I moved from Houston to rural Virginia 2 years ago and continued MTF HRT but put any social transition steps on hold as this is a very conservative area. I?ve had to drive to Greensboro, NC for medical care, both HRT and specialist types. In all my medical records I?ve stated that I was transgender and gave my preferred name and pronouns, but I don?t present as female. I?ve accepted that I am at a comfortable plateau right now - I?ve been on HRT for 5 years, my wife accepts my breast growth, softer skin, biweekly estradiol valerate injections, and my wearing mostly female clothes at home and under dressing outside.

So I had to go to an orthopedic surgeon in Greensboro yesterday for cortisone injections in my knees. All went uneventfully and the doc suggested that I get hyaluronic acid injections instead of cortisone. I agreed and he said he would check with insurance.

Got home and read the post visit report today. He referred to me by my female name and gendered me as female throughout the report as ?she? and ?her?!!! I felt a surge of happiness unlike anything I?ve felt in a long time! I didn?t expect that kind of reaction but Wow! What a feeling! I feel validated and unburdened from the old male persona! Maybe it?s time to rethink that social transition!