Nick2023 wrote: Wed Jul 30, 2025 2:42 am I just got home from my doctor's appointment. I went in for what I thought was a 3 month visit to test my hormones but it was lab work for other reasons. I told the nurse practitioner that I wanted to stop TRT and start low dose HRT. She told me to stop my testosterone injections and that I had to see another doctor in the practice that manages gender affirming care. She asked me a couple basic questions and then left the room and came back with an appointment card with an appointment for four weeks from now at the end of August. I didn't bother asking about a bone scan because she told me that they will take care of everything on my next appointment.

So for now I have to wait for the testosterone to wash out of my body. I couldn't get a clear answer on the informed consent process. It looks like just a discussion with my new doctor and then I sign some paperwork. I didn't find much online about it. She did say that I will be prescribed estradiol on my next appointment, so no worries over access. Can someone please tell me the process of "informed consent" so I can ponder it before I got back for my next appointment.

WheelyFixed wrote: Thu Jul 31, 2025 7:12 am

Nick2023 wrote: Wed Jul 30, 2025 2:42 am I just got home from my doctor's appointment. I went in for what I thought was a 3 month visit to test my hormones but it was lab work for other reasons. I told the nurse practitioner that I wanted to stop TRT and start low dose HRT. She told me to stop my testosterone injections and that I had to see another doctor in the practice that manages gender affirming care. She asked me a couple basic questions and then left the room and came back with an appointment card with an appointment for four weeks from now at the end of August. I didn't bother asking about a bone scan because she told me that they will take care of everything on my next appointment.

So for now I have to wait for the testosterone to wash out of my body. I couldn't get a clear answer on the informed consent process. It looks like just a discussion with my new doctor and then I sign some paperwork. I didn't find much online about it. She did say that I will be prescribed estradiol on my next appointment, so no worries over access. Can someone please tell me the process of "informed consent" so I can ponder it before I got back for my next appointment.

The key words there are "Gender affirming care" which translates to the Transgender doc... Their rule-book is the WPATH Standards of Care version 8. The SOCv8 is a free download off the WPATH website... Grab it, read the entire thing (Useful side effect, you won't need sleeping pills) with special attention to the Eunuch and Mental Health chapters... Basically you need to convince the docs that you have a VERY thorough and complete understanding of all that is involved in being fixed and that you are sufficiently sincere and determined that it is the right thing for you...

In essence, since this is a totally and completely irreversible procedure, they want to be as absolutely certain as possible that you know what you are getting into, and are not going to be having regrets later....

Since you are already fixed, it probably won't be a huge deal, however you are somewhat leaving the 'standard male' model so they will want to make sure you won't be surprised by any of the side effects of estradiol like 'boob growth' for instance.

WheelyFixed