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Thats pretty much the standard set out in WPATH 7 which is the plan I am on with my Therapist and gyno/endo. Diagnosed with Severe Gender Dysphoria in 2019.

I had my Orchie last April.

However I slowed down my transition due to my developing terminal cancer and passing away. I am roughly five months behind schedule.

The vast majority of Health care providers will not proscribe HRT unless you are on WPATH 7 and in Therapy. The only time they will do otherwise is in the case of a mediaclly necessary Orchie or Hysterectomy and then only for the "appropriate physical gender you are".

Never2Late (imported) wrote: Wed Jan 08, 2020 3:10 pm The vast majority of Health care providers will not proscribe HRT unless you are on WPATH 7 and in Therapy. The only time they will do otherwise is in the case of a mediaclly necessary Orchie or Hysterectomy and then only for the "appropriate physical gender you are".

you're absolutely right on the vast majority of health care providers not giving HRT. Or nullification for that matter. Especially back in '94. That's precisely why I used a surgeon in another country in '94. Even after that because I was not changing to female very few would prescribe "E" which is why I took it upon myself. In hindsight it was a mistake but life goes on. In my case rather than stop every so often for a month or so I double my dose every few months for a week. That seems to keep things in check. I've been at this for a long time and have no issues.

In 2011 I did have a bout with stage 4 sinus cancer. Survived the treatment of that and so far remain cancer free. In the end the most healthy attitude to have is to remember that life is terminal once we come out of the womb. None of us are exempt from from that.

Never2Late (imported) wrote: Wed Jan 08, 2020 3:10 pm The vast majority of Health care providers will not proscribe HRT unless you are on WPATH 7 and in Therapy. The only time they will do otherwise is in the case of a mediaclly necessary Orchie or Hysterectomy and then only for the "appropriate physical gender you are".

I got my HRT on informed consent. I told my doctor I wanted feminizing hormones and was referred to an endocrinologist. No therapist at all.

Begoneboy I remember Iron Maiden sang a lyric 'As soon as you're born you're dying'. How true that is.

AnneK_TG (imported) wrote: Thu Jan 09, 2020 12:58 pm I got my HRT on informed consent. I told my doctor I wanted feminizing hormones and was referred to an endocrinologist. No therapist at all.

Same here.

I was put on HRT a month after my second testicle was removed. I had started light hot flashes (they were not too interruptive of my life) so my uro put me on for bone density. As I am now 17 years later, I am wondering if I need to stay on the TRT (I am 81, woll be 82 in a couple of moths)

BTW I still have my prostate but whenever I can accomplish it,, when can succeed in having a little sexual excitement, I find I do not have an ejaculaion. I wonder if I shoud be concerned. My last PA test was 4.2 up from 3.69 a year ago. Too bad I can,t talk the Dr into removing the prostate AND penis. With no balls, I don't think I need them. No transition except to Nullo.

Mine in October was 12.315 up from 5 in March will be tested again end of this month.

I had a 12 something psa in 2019. Had a 12 point biopsy that showed no cancer in the removed tissue. My psa did spike after stopping androcur after 3 months. Has reduced each test since. Was still 2.5 last test , still high for a 56yo. When it was up in the double digits I asked my urologist if I could just have my prostate removed. She thought I was crazy! My father, his brother and my cousin all died within 12 months of prostate cancer diagnosis, so i didnt think it was that crazy a request. She left the practice for maternity leave. Our last conversation ended with her saying it would not happen and I pointed out if I was a woman with equivalent symptoms I would be having my womb and probably ovaries removed that afternoon.

My PSA is now just below 1.0, along with T of 57 ng/dL. I feel better than ever, likely thanks to estradiol and progesterone.