D-Day?

Or should that be E-Day? Yes, I think it should. Well after several months of ticking down months, then weeks, then days and dealing with the associated anxiety that came with it today was the day. The day I go find out if I can get myself onto hormones. I’ve been self medicating for six months now, using the pill they give women to stop them falling pregnant as this could be obtained from a pharmacist rather than take my chances on the internet. It isn’t perfect and does nothing to block testosterone, but it was a start. I was slowly developing a feminine figure and happy with what I was seeing, but it was a stop-gap measure. I am fully aware it’s not good in the long run, hence booking an appointment to see an endocrinologist privately and get things organised instead of waiting who knows how long for the NHS.

Before I go any futher, I’m going to point out I’m not going to sugar coat or hold back here. There’s plenty of talk about sexual function and nudity, stuff that can be dysphoria triggering and talk of depression and self harming. Don’t say i didn’t warn you, and as a friend of mine says; “Transition isn’t all tits and rainbows”.
I’ve been worrying like hell about today, going through so many what-ifs and reasons why things might not go to plan and having to deal with bouts of anxiety that at times threatened to cripple and overwhelm me these past couple of weeks. Anyway, 9.30am rolled around and so hubbie and I got into the car, complete with my folder containing all the information, consultations and test results from my transition and headed on up to Enfield to the King’s Oak hospital and my appointment with Dr Seal at 11.45, with the usual battle between my music (which I use to relax in the car as long distance travel and travelling at speed can both set my anxiety off) and Richard trying to listen to the brand new sat-nav he bought the day before to make sure we got there OK and in time.

A couple of bouts of road rage on his part and me trying to be irreverent and funny on Twitter later we get there a full hour early. That’s part down to me despising being late for anything and getting highly wound up if I am late and partly because I know the M25  and Dartford too well to not factor in long and ludicrous delays. Still, that gave us time to have a drink and time enough for my anxiety to continue to play merry hell. If that weren’t enough, Richard had one of his chest seizures in the waiting room and I spent 10 minutes supporting him and reassuring everyone that everything will be OK in a minute. Horrible timing, but not his fault and not much he can do about them and all I can really do is stop him smashing his head up.

Anyway, that extra and unwanted drama sorted out I get called and we go in to see Dr Seal, where he explains what’s going to happen, that he’s going to ask questions and a bit later on he’s going to take some measurements,  examine my breasts and my genitalia. Eep! I had an idea that might be happening today and I thank my lucky stars I had a good trim down there and that I hadn’t overdone the Christmas eating this year.

But first the questions, oh so many questions. I was asked about my birth and early life, if there were any complications at birth and my development. I was born just fine, if rather late and as for my development, that was fraught at times, between having ADHD and being pretty slow learning to talk.

Once again I was asked about my earliest memories of gender dysphoria and I recalled how I wanted to be called Chrissy when I was 8 among other things that pointed towards things not being quite right. I got asked about when I started wearing women’s clothing, which started with me borrowing sisters stuff, getting girly stuff from charity shops as a late teen and then introducing dressing up a couple of years into my relationship with Richard and how I felt good wearing what I wore and felt awful havijg to take everything off and soon learning it wasn’t a sexual thing going on there. Family history was next and I was asked if any one else in the family who were homosexual/ bisexual or had a history of being transgender/sexual.

Next came questions about puberty, how it went, how I felt and so on, so I went into some depth about feeling very awkward about my body, hating my body image and things I did to lessen those feelings, such as getting rid of my body hair as well as being asked how my body developed, including asking if  had any breast development then. Sadly no, all that happened was a lot of hair appeared and I went from a short and stubby fatso with a 30″ waist to being 5’10” and having the same waistline.

My mental health was discussed and if I had any depression or history of mental illness, always a fun topic, especially being asked to recount if I self harmed, how I did it, if I tried to take my own life and how I went about that. I won’t go into too much detail here, I’ll just say I’m lucky that I’m still here, didn’t do more damage than I have done when I used to self harm, though I also recalled how the black cloud that’s sat at the back of my mind most of my life disappeared once I came out.

I then got a load of questions on how I eventually came to the decision I made and came out as being transgender, so I described how I felt when I used to dress up for fun and felt awful when I had to take the ladies clothes of afterwards, how I eventually got clued up on things and spent a couple of years wondering if I was genderfluid before sinking into a real hole this time last year because I finally worked out I was trans and didn’t know how the hell to tell Richard. We discussed if Richard had been supportive, leaving aside the fact he’s just driven me to my appointment and helped me get through some of what I’ve been asked,  described how he’d wait for me by the door with my clothes when I wasn’t out at work and he’d shoo me upstairs to get changed and feel happy, among other things he’s done, as well as discussing how I came out to him. Family support was discussed, how I came out to them. Richard had to tell them because I’d worked myself up into an anxious and non-verbal mess that day, and we described how dad and his mum had both said it was about time I did this and how awesome mum’s been throughout. I described how much of a help being on Twitter has been, how we all chat to one another, giving advice and being supportive to one another and generally how awesome you all are 🙂

I also described the time after I came out to family but before I got work sored out, how I was living a double life, how Richard supported me with dealing with that and discussed how I eventually came out and how the work transition was handled.
I was then asked about relationships, how many partners I’ve had and my own sexuality and sexual function. That’s pretty simple. I’ve only had three or four serious relationships with guys and a couple of platonic ones with women. As for sexual function, Richard was very helpful with helping describe how I’ve found intimacy awkward for a long while, years before I came out and how he thought something had been up but wasn’t sure but now he looks back everything made sense now, as well me basically saying I don’t want any sexual function down there, I just want the damn thing gone.

So that’s the psychoanalysis pretty much done and over, now for the physical part of the exam. I was asked what procedures I was looking at having, the only one being getting my bits turned inside out and then my weight, height and blood pressure were taken, all normal. Then I was asked to go behind a screen and get into a surgical robe while a female chaperone was called in. That was new and weird. I did ask if it was OK to just have Richard there but for legal reasons a chaperone had to be present. With that done I lay down on the bed and had my breasts checked over, including being shown how to check them for breast cancer. Again something new and something I wasn’t expecting today but nice to know how now. Then the other bits got looked at. Needless to say I felt terrible when this was being done given I hate touching those parts myself, never mind anyone else doing it. I just closed my eyes and tried to take my mind elsewhere. A couple of minutes later I was told I could get changed and oh by the way you won’t need electrolysis down there, which I found surprising and we’ll see if that still holds up in the future.

After all that excitement and being dressed and sat down again, then came the question. “Would you like some oestrogen?” Best question I’ve had asked in a very long time. We discussed ostrogen and was prescribed Progynova, which I can get myself with a prescription, and Decapeptyl, which is the testosterone blocker and is a 12 weekly injection, and which I can sort out once my GP gets the confirmation letter from Dr Seal. Aside from that I was advised to get a blood test done in 8 weeks time and make a follow up appointment in three months time to review things and possibly increase my dosage if things go well.

In short, today went as well as it could have done, though I couldn’t have done it without Richard at my side and helping me along when I needed it. I know this is tough as hell for him and I hate putting him through all this, but he really is my rock and I am so glad he’s sticking around for this journey. We drove back home, dodging a series of suicidal drivers on the now wet M25 and celebrated in style: A trip to the chippy and a pint of Hobgoblin apiece.

 

 

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