had the drains pulled on the first post-op followup appointment. They were really uncomfortable, and since I wasn't draining much, it just made sense not to keep them. And no, I wouldn't remove a drain on my own. I've had surgical drains three times in my life and this was one of them. I had drains in both my knees following joint replacement, so I know a bit about how/why they work and would NOT want to be pulling on them at my own discretion. They do hurt a bit when they're being removed and, although I'm certainly no coward when it comes to doing things to myself.....like doing my own intramuscular injections, I wouldn't want to be pulling drains out myself. :|

I used to have a Barca Lounger, a loooooong time ago, and it was a seriously comfy chair. That'd be my second choice in a recliner, if I couldn't get a LaZboy. :winky:

~Theo~ :bouquet:

[atomiczombie]

Hey all, I just got back from Dr. Brownstein's office so I wanted to give you an update. After he pulled the drains on tuesday, I started getting some swelling under my arms, which caused me to be more sore and tender. I called his office on Wednesday (yesterday) and was told that is normal and nothing to worry about. Anyhoo, todays appointment was to get the stitches out of my nipple graphs. That went smoothly and I gotta say my nips look great. :D Now I have to keep the binder on for a couple more weeks, but I can shower if I want, I just can't let the water hit directly on my incisions. I have to change the dressings on my graphs and use antibiotic ointment on them. He said all my incisions look really good.

As for why Dr. Brownstein uses the drains, if any of you saw him in Chaz Bono's documentary, Becoming Chaz, there he explained it to Chaz and his girlfriend. Basically the build up of fluid slows down the healing process.

If you guys have anymore questions for me I am happy to answer. I am so psyched for you Linus, you are almost there! Whoohoo!

[Leigh]

Glad things are going well with everyone!

[atomiczombie]

I finally took the medical binder off today. That is the last binder I will ever have to wear. Woot! Took the paper tape off my incisions too. I am still tender and sore in some places. I can feel it when I move around, but not at all sitting still. I still have some swelling, but I know that will resolve itself in time. I still need to have the antibiotic ointment/gauze on my graphs for another week. I am happy to be at the 2 week mark, because the worst part is over. :)

[Thinker]

I finally took the medical binder off today. That is the last binder I will ever have to wear. Woot! Took the paper tape off my incisions too. I am still tender and sore in some places. I can feel it when I move around, but not at all sitting still. I still have some swelling, but I know that will resolve itself in time. I still need to have the antibiotic ointment/gauze on my graphs for another week. I am happy to be at the 2 week mark, because the worst part is over. :)

Yay!

Drink lots and lots of water......lots and lots! :)

[The Oopster]

I finally took the medical binder off today. That is the last binder I will ever have to wear. Woot! Took the paper tape off my incisions too. I am still tender and sore in some places. I can feel it when I move around, but not at all sitting still. I still have some swelling, but I know that will resolve itself in time. I still need to have the antibiotic ointment/gauze on my graphs for another week. I am happy to be at the 2 week mark, because the worst part is over. :)

If you have some tighter compression like shirts it helps to wear them for a while. I had bought a compression tank shirt and a couple sports shirts that never worked for binding but worked well after surgery and after not wearing the binder. I found the support actually felt good for awhile and helped with the minor swelling

[atomiczombie]

If you have some tighter compression like shirts it helps to wear them for a while. I had bought a compression tank shirt and a couple sports shirts that never worked for binding but worked well after surgery and after not wearing the binder. I found the support actually felt good for awhile and helped with the minor swelling

I don't have anything like that unfortunately. Thanks for the tip tho, I will look into it. :)

[The Oopster]

I don't have anything like that unfortunately. Thanks for the tip tho, I will look into it. :)

you can get something pretty cheap at like target

[atomiczombie]

I have decided to go off the T for a while. Some of the side effects are getting difficult to deal with at the moment. I am taking a break but I plan to get back on it at some point.

[weatherboi]

hey atomiczombie-

are you comfortable talking about that here and if not do you think you could share it in a pm?

thanks

Grant

[atomiczombie]

hey atomiczombie-

are you comfortable talking about that here and if not do you think you could share it in a pm?

thanks

Grant

Some of it's really personal, so no I don't want to share all the details. One aspect is the acne, it is so out of control and even the prescription meds and ointments aren't working. It is causing scars all over my back, neck, and face. The rest is not something I feel comfortable talking about. Sorry.

[weatherboi]

It's really personal, so no I don't want to share the details. Sorry.

understood...good luck

[atomiczombie]

Oh, and yes my doctor is aware.

[Thinker]

I have decided to go off the T for a while. Some of the side effects are getting difficult to deal with at the moment. I am taking a break but I plan to get back on it at some point.

It's always a good thing to do what we gotta do to take care of ourselves.

:)

[atomiczombie]

I have decided not to go back on T. The side effects were more stress than I want to deal with, and after my chest reconstruction I am much happier with my body. So this is as far as I am going to go. I am very much at peace with this decision, because thinking about going back on the T, even for a short while, stresses me out.

[Thinker]

I have decided not to go back on T. The side effects were more stress than I want to deal with, and after my chest reconstruction I am much happier with my body. So this is as far as I am going to go. I am very much at peace with this decision, because thinking about going back on the T, even for a short while, stresses me out.

Good for you, Drew! It's obvious you've put a lot of thought into it. There are so many stressors that we have no control over; it's good to take control when we can.

See you Sunday!!!

[Leigh]

Hey guys,

I figure since I have a chance to get online I'd update everyone with a few things that are happening with My own transition. I had asked last month for an increase in My testosterone, but they wanted to do tests to make sure all of My levels were decent so they did that and ......... everything is fine! As of next week, My shot is being upped from 100mg every two weeks to 100mg every week so soon My shots will be weekly. I have quite abit of facial hair (especially on the chin and neck) as well as some hair growing on My stomach and legs :-)

I also had My meeting with the psychiatrist and she has approved My need for top surgery, and the paperwork has been sent away so right now I am just waiting for a consultation date with the surgeon! I'm very excited and wanted to share this good news with My friends ~ hope things are all going well with everyone!!!!! :D

[atomiczombie]

Hey guys,

I figure since I have a chance to get online I'd update everyone with a few things that are happening with My own transition. I had asked last month for an increase in My testosterone, but they wanted to do tests to make sure all of My levels were decent so they did that and ......... everything is fine! As of next week, My shot is being upped from 100mg every two weeks to 100mg every week so soon My shots will be weekly. I have quite abit of facial hair (especially on the chin and neck) as well as some hair growing on My stomach and legs :-)

I also had My meeting with the psychiatrist and she has approved My need for top surgery, and the paperwork has been sent away so right now I am just waiting for a consultation date with the surgeon! I'm very excited and wanted to share this good news with My friends ~ hope things are all going well with everyone!!!!! :D

Awesome Matthew! I am so psyched for you! :)

[Leigh]

Thanks Drew, seems life is finally falling into place :-)

[Thinker]

Hey guys,

I figure since I have a chance to get online I'd update everyone with a few things that are happening with My own transition. I had asked last month for an increase in My testosterone, but they wanted to do tests to make sure all of My levels were decent so they did that and ......... everything is fine! As of next week, My shot is being upped from 100mg every two weeks to 100mg every week so soon My shots will be weekly. I have quite abit of facial hair (especially on the chin and neck) as well as some hair growing on My stomach and legs :-)

I also had My meeting with the psychiatrist and she has approved My need for top surgery, and the paperwork has been sent away so right now I am just waiting for a consultation date with the surgeon! I'm very excited and wanted to share this good news with My friends ~ hope things are all going well with everyone!!!!! :D

Wow........such good stuff, Matthew!!! Congratulations!

[Leigh]

Wow........such good stuff, Matthew!!! Congratulations!



Thanks Thinker, I'm extremely excited about everything :-)

[Ebon]

I have decided not to go back on T. The side effects were more stress than I want to deal with, and after my chest reconstruction I am much happier with my body. So this is as far as I am going to go. I am very much at peace with this decision, because thinking about going back on the T, even for a short while, stresses me out.

T isn't for everyone. Good for you.

[Greyson]

I have decided not to go back on T. The side effects were more stress than I want to deal with, and after my chest reconstruction I am much happier with my body. So this is as far as I am going to go. I am very much at peace with this decision, because thinking about going back on the T, even for a short while, stresses me out.


Drew, it was good to see you at the Diva Luncheon. I did not see your above post until after the lunch. T does not make the person who you are. I am pretty sure most of us know what is on the inside is the measure of who we really are. Take care.

[Leigh]

I certainly agree with Greyson, I'm taking T and the dosage will be incrased starting today but that certainly doesn't make Me who I am ~ things like My personality, My likes and hobbies, interests etc do!

Your awesome just as you are Drew :-)

[atomiczombie]

I certainly agree with Greyson, I'm taking T and the dosage will be incrased starting today but that certainly doesn't make Me who I am ~ things like My personality, My likes and hobbies, interests etc do!

Your awesome just as you are Drew :-)

Thanks Matthew!!! :)

[Logicaly]

So I had a 3 month checkup yesterday. I have been on T for about 6 months now. My good cholesterol has gone up a little bit, my bad cholesterol is still higher than what the doctor wants, and my triglycerides are also I guess higher than what the doctor wants. On top of that, I have gained 5lbs in the last 6 months. So, I go back in 3 months for another checkup, doctor said if my cholesterol doesn't start dropping even more than we are going to have to look into putting me on meds for it. I would still like to avoid that, so now I need to hit the gym more than ever I think, and stay focused on that, as well as continue to try and improve my eating habits.

All that being said, the doctor did feel comfortable raising my dose. I am now taking 1ml every two weeks. She said my hormone levels where at about 142, and a biological male should be around 410-600.

So far I have had a very minor amount of facial hair start to grow on my chin, you have to really look to see it. My voice is getting deeper as well. So changes are happening, and well now they should continue to happen.

[Linus]

Just saw this on one of the lists:

http://artsbeat.blogs.nytimes.com/2011/08/01/southern-comfort-documentary-on-transgender-friends-to-be-a-musical/
`Southern Comfort' Documentary on Transgender Friends to Be a Musical

By Robin Pogrebin
(http://artsbeat.blogs.nytimes.com/author/robin-pogrebin/)A new musical based on "Southern Comfort," (http://movies.nytimes.com/movie/review?res=9B01E5DC1639F932A15751C0A9679C8B63&scp=1&sq=%22Southern%20Comfort%22%20Sundance&st=cse) Kate Davis's award-winning documentary about transgender friends in rural Georgia will be presented by CAP21 Theater Company (http://www.cap21.org/professional.html) in Manhattan this fall.
The musical, also called "Southern Comfort," features a folk-bluegrass score by Dan Collins (book and lyrics) and Julianne Wick Davis (music). The show, to be presented at CAP21's Black Box Theater on West 18th Street, will star Annette O'Toole ("The Kennedys of Massachusetts," "Smallville") and Jeff McCarthy ("Urinetown," "Beauty and the Beast"). Tom Caruso directs. Previews are to begin Oct. 5.

======


A musical? really? I don't think I can picture how such a tragedy could be a musical.

[Ebon]

I need to come out at work but of course I'm hesitant because I don't know who is a narrow minded asshole and who is not.

[Linus]

I need to come out at work but of course I'm hesitant because I don't know who is a narrow minded asshole and who is not.


Good luck! When I came out I was surprised at how positive things were overall, even from the extra-conservative born-again Christian that is a colleague. Does your work have an HR dep't?

[Ebon]

Good luck! When I came out I was surprised at how positive things were overall, even from the extra-conservative born-again Christian that is a colleague. Does your work have an HR dep't?

Yeah they do. I am hoping it is the same and I will expect that. I just looked in our handbook and our policy has no protection for transgendered or even the GLBT community for that matter but one of our head bosses is gay so hopefully it will go well. I think they just care if I'm good at my job.

[J. Mason]

I hope things go well for you Ebon.

[Logicaly]

Good luck Ebon. I know it can be a bit of a nervous situation. I was hesitant too at first, but once I did honestly I was amazed at how easy it was and the great reaction that I received.

[Ebon]

Did anyone go to the doctor and ask to be put on T without needing a letter from a therapist? If so did they just put you on T or did you have to do some tests first and wait for the results? Can the doctor say no is what I'm asking. Also did anyone have issues with hbp and was still able to take T?

[Thinker]

Did anyone go to the doctor and ask to be put on T without needing a letter from a therapist? If so did they just put you on T or did you have to do some tests first and wait for the results? Can the doctor say no is what I'm asking. Also did anyone have issues with hbp and was still able to take T?

Hey Ebon...

I started without a letter from a therapist. I had a letter in my possession, but the doctor never asked. That damn thing is still sitting...sealed......in a file folder.

I started with a guy in DC who had a lot of exposure to the MTF community there. I think he had gotten to the point where he was pretty comfortable making that decision for himself after a couple of visits with the patient.

I don't recall the specifics, but I am almost certain he went through a laundry list of labs before I started. I remember that I did not get my prescription until around my third or fourth visit; even then, I started on a very low dose of a transdermal patch. We both wanted to ease into it slowly since I have a history of migraines that were often triggered by hormonal changes. I started injections after about 3 months, I think.

I did not have a history of high blood pressure, but I did see changes once I started on T; it was high almost always. After about a year or so, that was no longer an issue.

A doctor can certainly say no. Finding a doc who, like mine, is very familiar with the trans community and our issues/obstacles with health care is pretty important.

[Ebon]

Hey Ebon...

I started without a letter from a therapist. I had a letter in my possession, but the doctor never asked. That damn thing is still sitting...sealed......in a file folder.

I started with a guy in DC who had a lot of exposure to the MTF community there. I think he had gotten to the point where he was pretty comfortable making that decision for himself after a couple of visits with the patient.

I don't recall the specifics, but I am almost certain he went through a laundry list of labs before I started. I remember that I did not get my prescription until around my third or fourth visit; even then, I started on a very low dose of a transdermal patch. We both wanted to ease into it slowly since I have a history of migraines that were often triggered by hormonal changes. I started injections after about 3 months, I think.

I did not have a history of high blood pressure, but I did see changes once I started on T; it was high almost always. After about a year or so, that was no longer an issue.

A doctor can certainly say no. Finding a doc who, like mine, is very familiar with the trans community and our issues/obstacles with health care is pretty important.

Thanks for the info.

[Liam]

Did anyone go to the doctor and ask to be put on T without needing a letter from a therapist? If so did they just put you on T or did you have to do some tests first and wait for the results? Can the doctor say no is what I'm asking. Also did anyone have issues with hbp and was still able to take T?


According to the new standards of care for transgendered and gender non-conforming people, "an assessment is still required, but it can be done by the prescribing hormone provider."

Yes, labwork must be done, and yes the doctor can say no.

Nadeest started a thread about new standards:
http://www.butchfemmeplanet.com/forum/showthread.php?t=3914

She also posted this link:
http://www.thegavoice.com/index.php/news/national-news/3497-wpath-announces-new-standards-of-care-for-transgender-and-gender-nonconforming-people

[DapperButch]

Did anyone go to the doctor and ask to be put on T without needing a letter from a therapist? If so did they just put you on T or did you have to do some tests first and wait for the results? Can the doctor say no is what I'm asking. Also did anyone have issues with hbp and was still able to take T?

Ebon, read this:

http://www.thegavoice.com/index.php/news/national-news/3497-wpath-announces-new-standards-of-care-for-transgender-and-gender-nonconforming-people

I am not certain when version 7 Standards of Care go into effect, but they came out 2 weeks ago.

What you need to know:

In version 6 (updated 2001), you had to have one letter from a therapist (of any graduate degree who worked with trans individuals), say that you should be able to receive hormones. You also needed one letter for top surgery.

NOW, although an "assessment" is needed to determine if one needs hormones, the doctor who is prescribing the hormones can do the "assessment". It no longer has to be a therapist.

I would suggest that you call all of the endocrinologists on your insurance list to see if you can find one who works with transpeople. If you find one who does, ask if they know/let them know, it can now be done without a therapist letter and see what they say.

An endocrinologist has a greater knowledge base than a primary care physician about, well, the endocrine system. :-)

Obviously, if you know anyone in your area who has transitioned, contact them to see who they go to.

Good Luck

ETA: Also see: http://www.wpath.org/documents/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf

Here is version 7 Page 33 talks about criteria to receive hormones.

[Linus]

Ebon, read this:

http://www.thegavoice.com/index.php/news/national-news/3497-wpath-announces-new-standards-of-care-for-transgender-and-gender-nonconforming-people

I am not certain when version 7 Standards of Care go into effect, but they came out 2 weeks ago.

What you need to know:

In version 6 (updated 2001), you had to have one letter from a therapist (of any graduate degree who worked with trans individuals), say that you should be able to receive hormones. You also needed one letter for top surgery.

NOW, although an "assessment" is needed to determine if one needs hormones, the doctor who is prescribing the hormones can do the "assessment". It no longer has to be a therapist.

I would suggest that you call all of the endocrinologists on your insurance list to see if you can find one who works with transpeople. If you find one who does, ask if they know/let them know, it can now be done without a therapist letter and see what they say.

An endocrinologist has a greater knowledge base than a primary care physician about, well, the endocrine system. :-)

Obviously, if you know anyone in your area who has transitioned, contact them to see who they go to.

Good Luck

ETA: Also see: http://www.wpath.org/documents/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf

Here is version 7 Page 33 talks about criteria to receive hormones.

To add what Dapper posted, this seems to vary from state to state/province to province and city to city. In NYC I didn't need a letter from a therapist. I ended up having a 30 min interview with a social worker and that was it. Even then it wasn't really required as the doctor, who specialized with gender variant people, was already ok with my decision. Part of this has to do with age, life status and the experience of the doctor themselves.

Now, I will say, that prior to this I had done about 9 months of a support group so a lot of the self-exploration that is often a requirement I had done.

[Thinker]

I never bought into the "standards" for my personal path. I always saw them as ways for doctors to tell you why they could NOT do something.....sorry, you'll need two letters and one year with a therapist.......nope, can't do that without a letter that says x, y, and z.

I am NOT saying the standards of care are a bad thing; I think they're a nice little framework. But I do feel as though they've been used to gatekeep by many physicians and therapists.

I consulted with a plastic surgeon for my top surgery long before I started testosterone. Truthfully, when I had that procedure done, I had no intention at all of starting T. This surgeon had done a number of chest reconstructions and felt comfortable talking with me and making that decision for himself. I appreciated that; my body, my decision.

The therapist I had seen off and on was there for me for life and relationship stuff.....not gender identity.....even though that obviously came up from time to time. When I did make the move to consult with a physician about hormones, I had my therapist there as a back up in case a letter was required. Again, the doctor made the assessment on his own.

I just never liked the idea of jumping through hoops for something that is so damn personal and life-changing and critically important. It's not that I don't value the input of professionals. I just believe that I know me, my body, my wants, and my needs better than any itemized list that tells me what I need to do first and for how long.

This is obviously just my 2 cents. I'm certainly not trying to talk anyone into or out of anything.......just offering up how it all came together for me with hopes that maybe one or two things I say might clear up someone else's fog.

This is heavy, important stuff. One might argue that rejecting the "standards" is indicative of taking it all too lightly. It was quite the opposite for me. It was so scary and so *permanent* that I just *had* to do it my own way.....a way that felt safe and right *for me*.

:)

[Thinker]

Part of this has to do with age, life status and the experience of the doctor themselves.

Yes, yes, yes... Well put.

[Ebon]

I never bought into the "standards" for my personal path. I always saw them as ways for doctors to tell you why they could NOT do something.....sorry, you'll need two letters and one year with a therapist.......nope, can't do that without a letter that says x, y, and z.

I am NOT saying the standards of care are a bad thing; I think they're a nice little framework. But I do feel as though they've been used to gatekeep by many physicians and therapists.

I consulted with a plastic surgeon for my top surgery long before I started testosterone. Truthfully, when I had that procedure done, I had no intention at all of starting T. This surgeon had done a number of chest reconstructions and felt comfortable talking with me and making that decision for himself. I appreciated that; my body, my decision.

The therapist I had seen off and on was there for me for life and relationship stuff.....not gender identity.....even though that obviously came up from time to time. When I did make the move to consult with a physician about hormones, I had my therapist there as a back up in case a letter was required. Again, the doctor made the assessment on his own.

I just never liked the idea of jumping through hoops for something that is so damn personal and life-changing and critically important. It's not that I don't value the input of professionals. I just believe that I know me, my body, my wants, and my needs better than any itemized list that tells me what I need to do first and for how long.

This is obviously just my 2 cents. I'm certainly not trying to talk anyone into or out of anything.......just offering up how it all came together for me with hopes that maybe one or two things I say might clear up someone else's fog.

This is heavy, important stuff. One might argue that rejecting the "standards" is indicative of taking it all too lightly. It was quite the opposite for me. It was so scary and so *permanent* that I just *had* to do it my own way.....a way that felt safe and right *for me*.

:)

Absolutely agree 100%! I have researched this other stuff and I do appreciate everyone's input, but I was looking for more of other people's experiences rather than information that I already had. Thinker (and now I know why you have that name) I am exactly the same way. I am in my body no one else is. This is my life I have to deal with any consequences of any decisions that I make. I have to walk my own path. I don't need someone else telling me when I am ready to do something and when I'm not. The only reason it's taken me this long is because of the whole going to a therapist that probably isn't even transgendered that is going to tell me if they think that I'm ready. I only recently found out that quite a few guys didn't even need to go to a therapist. The medical aspect I understand but when it comes to my emotions and my body it's up to me.

Thanks again everyone for your input.

Ebon

[DapperButch]

To add what Dapper posted, this seems to vary from state to state/province to province and city to city. In NYC I didn't need a letter from a therapist. I ended up having a 30 min interview with a social worker and that was it. Even then it wasn't really required as the doctor, who specialized with gender variant people, was already ok with my decision. Part of this has to do with age, life status and the experience of the doctor themselves.

Now, I will say, that prior to this I had done about 9 months of a support group so a lot of the self-exploration that is often a requirement I had done.

I was speaking to WPATH's Standards of Care. It is not a state thing, and yes, any doctor can ignore WPATH's reccomendations for hormones or any type of surgery.

[Thinker]

The only reason it's taken me this long is because of the whole going to a therapist that probably isn't even transgendered that is going to tell me if they think that I'm ready.

The EXACT same thing was true for me, Ebon.

I totally get that...and respect it.

You can do this your way; it's just a matter of finding the right doctor.

[Linus]

I was speaking to WPATH's Standards of Care. It is not a state thing, and yes, any doctor can ignore WPATH's reccomendations for hormones or any type of surgery.

It's funny. I didn't know that there was a Standard of Care or that WPATH existed until after I started to medically transition. I always thought that the Hippocratic Oath (http://en.wikipedia.org/wiki/Hippocratic_Oath) was enough but learned, as part of this process, that there is far more than just what I believe and feel I need. I would say that the best resource I had for all this stuff was Hudson's FTM Guide (http://www.ftmguide.org/).

I'm glad that the standard is there. I do believe it's for those who are doing it for "fad" or because someone told them to do this. I think the challenge is because not all physicians can distinguish between the someone who really is a transsexed individual versus someone who doesn't really know and is doing this for the wrong reasons.

[The Oopster]

Did anyone go to the doctor and ask to be put on T without needing a letter from a therapist? If so did they just put you on T or did you have to do some tests first and wait for the results? Can the doctor say no is what I'm asking. Also did anyone have issues with hbp and was still able to take T?

Hey Ebon...

I started without a letter from a therapist. I had a letter in my possession, but the doctor never asked. That damn thing is still sitting...sealed......in a file folder.

I started with a guy in DC who had a lot of exposure to the MTF community there. I think he had gotten to the point where he was pretty comfortable making that decision for himself after a couple of visits with the patient.

I don't recall the specifics, but I am almost certain he went through a laundry list of labs before I started. I remember that I did not get my prescription until around my third or fourth visit; even then, I started on a very low dose of a transdermal patch. We both wanted to ease into it slowly since I have a history of migraines that were often triggered by hormonal changes. I started injections after about 3 months, I think.

I did not have a history of high blood pressure, but I did see changes once I started on T; it was high almost always. After about a year or so, that was no longer an issue.

A doctor can certainly say no. Finding a doc who, like mine, is very familiar with the trans community and our issues/obstacles with health care is pretty important.

Absolutely agree 100%! I have researched this other stuff and I do appreciate everyone's input, but I was looking for more of other people's experiences rather than information that I already had. Thinker (and now I know why you have that name) I am exactly the same way. I am in my body no one else is. This is my life I have to deal with any consequences of any decisions that I make. I have to walk my own path. I don't need someone else telling me when I am ready to do something and when I'm not. The only reason it's taken me this long is because of the whole going to a therapist that probably isn't even transgendered that is going to tell me if they think that I'm ready. I only recently found out that quite a few guys didn't even need to go to a therapist. The medical aspect I understand but when it comes to my emotions and my body it's up to me.

Thanks again everyone for your input.

Ebon

The EXACT same thing was true for me, Ebon.

I totally get that...and respect it.

You can do this your way; it's just a matter of finding the right doctor.

It's funny. I didn't know that there was a Standard of Care or that WPATH existed until after I started to medically transition. I always thought that the Hippocratic Oath (http://en.wikipedia.org/wiki/Hippocratic_Oath) was enough but learned, as part of this process, that there is far more than just what I believe and feel I need. I would say that the best resource I had for all this stuff was Hudson's FTM Guide (http://www.ftmguide.org/).

I'm glad that the standard is there. I do believe it's for those who are doing it for "fad" or because someone told them to do this. I think the challenge is because not all physicians can distinguish between the someone who really is a transsexed individual versus someone who doesn't really know and is doing this for the wrong reasons.

I was also hesitant about doing what I needed to take care of my body the way I saw fit and having it have to be approved by a therapist. I'm not against therapy. I have done therapy for areas of my life that needed it but by the time I was ready to make changes there was no need to brood it over with a therapist. However my path was slow. I used other avenues of support to come to my decisions. If anything I'm the type of person who needs a prod at doing something versus doing first and thinking second.

In fact I even feel life gave me the prodding. My T levels were low. So my normal physcian put me on the cream. I had other health issues and actually the higher my T level went on the cream the stronger I seemed to get. After a couple of years of this I was as high as the cream could go and be effective. At this point I already had 2 jobs that accepted me as male. Again another prodding by life. The first job my boss wondered, asked his therapist what he should do, and his therapist said to just ask me. From that point even though my government id still has the "F" my jobs have let me be Koop. The second job was funny because they started out calling me she, I rarely saw the people and it just wasn't worth going into but by the time I left everyone called me he. They figured it out. The only reason they called me she is they had seen my gov't id and knew. They realized all the clients didn't see my id so they didn't know and they called me he. In fact it's cool cause my id for that job has koop on it. It actually helped me get my mail at the post office. The guy was hesitant, and I said if you had this name, my birth name, would you want anyone else to know it? hence if somebody mails me something it's going to say Koop. "He said, you got a point, and let me sign for the package."

When it was time to go on the shots and to have my top surgery any of the drs I've seen just asked questions and could observe that I've been doing this for awhile and it's not a whim. I'm also in a recovery program and a lot of my self examination came through that program. If I wasn't i may have needed therapy. But I have changed in front of hundereds of people and again the professionals know that someone doesn't do that on a whim.

Now with that said there are drs here that are well established in the community that still expect that stuff, no exceptions. I chose not to go to those drs.

Now all the blood work and stuff I did have done and is monitored. That is important. It is also important to have it monitored by someone familar with ftm patients. My experience is everyone wants to blame every health issue that comes along with me on the T. Having a dr. who has dealt with lots of people I can get a proper assessment to whether that is a possibility or not.

[DapperButch]

Wow, Hudson's Guide has really expanded since I looked at it last! Yes, a great resource.

[J. Mason]

I am very glad this thread is around!

Now to get the ftm cock thread going!

[Ebon]

Anybody just felt like dropping and doing pushups when they started T?

[Liam]

Anybody just felt like doing push ups when they started T?


Yes, and climb mountains too!

[Ebon]

This is why I tried to go the natural way but it was taking too long. I have to go through all of this crap to align my body with my soul. Apparently the new standards of care don't mean shit.

[The Oopster]

Anybody just felt like dropping and doing pushups when they started T?

Actually since I've had my chest surgery if I walk past a mirror and don't have my shirt on I start doing sometype of resistance excercise ... can be push ups to pretend push ups to whatever.

[theoddz]

Anybody just felt like dropping and doing pushups when they started T?

I can't say that I ever really felt like dropping and cranking out a bunch of pushups, but I remember nearly constantly feeling like I needed to stretch. I'd wake up in the middle of the night and just need to stretch my entire body out. It'd actually wake me up out of a perfectly sound sleep.

One of my dear ex's, also a Southerner and full of "those sayings" we Southerners are so well known for coming up with, used to say this all the time:

"I'd stretch a mile if I didn't have to walk back."

Yep, that was exactly what it felt like.

~Theo~ :bouquet:

[GPS]

This is why I tried to go the natural way but it was taking too long. I have to go through all of this crap to align my body with my soul. Apparently the new standards of care don't mean shit.

Its really hard doing the natural transitioning. you need to put your body first and in that instance you feel the slower end of the transition.

i have a very good friend that does it naturally for the most part, although he's finally on T. i think after top surgery you just seem to want to push forward and not feel "stuck" in that same routine.

good luck to you.

[1ladyface]

Its really hard doing the natural transitioning. you need to put your body first and in that instance you feel the slower end of the transition.

i have a very good friend that does it naturally for the most part, although he's finally on T. i think after top surgery you just seem to want to push forward and not feel "stuck" in that same routine.

good luck to you.

Natural transitioning: Does that mean herbs and things that naturally increase testosterone rather than doing T shots? Apparently I have lot to learn. I'm gonna keep lurking this thread... Thanks for your openness all! (f)

[Linus]

Natural transitioning: Does that mean herbs and things that naturally increase testosterone rather than doing T shots? Apparently I have lot to learn. I'm gonna keep lurking this thread... Thanks for your openness all! (f)


Yes. There have been some blogs on how to do this and it's interesting but it's extremely slow and can only go so far. That said, there should be still caution as to the effect on the liver going this route and it should be done with medical guidance.

[Leigh]

Hey everyone,

I figured I would come in and talk to you guys about some stuff thats been on my mind for about 2-3 months now. I've been making some very serious life decisions and I've gotten to the point where I really have to do whats right for me and one of the biggest decisions I've made is to stop my transition from female to male and go back to being the female that I was before. I realize that taking hormones and transitioning is a HUGE deal and I just want everyone here to know that I never took that lightly when making my decision to even begin the process. I had *no* doubt in my mind that I even wanted to transition when I began and I'm not sorry that I did - I've learned alot about myself and have gotten in touch with my body in ways I never knew existed.

This hasn't been an easy decision and I have talked with My family and friends about it ....... they all say that as long as I am happy they still support me and I am sure I will receive support here too. I have a doctor's appointment next month in which I plan on talking to him about permanently stopping male hormones and seeing what I need to do about going back to my old female safe. I know that just as its a big decision to come out as FTM, its also a big deal when someone decides that they want to go back to who they were before but I'm just glad that I did not have any major surgeries before I made this decision. About three months ago I noticed that I was starting to not feel like a guy anymore - I didnt think much about it until I realized that this was an everyday thing.

I did hours upon hours of soul searching, talked to family and friends about it and came to the decision that I was never truly a guy in the first place - perhaps it was just my way of trying to find my place in the world. I've never taken any of this lightly as I said before and I have such a true appreciation for everything that a trans person goes through because its certainly not easy. I am always going to be a big supporter of the trans community and want all of you guys to know that I think of you like brothers - I thank you all for letting me be such a close part of this community, I will still be around as a trans supporter and friend no matter what :)

Each and everyone of you rawk big time!!!! :thumbsup:

[Greyson]

Matthew, I respect your choice and candor. Being a "guy" looks different for everyone.

To give much thought and reflection to your transitioning or not, is part of the process. Best wishes to you Matthew.




Hey everyone,

I figured I would come in and talk to you guys about some stuff thats been on my mind for about 2-3 months now. I've been making some very serious life decisions and I've gotten to the point where I really have to do whats right for me and one of the biggest decisions I've made is to stop my transition from female to male and go back to being the female that I was before. I realize that taking hormones and transitioning is a HUGE deal and I just want everyone here to know that I never took that lightly when making my decision to even begin the process. I had *no* doubt in my mind that I even wanted to transition when I began and I'm not sorry that I did - I've learned alot about myself and have gotten in touch with my body in ways I never knew existed.

This hasn't been an easy decision and I have talked with My family and friends about it ....... they all say that as long as I am happy they still support me and I am sure I will receive support here too. I have a doctor's appointment next month in which I plan on talking to him about permanently stopping male hormones and seeing what I need to do about going back to my old female safe. I know that just as its a big decision to come out as FTM, its also a big deal when someone decides that they want to go back to who they were before but I'm just glad that I did not have any major surgeries before I made this decision. About three months ago I noticed that I was starting to not feel like a guy anymore - I didnt think much about it until I realized that this was an everyday thing.

I did hours upon hours of soul searching, talked to family and friends about it and came to the decision that I was never truly a guy in the first place - perhaps it was just my way of trying to find my place in the world. I've never taken any of this lightly as I said before and I have such a true appreciation for everything that a trans person goes through because its certainly not easy. I am always going to be a big supporter of the trans community and want all of you guys to know that I think of you like brothers - I thank you all for letting me be such a close part of this community, I will still be around as a trans supporter and friend no matter what :)

Each and everyone of you rawk big time!!!! :thumbsup:

[Logicaly]

So the doctor decided to put me on niaspan for my cholesterol, but it turns out the prescription version of that is around $300 for someone with no health insurance. So instead I am taking over the counter Niacin in a slow release version, and let me tell you, the flushing, not fun. I looked like I had a gnarly sun burn on my face.

I am taking 500mg of it a day to start, and hoping that I can get myself off of it within 3 months. I've added a ton of natural cholesterol reducing items to my diet and am stepping up with the gym stuff so I don't have to keep taking niacin.

[ButchEire]

I guess i'm joining this group! I guess i'm also fortunate in that when girls in my high school were anticipating growing breasts, I was desperately wanting to grow facial hair. They got their wish and do did I,lol. I've been shaving since I was 16, with no supplemental hormones. In the 90's, in an attempt to "fit" into the butch mold better, I had three extensive electrolysis treatments, each months at a time, several times a week. The hair invariably came back and I much prefer having it than not.

[The Oopster]

So the doctor decided to put me on niaspan for my cholesterol, but it turns out the prescription version of that is around $300 for someone with no health insurance. So instead I am taking over the counter Niacin in a slow release version, and let me tell you, the flushing, not fun. I looked like I had a gnarly sun burn on my face.

I am taking 500mg of it a day to start, and hoping that I can get myself off of it within 3 months. I've added a ton of natural cholesterol reducing items to my diet and am stepping up with the gym stuff so I don't have to keep taking niacin.

What type of T dose are you taking. I'm down to .25 ml every other week. There are times for endurance and muscle strength I'd like more but it helps keep some of my other negative effects at bay.

[Logicaly]

What type of T dose are you taking. I'm down to .25 ml every other week. There are times for endurance and muscle strength I'd like more but it helps keep some of my other negative effects at bay.

I am taking 1ml every other week. The 26th of this month marks my 1 year for having been on T. I don't think its so much the T that is causing my cholesterol to be bad, in fact, I know its not. I really have no one to blame but myself. I've been struggling with this for a year, since I first started looking into taking T. I eat bad, I don't exercise like I should. I know that now that I am eating healthier and exercising that in 3 months I should be able to stop taking the niacin.

[Greyson]

I guess i'm joining this group! I guess i'm also fortunate in that when girls in my high school were anticipating growing breasts, I was desperately wanting to grow facial hair. They got their wish and do did I,lol. I've been shaving since I was 16, with no supplemental hormones. In the 90's, in an attempt to "fit" into the butch mold better, I had three extensive electrolysis treatments, each months at a time, several times a week. The hair invariably came back and I much prefer having it than not.

Please do not take my post as a personal attack. It is not meant to correct or shame you. I do want to point out that the "Butch Mold" is varied. There are butches who prefer and have facial hair. Actually, I am aware of some "femmes" that are okay with having facial hair.

I know as a result of being part of the B-F online communities, I have evolved in my thinking of what is butch and what is femme. I do identify as a Transmasculine Butch. Meaning I was butch identified for most of my life then decided on transition. For me, besides the change in legal status as male, not much of my world view and how I experience it has changed. What has changed, sometimes, is how I am perceived and treated by others. AKA "Male Privledge." It can be both blantant and subtle.