Post-T Transmasculine Folks - Let's Have A Talk
So, disclaimers, this might be triggering. I'm going to talk about my personal experience today, and about an issue that I'm finding is actually pretty common amongst us folks who have started hormones. Honestly, I don't really want to talk about, but I feel this is something that needs to be talked about.
So, over the last two years or so, I've had a rough time taking my shot regularly. Be it because of my depression causing me to just forget, fear of running out of hormones, fear of going into a pharmacy just to buy more needles (which can be a bit difficult in AZ because of our state's laws trying to prevent intravenous drug use), fear of the pain or hitting a vein, or just feeling that there's nowhere clean enough to stick something into my leg, it's been rough for me. I haven't had an accurate blood test for over a year because of this.
These past few months have been the hardest, due to compounding factors from the above list. I haven't taken a shot in possibly close to 5 weeks. And, as such, my body has decided to go back to it's... Normally scheduled programming.
Not going to lie, I definitely tried to ignore the signs. The lack of energy, lack of libido, the growing cramps, the mood swings. I even tried to ignore when I saw blood this morning. Just went to work as normal, albeit wearing black underwear on purpose. Unfortunately, as per my body and the fact that I've stopped the menstrual clock for about 3 years, that, uh, wasn't going to be option.
I'm very fortunate to have a female co-worker who I'm out to, who generous handed me a pink-wrapped "manpon" stealthily during my lunch break. I hightailed it to the bathroom, and realized something I haven't been forced to think about before.
See, I didn't use male restrooms consistently until after I had started hormones, so I never had to deal with shark week in such an unaccommodating space. And, of course, the universe had more plans to make this new experience more nerve-wracking: I was not alone.
Dealing With 'Shark Week' In Public
I stood in my stall, carefully trying to open this wrapper silently, managed to do the deed, then realized I had... No way of disposing the evidence. Great. I quickly wrapped the offending object up in some toliet paper, flushed the toilet for good measure, and high-tailed it to the nearest trash can. Washed my hands extremely fast, and left before the other guy exited the stall.
As I returned to work, I could feel my heart racing. My hands shaking. I never thought that I would ever have to deal with this. But, here I was, trying to cope, while staying productive and hoping to all that was holy no one would ask what was wrong.
I tell you all this story for a couple reasons. Firstly, for you guys who haven't started hormones, I finally get it, and I'm so sorry this is something you experience regularly. I admire your strength, because I can't think of a more definitively brave and masculine thing to have to do. Secondly, to guys like me, who are struggling with keeping on top of your shots, the discomfort of the shot itself pales in comparison to this experience, when you've thought it'll never be a problem again. So, try to stay on top of it, even when the excitement of changes has passed.
Now, I know that cautionary tales only get us so far, so here's a couple suggestions I've been brainstorming for my own use that might help.
Use your phone to remind you
There's a couple medication remind apps out there, or you can even use your calendar to remind you. A close friend, roommate, or significant other can help keep you accountable, if that suits you. This actually helped me for about a year, and was working quite well, until my boy/girlfriend got a new phone and forgot to move the reminder over.
Look into alternatives to shots
While self-administered shots are the most common form of HRT for trans-masculine folks, it's not the only method. There are gels that you can apply daily that can work if you have a steady routine and sleep alone (you risk cross contamination with a partner or pets, so you may want to talk to you doctor about that if gel seems like a good method for you). There are also slow release shots that doctors adminster once every 2 to 3 months (in the US, it's called Aveed, in the UK and some other countries, they use Nebido). Talk with your doctor if that is something you can do instead. I plan on trying to switch to Aveed over the next month or two, so I'll give some updates on that.
Talk to other transmasculine folks about it
There's definte strength in numbers. It helps to know that you aren't the only one struggling with this. I know for me, it was difficult to accept that I had a problem taking my shot because I was once so excited to take my shot that I felt ashamed that I now dreaded the prospect. Perhaps others will have suggestions beyond mine that will work better for you.
Most importantly - forgetting your shot does not make you weak, it does not make you any less trans or any less of who you are. It's okay to struggle with this. And you can overcome it, just like you overcame the struggle to get hormones in the first place. Keep pushing yourself. I believe in you.