Appt with the endo

[Billiejosehine]

I looking to schedule my first appt with the endo. The endo I got referred to is supposed to be the best, but they don't have any experience working with TS. According to the receptionist that spoke to on the phone, the endo doctor actually turned down another TS a year ago. But after receiving the referral info my GP sent to them the endo will consult with me. Would it be worth it to set up an appointment with this endo, even try don't have much experience? Or should I find someone who is more experienced? Also when I do oh to an endo appt what are some good questions to ask on the first appt.

[Megan G]

What happened to the endo appointment you had scheduled for today?

http://www.crossdressers.com/forums/showthread.php?207943-What-to-say-to-my-GP&p=3417624&highlight=#post3417624

As for going to one that has never delt with TS's before, I am not sure if I would. Being from the Bay area there must be one close to you that has experience and would search him/her out. Check with local TS support groups and they can point you in the right direction.

[I Am Paula]

If he is the only endo available, use him. HRT is not rocket science. If he feels he is not qualified, he will certainly tell you. With an endo with no TS experience you will have to do a lot of the reading, and educate him. He will be very well versed in the administration of estrogen, as he will be dealing with menopause every day, but he may need to study up on AA's. Many girls here deal w/ GP's or endos without M t F experience, and do well.

[Billiejosehine]

My original appt was canceled and I have to reschedule due to finding a place to live and move into.

[LeaP]

Refer him to the endocrine society's clinical practice guideline. It is the standard a US Endocrinologist would normally follow anyway, unless part of a group that has its own. (And that's not common.)

https://www.endocrine.org/~/media/endosociety/Files/Publications/Clinical%20Practice%20Guidelines/Endocrine-Treatment-of-Transsexual-Persons.pdf

Paula, you are right, it's not rocket science. But the risk profile for a MtF is very different vs a GG, not only in terms of absolute risk, but the level the patient is willing to assume. Also, alternatives are harder to manage and fewer. There is little research correlating feminization outcomes to patient profiles and scenarios ... and trans patients historically have pushed for heavy dosages with the expectation that such correlations exist. The drugs and typical regimens aren't complex or novel, but the unknowns and risks are entirely new territory for most prescribers.

THE most important predictor of outcomes in medicine is the experience of the provider.

[Jessicah]

Billie, the ladies who have already posted have good recommendations. However, I would personally "prefer" to see someone experienced with m2f transition, as I'd constantly be wondering if some minor issue or detail was being overlooked simply because he's a virgin and I wouldn't be too excited about being his first frankenstein experiment. Though my last sentence completely discounts how seriously he takes his job as well as researching and learning about "us" in order to provide you with the best professional care possible. Just my .02.

Good luck

[Billiejosehine]

I was able to go see the endo today since they had a last minute opening. The appt when alright and discussed a few things in regards to the standards of care guidelines. Since she hasn't really worked with a TS before. Since she was uncomfortable and doesn't know we she didn't want to prescribe me anything, which I was anticipating. But we went over a treatment plan that I can start once I give her the letter. She is also having me get some lab work done as well to know my baseline. At the end of the appt. she did say that because of me and going over the standards of care guidelines she can help other TS's.

[Aprilrain]

What if she had prescribed Billie, what then? So now your on hormones.

You have no therapist
your personal life is a shambles
your marriage in the toilet
you're still not sure if you're a CDer or TS yet you've slowly changed your wardrobe to all female attire
All your wife knows is that you wear a woman's teeshirt and some panties occasionally

I'm starting to wonder which one of you is more crazy

I call bullshit on this thread