24 Year old wanting MtF transition. I've been thinking and

Just buy hormones online and start transitioning

>>8219763
I live in NZ, so it would be practically free and safe by doing it officially. Except for surgery if i choose to do it of course.

>>8219763
Isn't that dangerous?

>>8219768
yo cuz, takes a while to go legit. Have to see a number of doctors if your going through public system.

>>8219830
Yeah I know, at least GP, Psychologist, Endo. Just thinking about the first one is making me sick.
But I think it will be easier once I have done the initial GP visit, because once I have done that, I hope it will just be the rest asking me questions and me answering. I am much more comfortable answering questions than initiating conversations or asking questions myself.

>>8219836
Yep bro, your in luck. They will ask you a lot of questions, e.g "How are you feeling ?" etc. I'm am literally in the boat with you. Severe anxiety and possible PTSD didn't help me at all, just get drunk or stoned or sober one day and just make the appointment and regret it later. The ball is then rolling.

File: 1492207549448.png (227KB, 620x809px) Image search: [Google]

227KB, 620x809px

>>8219768
OP I'm 24 and started 6 months ago, listen up.

If you have the right insurer, it is the same in the US. The real problem is that getting meds this way requires seeing a therapist and a psychologist several times before they will give you a script. That is if they feel like it. even then the amount they give you will never be the right dose.

Just buy the meds yourself asap

>>8219853
Healthcare here in NZ is GOAT, get script and then $5 NZD for each different thing you get. I defiantly need to go through official channels, not enough finances for private blood work and all the rest.

So yeah, back to the point.
Anyone who has gone through this got any tips?
Like I go in, the doctor asks what he can do for me, and then what do I say?

I want the Trans thing?
I want to go through HRT?

How did you's do it?

>>8219903
if you don't mind bro, what part of the country you in ?

>>8219918
Tauranga, Bay of PLenty

>>8219922 >>8219903

Might have to travel to see a specialist.

To your GP:

"Hello, I am just wondering if you would be able to inform me of the appropriate channels to go through as I am considering transitioning, would it be correct to talk to you or is this more of a specialist sort of thing ?"

have to act a bit naive and not so formal.

>>8219760
DIY don't waste time with doctors.
>2+ months sober
>Seek help from my psych.
>Nothing
>Suicide attempt
>High as a kite.
Repressmode Godmode

>>8219861

Yeah yeah that's great but if you're not in an informed consent jurisdiction you will go fucking mad in the 4 months between appointments for up to 2 years while psychs and doctors scratch their heads and ask why you think you're trans and why you feel that way. If you think saving money is worth waiting for a diagnosis outside of an IC system you are dead fucking wrong.

DIY lets you nearly skip to the front of the line since you prove your serious. You also won't be wasting time.

Risks are overblown. Plenty of trans people self-med blind for 2-12 months before they go in for the actual process.

>>8219760
Until you get official prescriptions, self-med. I did that and it actually sped up the process because my doctor didn't trust the spooky internet pharmacy so they quickly got me a prescription in just 2 weeks. I just told them when they asked what other medications I was taking. If you don't want them to know you started self-medication you can do just bicalutamide because they won't detect it on a blood test.

If you can't self-med, tell your doctor that you "don't want to live as a man anymore" and that you see transition as the only option. The subtle but not direct hints about suicide will make them take you seriously, then tell them that you want to take hormones and get surgery.

>>8219964
I've been going mad for years, but I hope it doesn't take that long, 24 is pretty old to start as it is.

>>8219977
I'm thinking of just writing a letter and just giving it to my doctor and just sit there until he reads it and asks me a question.

File: 1492618589863.jpg (193KB, 600x400px) Image search: [Google]

193KB, 600x400px

>>8219999

>But I hope it doesn't take that long

>>8220006
Yeah I know, could subtly mention suicidal feelings though, maybe it'll help, and it's not exactly untrue.

>>8220023

40% of trans people pre-transition attempt it. I think your medical staff would be surprised if you walked in and didn't mention it.

Granted, pretty weird you're opting to out yourself as a suicide risk and get committed to a mental hospital instead of just DIY for like 1-2 months but your choice.

For your future information if you do end up going DIY, people do craaazy stuff on DIY (like 400mg spiro and 8mg progynova daily) so if you just even took the usual dose of 200mg spiro and 4mg progynova daily you should be okay. It's not like you're buying Nurofen's targeted pain relief, garcinia cambogia, or south african herbs. The risks aren't that big and spiro is spiro whether it comes from a sealed brand bottle from Vanuatu or a sealed brand bottle from the local pharmacy which the government bought from Vanuatu.

>>8220037
Wait I'll get committed for just subtly mentioning suicidal feelings? For how long?

>>8220048
Your exact line is "I don't want to kill myself but I cannot stand living as a man anymore." Very fine point to make, implies you are not quite suicidal but you will be if they don't make you a woman. Try to goad them into asking you if you have suicidal thoughts and then give them that line. Say things like nothing is working out for you, you've been living a lie, your life is painful and traumatic, you hate your body, etc. I don't know how quick they are to institutionalize in NZ but as long as you don't directly indicate suicidal intention you should be fine.

>>8220048

You could. It's not guaranteed. As for time, iunno, maybe a week or two or up to a month? I'd like to say it wont happen but it can and does happen because does happen when people out themselves as ongoing suicide risks. I think that's to be expected when trans people walk in and go "I think I'm trans and I have suicidal thoughts pls gimme hrt." You probably won't get urgently sped through the process and may just get an ambulance ride while they 'try to figure out what's wrong.'

I'll explain myself. I went to a GP about a month ago and the only real information that went on my referral apart from "they're 21" and the possibility I'm trans was a short sentence at the end reiterating I "self medicate with drugs bought from online pharmacies". Booking an appointment with a psychologist they told me they'd have free space at the end of the year. I emailed my referral through and suddenly I'm bumped 6 months forward in less than an hour and have my once-off assessment next week.

Saying I DIY, cos I had, got me sped through so fast in some systems that it's actually unfair to my trans friends who have waited over 18 months between GP-to-Endocrinologist. You gravely underestimate how shitty gatekeeping can be.

Plus HRT is roughly less than $135 NZD for about a month and a half supply. That's all you might need to get you quickly handed from professional to professional until you get on scripts.

>>8220080
Where do you get it, or is that not allowed here?

>>8220091

AllDayChemist, InhousePharmacy, or QHI.

>>8200364

Do not exceed 200mg spiro + 4mg estradiol valerate (progynova) daily. That's a common dose and without blood tests to indicate otherwise there's no real reason to exceed it. Also, don't take it all at once. Split it into something like 4x50mg spiro and 2x2mg estradiol daily at regular and evenly split intervals. If you take 200mg to start off it'll be rough.

Payment methods differ. Online pharmacies can accept bitcoins, VISA debit, money forwarding from 3rd parties, tons of stuff. Just use a disposable card if you use debit because you dont want to risk unwanted charges. Also seriously consider getting express with tracking since having shipments just not arrive can be a bit shit (although it is very unlikely it'll be seized by customs if it's not a regulated or prohibited import).

HRTgen will help with DIY. However, it would, I suppose, be possible to say you DIY when you actually don't. Just learn doses and names for if they ask you.

Also look up if the drugs are regulated or prohibited imports. Spironolactone (Spiractin) and Estradiol Valerate (Progynova) shouldn't be regulated but I'm in Aus so our schedule of substances is different. As far as HRT goes I think only Testosterone is regulated (performance enhancing) and Cypronolactone (in some nations). Drugs like Premarin and Progesterone are a bit much for what you're intending to do.

>>8220123
>However, it would, I suppose, be possible to say you DIY when you actually don't.
Not OP, but won't they see that lie if they pre-test her hormone levels?

>>8220123

Just realized, to add to this, 200mg spiro and 4mg estradiol valerate daily is a common dose that people ramp up to over the course of a month. It's best to slowly introduce higher doses and then add estrogen to both get used to side-effects and if you have a bad reaction to stop that new drug and see what's happening.

If you take spiro you'll pee A LOT and jumping straight into 200mg is a great way to get highly infrequent heart palpitations, immensely tired, and paranoid the pain in your leg is a blood clot and you're going to die of pulmonary embolism. With that said, jumping straight into 200mg spiro + 4mg estradiol daily is what I did and is something a few of trans people do as well.

>>8220148

Possibly. If it's less than 3 months between saying "I DIY" and the blood test they'll probably figure it out. If it's around and over 3 months I guess they stopped right after they started and their baseline levels returned to normal :^)

>>8220162
Do I ever have to increase the 200mg spiro + 4mg estradiol while I am DIYing before going to my GP? Or do I just stay on that dose until I decide to go to my GP.

>>8220169
I wouldn't recommend taking more than that without a blood test, so that should work until you get official.

You're the worst kind, dont even bother to transition if you're going to be a disgrace to the trans community

>>8220185
I don't know if trolling or not. If not can you elaborate please?

>>8220169

I guess some perspective helps.

25spiro is "lmao cis girl with acne issues" tier. Some people go on 50sp / 1 estra. Some go on 100sp / 2 or 4 estra and some go on 150sp / 4 estra. 200sp / 4 estra is pretty much as high as "usual" doses get although some people go higher after testing. Different doses work for different people since they give different levels. Since there's no blood test it's hard to guess what the optimal dose is and even with blood testing it can boil down to "iunno how your levels will react so lets slowly adjust it from a random dose under 200 / 4."

Basically, dont take more than 200sp / 4 estra daily unless you get blood testing to indicate that you need higher. Remember to ramp up over a month or two as well to get used to side effects.

>>8219792
If you're reasonably healthy and not old, no.

>>8220208
Healthy asf, and 24. I think you lot have convinced me to start with DIY, as hopefully it will help the doctor go through the process quicker.

>>8220273
OP here just thought I would mention, I am on anti depressants and anti anxiety meds, Specifically: Lamictal 200MG and Venlafaxine 225MG, do other meds clash badly with HRT?

>>8220312
/hrtgen/ is good with this, you should ask there too.

>>8220312

It could. Maybe ask hrtgen?

https://www.reddit.com/r/asktransgender/comments/51wm8n/lamictal_hrt_estrogen_interaction/

https://www.reddit.com/r/asktransgender/comments/j35x4/hrt_and_bipolar/

You could go in to the pharmacy and ask for a drug interaction check. Alternatively, walk a fine line where you order the meds, have them, don't yet take the HRT, but go in to the doctor and ask about drug interactions.

Ahhh none of these sites ship to New Zealand.
Any alternatives?

>>8220273
If you self-med you can still get blood tests through your GP. They won't be able to help you like an endo but given the wealth of info out there about mtfs interpreting blood tests it's pretty risk free overall.

>>8219851
This is what I did when I came out to a friend so I couldn't repress any longer

>>8224073
Yeah I want to DIY to start off, but none of the sites ship to New Zealand.

>>8224115
I don't even think I could come out to a friend, and I only have 3 friends.

>>8225019
Maybe you could get a generous anon here to help you out

>>8225791
I've been seeing a therapist about my other problems, and we are not making much progress, as I hardly talk. She often asks what are the possible reasons I could be depressed and anxious, but I couldn't bring myself to answer. So I just say I don't know.
Maybe I'll just finally tell her, get it over with.

>>8225808
Wow its so easy, you are literally being handed your solution and you just haven't taken it.

Make the climb. Without the rope.

Degenerate fuck boys

>>8225893
Why wouldn't you want to be a degenerate?

>>8225893
Please explain.

>>8219903
simply verbalize how you feel about yourself on a daily basis. They will ask you how serious you feel about transitioning. You have to say that you are sure you want it.

cis people don't ever feel the way a transperson feels in any serious way. That is enough to recommend you to transition.

>>8225893
that's femgen
I'm tempted to switch to bica and be a femboy fr the next 10 to 15 years desu

>I have written a letter to give to my doctor today, any thoughts or changes I should make?


I know part of the reason I am depressed and anxious, but I haven't been able to bring myself to tell anyone, you or the psychologist, as just thinking it makes me feel all dizzy and clammy and sick feeling in the stomach, like before a panic attack.

But recently I have been feeling worse and worse, to the extent where I don't know what feels worse, the almost suicidal feelings I have every day, or going to the doctor to talk about why. So i decided to just go to the doctor today.

I have felt dysphoric since high school, and was a very femanine child and have wanted to start HrT to transition since I was about 15, but as I said, I couldn't bring myself to talk to anyone about it.

As I am 24 I'd like to start sooner rather than later. I know the risks, such as going sterile, but I am asexual and have no plans whatsoever to have children, so this is not a problem. I also don't smoke or drink, which I know can cause complication with HrT.

I was considering going DIY (Buying Spironolactone and Estradiol valerate online), but I thought this might be unwise as I wouldn't be able to check hormone levels etc...

This is something I have thought about for many many years and I truly believe 100% that this is the best course of action for me.

Thank you.

>>8228226
Change Spiro to either cypro or bica. That way if she gives you meds you'll get better shit lol
Get that subliminal bargaining chip in there.

>>8228303
Looked at the DIY animu girl image in HRTGEN. looks like cypro is better, as it both lowers and blocks T, not just blocking it like bica.

>>8228303
>Changed it to reflect that I KNOW I need it, rather that BELIEVE I do.


I know part of the reason I am depressed and anxious, but I haven't been able to bring myself to tell anyone, you or the psychologist/psychiatrist, as just thinking it makes me feel all dizzy and clammy and sick feeling in the stomach, like before a panic attack.

But recently I have been feeling worse and worse, to the extent where I don't know what feels worse, the suicidal feelings I have every day, or going to the doctor to talk about why. So I decided to just go to the doctor today.

I have felt dysphoric since high-school, and was a very feminine child, and this has remained true since I can remember, and I have wanted to start HrT to transition since I was about 15, but as I said, I couldn't bring myself to talk to anyone about it.

I feel ill looking in the mirror, and my sleep has been getting worse, even with the sleeping pills. I look down and try to cover my face with my hair when I go out, and I feel depressed and weird whenever I hear my voice or see myself.

As I am 24 I'd like to start sooner rather than later. I know the risks, such as going sterile, but I am asexual and have no plans whatsoever to have children, so this is not a problem. I also don't smoke or drink, which I know can cause complication with HrT.

I was considering going DIY (Buying Cyproterone and Estradiol valerate online), but I thought this might be unwise as I wouldn't be able to check hormone levels etc...

This is something I have known I have needed for many many years and I truly know 100% that this is the best course of action for me.

I know it is an irreversible life changing thing, but the way I am now, I know it is necessary for me to do.

So how would I go about starting HrT as soon as possible?

Thank you.

>>8228360
The only reason that matters is that you can't detect how well bica is working with a blood test. Inhibiting receptors and reducing the amount of hormone has the same effect; either way less hormones activate the receptors.

Bica is less bad for your liver, doesn't cross the blood/brain barrier, doesn't cause your testicles to atrophy (though the oestrogen will do that), and is more expensive.

If you actively want your testicles to atrophy, or you want to be absolutely sure your levels of effective testosterone are right (especially if you're trusting your endo's judgement when they might not know what they're doing rather than just self-medding with a high dosage to be safe) you're better off using cypro.

I'm not sure what effect cypro crossing the blood/brain barrier has, but I'd tentatively assume it's a good thing for people who want more "feminine" thoughts/emotions, which would presumably result from the lower testosterone levels in the brain.

>>8228490
>I have felt dysphoric since high-school, and was a very feminine child, and this has remained true since I can remember, and I have wanted to start HrT to transition since I was about 15, but as I said, I couldn't bring myself to talk to anyone about it
"Dysphoric" is a general term for a combination of anxiety and depression, not specifically being "gender dysphoric" as it's often used here. If you're not going to specify it's to do with your male sexual characteristics or how others perceive your gender, then you should put the "I have felt dysphoric since high-school" part in a separate sentence.

>I know can cause complication with HrT.
Should be "complications"

>I was considering going DIY (Buying Cyproterone and Estradiol valerate online), but I thought this might be unwise as I wouldn't be able to check hormone levels etc...
I'd be a little more specific about why you need a doctor's supervision. Something like "as without the assistance of a doctor and blood tests I would not be able to monitor the my hormone levels nor detect potential health complications the drugs may cause". I'd also change the "was considering" to "have been considering", as "was" implies you've stopped considering it for good now; you want the threat that you'll self-med without their help.

"Buying" shouldn't be capitalised, nor should the names of the drugs (they're chemical names, not brand names).

>This is something I have known I have needed for many many years and I truly know 100% that this is the best course of action for me.
I'd say something like "this is something I have known I have needed for many many years and have considered extensively, and I truly know 100% that this is the best course of action for me", just to make it clear this is a decision you've thought through (as opposed to it just having been on your mind a lot). It's good to have that at the end of the message so it sticks with the reader.

Also HRT is written with all capital letters, not "HrT"

>>8228744
Thank you so much, I have made the changes that you suggested.
And kek, I can't even DIY in NZ, because neither AllDayChemist, InhousePharmacy, or QHI ship here.

>>8228846
You're welcome. Good luck with your transition.

Just in case you copied and pasted it without noticing: be sure not to include my typo in this part
>as without the assistance of a doctor and blood tests I would not be able to monitor the my hormone levels nor detect potential health complications the drugs may cause
It says "the my hormone levels"

>And kek, I can't even DIY in NZ, because neither AllDayChemist, InhousePharmacy, or QHI ship here.
I wonder how familiar most doctors would be with those online pharmacies. There must be a few patients who are self-medicating with drugs from them. Either way, the fact that you're willing to do it is enough.

Oh, maybe you should mention the drugs you're already on. You can use that to both show how bad your situation is now and also as an example of why you need a doctor (for the possible adverse interactions between those drugs and HRT). I mean, you've said more than enough already, but it can't hurt.

>>8228938
Yeah I caught that typo, but thanks.

He is my GP, so he knows what drugs I am on, just anti depressants and anti anxiety meds, so he already knows I have problems, plus I have never explained why I am depressed/anxious, I just kept dodging the question. So that will probably help.

Well that was easier than I thought, gave the doctor my letter, he said he has helped 3 trannies before, and that he is referring me to an endo just 20 minutes away from my house.
I didn't even have to say anything, just thanked him after he said I could go.
I walked home with an extremely autistic smile on my face, missed my bus cos distracted by success.
Thanks anons, honestly didn't think 4chan would be this helpful, considering, well what the majority of 4chan is like.

>>8228846
You would just need to get a reshipper to send it to you. That's not too difficult. If you want it done "stealthily" just ask on some of the marketplace forums on tor lol
Nowadays you can pretty much get anything you want on the internet no matter where you are.

>>8231405

>referring you to an endo

Wait did you just skip the psychiatrist? Will you be going straight to blood tests + scripts? If so then hooooly shit fucking NEATO.

>>8231605
Yes, my letter was pretty convincing, had mad help from this thread to get it just right.

Plus I already see a psychiatrist, and I told my GP he can tell her about it, but yeah, I don't even have to talk to her about it if I don't want to, straight to endo, HYPE AS FUCK!

>>8231441
Glad I don't have to do that, Doctor got me sussed.

>>8231663
Congrats anon.

File: image.jpg (85KB, 750x749px) Image search: [Google]

85KB, 750x749px

>>8231663

>straight to endo
>even Informed Consent is slower than this shit

Wot in tarnation. Your doctor is god tier.

>>8231842
He is Indian, are they usually more open? I don't know as he is the only doctor I have ever had.

>>8219760
Aus trannny here, i just said to by doctor "i need a referral to a psychiatrist because i have gender dysphoria" its pretty simple desu

>>8232154
GOAT doctor, didn't even say a word in my appointment today, and I get to skip the psychiatrist step completely :D