Hi everyone!
I'm a 41-year-old trans woman from Ireland and I've just completed my first year of feminising HRT. I'm feeling a bit disappointed and confused by my latest blood results and wanted to see if anyone else has experienced something similar.
I'm currently taking 3.75 mg Oestrogel and 150 mg spironolactone daily. I've been on 150 mg spiro since March.
What's concerning me is that my testosterone has actually increased over the year! I mean what the hell? Despite taking HRT consistently. My oestrogen also seems relatively low compared with the usual recommended levels.
The confusing part is that I've actually experienced quite a lot of positive physical changes.
I've had noticeable breast development, my skin has become much softer, and I've experienced substantial fat redistribution to my bum. It's become noticeably fuller, and I feel like it's still changing.
My body hair has also reduced dramatically. Hair on my back, neck and ears has practically stopped growing. I've noticed some slight facial softening and what looks like a small improvement in my hairline.
So physically, I feel like HRT is working, yet my blood results seem to suggest my testosterone isn't being adequately suppressed.
I'm planning to discuss this with my HRT provider, including whether spironolactone is the right anti-androgen for me.
Has anyone else had relatively high testosterone after a year of HRT but still experienced significant feminisation? Did your levels eventually improve, or did you need to change medication?
I'd really appreciate hearing other people's experiences!