DISCLAIMER: If you know me in real life, I’d appreciate you not sharing this post with anyone.
2 weeks ago I had my first doctor’s appointment in entirely too long.
Between my anxiety, ADD, depression, and autism making appointments basically sucks. I’m not going to sugar coat it. There’s very few resources where I am for agender people, the only clinic specifically for trans people in my area has a waiting list that’s roughly 3 months long, which is a huge trans healthcare fail.
I finally got fed up with the whole scene, and called the doctor that was on the back of my never-actually-used-it health insurance card. I asked them if they did informed consent HRT for trans patients, and to my surprise they said yes. I had a walk-in appointment roughly 45 minutes after the first clinic told me about their wait list.
The paperwork was generic, and after that was done I was taken into another room to check my height [or lack thereof, I am 5’3″ on a good day while wearing shoes.] weight, and blood pressure. I was surprised to see that my blood pressure has gone down by more than a few points, though I suppose losing 50 lbs will do that.
The EKG made me kind of nervous, though it turned out all right. After that, I had to take a personality test to get through the “Yes, you do have ADD.” gatekeeping. That was simple enough, though I did botch a few questions due to the iPad I was taking the quiz on timing out. I could tell they were also screening me for bipolar, BPD, and anxiety with some of the questions. In the end, it told me nothing I didn’t know. I have anxiety, PTSD, depression, and ADD. Yep. Thanks, iPad test.
When my doctor finally arrived, I was pretty surprised. I didn’t know what to expect, but he was really friendly and respectful of my pronouns. When I said I wanted to take HRT gradually, he agreed readily–without pressuring me into another option.
After all of that, I basically gave him the rundown that I had already done my research on HRT–given that I’d been on it before. The clinic is informed consent, which meant that I vouched that I knew the risks associated with HRT, and legally consented to getting a prescription.
I got a ton of blood taken from a great phlebotomist, which was awesome. In the end, the doctor ended up prescribing me testosterone cream at a 200mg/ml concentration, estrogen blockers, and my ADD medication. He said that he’d like to see how my depression reacts to HRT, So far, I’m not feeling any different in regards to that, though this is probably more from stress then it is anything else.
As someone that’s agender, it’s hard to find doctors that aren’t terrible. Doubly so for someone that’s overweight. I wasn’t ever fat-shamed, and all of my bloodwork checked out amazingly, for what it’s worth. Also a good thing, I have to make a follow-up appointment in regards to testosterone pellets, or something to last for a few months until I get settled in New Zealand. Hopefully that will happen sometime next week or the week after.