Ask a trans person!

[DapperButch]

Originally Posted by cathexis

/bump

Started T 125mg IM every other week for gender dysphoria. When have folks on this thread started to notice results?

Know it's a small dose, but the doc who has a clinical interest in treating trans folk doesn't seem willing to increase the T. When I asked her, she claimed to be uncomfortable increasing the dose due to the fact that I smoke cigarettes. Does this sound like an excuse to anyone?

Any advice would be helpful expect changing docs. She the only one in a 50 mile radius whose clinical interest is in transgender services.

Change would be very slow at .125mg. It is never a recommended starting dose. Ask her where she is getting that dose from? Assuming she is an Endocrinologist, suggest she follow the guidelines set by the Endocrine Society. Assuming she isn't an endocrinologist, tell her she should follow the Endocrine Guidelines, anyway.

But, yes, you are not supposed to be on testosterone if you smoke. But, then again, we don't give natal males testosterone blockers because they smoke, do we? I suspect you doctor is just uncomfortable prescribing hormones.

For whatever reason, she is agreeable to it. If she is going to prescribe the treatment, she needs to get some training on the proper care of the transgender patient. Personally, I would print out the Endocrine guidelines and bring them to her. 'Course that may piss her off, lol.

https://academic.oup.com/jcem/articl...0/jc.2009-0345


http://www.bumc.bu.edu/endo/clinics/...ne/guidelines/