Hey snarky, love your blog! I... have a question that's making me really nervous lately, and I know I probably should ask this someone else (my doctor, for example, but I did and she couldn't really give me an answer), but I kinda feel like you're a knowledgeable guy and I thought maybe...? So, the thing is... I'm a trans man as well, on HRT for about two months now, and I'm bulimic. I don't purge that often anymore (because dysphoria is the main reason for my ED), but because of school-related
(the bulimia anon) because of school-related stress it happened every day for the last five days again. And now I’m super anxious because my paranoia makes me wonder whether my relapses influence the way the T works in my body. I catch myself thinking oh well the testosterone doesn’t work anymore now because I made myself throw up and put so much stress on my body, I have to wait for my 3rd shot in two months now and… I’m just so stressed out that I’m hindering my physical transition?
(the bulimia anon, again) I know of course that I have to fight my ED regardless, and since I’ve started my transition I am so so so much better, but right now I’m just so anxious. Probably for no reason… but I can’t find anything online and even my doctor told me she didn’t know. Your blog is my favourite trans blog, and you are super intelligent, so I thought maybe you could help me somehow? I hope I’m not bothering you with this. I’m just really really stressed. Thanks. And have a nice day!
Thanks for the compliments, and of course you’re not bothering me.
It sounds like you’re well aware of this anyway, but for the record, I am not professional advice. All I can say is speculate what I would think if I were in your position.
If anyone has any actual knowledge on this, please comment or message for anon!
First thing is pretty obvious; you don’t take testosterone orally, so at least you aren’t going to just be ejecting it.
I had a look online too, and agree with you that there really isn’t much.
On hormone levels, I’d expect you to be ok. You do not depend on your body to produce testosterone, and you (I assume) get your levels checked and dosage adjusted. Even if things affected the production of sex hormones in your body, I would expect there to be a good chance for things to be stable - and if it wasn’t, you’d find out in a blood test.
One thing to consider - how affected are your other bodily systems? That may give some indication - if your body is struggling to perform in other ways, then it may struggle with carrying out changes too.
I catch myself thinking oh well the testosterone doesn’t work anymore now because I made myself throw up and put so much stress on my body
I think this quote in particular shows that you are over-panicking. If, if bulimia has an effect on your transition, it would not be total. The most it’d do is slow you down, not not work completely!
Sorry I couldn’t be of more help. I would speculate that the effect is minimal at most, unless your body was already struggling substantially. That is only my speculation, though.