Hey y'all, So I've been thinking of transitioning mtf for like almost five years now. My natural androgyny sort of fades every passing year and every time I think about it I come to the conclusion that if I want to counter this, HRT is the only real way. I can accept letting go of so many masculine aspects of my body, and in fact, want to. But there are so many things that seem so scary about it, and that hold me back from committing to it. First, knowing that there's a real possibility of not being able to reproduce afterwords is pretty heart breaking. Fear of rejection by society and becoming more of a target for hatecrimes is definitely a thing too. And lower bone density, even, kind of intimidates me. I'm just getting this off my chest, seeing maybe if anyone has been there done that, or has any perspective to offer me. Sitting on the fence only gets more painful over time, it seems.
I haven't made the leap, but have considered it as well. My big qualms are that with HRT you can't necessarily control which changes are more or less prominent. Even if I microdosed testosterone, there's a chance that I would get more changes that I don't want (ie a beard) and not any noticeable changes that I do want (fat redistribution and mild bottom growth). Being hilariously short certainly doesn't help, either; if I transition, I would probably be perceived as a twelve-year old boy if I'm even clockable as masculine at all.
HRT is something you need to be sure of before you start. The effects are well-known but you can't predict how they will interact with your body until it happens. Do not try to do it yourself. You need to be under the care of a qualified doctor or nurse practitioner who can monitor your blood levels and keep them in a safe range. The good stuff is prescription-only. The over-the-counter and online stuff is dodgy and dangerous. Sterility is a probable effect. Probable, not just possible. You have to expect it and be okay with that or you shouldn't do it. If you have your heart set on kids, there is always adoption. It is also common to store sperm in a sperm bank before starting HRT. Most people are fairly accepting, even in the USA. However, the rise of the fascist right and their persecution of trans people is real, and is a factor to consider. Do you commit to a lifetime of dysphoria in the closet or a lifetime of hiding from the blue meanies as your true self? Tough call. Bone density is not a factor. Bone density is a risk if you stop hormones. As long as you have either testosterone or estrogen in your system, your bones will be fine. Unlike most 60-something women whose hormone factories shut down years ago, I still get regular estrogen, so my bones are not going to dissolve away any time soon. The best thing you can do right now is to talk to a gender therapist. Your concerns are valid, and you need to have them resolved before embarking on a one-way trip to transition.
That is critical, I would always advise consulting a specialist consultant. In general, HRT is used to counter changes during the menopause. In earlier years, it is far better to fully investigate the cause, it is also vital for the dosage.
Personally I would encourage you to find a way to embrace and live with the body that you have and limit your changes to the superficial. Things like your hair, hair removal, cosmetics and clothing. The body you were born with is the one that I think works best. The gender and lifestyle part of your life is where you can explore and be creative. Society is becoming more accepting so things are looking up. It is easier now to find supportive people around you depending on where you live. As a guy I like the androgynous type where I am not sure of a person's biological sex. Kinda fun to fantasize about being surprised. I grew up when society was not at all accepting! It kept me from exploring alternatives. I am mostly heterosexual. The only people I am attracted to are those that are feminine in most ways. I have heard that men who transition to female loose the ability to have an erection and get hard. As a male I really like orgasms. It is not something that I would ever want to lose. If you do transition I hope that it is all you want it to be.
I don't know that "puberty blockers" would prevent erections or orgasm. Surgery would, of course. Medically induced temporary castration done with some of the meds used as "puberty blockers" is a common treatment for prostate cancer. I was medically castrate for much of 2020 as cancer treatment. I was sexually active and fully functional the entire time. It's a different kind of sex without the testosterone boost.
God I love to see someone saying it as it is so people don't need to read the crap that's elsewhere on the Internet!! It's not your first such post either, KathyL. This isn't an issue I'll face but it's reassuring to know there's someone on this set of forums who can be of real help those who do have such an issue. Just sayin'.