About six months after starting hormone therapy, I went to see a back pain specialist. At the time I was presenting only as male and had only come out to a few family and no close friends. As the doctor reviewed my medication list he asked about my Spiro and Estradiol. I explained I was just beginning my transition and after several months and chances to stop it looked like I was committed to the course. He asked if I wanted to change the gender marker in my files. He is part of one of three major medical groups in this area and if he made the change it would show up everywhere within that group and with the other two whenever they shared information, which is often. I agreed and walked away with an appointment for an injection in my lower back, but my head in the clouds. That validation and the offer to expand my feminine footprint in that was one of the best things that had happened to me. The medical community rocks!