I saw the doctor yesterday, just to get my blood taken and get a new prescription, but it served as a reminder to me that I want to put more information for long-term transitioners on my site.
My blood pressure at the doctor yesterday was 104/70, which apparently is excellent. I have family history of high blood pressure and cholesterol (my mother's father and brother both died in their 50s of heart attacks), so this is wonderful news.
My doctor also talked to me very briefly about the pelvic ultrasound I had last summer, in place of a regular pap/pelvic exam. She's extremely cool with the Trans thing and said that she'd like to do a proper exam eventually, but that I could bring it up when I was ready and she wouldn't pester me about it. But she wanted to get at least something, and I was okay with having an ultrasound (abdominal only, not internal - they wanted to do an internal as well and I said I'd prefer not to, and they were completely fine with that). Apparently everything looked completely normal and there's no atrophy of my organs at all, even though I had been on T for five years at the time. She said that atrophy would happen more long-term than that.
I suppose I should talk a bit about the ultrasound, although there's not a whole lot to tell. When I called to make the appointment for a pelvic ultrasound, the woman asked if I was certain it wasn't a scrotal ultrasound. I found this extremely funny, and after I got off the phone, I did some checking and found that male-bodied folks do indeed have pelvic ultrasounds sometimes. It's just less commonly done.
I had to drink 32 ounces of water so that my bladder would be full and they could transmit the sound waves through the water, which allows them to see things. Let me tell you, when you desperately have to pee and someone presses very firmly on your bladder, it hurts. It wasn't excruciating or anything, just surprising since I was expecting discomfort but not actual pain. I haven't been so proud of not wetting myself since I was a toddler.
The technician noted that everything looked normal, and asked if I was on testosterone. She had clearly worked with Trans people before and didn't seem the slightest bit fazed or weirded out in any way. (I don't remember the name of the place, but it was on Beacon Street in Brookline, MA, and is apparently where Fenway Community Health generally refers people for ultrasounds and whatever else they do there.) She commented on how full my bladder was, to which I responded, 'You people are the ones who told me to drink 32 ounces of water and then not pee!' (In my mind.)
When the abdominal ultrasound was finally finished (I don't remember how long it took but it felt a lot longer than it really was), the technician suggested that I empty my bladder - there was a toilet right in the exam room - and then she could come back in and do an internal ultrasound. I responded that I'd rather just have the abdominal one for today, which she was fine with. She left and I peed, which was the best thing ever. Even with my tranny bladder and spending my whole childhood and first adolescence holding it for hours on end, I don't think I've ever had to pee so desperately in my life. Usually when I knew I wouldn't be able to access a toilet for a long time, I consciously drank less so I wouldn't get stuck in that situation. And that was it, really. I checked out and went home.
I'm still self-injecting 60mg of testosterone enanthate in my butt every week, for the record.
Anyway, for posterity:
So I've gained maybe ten pounds in my time on T. My weight stabilised quite a while ago, though, and the only reason I'm so scrawny at this point is because I don't eat enough. My stomach is quite small, apparently, and I have to eat smaller amounts more often than most people seem to. (Isn't that supposed to be better for you anyway?) I try to always have peanut butter cracker sandwiches and stuff on hand, but sometimes I just don't have time to eat. Eat your food, kids. Get lots of protein and vitamins. It'll make you grow big and strong.
"The following tests were normal: ALT (SGPT-liver enzyme), AST (SGOT), Complete blood count (hemogram), Glucose Serum and Vitamin B12.
Your cholesterol and LDL were high:
CHOL - 213
HDL - 50
LDLDIR - 137
This could be your testosterone, but we should talk about your diet as well. Please make an appointment for a visit to discuss at your convenience."
Is that very high? I don't even know what the healthy range for these things generally is. I'm not panicked about this or anything, but cholesterol, high blood pressure, and heart disease are concerns for me - my mother's father died in his 60s and her brother died in his 50s, both of heart attacks, although they both smoked and didn't eat particularly well. I just wanted to record this for posterity more than anything else. I'm going to try to eat more fibre, and maybe eat more chicken and less red meat, which is a shame. I'd been eating more red meat lately and really enjoying it. Maybe I'll have to make more cottage pie with ground turkey.
I took 11 pictures of things like facial and body hair and muscles (and my face!), which I never took previously so they're not nearly as useful as if I had pre-T comparison pics, but I assure you I had substantially less muscle and less hair. The facial hair in the pics is two days' growth. I need a shave about every 36 hours, so I shave every 48 hours. Shaving every 24 hours would likely give me razor burn.
I made a new voice clip, too. It's 35 seconds long. I don't think I sound any different, and at this point I really shouldn't, but I know people like pics and voice clips so I try to provide them.