Happy 6 months to Laine!!! Yes, this is week 26…officially halfway though the first year!!! I feel like we should have had cake or balloons or something after his shot this morning…but instead of throwing a party, lets talk about a topic that so many avoid…the reality of the health and proper healthcare of trans*men.
I am certainly not a doctor. I have no professional medical training. So everything mentioned here is strictly Laine’s experience and my personal opinion. That being said, I am discussing it simply because so many don’t discuss it and so many don’t realize it needs to be discussed.
When Laine began this process, there was a lot of research that took place regarding the effects of hormone replacement therapy (aka: taking testosterone.) There are the obvious effects, the public, visual ones such as the facial hair growth, the broadening shoulders and the voice tone drop. There are the not so public ones (unless you read this blog, then everything is pretty much public information) such as clitoral growth, and the excessive sex drive.
What most websites don’t tell you and what we have discovered even some doctors don’t stress enough, is how much is going on INSIDE a body in transition. There are effects that can’t be seen and maybe not even felt.
Laine recently changed doctors over this factor…he wanted to be sure there was nothing “hidden” going on, and his original doctor refused to test anything. Completely denied him and said it wasn’t necessary. Fact is, it IS necessary and fortunately Laine now has a doctor who is willing to listen to Laine’s concerns and is willing to spend the time and energy on full and complete routine checkups.
Here’s what we have discovered up to this point…
So far, the testosterone is not affecting his liver, kidneys or any other internal organ. This is a GOOD thing!! He is just now at the 6 month mark of his transition. Keeping an eye on his organs, specifically the liver is important as testosterone can raise the risk for liver cancer, among other things.
For a 52-year-old male, Laine is overall healthy. However, there are a few issues he needs to focus on. The first is the fact that the testosterone is causing his blood to thicken. His red blood cell count is high and the cells are overly plump. The first step to attempting to combat this issue is blood donation. He will start with giving blood once every 8 weeks, through a blood donation program. If this doesn’t keep his count down far enough or long enough post donation, then his doctor will set him up on a medical donation process more often, possibly monthly.
The second issue is that his body is still in limbo. His testosterone numbers are through the roof, and his estrogen (the female hormone his body biologically makes) is still functioning at a totally normal level, with no sign of decline. This is confusing for his body…physically, mentally and emotionally. Basically his two sets of hormones are at a constant battle with each other. This can cause mood swings (think mellow testosterone based mood one moment, pms style estrogen mood the next….basically 0-60 with the snap of a finger…and then back again.) It causes some cramping and physical discomfort from time to time.
His doctor really wants to see the estrogen numbers start to drop. Based on our personal research and information from different “FTM guides,” six months is about the time this estrogen should start truly dropping. That also means this is about the time that biological female organs such as the uterus and ovaries should be shutting down. Were not really certain what is going on with Laine’s uterus. Based on hormone numbers, it should be fully functioning and cycling monthly. (He isn’t even showing signs of female menopause) However this isn’t the case, there has not been a visual cycle since May. (Which is fortunate from a mental standpoint, it means not having to struggle with the disconnect of being a male with a monthly period.) From a physical standpoint however the doctor can’t explain why the numbers read as they do, but nothing is happening. It could be a handful of things, some of which do lead to a full hysterectomy, possibly in the near future. We will have more answers in December when the blood tests are repeated and we look for a decline (hopefully) in the estrogen.
For trans*men who still have the biological female organs, they have to be sure they are not ignoring those parts of their body. Transition and living as your authentic self does not lessen your risk of cervical cancer. It doesn’t remove the need for pap smears and exams. Your uterus doesn’t just go away when you transition. It is almost shocking how many FTM individuals stop caring for this part of their body after beginning transition. Unless those parts have been removed, you have to take care of your whole body! Transition itself doesn’t change that.