Overview of My First Year of HRT (2021-2022)
Hi, my name is Sylvie, and I'm transfemme! I started hormone replacement therapy on September 25th, 2021 and I've been through quite a lot on my journey to a year of HRT so I'm making two separate posts: this one focusing on the medical side and physical changes, and another that will focus on the social side of transitioning. So, here we go!
I realized I was trans the last week of August 2021, then September 9th I came out publicly, September 15th I had my first appointment with Plume, and I received my first Estradiol script September 24th, but consider my official "first day" of HRT the 25th.
I started HRT on sublingual Estradiol pills, 2mg twice a day (morning and night). Psychologically, taking the first pill hit me like a psychosomatic lightning bolt, and the first meaningful change estrogen granted me was an opening of my feelings- I could suddenly experience a "true range" of emotion, I experienced ambivalence for the first time. Physically, within the first week, I was experiencing tingling in my chest/nipples and by three weeks they actively ached, and after about two months my nipples looked different (darker, larger), and my chest started to stick out (36" to 37")
At 2 months my Estradiol was increased to three times a day and Progesterone 100mg (at night) added. By two months, my body's sensitivity had reached astronomical levels, particularly in areas that weren't sensitive before: for me, this was my nipples, armpits, and butt. My skin overall became more sensitive, slight touches made me quiver and my pain tolerance dropped sharply. During my second month my body's smell changed too and my sweat production cut back.
At 3 months, Spironolactone 50mg once a day (morning) was added and during this month my nipples had noticeably expanded and become dark enough to see through shirts, and my chest had grown enough to be noticeable small mounds in a tight shirt (38"). Also by 3 months, random erections completely stopped happening, whether asleep or awake.
Between months 3 and 5 a lot of things happened in my life; the stress and inactivity caused me to lose 50 lbs. As a result, I lost a ton of muscle mass. My thighs, upper arms, and butt became soft and jiggly, I could not lift things I could before, even with great effort.
3 month bloodwork results: E @ 133 and T @ 320
At 4 months, I asked my doctor for Finasteride, which is a DHT blocker- DHT is an androgen created by testosterone and an excess of DHT is related to hair loss, as well as some research I read back then relating to DHT and thicker/darker body hair. Since starting Finasteride, I have only shaved and used Nair on my body itself and I have experienced 75%-80% body hair loss, and much of what hair remains is now vellus hair (light, short, soft).
Between months 4 and 5, I started experiencing sexual dysfunction. Even if aroused, it was a 50/50 shot of whether I could get hard or not. Likewise, I began producing much less semen. This was when I started experimenting with different forms of masturbating too (i.e. using a vibrator).
Between months 5 and 6 I started gaining weight again, and this was when my breast growth was the greatest, going from 38" to almost 41". However, in the growth it seems I lost the sensitivity I had in the early months- my nipples and armpits are still erogenous zones, but not as potent. Additionally, I noticed fat redistribution caused my hips and waist to take a more stereotypically feminine, almost hourglass appearance (and increased from 32" and 34" respectively to 35" and 38" by 10 months).
6 month bloodwork results: E @ 258 and T @ 22
Months 7, 8, and 9 saw only slight breast growth (41 1/2") due to losing weight again from stress, but at this point I have very little body hair left, and even areas which were full before (armpits, groin) thinned out significantly over time- the most astounding of all being my butt, which the cheek hair just disappeared without me doing anything, like the hair just fell off.
Somewhere during months 8 and 9, I completely lost the ability to become erect without medication (doctor prescribed me Sildenafil, aka viagra) and no more ejaculating. Reaching orgasm became a concentrated effort instead of something that came easily, and very little clear liquid would come out during.
9 month bloodwork results: E @ 57 and T @ 28
For some reason my levels dropped between 6 and 9 months, and during that time I became very mentally and emotionally unwell due to the hormone imbalances. My doctor suggested a few things: me not waiting/letting the pill dissolve long enough in my mouth or the pill just not having the same potency on me anymore. So...
At month 10 I started injections and almost immediately started feeling much better. There is a hormonal low day for me every week, the day before I do my injection again, but it's not hard to deal with. I feel like myself!
Now months 11 and 12, nothing really noteworthy to update except I'm desperately trying to eat more so I can gain weight to grow my boobs. Just stopped taking Spiro though, but I use Tgel to maintain my girldick because I'm a Switch.
Lastly, I'd like to say I'm open to any questions anyone might have, and I'll do my best to answer them. You can DM me, email me secretly from a fake account (
[email protected] is my email), whatever! I just hope this information is of some value to someone out there!
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Heya my DIY friends: You do not transition faster or get more manly/feminine by using more than your effective dose of HRT. It's an 'on' switch on puberty, not a speed dial. A lower dose will slow it down (kinda) but you can not make a puberty go faster or further by taking more and more. It has an unmovable maximum speed.
Folks on estrogen: if you're not getting all the results you want, consider whether adding progesterone and/or testosterone-blockers are right for you. Combi therapy might take you further than constantly upping the E dose. Each medication has its own risks and side effects so read up before you start.
Folks on testosterone: taking too much actually makes you transition slower 'cause your body converts excess T back into E. The only thing you might speed up that way is balding. Sorry guys, dial it back a bit and you might actually see more results.
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Seeing a trans blogger shitposting about the side effects of progesterone, except they're abbreviating it "prog" the whole time, and I'm just sitting here like, okay, I enjoy 70s rock as much as the next nerd, but apparently some of us are appreciating Deep Purple on a whole other level.
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THANK FUCKING GOD
"The Supreme Court on Thursday [June 13, 2024] unanimously preserved access to a medication that was used in nearly two-thirds of all abortions in the U.S. last year, in the court’s first abortion decision since conservative justices overturned Roe v. Wade two years ago.
The nine justices ruled that abortion opponents lacked the legal right to sue over the federal Food and Drug Administration’s approval of the medication, mifepristone, and the FDA’s subsequent actions to ease access to it. The case had threatened to restrict access to mifepristone across the country, including in states where abortion remains legal.
Abortion is banned at all stages of pregnancy in 14 states, and after about six weeks of pregnancy in three others, often before women realize they’re pregnant.
Justice Brett Kavanaugh, who was part of the majority to overturn Roe, wrote for the court on Thursday that “federal courts are the wrong forum for addressing the plaintiffs’ concerns about FDA’s actions.”
The opinion underscored the stakes of the 2024 election and the possibility that an FDA commissioner appointed by Republican Donald Trump, if he wins the White House, could consider tightening access to mifepristone, including prohibiting sending it through the mail...
Kavanaugh’s opinion managed to unite a court deeply divided over abortion and many other divisive social issues by employing a minimalist approach that focused solely on the technical legal issue of standing and reached no judgment about the FDA’s actions...
While praising the decision, President Joe Biden signaled Democrats will continue to campaign heavily on abortion ahead of the November elections. “It does not change the fact that the right for a woman to get the treatment she needs is imperiled if not impossible in many states,” Biden said in a statement...
About two-thirds of U.S. adults oppose banning the use of mifepristone, or medication abortion, nationwide, according to a KFF poll conducted in February. About one-third would support a nationwide ban...
More than 6 million people [in the U.S.] have used mifepristone since 2000. Mifepristone blocks the hormone progesterone and primes the uterus to respond to the contraction-causing effect of a second drug, misoprostol. The two-drug regimen has been used to end a pregnancy through 10 weeks gestation...
Biden’s administration and drug manufacturers had warned that siding with abortion opponents in this case could [have] undermined the FDA’s drug approval process beyond the abortion context by inviting judges to second-guess the agency’s scientific judgments. The Democratic administration and New York-based Danco Laboratories, which makes mifepristone, argued that the drug is among the safest the FDA has ever approved."
-via AP, June 13, 2024
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Note: A massive relief and a genuine victory - this will preserve access to the medication used in 2/3rds of abortions last year, for at least another 2 years. (Probably minimum time it will take Republicans to get their next attempt before the Supreme Court.)
Still, with this, a sword that has been hanging over our heads for the last two years is gone. There will be a new one soon, but we just bought ourselves probably at least 2 years. The fight isn't over, but this is absolutely worth celebrating.
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