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Looking to Start HRT -- Seek Advice


CallMeKeira

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(As always, if I have posted in the wrong place or made a rules violation, please let me know!)

 

Hi. Keira here. I am seeking recommendations for endocrinologists in the south eastern Ohio region. Does anyone have any suggestions, advice, tips to locate one, etc? Also, if anyone has any clarifying questions for me, I would be more than happy to answer them. I saw my general practitioner today and he says I'm in great health. He however, does not handle HRT and recommended I seek info on a good endo. Once I find one, he said he's more than willing to make a referral. In the meantime, I will be reading up on various medications, etc. Thanks for reading this poorly worded plea for assistance.

 

- Keira ❤️

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I wish I could help you find one but I’m not in that area. I’m almost 5 months in and the best advice I can give is patience and the biggest changes are mental.

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  • 3 weeks later...

Hi Keira: The advice I can offer  is to check your health care provider (if you have one) for local doctors. Some are Trans friendly, some not so much. They are supposed to be neutral and provide the same services to all, but sometimes not, depending where in the world you are....

My mistake was going to a Tele-Doc a girlfriend recommended at the start of the Pandemic, when no doctor would see new patients. He recommended the standard Estrogen and Spirolactone to start. I got some on line, and jumped in, months later my labs came back all screwed up because of the Spiro, and I noticed I had to use the bathroom every 30 minutes, because it is a diruretic, and didn't work with my hypertension meds. Long story short, hook up with someone who can monitor you and do regular blood work to be sure there are no conflicts. I'm OK now, but had a scare...

Hugs, Wanda

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On 6/23/2021 at 8:17 PM, CallMeKeira said:

I am seeking recommendations for endocrinologists in the south eastern Ohio region. Does anyone have any suggestions, advice, tips to locate one, etc?

 

Hi, @CallMeKeira!  If you've not yet located an endo doctor who's experienced with trans patients, try checking with local university-affiliated heath care facilities and/or hospitals.  They often keep track of such things, so that even if they can't treat you directly because you're not enrolled in their university, they can assist with recommendations.

 

Best of luck, and best wishes,

 

Astrid

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Hi Keira! I got some very wise advice about health care providers (HCPs) early on in my own story that has proven very sound over the years, so I hope this helps. There are basically three things you are looking for:

  • Find HCPs you are comfortable talking to about your most intimate issues, physical or mental. They should also be receptive to answering all your questions (multiple times on occasion), listening to your needs, and be very realistic when presenting you with choices and their consequential trade-offs.
  • Look for HCPs that are experienced with transgender care (as in they have other patients in your same boat) rather than just being "familiar" with it. Definitely do not become someone's first transgender patient! 
  • Build your own "team" of HCPs that can and will talk with each other when needed, especially when starting HRT or considering surgeries. Your core team should have three people to start - your PCP, therapist, and endocrinologist - and they all need to be able to communicate with each other to give you the best possible care.

So with that advice in mind, I would start your search for an endocrinologist with your PCP and therapist first; see who they recommend and work well with. Hormones are going to throw your blood tests off so your PCP will need to know, and once they kick in, your therapist is going to have a hot mess to deal with for a while. If all four of you are communicating well, things should go off with minimal hitches. Good luck and have fun with this next step in your journey!

 

 

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I was always told that one should see an endocrinologist for HRT. After contacting one that notes transgender issues as a specialty, I found it was going to take quite a bit of hassle to get an appointment and it wasn't certain I'd be approved to even SEE them plus many months wait. My therapist though, noted that some people get HRT through their primary care doctor, so I am starting there for the moment and at the very least, I'd need the referral from her to be able to see an endocrinologist.

 

Kathy, your advice sounds very wise indeed. "Hot mess" also sounds about right...I am emotional enough now, so OMG what's it going to be like when puberty #2 hits...

 

~Ariel

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I apologize for the late response!

 

I have since the original posting started HRT. I just wanted to take a moment to thank everyone for their advice. Thank you so much!

 

- Keira ❤️

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  • Forum Moderator

Fasten your seatbelt Keira.  It is a lovely road but i know mine is sometimes filled with emotional tears as i find my way over time to an understanding of womanhood.

Thank you for checking in.

 

Hugs,

 

Charlize 

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2 hours ago, Charlize said:

Fasten your seatbelt Keira.  It is a lovely road but i know mine is sometimes filled with emotional tears as i find my way over time to an understanding of womanhood.

Thank you for checking in.

 

Hugs,

 

Charlize 

~seatbelt fastened (one of those NASA style ones~

 

-Keira ❤️

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  • Admin
5 hours ago, CallMeKeira said:

I apologize for the late response!

 

I have since the original posting started HRT. I just wanted to take a moment to thank everyone for their advice. Thank you so much!

 

- Keira ❤️

 

Wonderful news to hear, Keira!  Congrats and enjoy the ride!

 

HUGS

 

Carolyn Marie

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  • Forum Moderator
20 hours ago, CallMeKeira said:

I have since the original posting started HRT.

Congrats Keira on starting your HRT and beginning your journey to finally become the best version of yourself. I wish you the best results and hope to read more about your upcoming changes. Have fun!?

 

Susan R?

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