|>> || You should see a therapist first and then they usually recommend doctor, usually endo but can be a GP too, I see a GP who specializes in it in Chicago but you don't need to go all over, any GP can prescribe them, it's just kind of important to find one who isn't going to be judgmental about it, because there are unfortunately many who are. |
If you're in the states, from what I've heard you can technically go to any Planned Parenthood to start HRT post haste, they'll do a brief interview to make sure you aren't cracked and then just send you on your way with estrodial and spironolactone
However, in my mind it's crucial to see a therapist first, because what they'll do is spend at least a month or two with you going through a process of differentiation to rule out any other possible psychological reasons that you might want to transition that don't have to do with gender identity. This can suck in principle, because for the most part we're pretty certain by the time we get to this point, and it's almost patronizing to suggest that it could be anything else, however as we both probably know, living as a gender you aren't sucks, and detransitioning really sucks (60% of people who start detransitioning stop and just decide either they really are what they think they or just suck it, the latter I would imagine is miserable). So it's important to go through this stage. It's also very possible to perceive yourself as a binary trans person when you're non-binary, and this process helps you to kind of experiment with gender non-conformity and you very well might find that you can get to a place where you're comfortable with yourself and your gender presentation just doing stuff like wearing makeup or traditionally feminine clothing without transitioning.
In the scheme of things, HRT is relatively safe and effective (and as such is the only known treatment for gender dysphoria), but it is a serious medical procedure with serious potential risks and not to be taken lightly, it can cause health issues particularly later in life and very well could shave a couple years or more off your life depending on pre-existing conditions and any illnesses you may get along the way. It makes you slightly more susceptible to cancers, particularly breast cancer naturally, and if you take estradiol orally (which I recommend you don't do, injections tend to be the most convenient and effective RoA, transdermal gels and patches are also safer but a LOT less convenient, the only plus side over injections is slightly more stable levels, but once you're on it for a while alongside an androgen blocker that problem is less pronounced) you can be at a greater risk for diseases of the liver and other organs, in general the shortest route to it being in your bloodstream is the best, because that's where your body ultimately knows how to deal with it. It also makes you slightly more susceptible to heart problems later in life, I would implore you to stop smoking cigarettes if you do and either stop taking or seriously cut back on stimulants if you do those. The most serious complication in general tends to be blood clots, so if you have a family history of DVT they'll do tests to determine whether you have a genetic marker that suggests predisposition for blood clots and if you do then many doctors won't prescribe traditional hormone therapy and you'll have to look around and even then they might have you sign forms acknowledging the risk and you'll probably have to go on blood thinners when you're older. This particular genetic marker is exceptionally rare though, so I wouldn't worry about it too much or at all if no one in your family has a history of DVT, strokes, etc.
I'm saying not to scare you and I don't want to discourage you from starting HRT at all, I'm saying this because it's important information to consider when you're planning to start. Ultimately, the benefits VASTLY outweigh the risks if you have GID, so if you do your outcome will be much better and you could easily end up living longer given the increased risk of mental health problems, drug abuse, eating disorders, etc. that comes with not transitioning despite having a medical need to.
What I'm really trying to do here is strongly discourage you from going the DIY route if at all humanly possible, it can be an exceptionally danger…
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