primary care doctor recommendations

[jennytvx]

I currently see two different doctors for my primary car and my transgender care. Can anyone recommend a San Francisco doctor who does both. I need to start shopping now so when my insurance sign-up starts in October I will be ready. I have been on hrt for about 4 years...in low doseage would like to continue on this route until my situation stablize in personal life.

[Eryn]

Perhaps you should ask your "transgender" doctor for a recommendation? It shouldn't be too hard to find a good TG-friendly GP in SF!

My experience was, within the constraints of my health plan in SoCal, I simply chose the youngest female GP available. When I asked her about an endo referral for TG issues she said "No problem, I've done those for several patients!"

We're just not all that unusual any longer!

[Suzanne F]

If you can go to UCSF Dr Madeline Deustch is awesome! She can do both. She is a member of the LGBT community and is an ardent supporter for trans health. She is right off Divisadero at UCSF women's health center.
Suzanne

[Tina955]

Hi jenny, I am on the east coast, so can't help with doctors, but was wondering since you mentioned you have been on a low dose for 4 years now. What physical changes if any have you experienced? I have the letter from my therapist for low dose, but the doctor I went to see kind of made it sound like even a low dose would facilitate female secondary changes, and I am not quite ready for anything seriously noticeable as I am still in the closet. My GD seems to be growing to the point where it is all I can think about.

Thanks ahead for any info you would be willing to share.

Tina

[jennytvx]

hi tina, i have gone with overseas estrogen for about 3 years with some changes that include softer skin and distribution of fat. Got my girly waist that way. my breast were minimal. When i went legit, and went to a clinic and was prescribed US hormones. boy what a difference. the low dose made my skin even softer, my breast started to ache. the little pebble that u feel behind the nipple grew. my areolas also grew larger. nipples need more time though.

also, by going legit, your doctor can monitor any problems that can arise and kill you. as in my case, i had to stop due to the effects it had on my system due to my diet and lack of workouts...but most of the body changes stayed even after stopping for 4 months. but the stop is temporary while they conduct more blood test and for me to eat properly and excercise. if i had kept going without a doctors care, i think i would be killing myself right now with the meds. so always go legit from a someone that experienced a possible life threatening effect from estrogen.

thank you suzanne, i did happen to call her yesterday. they were very helpful over the phone. I need to change my medical group to be her patient, so looking into that now. thanks again
jenny

[Tina955]

Jenny, thank you so much for your quick reply. What I was hoping for by starting a low dose was to help calm my GD and to have less frustration to a point where my kids would notice me being more comfortable with myself, and maybe make it easier to open up to them and then decide where to go from there. Softer skin and a smaller waist with small breast buds under the nipple doesn't sound too drastic that I couldn't atleast keep things under the radar as I do work out which could kind of explain those small changes.
So thanks again Jenny.

Hugs,
Tina

[Stephania]

Tina, I am on a low dose and have been since January 2014. Just so you know, you get more than you think. I have 40B breasts from the hormones.

[jennytvx]

tina is right, user results will vary. a low dose can give very good results