First visit to hormone clinic
Alright, the voyage is really starting to get moving at last. Today I visited hormone and infertility clinic and saw gynecologist. She talked about the process and made sure that I was on the same map and didn't have too big conception what kind of things estrogen will do and which of the changes are irreversible naturally or completely, like boobs won't go anywhere after they have grown without a knife. And my wish is actually quite mild: Boobs (I don't have even preference how big, just something you can actually call proper boobs), that sag-thing from the ends of my jaw away or to the cheekbone and increased emotional sensitivity. And most likely those will happen. My migraine will shift to some direction as well, but it is impossible to say where, yet. The other changes to the psyche is also bit unknown and I look forward to them. Well, time will tell and no-one knows how much of it is needed.
After some talking she measured blood pressure, inspected my testicles, thyroid and neck in general. After it she wrote prescriptions for four different dosage estrogen patches and anti-androgen. I will start with 25 µg Estradot patches and 50 mg Spironolactone Orion. Estrogen will be doubled to 50 µg after a week and will be at that level over 2 months, after that to 75 µg for another 2 months before reaching the designed dosage of 100 µg. Anti-androgen will be doubled to 100mg after a month and left there. That Spironolactone interferes a bit with one of my migraine inhibitors, orloc, so I need to go to see neurologist to check if orloc can be stopped as spironolactone has same kind of effects (lowers blood pressure).
But before I can start, I need to go to blood tests. Although the doctor said that I don't have to wait for results, I can start using the estrogen patches and anti-androgen right after the test itself. They need to know the baseline so any comparing can be done in the future. And I'm going to those tests on 1.3. morning. So early that I have to go sleep very soon so I can get enough sleep this night so I can manage with bit less in the next.
I called to my mom and talked about the visit. She starts to accept this really well. Almost like this is natural thing. I'm also quite pleased that the doctor wrote estrogen patches as those are VERY much more safe than pills what comes to embolism and other nasty things, as the medicine from the patch will go straight to the bloodstream through skin, pill will need to go through digestive system and from there to liver, before getting to the bloodstream. And will burden liver. Doctor also told that there is basically two different anti-androgens and this one is the only one in States but there is another one which has depression as side effect and will cause burden to liver as well. And as I have some degree of depression already, that wasn't really good idea. But the current one will need potassium control as it might disrupt it a bit. Which isn't good thing at all, it might cause lethal arrhythmia. But that's very rare, even the disrupts are, but significant enough that monitoring is needed. And orloc will increase the risk, which why I need to see the neurologist.
My drug cocktail starts to be quite fancy, but I hope that some of the meds can be dropped out. I want to leave noritren away at least as that causes annoying side effects, like dry mouth. At least there shouldn't be other interferences or combined effects.
I made my choice, and I'm finally starting to live with the consequences.
After some talking she measured blood pressure, inspected my testicles, thyroid and neck in general. After it she wrote prescriptions for four different dosage estrogen patches and anti-androgen. I will start with 25 µg Estradot patches and 50 mg Spironolactone Orion. Estrogen will be doubled to 50 µg after a week and will be at that level over 2 months, after that to 75 µg for another 2 months before reaching the designed dosage of 100 µg. Anti-androgen will be doubled to 100mg after a month and left there. That Spironolactone interferes a bit with one of my migraine inhibitors, orloc, so I need to go to see neurologist to check if orloc can be stopped as spironolactone has same kind of effects (lowers blood pressure).
But before I can start, I need to go to blood tests. Although the doctor said that I don't have to wait for results, I can start using the estrogen patches and anti-androgen right after the test itself. They need to know the baseline so any comparing can be done in the future. And I'm going to those tests on 1.3. morning. So early that I have to go sleep very soon so I can get enough sleep this night so I can manage with bit less in the next.
I called to my mom and talked about the visit. She starts to accept this really well. Almost like this is natural thing. I'm also quite pleased that the doctor wrote estrogen patches as those are VERY much more safe than pills what comes to embolism and other nasty things, as the medicine from the patch will go straight to the bloodstream through skin, pill will need to go through digestive system and from there to liver, before getting to the bloodstream. And will burden liver. Doctor also told that there is basically two different anti-androgens and this one is the only one in States but there is another one which has depression as side effect and will cause burden to liver as well. And as I have some degree of depression already, that wasn't really good idea. But the current one will need potassium control as it might disrupt it a bit. Which isn't good thing at all, it might cause lethal arrhythmia. But that's very rare, even the disrupts are, but significant enough that monitoring is needed. And orloc will increase the risk, which why I need to see the neurologist.
My drug cocktail starts to be quite fancy, but I hope that some of the meds can be dropped out. I want to leave noritren away at least as that causes annoying side effects, like dry mouth. At least there shouldn't be other interferences or combined effects.
I made my choice, and I'm finally starting to live with the consequences.