Trying hard to trust the process, and while I have seen other expected changes in skin, hair, and mood, I am getting anxious that nothing is happening under my shirt. I had some minor sensitivity within the first two weeks, but never anything painful.
This Friday will be 6 weeks on HRT. 2mg Est, 4mg Prog, 200mg Spiro daily.
Edit: thanks for talking me off the cliff everyone, I’m much less anxious now 😅
This stuff comes in waves. I have been on hrt for close to five years at this point and I remember the first year, almost no breast growth. Year two, bit of a boom. Then very little growth but year 4 has been like 2-3 cups. Everyone’s body is different. I would definitely make sure your doc is checking on your blood work cause I know for me, my T didn’t get to an appropriate level till I hit the year and a half mark. And that T level can really slow down your progress.
oof, your T suppression should not have taken a year and a half to occur. With sufficient estrogen levels it should happen rather rapidly. My testosterone and estrogen were both in cis-female levels by the time I did my next blood work two months later.
I wonder what your E levels were as your T failed to reduce (I’m going to guess they were too low) 🤔 Were you on spiro?
My T levels started really high (my T levels were higher than that of a teenager while I was 26), by the time I got my T levels to a proper level I was up to 300mg of Spiro (and on estrogen patches) and went into a sodium deficiency. After that I actually got to switch to Lupron which was great. Now I’m back on Spiro but only 50mg and my T levels are still at an appropriate level. I am also on injectable estrogen which I have found to be much better than patches. My doctors didn’t want to put me on pill form estrogen due to concerns for liver health.
Just so you know, spiro does not meaningfully change blood T levels, it is a weak androgen receptor antagonist, so it (rather poorly / partially) blocks androgen receptors in your body from using the T in your blood.
The main thing that would be stopping your body from producing T is having enough estrogen in your body, which tells your brain you have enough sex hormones and it can stop producing T.
Lupron basically does this more directly: it tells the brain to stop sex hormone production.
Lupron is really great, it should be covered for all pre-op trans people, even adults. It’s a safer and more direct medicine, and the only reason it isn’t used for adults is because insurance companies don’t want to pay for it.
So Lupron would definitely tank your T levels, but I suspect the injectable estrogen was much better at keeping your blood E levels elevated, which is probably why your T levels haven’t come back.
Patches are better than oral in terms of increasing blood E levels, but you still don’t absorb a lot of it, and it can be uneven especially compared to injections.
So thank goodness you got Lupron and switched to injections!