I like to make note of when I’m on and off testosterone, and this time, I’m way behind on mentioning it – I’ve been back on since July 20th. I hit it hard initially with a pretty high dose (100mg per week) and then lowered it to 60mg per week. So far, my menstrual cycle halted immediately (fingers crossed this continues to be the case – it’s been over 2 months so I’m thinking I might be in the clear!)
I haven’t gone to any medical professionals yet, but I do plan to make an appointment with Planned Parenthood very soon. This time around, I’m aiming to also ask for Finasteride for the first time (a drug that helps with hair loss / is a partial testosterone blocker). My hope is that I’ll still get the benefits of testosterone I’m seeking while not continuing to have a receding hairline. Really not sure – just going to try it and find out. If it does seem to be a good balance, I envision myself staying on T for much longer than ever before. We’ll see!
I feel like I’ve finally reached a point where being transgender feels normal. I’ve both hoped for this state of being and feared it, in equal parts. I don’t mean that I feel normal – I definitely don’t and probably never will! I just mean that doing yet another shot of testosterone is no longer an event. It’s rote; it’s routine. I don’t care whether I do it subcutaneously or intramuscular. I don’t have a preference for needle gauge. I’ll do whatever. All that matters is getting it into my body. There’s very little mental fanfare, no ritual surrounding it.
In addition, although I enjoy connecting with other trans-people and hearing others’ stories and journeys, I no longer need it. I don’t specifically seek it out. My journey is probably not even near complete, but I feel like I’ve done everything that I felt an urgency around, and the other aspects will either happen or not happen, at some point down the road. I’m not stressing or planning or strategizing anymore.
A part of me wondered if I’d ever get to this point I’m describing, since I’m nonbinary and still have not quite “settled” into my gender. There is no settling into the gender I feel I am. It’s always a balancing act. Being “settled” and being “satisfied” are two different states, I am realizing. I hope to remain satisfied, but to never settle. I”m sure I’ll be back on and off testosterone for many years to come.
A couple of things I want to note from my most recent time off testosterone (Dec. 2020 – July 2021):
– I regained even more sensation in my chest. This happened in a past timeframe off of testosterone, and I was thrilled it continued. I now feel like my chest has just about fully regained sensation, something I had given up on at one point in time.
– I felt more things, emotionally. Like being able to cry a little bit, stuff like that. Always important to me, to be able to revisit.
– I was less hot, sweaty, oily skin type stuff. It’s not a big deal, but it is preferable.
– I had my period. Blah.
– My sex drive was non-existent. Also blah.
– I did not experience fat redistribution reversal like I have in the past. Maybe that has to do with getting older, metabolism slowing down? Not sure.
– I stopped losing hair / some fine hairs did grow back in along my hairline.
That’s about it for now. I like making predictions about timelines when I make these on T / off T posts. My guess is that if things go well with adding in Finasteride, I’ll be on T for over a year and a half.
Eight years is a long time! Trying T, even though I wasn’t at all sure I was going to like it, but positive I needed to at least see what it was like, was one of the best decisions I’ve made for myself.
For the first few years, it was a very fine line between feeling very connected to what it was doing for my inner world, versus not wanting any physical changes. I was microdosing, but even still, was on-and-off of it a few times. Later on, I did want some changes, but only up to a certain point, which led me right back to that pattern of being on-and-off. This is still the case – I’m currently off, with plans to go back on at some point (maybe summer?)
I continue to find myself right where I want to be, more so as the years go by. Here’s a description of an interaction I had yesterday that highlights how I’ve hit that sweet spot of in-betweenness:
I was trying to print out some photos at a store. One person started to help me, and then another person also came to help. The two co-workers were talking amongst themselves, referring to me, and one person was using, “he/him/his” and the other person was using, “she/her/hers.” Finally, the “she/her/hers” person got confused and just said, “Who?!” And the other person gestured toward me and said, “Him!” and simultaneously, I just said, “Me!” And no one did any back-pedaling, questioning, or apologizing, which was pretty much perfect.
Ideally, I’d like for everyone who has known me from before I started my transition, to get on board with my nonbinary identity. I realize this is a tall order, so for those people who can’t grasp the nuances, I’d prefer they defaulted to male, “he/him/his.” This isn’t the case across the board, but one can dream right? And then for those who are just getting to know me, I hope they’ll all get that I’m nonbinary, as much as there is space to have those conversations. And then as far as strangers go, I really revel in the mixture / confusion. That’s the best state for me to exist in.
To many more years!
The last time I injected testosterone, for the time being, was December 8th. I like to keep tabs of when I go on and off it – I’m back around to off again. The first thing I noticed that was new / different happened today: my co-worker made microwave popcorn downstairs while I was upstairs, and even though she does this on occasion, I actually could smell it today. And as I sit here typing, I can smell my smelly feet, which is so weird! I forgot I’d been missing out an a whole other aspect to our world – things smell strongly, strangely, pleasantly, pungently, amazingly, and everything else amongst those adjectives. It’s pretty bizarre how much hormones affect our sense of smell!
Things I am not looking forward to, based on what has happened before:
– getting my period again
– feeling cold
– losing my happy trail
– diminished sex drive
Things I am looking forward to, also based on what’s happened before:
– less oily skin
– hair growing back
– some minor fat redistribution reversal
– I guess the sense of smell thing? Honestly, I’d forgotten all about that until I was hit with it today!
My prediction / guess is I’ll be back on it by July. Last time I was off it and then back on, I lasted from April 2019 till November 2019. So I’ve been back on for a whole year (my prediction had been 6 months). I went through most of my old, expired stockpile, until I realized why am I doing this when it could be less effective than getting new stuff, which I could easily do now through Planned Parenthood? So I called this past July and got an appointment within weeks (this was all through telemedicine, as many things are these days). I got my prescription the same day. I was on 60mL / week. I was injecting intramuscularly. My period didn’t fully go away until October – note to self: don’t mess around with expired stuff. There is not a scarcity / difficulty in getting more, as I have always feared!
Despite what I just said, I still do plan to do my next appointment with Planned Parenthood in about a month and get my prescription filled so that I have it on hand for the very moment when I want to go back on it. Once I’ve decided, I want to be able to inject that very moment, and not wait around to get more (even though, like I said, it is a quick turnaround.) I guess you could say I don’t want any middle people between me and T, once I’ve made up my mind… Just enough to get started, and then I’ll connect with Planned Parenthood again to get more…
A few days ago, I got a message from a reader. They wrote:
Hi…thanks for taking the time to help others have the advantage of your experience to answer our own questions. I’m non-binary…I had top surgery 3 years ago, but I’m interested in remaining in the middle. I’m interested in a more masculine body structure (less curvy, more masculine fat distribution, stronger jaw line), but wanting to keep my feminine traits like smoothness of skin/not markedly increasing facial hair and not wanting to make the changes to my disposition that it seems can happen with a standard dose of testosterone. I’m interested in being able to build muscle (just definition) for both look and to be strong and healthy. I’ve hit 50, so not so easy with menopause underway. I’m also interested in how this could support my libido.
I’m thinking that microdosing may be a good way for me to do this, but interested in your thoughts. Also, to whom does one go to get this? I’m going to be living in NY/NJ area and it would be great if you could provide any medical professionals in that area. I’m finding that some MDs don’t know much about this and aren’t incredibly willing to discuss. Does one have to have a prescription for this? I’m assuming so. In any case, any info you could provide or point me to would be greatly appreciated.
We messaged back and forth a few times and decided this could be the good basis for a post. Here’s an attempt to answer their questions, and elaborate on some thoughts they put out there:
Thanks for reaching out! I started microdosing T so long ago that that word was not yet in use – at least not in this context, haha! We called it “going on a low-dose of T,” which is clunkier, and it’s cool there’s a more straightforward verb now, even if it brings to mind people taking small amounts of acid for therapeutic purposes, more than anything else at this point. I’m sure that’ll change over time.
I too, had (have) a list of things I do and do not want from testosterone. Most of those things have worked out for me, even in the long term, which is mostly based in genetics, but I still feel like I lucked out. (It can feel like a crap-shoot, especially when you want some, but not all, of the effects that testosterone may cause.) I haven’t sprouted that beard that I never wanted. I gained a more masculine body structure. I still have smooth skin. It’s helped my libido. Also my voice is lower, my disposition shifted for the better, it was a real game changer in many ways. It helped me grow into myself, for sure.
Testosterone is a controlled substance, which definitely means you need a prescription for it. My journey to actually getting the stuff was bumpy. Initially I went through a primary care physician who I found to be smarmy. I put up with him so I could keep getting my prescription until I decided I could do better. My next physician was hesitant and I really had to advocate for myself super hard. She conceded for a while but ultimately referred me to an endocrinologist. The endo wasn’t great either. I hoarded it as much as I could so that I was not beholden to medical professionals, and so I had the freedom to start and stop when I wanted to, as opposed to when I could get access. I still do this. It’s not recommended, but anyone who knows me probably wouldn’t be surprised.
Things have improved vastly in some regions of the US, but of course not everywhere. Many Planned Parenthoods now offer gender affirming care and hormone replacement therapy on an informed consent model. Generally it’s a matter of weeks, not months, to get in and get your prescription. I just did a cursory search, and, by region, here are just some of the places where this is possible: Southwest Florida, Southeast Pennsylvania, Washington and Northwest Idaho, Northwestern Hawaiian Islands, all throughout Illinois, Western NY, Massachusetts, NYC, Reno Nevada, one tiny town in Arkansas. Some of these places are not surprising. Others are. What makes a specific Planned Parenthood offer HRT or not?!! One day, eventually, I think they all will.
If anyone has any specific information about providers or options in the NY / NJ area, please leave a comment. Hope this helps, and good luck!
I like to keep tabs on when I go on and off testosterone, and I’m pretty far behind this time around. About a month ago, I went back to my stash of Androgel 1.62%. I had stockpiled it years ago, and at this point, I had 2 bottles left, which had expired 2 years ago. I figured I might as well use them up (they still seem effective, just not sure if it’s less effective than they once were) rather than throw them out. I’m doing 2 pumps per day; at that rate, each bottle lasts one month. So when I run out at the end of January, I’ll probably just switch over to injections – I also have testosterone cypionate 200 mg/ml stockpiled. Probably enough to last me 6 months.
I’m doing this without going to an endocrinologist, physician, or through Planned Parenthood or some other type of clinic. I just don’t think that I need to. I think that I will be on testosterone short term, again, and by the time I’m back off it, seeing a medical professional would have barely been worth it. I kind of think I might cycle on T for 6 months / off T 6 months, back on, back off, for a while. And I’ll have to go back at some point to get more, so I can be monitored again at that point.
It seems to be a larger trend that as time goes on, the decisions are more in the patient’s hands anyway, and access is much improved. More and more Planned Parenthoods are offering HRT, for example, through an informed consent model, and you can get started the same day that you made your appointment. This is amazing! No more blood work, no lying about your gender identity to make sure you’re going to get your prescription, no waiting for months for the initial appointment and then weeks after that appointment for the prescription. Next time I need some, I’m just going to do this.
While I was off of testosterone, some stuff changed. The best thing that happened was that I gained a lot of nerve sensation back, in my chest. I am beyond thrilled by this! I assumed that at the point I was at (3 years since top surgery), healing had plateaued, and that was all I was gonna get. After a few months off T though, things started changing pretty drastically. Areas that were numb started to get back more feeling. Areas that were painful if I touched too roughly were no longer painful. I would even go as far as to say that erotic sensation has started to return, slightly. Things still aren’t the way they were, but it’s a huge improvement, especially since I had given up!
Oh also! My receding hairline had been worrisome – it was a big factor in my decision to go off T last spring. I imagined it would just halt the hair loss, but in fact, hairs started growing back in the area I assumed was now “bald”!! I’m talking about my temples – little hairs grew back in! I didn’t even know that could happen. Super psyched by that!
Even though these are huge pluses, things had gotten off balance again, and by going back on T, I feel more balanced (until I’m not, again… I know it’ll happen.) The weather was getting colder, and I just felt too cold. The joints in my hands and arms ached. Now that I’m a month in, pain, gone! The biggest reason for the shift, though, is just much more nebulous. Somehow I was being pegged as female by strangers again. I have no idea why: it’s not like my voice or face shape changed back! It must be an aura or a smell or like, pheromones or something. Or maybe a way of carrying myself? Whatever it was, it wasn’t sitting right. And I’m feeling good with that decision.
Will check back in when I’m not good with it, again. Probably within a few months, if the past is any indication of the future…
So I’ve been blogging for a while now, and I haven’t said a whole lot about my spouse, basically out of respect for their privacy. But they actually have a lot to say! Here’s just a little bit of what goes on behind the scenes:
Over the last 6 years that Kameron has been recording his gender transition journey, I have always appeared in his writing as the supportive spouse. That’s a role I have been happy to fill. Happy to be part of a couple t hat goes against the standard narrative of couples perceived as “same-sex” who split when one comes out as transmasculine/trans male. I never felt that Kameron’s transition challenged my sexual orientation—I am that rare non-binary unicorn who discovers their identity all at once, albeit belatedly. I never thought I was a lesbian, if anything other people read me as asexual. As I came into my own queer sexuality and genderqueer identity, I was falling for a pansexual gender non-conforming guy (I have no idea how he would define himself, this is how I experienced him). I embraced the po-mo complexity of my attraction to his particular queer blend of femininity and masculinity.
For me, being genderqueer gave me permission to play with my gender presentation. I had fun thrifting to build a wardrobe that reflected the spectrum of my gender expression—t-shirts from the boys section, day-glo green femme sweaters, bright blue doc marten boots, mini-skirts, baggy pants and flannel shirts. I felt more confident taking up space, and attracting the attention of other gender non-conforming queer people. But once I found myself romantically involved with someone (before Kameron), my partner assumed that I was “the more feminine one.” I felt pressured to present more femininely to heighten their tenuous, new expression of masculinity.
Now when I look back at the past 13 years of my life, I question whether I presented femininely because I internalized that pressure and carried it forward into my relationship with Kameron. Was this shift an unconscious assimilation to ease moving through the world? Or did I truly want to grow my hair out, wear skirts/dresses, and feel included in feminist spaces?! What a mindfuck! Being genderfluid makes life hella complicated. I have identified as a genderqueer femme, but that feels too limiting now. My gender expression has shifted again in the last 3 years toward a more masculine presentation. I feel more comfortable with how others see me now but I am sure that I am still perceived as a queer woman. The pendulum has simply swayed from femme to butch.
While Kameron’s transition didn’t threaten my sexual orientation, I did find myself at times feeling like I was getting left behind. I started to have strange pangs of jealousy—I had a much larger chest and have felt dysphoric about it since it first developed, but I wasn’t the one getting top surgery. I was the one sitting in a waiting room and I was the one keeping track of how much blood was accumulating in his drains, taking time off to help him with early recovery. Where were these ugly resentments coming from? I was so dissociated from my feelings and my body that it took years of watching Kameron’s transition unfold for me to start exploring my gender identity more.
It’s funny that we didn’t talk much about our gender identities with each other, I cocooned myself a bit and started parsing out what felt good and what didn’t. “She” was icky, so I asked Kameron, some close friends & family members, and co-workers to start using “they/them/theirs” for me. Ah, a sigh of relief. Then more discomfort would surface, I couldn’t wear bras anymore, not even sports bras. I threw them all away and got advice from Kameron
on various binder options. Another sigh of relief. Then a sudden surge of agitation when a friend starting dating someone with my given name. I had already been obsessively browsing Celtic baby name websites but now I felt an urgency to rename myself. Overall, I feel more comfortable with my gender now, but it still doesn’t feel like enough. I have started low-dose testosterone (shout out to Planned Parenthood for using an informed consent model) and am scheduling a top surgery consult soon. I am hoping that these steps will help alleviate my dysphoria, as it feels ever present now that I have stopped compartmentalizing it. These flooding feelings has been difficult to manage, and I’m currently battling a flare up of past restrictive eating habits.
For the longest time I couldn’t bear the attention of physically and socially transitioning. And I didn’t feel trans enough. I questioned why I had to do the emotional labor of explicitly coming out to be seen as non-binary. This has been an ongoing test of my tolerance for vulnerability. I need to be my authentic self for me, but the acknowledgement of others is overwhelming. I am a private person, I don’t have a blog, I keep a written journal. I guard my inner world with ferociousness and have a hard time trusting others. So far most people have been supportive and reached out to let me know so, but others have quietly noted signifiers (like changing my name on social media accounts) without comment. While the attention is exhausting (mostly due to my anxiety in these interactions), the silence of others is more painful. These silences have spurred me to have more in-depth conversations with those who do reach out, to push shame away and invite friends in.
Two days ago, I abruptly hit a wall in my transition journey. But it’s more like that wall had a secret corridor that I’m now turning down, without really slowing down – just taking a moment to look back, and all around me, and then moving on in this other direction. The decision to stop T for the time being doesn’t actually mean that I’m losing forward momentum. I was expecting it all along. At some point. At the same time, it wasn’t premeditated or planned I just realized, now is the time, all of a sudden, and then I mentioned it to my spouse, and that was that.
The number one reason to stop, for now, is ongoing concerns of losing my head hair. And the number two reason is that uncomfortable sensation of feeling overheated, which is much less welcomed as warm weather approaches.
I’ve been here before. That was, specifically, January of 2016. I feel so grateful to my past self for so diligently recording where I was at, every step of the way, so that I can get super specific about where I was vs. where I am! It feels like a coherent narrative, of sorts. In the fall of 2015, I had been on Androgel for roughly a year and a half, and I had lost sight of why I was doing it and what, exactly, was it doing for me. I switched doses, I went off-and-on, and then in January of 2016, I just went off all together. I ended up being off T for one full year. And then I tried out injections, which I’ve been on now for over 2 years.
And now, again, I’ve lost sight. I’ve been worried, daily, lately, about my receding hairline, and I can’t make sense of all the numerous products on the market to help that. Rogaine, Finasteride, DHT suppressants, etc. Instead of figuring out what might help, it just makes more sense for me to go off T, until I feel differently, which I know I will, again, at some point, in the not-so-distant future.
I do not look forward to getting my period again. That is going to be horrible.
Other than that though, I don’t foresee any major issues. Mental health-wise, I feel super stable and good. I don’t expect that to change much. Oh, also, I’ll be pretty happy about not seeing more and more facial hairs popping up. Not a fan of my own facial hair! I’ll be glad if that stabilizes for a while and I don’t have to think much about it.
I predict (and my predictions have been pretty far off, historically!) that I’l be back on T by November or December. We’ll see! Oh, also I guess I’ll have to tell my endocrinologist. Do I have to go to my upcoming appointment if I’m not taking hormones?! (Answer: No.)
This past Saturday was my two year mark on T-injections, 40ml / week (this was just recently lowered, from 60 – my initial dose was 50). I still very much look forward to every injection (not the act itself, but the being-on-T part), and I still regularly think about the ways hormones have improved my life; I don’t tend to take it for granted.
My original plan was for this to be a short-term thing. But I kind of love it. I think my dose will vary over time, but I don’t anticipate stopping really, probably ever. (Of course that’s subject to change!) Not having a menstrual cycle is huge. Being seen as male 100% of the time is… well, there’s some ambivalence there, but it’s definitely an improvement. Now instead of getting confused for female, I am regularly getting confused for being very young. Which can be awkward but mostly is fine.
I’m able to engage socially in ways I really never could have dreamed of. I look people in the eyes way more. My anxiety is almost zero, where previously, I was operating regularly with an underlying sense of fear and dread. Some of these mental health changes can be attributed to finding a medication that actually works well for me, but a lot of it is the disappearance of gender dysphoria.
I’m still legally female, which is on purpose, and I still almost always go into women’s bathrooms and dressing rooms. I’ve never been stopped or questioned.
I don’t love all of it. I still daily pluck hairs out of my face because I don’t like them and I don’t want to shave. I’m pretty concerned about my receding hairline. And if I were really being honest, I liked the way my face looked before being on injections, more-so than now. It just so happens that the way it is now reads as “male,” and that works out way better for me. Oh well…
So here are the face comparisons:
I wanted to highlight this change, on testosterone, because I’ve vacillated so much over time, and it seems worth noting. Initially, this was the thing I feared the most. It’s one of the changes that happens early on, is irreversible, and is most noticeable. I wanted to avoid it all together, partially because I wasn’t ready to come out beyond what I was comfortable with (my community and friends). I didn’t want this change to “out me” before I was ready. Also, I didn’t want to tip the gender balance – I wanted to be, over-all, androgynous and not definitively masculine in any way.
When I was on a low dose of Androgel (for over 2 years), I successfully kept things right where I wanted them. Then I went off T completely for a while, and in that time, I started DJing for a community radio station. I didn’t like listening back to my shows at first, so I just didn’t. They felt cringe-worthy. Eventually I started listening, and improving, and switching things up. I started to find my voice, suuuuuuper gradually.
About a year in, I was ready to plunge into T-injections and all the changes that may come along with that, including my voice dropping. I had already come out with family and at work and had changed my name legally, so those things were no longer road-blocks.
It was a bizarre and largely private thing to go through. I don’t talk all that much in my daily life, to begin with, so it was a lot of testing out the changes, daily, in my car alone. And then also the radio show, weekly. I know there were times when my voice cracked, but I haven’t listened back, specifically, for that. I’m sure I could find those moments, in the archives, if I really wanted to. But I don’t! Haha.
Fast forward, and I am super satisfied with my voice as it is now. I have a hard time relating to how tortured I felt about it in the past. Along with increased confidence and comfort with my body and my place in the world, my voice just feels natural. It also just feels so much easier to find words, to converse in all sorts of situations, and to be more out there. It is awesome in so many ways.
In preparing for my 100th radio show, I did go back to those first few shows and listened to them probably for the first time. And they WERE totally cringe-worthy, haha. My voice was stilted and stiff; I sounded so unsure of myself. I did a cool thing where I isolated some of the sound clips from those early shows, and then I played them live, on my 100th show. Here’s me, talking about lunch over the course of a handful of shows, before T-injections, and then me interjecting over top of that – you can really notice the change in my voice that way! Also my best friend was there in the studio – she’s the third voice on this track:
My hair is the longest its ever been. It’s also only 3/8 of an inch, on the sides. I cut and buzz it myself. I’m not sure whether it was a conscious decision (probably partially conscious), but as my face has become more masculine, I’ve grown my hair out in the back so that it falls over my shoulders slightly. Also, it has gotten a lot more curly since I’ve been on testosterone.
I was initially on a low dose of Androgel for a few years, and there were really only 2 reasons that I stopped, in December of 2015: 1) I wasn’t sure what it was doing for me, at that dose, anymore. And 2) Was it causing my hairline to recede? That was totally freaking me out!
Two years later, I was ready to give testosterone another try. The pros I envisioned (lowered voice, redistribution of fat and muscle, heightened libido, bottom growth) outweighed the cons I was pretty sure I’d come up against (feeling hotter, sweatier, potential hair growth and hair loss.) And now that it’s been close to a year and a half, on a “regular” dose of injections, I’m still “in it” with that balance. I don’t love all the changes. But I love some of the changes more than I dislike others.
Hair is a big factor. Probably the biggest factor at this point. I’ll start with the easiest, most fun change:
Happy trail!!! I’ve always wanted a happy trail, and now, finally, I have one. That’s all I got to say about that. It is awesome!!!
Facial Hair: I do not like the increased facial hair at all. I regularly – daily – pluck out chin and moustache hairs with tweezers. I kind of love this activity – it’s satisfying to grab and pull out, one-at-a-time, each hair. However, it’s more and more time-consuming, over time, as I have more to pluck out. In addition, I’m sure I’m missing a bunch, especially finer hairs that can be seen in the sunlight. Is this OK? I guess for now, but it is a fine balance. You know that old belief that may or may not be true? That if you shave, the hairs will come back in thicker and darker? I kinda believe that. I don’t want to take that chance with my face. Also, I’m not ruling out electrolysis, as a long-term solution, if it really feels that overwhelming in the future.
Hairline: My hairline has definitely changed since being on testosterone. I have a much more pronounced “widow’s peak.” This is worrisome. Balding definitely runs in my family. I feel vain about it. As of now, I just arrange the curls on the top of my head so that they fall forward, curly bangs covering up male pattern baldness. But I’m not sure if I get to do this forever. Probably not.
I also got some hair growth going on in other parts of my body, like my lower back and legs – all this feels neutral and natural. I’m neither bothered nor excited about it.
I’m actually leaning toward lowering my dose now, as it gets warmer out. I don’t want to feel overheated and smelly and sweaty. And if a lower dose will slow some of the balding down, I’d probably feel better about it. As long as my menstrual cycle doesn’t come back – that’s the balance I’m aiming for right now… I’m sure I’ll feel differently at other points as well, but this is where I’m at.