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  • When You Know More Than Your Doctor

    “So you’re doing hormone therapy, testosterone. How long will that be going on for, a few months, years…?”

    “No, it’s pretty much a life-long thing.”

    For anyone who has never experienced this, it’s pretty disconcerting to realize that you know more about your medical treatment than your own doctor does. Maybe it’s all the research I’ve done, but I find it incredible that anyone, let alone a medical professional, would think that hormone replacement therapy on this level would be a short round of treatment and then you’re good to go after that.

    I want to say, though I honestly didn’t think about it until much later, “Did your body produce oestrogen for the first few months of puberty and then stop? No. This is the same thing.”

    But of course she doesn’t know. She’s a GP, and the treatment of trans patients is well outside of her expertise. However, I don’t really want to be bouncing around getting my prescriptions from multiple doctors. I’d feel a lot more comfortable having one person handling the majority of my physical health care, so I take it upon myself to educate her.

    I tell her that though I still have a decent supply left on my current script that I got from the endocrinologist, when that’s done I’d rather get that refilled here rather than try to get in to see the specialist (will I need another referral? I don’t even know. That’s the sort of thing that confuses the hell out of me.) or try to catch my original prescribing doctor during his walk-in hours. I let her know, based on what the other two doctors were monitoring, what she should keep an eye on with regards to my blood tests. We also discuss what I may or may not need in terms of birth control (the information from the pharmacy includes the directive “don’t get pregnant”, but we agree that adding an hormonal contraceptive would be more messing around than either of us want to deal with.)

    Still, at the end of the day this is the sort of thing that puts the doctor-patient relationship into perspective. We’re all human. Nobody knows everything about anything, not even doctors.