Trans woman - 9 years HRT

Intersectional feminist

Queer anarchist

  • 13 Posts
  • 150 Comments
Joined 1 year ago
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Cake day: June 9th, 2023

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  • This is a space for you, your life is transfem experience. You are welcome to post here about whatever you’re going through, this space exists to support you.

    It is absolutely not your fault that you had to cut out people you knew pre-transition. You deserve friendship and love and emotional support. I think you should talk to your wife and tell her that you don’t need her to tell you what to do, just to listen and understand and support you. Sometimes we don’t need the “clever things” and just need someone to listen and acknowledge how we feel about something and tell us it’s okay.


  • Unfortunately, puberty, especially with regards to T, continues into your mid twenties. So you will still experience masculinization effects of T for some time. Your voice can get deeper, and you can grow more facial hair and so on. A year while still undergoing the effects of T would probably be really difficult. 😔

    As the other commenter said you could start anti adrogens in May and wait to start E until you’re away from home. Anti androgens just block T, but you can still experience some feminization taking just them.


  • First off, congratulations on your upcoming high school graduation! 😊 I’m sure you must be very excited to start HRT and move out on your own.

    The development of your breast ducts will happen pretty quickly early on. This will result in your nipples increasing in size and protruding noticeably from your chest. This is normal, breast fat will grow to fill in the shape around your breast duct and once enough of it has grown, the nipple will not appear to protrude and will instead be at the apex of the breast. The development of breast fat takes a longer time than breast ducts though. Certainly if you’re on HRT starting in May, by July and August your breast ducts would be developed enough that your nipple would be noticeably larger and raised without a shirt on.

    I recommend familiarizing yourself with the tanner breast development scale which can give you a bit more of an idea how this development happens. You could wear a shirt while swimming and a sports bra underneath it. Though depending on the material of the shirt and the color, it might be noticeable that you’re wearing one. You may have to find ways out of swimming later in the summer, like saying you don’t feel like it or something like that.


  • My mother passed away from young aggressive breast cancer 2 years ago. I have done a fair bit of research to try and determine my relative risk of developing it.

    Sadly, trying to determine relative breast cancer risk of trans fems is confusing, conflicting, and tiresome. The science has until relatively recently been heavily biased and made many assumptions about trans fem people. A lot of earlier studies state that there is essentially 0 risk of trans women developing it. They usually say it has something to do with the Y chromosome or with the prostate. This has always failed to take into account exactly how breast cancer develops, the factors that influence it, and the way that trans fem bodies are different from cis male ones.

    More modern research shows that trans fems undergoing long-term HRT have a similar rate of breast cancer to AFAB people. If you have family history, there is a stronger risk of you developing it. This becomes even more relevant if your family history involves young onset, stage 4, and fatality associated with breast cancer. All those factors are significantly more relevant than most others. Current best medical practice is to treat transfems undergoing long-term HRT as having risks comparable to cis women of the same age range and family history risk factor.

    I personally take progesterone and have for a couple years now. I don’t intend to stop as of now either. The body of research showing harm isn’t substantial enough and is usually based on how it affects people undergoing HRT in menopause. How it affects young trans fems is not established.

    I am planning to do BRCA gene testing within the next year to get some assessment of my inherent breast cancer risk. If you have family history, you can ask your doctor to have the tests done on you as well. Those results will at least give you advance warning so you can do more screenings and plan accordingly if you do develop it.


  • I’m saving for vocal surgery personally. I’ve voice trained with professionals and by myself for years. My voice can pass for 5 minute conversations with massive amounts of effort, but any longer than tnat and theres no way for me to maintain it. My voice also gets exhausted very quickly doing it.

    Lots of people genuinely can get by on training alone. But others can’t, and surgical options have expanded a lot over the last few years. Something like 60% of trans fems report dissatisfaction with their voice after transition. Read a study on that a while ago. A lot of trans fems just cope. It’s worth trying training first, but surgery also exists and is worth looking into.





  • I am extremely happy. I had surgery last April. I never honestly believed that being this happy was possible. I hardly recognize the person I was pre-op and it has affected every possible area of my life. I’m so much more confident in myself, so much more comfortable in my body, and I can fully see the way that I used to passively feel dysphoric literally constantly no matter the circumstances. Having a penis was severely detrimental to my mental health and made it essentially impossible to feel at peace in my skin. I love who I am today, I love my body in spite of it’s flaws, and I feel like I can express myself in ways I never could before and like that shines through and my relationships with everyone in my life have become a lot healthier as a result. It’s weird sounding to say that, but yeah not being in constant dysphoria has changed everything haha. Yes I’m very very happy and have no regrets whatsoever.

    I had hypergranulation on part of my labia in the short term after my surgery date. I had to travel quite a distance in less than ideal circumstances only 10 days post op. In the process of that significant strain was put on my labia and some of my stitches opened. It was a relatively small area on the inside of my vaginal canal and the bottom of one side of my labia. It looked pretty scary at first but healed mostly fine on its own without intervention. Not entirely though, and due to complications I ended up having to get some granulation tissue treated with silver nitrate. Took around 6 months of silver nitrate treatments every 3 weeks for it to fully go away. I don’t have any granulation tissue anymore, though, and I was at the point of being fully healed as of around 14 months post-op.

    Yes, I am able to orgasm. There’s a lot I could say there, but yeah, I can. Sex in general, is infinitely more enjoyable for me now. Learning how sex with a vulva functions has been an experience to say the least but with patience and time I’ve been figuring myself out haha. My sexuality and relationship I have with sex has changed a lot since surgery. I think my first orgasm was around 4 months post op.

    Nothing unique no. Pads are annoying but I only had to deal with them for the first 2 months. Still need liners sometimes but they’re not nearly as uncomfortable.

    The massive difference that having no T made in my life. I experienced a big jump in breast growth, a shift in my body and facial fat placement, a surge in hair growth especially my hair line. Like my body not producing any T made me hormone levels a lot more stable and a lot higher consistently. The difference has been pretty wild honestly. I’m mostly used to it now but a lot of people have remarked on it.

    I also noticed at first the lack of like. Anything there. And I’d also notice just how often I used to feel it being there and just sorta tune it out. The novelty of it is short lived and by this point the thought that I had one at all feels distant, like I know that I did but I’m losing my memory of what it was like having one.


  • We should never have to accept being a side issue. It should categorically be unacceptable for the political party that is protecting our rights to show passivity in the face of what is happening to us.

    I don’t believe that being passive on trans issues benefits them whatsoever in terms of votes. Transphobia in the US is closely aligned with American neo fascism. Transphobes are never going to vote Democrat. So what is gained by being silent about us? Like materially, how is that a good political move? All it does is make their support for minority rights seem vacant. Trump and his ilk show up to rallies and rant and rave about us. About how we’re demons. How we’re vile and repulsive and how we should be ostracized and ridiculed and locked away from society.

    And the Democrat response at the DNC is to say nothing? How can that be a good political move? And what does that say to the American people about trans people? Our rights aren’t worth any vocal pushback. Obviously, a platform of passive acceptance is better than a platform of hate. But our rights matter, and our suffering matters. Progressive politicians should be actively pushing back as much as possible against the transphobic platform of the republican party.



  • I realized I was a woman and wanted to transition at the very end of 2014. I took beginning steps January of 2015, telling my therapist and getting a referral to a psych. I saw him like 2 or 3 weeks later and he diagnosed me with gender identity disorder and I got a referral to an endo. I started experimenting with names and pronouns in January/February. I think I told my closest family, my grandparents, in March or April. I saw the endo in the middle of May and he gave me prescriptions of Estradiol and Spironolactone which I started taking that day.

    This was during an interesting time when the process was pretty streamlined and gatekeeping was relaxed a lot. It was worse before and has become worse since then. So, from realization to taking my first dose was a period of ~5 1/2 months. I had just turned 18. But I had had dysphoria since I was a very young child. I’d already been to the therapist for years. There was a long history of me having gender problems. No one ever told me I could transition, though, and I didn’t know much if anything about trans people. I knew that trans women existed, but I did not know about or understand reassignment surgery or hormone replacement. When I discovered what HRT was I very badly wanted to be on it and did as much as I could to push for it.

    I didn’t go full time and come out at work until I had been on E for a couple years. It’s normal to do it in stages. I even detransitioned briefly early on due to self-doubt. Stopped taking hormones and everything. It’s okay to not immediately be 100% sure.


  • I haven’t had FFS myself. But I’d recommend asking about recovery times, surgery prep, medications you aren’t allowed to take leading up to it, after care that must be done once you’ve had the operation, possible complications and what can be done in the event of those complications arising. If you’re traveling for the surgery it may be worth asking how long you should stay in the area after surgery in case any follow up is needed (probably not necessary but it was for my SRS so I think that might be worth asking).

    It would be good to go over expectations for results, specifics of what procedures he thinks are worth pursuing. FFS usually entails a combination of procedures.