#trans documentation

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*deep breathing*

fuuuuuuuucccckkkkkkkkkk

Okay. So. I'm not gonna list off everything that's happened since the year started. So many independent things started happening, one after the other, that I had to start formatting it as a bulleted list to tell people I know irl what's been going on. Each one has been a crisis on its own- massive emotional events, health problems, health problems in people close to me, transphobic drama with former "friends", academic&research problems, and a resulting mental health spiral. And all of this leading up to my qualifying exams at the end of February, for which I barely scraped by and passed.

But. With all of this. There's silver linings.

The biggest one is that the start of this year has been a stress test of my overall emotional state since starting HRT. I'm not gonna lie- if all of this had happened a year ago, I don't think I would be here now. I either would have completely snapped and done something I regret, or... yeah. But as it stands? I cried. A lot. I isolated a bit. I had mood swings and anxiety and anger and excitement and relief and highs and lows beyond my wildest dreams. It was intense. It was not pretty. But it was cathartic, and healthy. Before this, I would've processed all of this as a generic, stressful, anxiety-ridden malaise, that would've weighed down on me until a breaking point. As it stands, however, I made it. Not in a neat way, not even really in an emotionally stable way, but I made it. And there is no fucking way that would be true pre-HRT. I think I can genuinely say at this point that estrogen has been life saving for me.

In the middle of all this, I switched to injections, right at the start of February. A mistake? Maybe, but I'm too fed up with delaying my progress because "the time isn't right", so I stubbornly refused to delay that change any further. It's a goal I worked out with my provider ahead of time and I stuck to it. So how's that been?

It's been an incredible and WILD experience. I'm on estradiol valerate. For those that don't know, estradiol is conjugated with another compound, which is then cleaved over time in your body to release it. For injections, that results in a peak irculating levels about 1-3 days afer injections. Some people feel it more than others- and holy shit, do I feel it. This has given rise to "the Sundays", because on Sundays, I'm going fucking nuts. My senses are heightened, and I start craving and reacting to physical touch in intense ways. It's not always sexual- while arousal comes easier to me the closer I am to peak, mostly I just become a cuddleslut. It is WILD. I'm also more emotional and cry more easily. Some cis female friends I have confirmed that it mirrors the feelings they get at a certain point in their monthly cycle, so essentially the fluctuating levels are giving me the sensory and emotional effects of a period every week.

The flip side of this is that I feel like shit on Thursdays, like I missed a sublingual dose when I was on that. After the first two weeks, I started taking 2mg sublingual on Wednesday night and Thursday mornings to avoid this, which helped a lot. My provider specifically said this was a good idea, so if you're dealing with that yourself, consider trying it out. I might move to a 5-day injection interval instead, but we'll see.

I've only had one problem with injections so far, which I'm dealing with right now- on my fifth self injection ever, I had unsteady hands and hesitation before stabbing myself, causing a not-great needle stick. Currently, I have a nasty looking injection bruise. Not painful, and healing pretty well, but not fantastic to look at. Self injecting has been intimidating and scary, moreso than I thought it would be. But the actual physical pain is much, MUCH less than I thought it would be, its just that the lizard brain refuses to stab yourself.

If you're thinking of switching to injections, here's a bit of my advice:

keep as many oral/sublingual pills on hand as you can anyways. These will be helpful if you feel your injections aren't carrying you emotionally for the entire interval, or if you don't have an environment where you can inject regularly

If you have a provider, they should provide a nurse tutorial and consultation for you to inject properly. If they don't, try to insist on one. They'll give better advice than I can.

think less, do more. Ideally, the actual moment of the stab should be painless. Be quick and steady about it. The fluid entering feels like pressure and slight burning, but nothing more than that.

vary your injection sites. A doctor or nurse should explain this to you, but this reduces risk of doing what I did and bruising yourself.

be extremely sterile about things. All of the wiping down and sterile technique you'll hear? Don't fuck around with it. Infection is no joke, and absolutely can happen.

Purchase spare needles and syringes from a pharmacist or online. Several reasons for this- one, if you make a mistake and a needle is no longer sterile, you don't want to hesitate about throwing it away. And two... well, let's make a second point about this.

If you want to stock up on estradiol for the future (if you're worried about future access to HRT), this can be easier with injections- but you have to be careful, and you'll need extra needles (for the love of fuck, do not reuse needles). Vials will always have excess medication, because it allows standard volumes to fill and distribute, and it also ensures that needle draws will always be able to be fully submerged. Do NOT try to run your vial out. You WILL run into sterility and contamination issues. That said, vial expiration dates are typically measured from time of first puncture. This will vary, but for me, I was told that the vials are good for 4 weeks after the first puncture. This is overcautious, but not egregiously so. My recommendation would be to use each vial for 1-2 extra punctures, and open the next vial a bit later. Still get prescription refills as frequently as you can. That way, you can stock up on unpucntured vials in case anything happens to your supply. THIS SAID- if you notice ANYTHING wrong with the vial- if the seal isn't containing the fluid properly, if bits of the seal are falling into the medication, if you can see a noticable hole in the seal, DO NOT USE THAT VIAL. Look me in the fucking eye. Do. Fucking. NOT. get sepsis. Do not fuck around with this. The flexibility to be cautious about your vials is a great reason to stock up on a bit extra in the first place.

To anyone in the US, if you're comfortable with doing this to stock up, I would highly, HIGHLY recommend starting this now. Slowly start using your vials for 1-2 punctures extra, stock up unbroken vials. Just in case something bad happens after the elections.

Typically, your medication will come with two sizes of needles- a draw needle (puncture the seal and draw medication into the syringe) and an injection needle. You might want to consider going *slightly* smaller on one or both of those needles. Estradiol is dissolved in a viscous oil as medication, and can be difficult to draw and dispense as a result. But, if you're patient, a smaller gauge might help. For the draw needle, it can help do less damage to the seal and preserve it a bit longer. For the injection needle, if you have a bit more sensitive skin, it might be comforting. Don't deviate too much, though, ESPECIALLY without a medical professional involved.

Remember that I'm not a medical professional, please consult one whenever possible.

I'm still on spiro for now, and I'm continuing it until my next levels check comes back clean. I don't want to erase months of progress getting my levels up by dropping it too early.

Measurement-wise, there hasn't been much change. But I'm starting to realize that the measurements aren't really telling the full story. My breasts look so much larger and, for lack of a better word, breast-like than they did even a couple months ago, but that hasn't been coming through in the measurements very well. I think what's happening is that my fat around my sides is shrinking at the same time my breasts are growing. This is reflected a bit in terms of underbust and waist measurements, but it still seems more dramatic than those are letting on.

Face wise, I think I'm really seeing some changes now. It's hard to put into words, but I'm starting to look more and more androgynous or femme by default, especially if I shave. I'm estatic, honestly, and I hope the trend continues. My chin and nose continue to be problems, but as the structure of the face around them changes, that's becoming less and less true.

I've been getting laser, but so far it's done pretty much nothing. There's lag time, and some of my health issues meant that I had to delay a session and get both sessions at a much lower power than I would've like. I was really hoping to have visible hair removal by June or so, but it looks like that's not happening. That kinda stings, and is a huge blow to my ability to pass by the one-year mark, which has been my target.

I think my boymoding has been holding, for the most part, although its been harder. Even with my sports bras, small bumps are visible under a t shirt, and the face changes won't be unnoticable forever. I've def been more loudly bisexual, and I think most people just write it off as me being fruity. Cis people can also be pretty oblivious, especially when changes are gradual. That being said, I've been coming out slowly to people, giving my usual speech of "I'm still presenting as a man for now, but just so you know this is what's going on", which removes a lot of the pressure and anxiety from boymoding. Still, I haven't told everyone (notably, labmates and family), and my timeline of social transition between June and August seems to be holding steady.

If I didn’t say this before, the information in the spreadsheet is only part of what I’m logging monthly- I have a more extensive record that includes things that feel just an ooch intrusive. This also includes a SHITTON of progress pictures in neutral poses and expressions that I’ve standardized to be the same across the months. I mention this bc I can def see some progress in these pictures. Mostly, I think this has to do with my lower body and waist shape. My ass has def gotten a bit bigger, but the reason my hip measurement hasn’t changed is because that measurement is still dominated by my thighs, and the place where growth is happening is still slightly offset from the largest hip measurement, which, as far as I know, is where it's supposed to be taken. 

My breasts have also gotten a lot more distinctly breast-like in their qualitative visual appearance. I think this is a combination of the bust to band size/waist ratio getting better, as well as the breasts filling in more. My nipples are less protruding than last month, and the breast is forming a bit more of a mound as opposed to just essentially the bud forming. Eg, there’s actual structure there now. I can actual hop up and down and yes, they do jiggle. Still, the nipples are leading the charge. I’m a little worried about “cone tits”, or breasts where the nipple develops and pushes out without giving much of a rounded shape to the surrounding tissue. I think its a bit too early to tell, however. I’m hoping to get some nice, serious development in before I start progesterone, and the way things are going… yeah, I think I’ll be good there. Obviously I don’t want them to stop anytime soon, but if my boobs continue at this rate, I don’t think I’ll have anything to worry about chest wise.

The sensitivity “cycle” I’ve been going through does seem to have continued, although the timing of it is erratic. I do very clearly go through bursts of higher erotic sensitivity, followed by uncomfortable sensitivity, followed by a lack of sensitivity. The timing, again, is erratic. We’ll see what it stabilizes to long term- this could be a very unstable transfemme period (side note, I know that’s a controversial topic in the trans community. There’s very little data on the subject, but I do believe it is likely that its happening. The estrogen pathway can easily be cyclical when started. But I digress, I’ll relate my personal experience to that as time goes on and keep my eye out for any papers.).