Earlier this week I went to see my therapist like I usually do and today I told her that I’d like to start HRT sooner rather than later, I know that people sometimes wait months if not years before starting but I’m not okay with waiting that long. Unfortunately she said that she wasn’t sure it would be a good idea and that I should wait longer to be sure. I told her I wasn’t waiting and that if she didn’t write the note for me I’m going the DIY route, and she told me that that would be a very bad idea since she believes I would regret it due to my unwillingness to “fully girlmode” (which just means she thinks me wearing makeup and having long hair alone isn’t enough) and the fact that I enjoy many manly things like bodybuilding. I for some reason mentioned that I could stop after I got the permanent changes I wanted and she responded that if I’m already considering detransitioning it’s not a good idea. What the fuck? How the fuck is stopping HRT later detransitioning? That made me so pissed off that I told her to fuck off and I just left early.
I took the advice of someone and decided to go to planned parenthood and just like that I have officially begun my journey. Kinda wish I’d done this sooner, I could’ve been 3 months along by now if I hadn’t tried to go through my therapist like a dumbass. Shame though, I did like her, she seemed nice for a long time but I don’t think I can continue to see her anymore if she thinks after all I’ve told her that I’m in any way at risk of “de-transitioning”.
Moral of the story kids, do DIY. It’s better to ask for forgiveness than wait for permission. Also be really careful how you choose your therapists, they might seem to understand you but they can screw you over in the last second.
Yay! I’m sorry your therapist won’t get HRT for you, but good luck taking it! I hope it goes well, stay safe, and have a good day :3
That is some major bullshit from your therapist.
Enjoy your hormones! Muscle girls rock <3
Wait, are you getting hormones from Planned Parenthood? That wouldn’t be DIY, just Informed Consent. That’s the most common model for getting hormones officially in Australia, rather than requiring a therapist’s recommendation.
Edit: Ah, my apologies, I hadn’t read your other comment before posting this and see now this conversation has already been had <3
still good to get this above the wall of text I put before it 😄
more people will see it this way
Some things I wish your therapist knew:
- being masculine and enjoying hobbies that are male coded don’t invalidate your gender, e.g. there are women body-builders, there are also legitimate trans women who have male-coded hobbies - there are also tomboy trans women and so on
- HRT can be diagnostic - you can stop after taking it for a couple months without any long term changes and that time on HRT can be useful to help evaluate whether long-term HRT is for you or not
- some trans people don’t ever take HRT but socially transition and live full-time presenting as their gender; some people take HRT and don’t socially transition - transition and HRT are related but not the same
It sounds like your therapist might have outdated information about trans people and transitioning, for example expecting strong commitment and fully girlmoding before starting HRT sounds like old Benjamin rules to me. WPATH guidelines have changed significantly and no longer require “full-time real-life experience” before starting hormones.
All that said, your body like many bodies, probably will need sex hormones or you might experience some symptoms. Starting HRT and then just stopping is probably not a realistic way to approach this, but I do know some enbies who maintain low doses of estrogen to achieve their goals. Still, if you go that route you will want to watch out for signs of menopause and avoid hormone levels that are too low. Your experiences and desires might also shift once you start HRT, they certainly did for me.
This is a minor point, but going to Planned Parenthood and getting HRT is called “informed consent”, not DIY. DIY is when you buy your hormones from a grey market without a prescription (or homebrew it yourself), which doctors see as more risky. At least your hormones through Planned Parenthood are sourced from a regulated pharmacy, for example.
Either way, congrats!!
On your first point, I’ve been treated like I’m engaging in male-coded hobbies because I’m still very into cars and motorbikes, and I honestly just find it horribly sexist? As if cis women aren’t allowed to have these hobbies. But if you wear skirts, grow your hair long and put makeup on, you’ll be told you’re the one being sexist because womanhood is more than that. I think it all just really proves how ridiculous cis people’s perceptions about gender are, OP’s therapist definitely included.
yes, the whole idea that some hobbies are “male” and some are “female” is traditionally sexist / stereotyping. I do suspect there might be some biological role in how some of the gender differences get expressed (like, the way I played with my male-coded toys was different than the way other boys played with them, and I think my lack of interest in toys like trucks and machines related to the way my gender preferences), but the idea that the biology wholly determines these preferences (or worse, that biology determines what you should do) is obviously bunk. As usual, this stuff is extremely complex with biological, social, and psychological factors.
And even so, trans people often occupy fuzzy boundaries in terms of sex and gender, and so it makes sense we would be exactly the cohort that would challenge stereotypes and be the exception to the rule (even while some of us conform entirely to gender expectations). I would imagine the experiences of being raised as boys is likely to impact those psychological and social factors I was talking about, leading many of us to have different experiences and preferences than some cis women. But this is not special to trans people either, cis people are also diverse in their gender and experiences - and as you are pointing out, cis women can and are into cars and motorbikes or other “male” things. Some cis women have affinity for masculine coded things, it’s not like being gender-queer is reserved for people who transition or who identify differently than their assigned sex.
Anyway, I’m rambling - but I agree that gatekeeping based on stereotypes is ick, lol.
Yup, my “boy hobbies” are the sole evidence my parents cite to say they’re 100% sure I’m making this up and that there were no other signs.
I think most parents are inclined to say there were no signs, even my supportive mother thinks there were no signs even as I can find a childhood full of them. Sometimes I wonder if it’s because she experiences some difficult emotions about not recognizing those signs, or something like that. Hard to tell, though.
Either way, I’m sorry your parents aren’t supportive 🫂
I think it might have been partly because I said to her once that I wanted to try and reduce or prevent muscle loss on HRT and maybe she took that as me having second thoughts about getting HRT. Also she didn’t specifically say that girlmoding or commitment was required for HRT but that she found my lack of it concerning. I shouldn’t beat myself up too much for it though. She was trying to gatekeep me, I didn’t mess up by telling her that.
I was thinking that I would take HRT long enough for permanent changes to set in since one thing that I do worry about is muscle loss on HRT. Then I’d stop taking it and the blockers, probably gradually and let my body’s natural hormones take over again. I’m not sure how bad muscle loss on HRT is, I’ve heard some people say it’s not that bad but I’ve heard others say enthusiastically that it’ll “melt your muscles away like butter”. If it’s closer to the second I definitely plan to stop in the future.
Also yeah, I guess what I’m doing would be considered informed consent, not DIY. Im my defense I’ve heard many people call it DIY and I’m still very much a noob a this whole trans thing (only came out a few months ago and I learn new things everyday 😅).
Muscle loss was one thing I worried about, but, as a non-body-builder, it hasn’t been an issue in the past ~year. I can still lift the same things I was able to before, to my surprise. Best of luck keeping strong!
Informed consent is great. I was less certain I was interested in HRT than you seem to be and if any I regret anything related to it so far is just that I didn’t start sooner. People’s fear of some cis people exploring their identity and realizing certain hormones levels don’t work for them at the cost of preventing trans people from finding ones that do work for them is absurd.
Even so, your therapist should also know that doubts and hesitation are very common with trans people. The second group of psychologists I had to see to get an independent letter for vaginoplasty talked about how it’s very common for trans people to even experience regret and doubts immediately after the surgery and how those tend to melt away after a few months, etc. It just really sounds like your therapist is not up to date with current clinical guidelines and not familiar with trans patients generally (this is unfortunately common with therapists and doctors, tbh).
And HRT doesn’t melt your muscles away like butter, especially not if you’re working out or remaining active. I’m over a year on HRT and my calves are still so muscular they make me want to puke, I would love to lose muscle mass, and it’s just not happening. I think I have lost a little strength in my biceps, but I have also completely stopped a lot of the activity that maintained those muscles, in addition to the estrogen.
You know cis women are able to build significant muscle right? You can definitely build and maintain muscle while on estrogen, you might just find it requires some minor adjustments to diet and exercise - increasing protein and increasing weight or frequency to maintain the same bulk. It might just require more effort to achieve the same results that you found easy to achieve on testosterone.
Either way, I wouldn’t be too worried about this - maintaining your muscles on estrogen is within your control. If that’s your only hesitation starting HRT I think you will be fine, there’s no reason to go with low doses and so on.
Also, so weird that you’ve heard of going to Planned Parenthood as DIY, that’s wild, lol. It sorta makes sense to me because informed consent feels like you’re deciding for yourself and it feels like eliminating the gatekeeper, but it’s still very much under the supervision of a doctor and with safety-regulated hormones.
I’m no expert but the first point just seems so obvious to me. Most have probably spent the first year’s of their lives playing and having hobbies that are male orientated, and not wanting to give these up should in no way impact how you identify.
You go from feeling pressured to identify yourself one way, to being pressured to change what you do so that you’re allowed to identify another way?!
I’m 47 years old, so I apologise if I’ve misunderstood anything here. It’s just bizarre to me.
There is a really old narrative that the only valid trans women are people who as young children refused boyhood and only wanted to play with girl-coded toys and so on. Even though we know that’s not true now, the narrative remains strong and it’s how the mainstream media portrays trans women still, etc.
So it’s not surprising the therapist might be really worried her patient might be making a mistake if they don’t match the narrative she has come to accept as the paradigm of a valid trans woman. She just isn’t familiar with the fact that lots of trans women, probably most in fact, have “normal” boyhoods and are able to socially adapt to living as a boy. A lot of times the problems don’t start until puberty, for example. Even David Reimer, the cis boy that was forced to grow up as a girl, didn’t have any awareness about gender problems until ages 9 - 11, and didn’t actually insist and start living as a boy until 15. That’s with a cis person that we know was born a boy.
A lot of these bizarre hesitations and extreme expectations, like a child at 3 - 4 years old being able to articulate and fight for their gender identity, just come from the discomfort cis people feel about trans people - when people are more worried that a cis person might accidentally transition than they are about preventing further changes to a trans person’s body, it shows a clear bias and preference for cis people over trans on no other basis than their being cis and trans. Wrong puberty is wrong puberty, and if a cis person accidentally gets gender affirming care that causes them to undergo the wrong changes - well, that’s exactly the default that will happen to trans people without the intervention of gender affirming care! The therapist should be worried about their patient not getting on HRT soon enough, about the harms that might be caused by delaying life-saving treatments.
Congratulations to you for starting HRT! I’m sorry your therapist was unhelpful. I think that you took the right decision.
Your therapist is a gatekeeping fuckass, congrats on starting HRT!
congrats
your therapist sucks wow
Removed by mod
Good luck. I hope it goes well for you. You might want to find a different therapist.