• 7 Posts
  • 94 Comments
Joined 1 year ago
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Cake day: July 24th, 2023

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  • I don’t really have any advice or anything, but I hope you can find some reason to keep going. It sucks feeling alone, even more so when you’re with other people.

    Transitioning fucking sucks. Even if you have good results, it’s a mess to deal with, physically and socially, and those difficulties make it mentally taxing as well. Like a lot of social media, we tend to only see the really exceptional cases, and not the reality a lot of us will live with.

    I wish I had something to say that could take your pain away, but I don’t. At some point, we all have to find a reason to keep going for ourselves. For me, it’s my cat. It’s nothing, in the grand scheme of things, but I’m all he has, and that’s enough to keep me going. At least for today.

    Keep reaching out. Keep trying. In the end, that’s all we can really do.




  • Thank you for the thought-out response.

    It doesn’t sound like site soreness, and if you’re using insulin needles, those are too small to get into the muscle anyway.

    Your dose might be a little high, but I doubt it’s so high that it’s putting you at a risk for blood clots.

    It honestly sounds like it could just be soreness from exercising more if you started doing that around the same time as injections, and your body isn’t used to it. It could also be an electrolyte imbalance, as some others mentioned, but if you’re young and relatively healthy that’s fairly unlikely.

    I usually start with the most likely scenario and move from there. It’s pretty unlikely to be a DVT, injection site soreness, or electrolyte imbalance, so it’s likely just soreness. If you aren’t already, try adding some light stretching before or after you exercise. Applying heat should help, too, if it’s just muscle soreness. I would bring all this up with your doctor so they are able to rule out the more serious stuff, but I would not be overly concerned about it.

    On a somewhat related note, when looking up medical information I would stick with Mayo Clinic or Cleveland Clinic for general medical stuff. For trans specific info, Fenway Health is the gold standard (imo), someone linked to them in a different response. You can also check WPATH standards of care 8, but that’s meant as more of a reference for medical professionals and it might be a bit dense.

    Please let us know how it goes, and keep asking questions! It’s best to get from medical professionals, but sadly folks like us don’t always have that luxury.


  • Estrogen does not dilate blood vessels, and vasodilation won’t cause pain. It’s very unlikely that the hormone is causing the pain.

    I have a few questions, if you don’t mind? You said you are doing the injections subcutaneous. Where are you injecting? What length of needle are you using? Subcutaneous injections are relatively painless and shouldn’t be causing any of the issues you are describing, but if you’re using a needle that is too big or injecting in a bad spot the pain could be related to injection site soreness.

    Pain in the legs and below the knee could be a sign of deep vein thrombosis. It’s very unlikely, but estrogen can make you more susceptible to blood clots. You are at higher risk for this if you smoke cigarettes (especially if you’re over 35), if you have a more sedentary lifestyle, or if your serum estrogen level is too high. Subcutaneous injections tend to lead to higher serum estrogen levels, which can put you at a higher risk for blood clots.

    You said you are DIY, is anyone checking your estrogen levels? What dose of estrogen are you taking, and how often?

    It’s pretty unlikely the pain is from a DVT, but that is a very serious complication you need to rule out (a dislodged clot from a DVT that travels to your lungs can cause a pulmonary embolism, which can potentially be fatal).

    I hope this doesn’t come across as condescending, but these are the questions I would ask if you were a patient.













  • The job was to help develop the program and department, at least that’s how they sold it to me. I was specifically told management is receptive to input from my position, and it was well within my purview to consider these issues. And, given that I don’t think ever worked a full 40 hour week, I wouldn’t say I did anything “double time”.

    I did give them a reasons to get rid of me, in that I showed there wasn’t actually enough clinical level work for a nurse at this position, at least with how they structured it