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For those that have started HRT, what was the most surprising change you noticed that you weren't expecting?

I'm still pretty early on in my HRT journey at just under 5 weeks of estradiol IM injections and Spironolactone.

One thing that I kind of was expecting but still took me by surprise was the depth of my emotions increasing.

I kept reading about "a larger range of emotional responses" but feeling it is a whole new world! I feel like my emotions have so much more texture and nuance that I pick up on. I can feel them shift from sadness to anger to determination to whatever so quickly and so intuitively.

Before I started E, the best way I can describe how my emotional state behaved was like these blurry blobs of feelings that were difficult to distinguish or identify. Everything swirled around me without me being able to fully experience them. Now they are a part of me and I would never go back ❤️

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  • I stink now. Wasn't expecting it to happen so soon (bout two and a half months low dose) Have to change my boxers more often than I used to and shower more (the horror). I smell more sour.

    T made me more emotionally stable. I'm way less depressed than I used to be despite not changing much about my life. I used to wake up and the default would be sad, now I wake up and feel neutral (not in a numb antidepressant way, just in a normal way) most days. Worked way better than any antidepressant I've been on. Wasn't expecting that to happen. I've heard people say they're happier on T. Feels like I'm on default mode nowadays. Never felt that way before.

    Occasionally I'll have dreams of... anger? I'll be asleep dreaming and feel angry, then when I wake up I'll be normal again.

    Also I've been getting more bloated after eating or drinking anything. Apparently T can increase water retention.

    • Starting Estrogen had the same effect on depression for me, I'm finally looking to actually get off them! Also, very unexpectedly, I've apparently started emoting more and putting more expression into my voice. I've always spoke with a monotone, so I was very surprised at the development.

      Also yeah guys are sweaty and stinky lol

      • That's pretty interesting. I wish there were more studies comparing antidepressants to HRT in trans people. Interesting how your voice changed in its innotation too. I notice if I get gendered correctly then my voice is much more masculine than if i get misgendered by someone.

        Somehow being sweaty and stinky gives me gender euphoria. When I was an egg I'd try to shower as little as possible both to avoid dealing with my body and because I thought it would make me more masculine and somehow turn me into a normal teenage boy going through puberty (what the hell was I thinking. i was like twelve or something). I definitely take regular showers now but getting sweaty and stinky more than I used to makes me think "yay, the testosterone's working"

        • It would be interesting, but also it definitely makes intuitive sense to me. I had an unidentifiable lifelong depression, seemingly stemming from a hatred for my body, "not fitting in" in social situations, and "feeling broken" generally. Pretty obvious what the cause was in retrospect 😅. Transitioning has resolved all of those, and I think intonation creeping in is another effect of finally feeling comfortable socially for the first time in my life.

          Gender euphoria comes from funny places, I get it from boob sweat haha.

    • I think our two views on our emotional states changing is really interesting. I love that you're able to find comfort and peace in feeling more emotionally stable on T. To the point it has helped more than anti-depressants for you! I hope you view that as affirming :)

      Before starting HRT, T made my emotions feel more disconnected from me. Like I couldn't quite fully "feel" them and that was distressing. Now with E, I can much more easily connect with my emotions and it has helped me feel more alive.

      I guess what I'm trying to say is I find it beautiful and wholesome that something that was dysphoric for me is actually something that seems affirming for you! ❤️

      • Estrogen and all those hormones really fucked with my head. I have PMDD (Premenstrual dysphoric disorder). The week before menstruation, I would get heavily depressed and suicidal every month, just like clockwork. PMS rage is also horrible to deal with. I used to get super angry and break down over something small like breaking a glass or tearing a garbage bag when it was that time of the month. Made me feel so ashamed and angry at myself because I knew it was hormonal and I had no control over it. Now don't have that issue.

        I didn't feel connected with my emotions, just wildly out of control of them. I didn't notice "hey, i'm feeling anxious and angry today. Better chill out and take a warm shower." It was just "AGAHAGGQHHG IM IN PAIN" Now when I feel sad or anxious or whatever I can recognize what I'm feeling because it's not a huge tidal wave of intense, uncontrollable emotions anymore.

        I'm a strong believer in the biochemical dysphoria theory. Some brains are just wired for a certain sex hormone profile. It's really interesting how both of us had similar results from each hormone, but they affected mental and emotional health in opposite ways.

        • The biochemical dysphoria descriptions where by far my biggest incentive in pursuing HRT. Especially the dissociative and depersonalization aspect of it. It described my entire life after puberty To. The. Letter.

          And 5 months in I feel this fog lifting over my eyes and the world makes more sense to me now. I actually am having moments where my sense of self and body are at least occupying the same space. It's been a really surreal experience.

          Glad to hear that you no longer feeling the effects of PMDD or the PMS rage. That honestly sounds terrible and glad you were able to find a way out of it!:)

        • The biochemical stuff is a huge part of my interest in t. I'm not dysphoric about most of my feminine features, but my emotions feel like space invaders in my brains most of the time, especially PMS. I just feel such discomfort and shame, being.. shaken like a doll by those feels. I hate it.

          I also seem to socialize much more like guys tend to. I've been to one bachelorette party and we all knew it felt wrong lol

          I was still straight passing back then, too.. but I am nobodies bachelorette

          • I feel ya with the whole space invaders thing. It sucks and I wish nobody would have to go through that shit.

            The thing about testosterone is that it will make you lose some of your feminine features that you're not dysphoric over. Your body fat will redistribute to your belly, your chest will atrophy, you'll grow a lot more body and facial hair, get a deeper voice, as well as many, many other things. You can't choose which effects you get from testosterone. It also in many cases increases your LDL cholesterol and puts you at higher risk of cardiovascular health issues. It doesn't matter how low of a dose you go on, you'll get those changes after a while. If those sound like something you'd be okay with, then testosterone is a potentially good option for controlling PMS and all that. It can make mood swings and anger issues worse in some people, it's highly variable on the individual.

            If that doesn't sound like a good option, I highly recommend trying birth control medication to treat PMS. It helps stabilize those hormones like T does, but you don't have the risks or changes to deal with. Also, it's a good option for when you're just starting on T and want some stability while going through second puberty. Gives the added benefit of no periods faster.

            I actually had a horrible initial reaction to taking birth control. The one I was prescribed was an estradiol based one. I got prescribed it to treat PMDD while I was waiting for all my labs to clear me to take T. I got heavily depressed for the first two weeks, and I knew it was because of the medication. I kept taking it and eventually as my body adapted to it those symptoms gradually disappeared. From what I've heard, how it works is it ends up replacing the natural sex hormones in your body, doesn't increase them. Your body will decrease its natural hormone production in response to it. I thought I was gonna get super feminine looking and get even more dysphoria on it, but that's not how it works. There are also many different types of hormonal birth control that you can take to treat it, so some of it is trial and error.

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