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Category Archives: GPs and GICs

Rainbows

I arranged an appointment to ask about T, waited two weeks and then- it was cancelled.

While I understand that it wasn’t the fault of the receptionist who rang me, I don’t think she understood how vital that appointment was to me. I was desperate.

After rearranging my appointment for the following month, I flailed, looking for options. Could I get a telephone appointment? Not until the day before. So I panicked- I asked if someone, anyone, could call me back before the end of the day.

I went back to work. Because life goes on, even when your heart is breaking.

At lunch, I walked to get myself a croissant. Nothing cheers me up more than a croissant- and this one was just about still warm. And as I walked back up the hill to work, I saw a rainbow splashed across the sky.

“And after cancelling Parker’s doctor’s appointment, God sent the rainbow as a promise to never, ever, pull that shit again,” I said.

Rainbows mean a lot to me as a queer symbol. They’re happy and bright and brazen. However, they’re also a symbol of hope, of a promise.

I was paraphrasing the story of Noah, where God sends a flood because people have been wicked, then has a nap, realises he’s overreacted and sends a rainbow as a promise to sleep on it first next time. I heard it a lot as a kid- in fact, one of my favourite toys when I was small was a cuddly Ark with pairs of tiny stuffed animals that went inside.

That rainbow brought me hope at a crucial time. I knew exactly what I was going to do- that this was going to work out even better than my original plan.

I got a telephone call from a doctor I had never met before.

“I was supposed to have an appointment with Doctor S so I can be prescribed testosterone. I need blood tests, and if I wait for the rescheduled appointment, it could be next year before it’s all sorted. Can you order the tests?”

“What ones do you need?”

And I looked them up and I told her, and she booked me in for a blood test the very next day.

I was tested.

I won.

12 Reasons I Want Testosterone

I still hate listicles. But I guess I changed my mind on the other thing. So, here are my reasons.

1. I keep getting misgendered and it flipping sucks donkey balls

Seriously, lady in Nandos who greeted me with a cheery “Hi, ladies!” You made me cry. I know you didn’t mean to but I am sick of this.

2. EMOTIONS

One of the worst things about having a bad time is all the crying I end up doing in front of people I’d rather not cry around. My dad cries (or cried; haven’t seen him in years) a lot, so it’s not an ability I’m going to lose- I just want to feel less torn apart every time something mildly inconvenient happens.

3. It’ll tell people I’m serious

I think there are still a lot of people on the periphery of my life who are of the opinion that this is somewhere between a teen phase and a midlife crisis. No. This is my life, for goodness’ sake.

4. I’m actually under no obligation to take a full dose of T

So, side effects can suck my silicone schlong. I’ll take exactly however much I’m comfy with-ta muchly. Also, I can take leuprorelin to block my natural hormones. I previously thought it would be dangerous to take long term, but I have since met people who were on it for years.

5. I can wear dresses and makeup again!

There once was a time when I’d be called “young man” wearing mascara, eyeliner and leggings. Not so any more! But maybe I can get that back? Clothes have no gender, but I do. And I love feeling the air on my legs on a hot day and I really miss it. I just don’t have the confidence to wear dresses these days.

6. T won’t kill my fertility

Now, there’s no research to say it doesn’t. But there’s no research to say it does. And there’s a fair chance I (or my partner) could be infertile anyway. You can’t hold your life back on the tiny possibility moving forward hurts.

7. Karate

I love karate. And carrying on with it without the hormones I was meant to have is getting increasingly tough. I beat myself up over this a lot- women make it to black belt all the time. But I want to fight cis men. I may not win (I am rather tiny), but I want to be considered strong enough to fight.

8. Muscles

Apparently, Sunshine likes his meat a little tougher? I can handle that. In the past, my partners have berated me for lifting weights, but since I started again I have been getting some very positive attention from him. Which suits my own wishes for my body perfectly.

9. Autonomy over my body

Various members of my family (and Sunshine’s) expressed joy at my not being on T, and that never sat right with me. It made me want to take T. At first, I put that down to me being a contrary little shit, but actually it’s more because they have no right to dictate what’s good for me and my body. It’s very easy for them to say without ever having faced the struggles I go through daily.

10. I can stop whenever

I was wrong before. T isn’t now until I die- it’s whenever I need it, for as long as I need it. If I decide I don’t need it after top surgery, so be it. If I decide I don’t need it after 65, so be it. It’s utterly flexible and I like that.

11. It will make top surgery easier

Firstly, I won’t have to argue about getting top without T. And secondly, my chest should hopefully be a little smaller by the time I do get it. Which means I’ll have a better chance of getting peri-areolar surgery and-as icky as this is- keeping my nips.

12. I didn’t actually have 12 reasons when I started writing but they’ve been incredibly easy to come up with

When I wrote the first article, I put 12 because 12 is what I had. This time around, I made it up on the spot. So, I think I kind of know I’m doing the right thing, with how easy it’s been to justify.

So yeah. I won’t pretend it’s been an easy decision. It’s one I’ve been turning over for the best part of nine years. But it’s made, and in a way I’m happy with.

I’m going to ask the doctor who offered me bridging hormones to offer them again. Wish me luck.

The Gatekeepers

I am afraid. So, so afraid. So afraid, in fact, that I nearly sleepwalked into making a terrible and irreversible decision.

I do not want testosterone. I am an individual like anyone else, and I deserve to have my needs and desires respected. I do not need a one-size-fits-all approach when it comes to my body. My body, my rules.

And yet the gatekeepers say otherwise.

The following is from the Daventry GIC website:

“At present this service is not commissioned to provide treatment for persons not identifying as male or female, or wishing to present for treatment in intersex states. We would not decline a referral, as assessment and formulation of an individual’s gender disorder may be more complicated than it appears to the referrer or indeed the service user. We may still be able to signpost an individual to another service.”

Daventry GIC have not, in the last five years, referred anyone for top surgery without testosterone. Which is worrying, because that’s where I’ve been referred to. They have said that they would consider it, but that it would depend on the reasons why they would not take testosterone, such as an older patient who could not take it for medical reasons.

There is no known medical reason why I should not take testosterone. There is only my happiness and my bodily autonomy. Why this should matter any less, I am unsure.

The reasons testosterone are inappropriate for me are well-documented here. But I nearly got pushed into taking it by the fear of not getting top surgery. I nearly gave up my body to a foreign substance out of desperation.

The arrogant thought that “the formulation of an individual’s gender disorder may be more complicated than it appears to… the service user” is revolting. I have been in this body for 24 years now and I know it very well indeed. Do not presume to tell me how I am supposed to feel about it.

I am a fighter. Metaphorically and physically. I have faced people who have punched me in the head with everything they had. Black belts with years more experience than I have. And this is way more frightening. The stakes are so much higher.

I have come within a whisker of dislocating my jaw in a fight, and that is nothing compared to the thought of getting turned away from Daventry.

I can argue until I’m blue in the face on this one. For one, does Daventry want to define an “intersex state” for me? Because I’m sure it treats patients who want a vagina *and* a penis all the time. It’s a common enough option for patients seeking metoidoplasty.

It is my legal right not to have to be sterilised against my will. Guys on T usually have hysterectomies within two years- some of those being emergency hysterectomies. I cannot take that risk.

I don’t know why I’m still arguing here. I suppose I want to prove that I can do it, prove the fact I know my mind and my body better than anyone, prove that I deserve that top surgery referral. I have a long time to sit on the waiting list, a long time to sit here still having things on my chest that mean I can’t do karate without having to wear a compression shirt and plastic armour.

And I fear the gatekeepers. Because they hold my life in the palm of their hand and they can destroy me at a whim. I fear them so much.

P.S. My lipoma removal went well. I now have a kickass scar on my spine to lie to my children about.

The Telephone Call

I was on my way to work when my ‘phone rang- withheld number. Now, ordinarily I wouldn’t answer, but I know that my GP often withholds, and I’d been trying to sort out the omnishambles that has been changing my name.

Sure enough, it was my GP. She’d just found out that she could prescribe me testosterone, and did I want it?

Do I want it?

I said no. It was literally the day after I wrote that post saying how much I don’t want testosterone. And I don’t. I know I don’t.

But I envy people who do. I get all excited for them when they start. I think about how much better their lives could become. And I’m not going to lie, I want that.

And I think about all the people who desperately need the prescription I turned down. Whose dysphoria does a lot more than trap them in the shower crying. Who could be in severe danger of being hurt before they get to the top of the GIC waiting list.

I felt so guilty saying “no”.

And since, I’ve had dreams. Beautiful dreams, where T doesn’t have the side effects I fear, and so I tell Sunshine and he’s happy for me and I go on and it’s wonderful. My voice gets lower. I never get misgendered. I don’t lose my job.

But I know it’s not like that. That T would mean irreversible changes that fill me with dread.

And then. There’s the part of me that says the only reason you don’t want T, the only reason that really matters, is that you’re afraid Sunshine will leave you. All the rest are just excuses.

Today, the sermon was dissecting Luke 9:51-62. If you’re not religious, bear with me. In it, Jesus meets three people on the road and asks them to follow him, but two have other things they want to do first. One says he wants to bury his father. Another says he needs to go home and say goodbye to his family.

Now, I’d always seen these as pretty legitimate excuses, and thought Jesus was being a bit impatient by refusing them. But the priest explained- Jesus knew that they were only excuses. That rather than say “I don’t want to”, they said something else instead.

So what if I’m saying these twelve things, when really I mean something else?

I don’t know. I honestly don’t know. I’m afraid of going to Daventry and them refusing to give me top surgery because I won’t take T. And I feel like I’ve got to deal with all this baggage now because I can’t let them know how confused I am. And Sunshine’s in Canada and I’m just in so much pain because I have a lipoma on my spine (getting removed tomorrow, thank the NHS).

There’s no happy concluding paragraph on this one, the one where I figure it all out. Sometimes, it doesn’t work out that way, I guess. Oh well.