Well...I think?
I woke up absolutely sure I was gonna just cancel the endo's appointment, pretend to be sick and stay at home. Buuuuut, I'm so glad I didn't!

He addressed my lactation concerns, confirmed high prolactin from my last test and took my blood again. He said that if this one came back high too, I'd have to get an MRI, which I'm really fucking scared of doing 😭

But, but! I asked him about prolonging my injection interval from 3 to 4 days. I was already doing that, I switched as soon as I saw my results, so basically behind his back (oops), but I just wanted to make sure he knew. He was absolutely fine with it, of course.

Also! This was completely unexpected, but he himself offered me the option of monotherapy! Which completely blew my mind, cause endos in this country fucking suck in general and are for some reason hellbent on prescribing 50mg+ of cypro any chance they get. I guess his reputation doesn't lie...
So of course I accepted, I've been looking forward to ditching cypro so fucking much. So byebye, overkill white pills! Oh and I can drink now, I guess?
Although, if my T shoots up, I'm gonna fucking die. But that hopefully shouldn't happen with 5mg EV every 4 days...

And also, I got an SRS referral letter for the Suporn clinic! Signed and stamped by my endo. Already sent the clinic an email, so hope that turns out okay. It's...really important to me. And now I'm (hopefully) one step closer!

All in all, great! I'm so glad I didn't just stay at home, lol. Although I was totally planning it. The lack of motivation and anhedonia from withdrawal is reaaaaaally uncomfortable. But...I think I'm doing okay πŸ’œ

Edit: I had one can of beer! And I'm drunk af, lol. Zero alcohol tolerance at all! I don't drink very often, either.

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[–] 10 points 1 week ago (1 child)

I’m so glad you ended up going to the appointment! good girl~

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  • [–] 8 points 1 week ago* (last edited 1 week ago) (1 child)

    He said that if this one came back high too, I'd have to get an MRI, which I'm really fucking scared of doing 😭

    I've had to do this years ago. Your endocrinologist is checking to see if there are tumours growing on your pituitary gland, which are mostly benign but can still cause significant problems if they're left unchecked. If your endo recommends an MRI, don't skip it! Even benign pituitary tumours can cause serious hormonal problems if they're not addressed.

    The MRI itself isn't too bad - it sounds like you're inside a floppy disk drive as it's reading and writing a disk (if you don't know what this is, YouTube! (now I feel really old...)).

    MRIs do get quite loud - like standing near a large concert speaker and subwoofer, so earplugs are usually required, due to the very large currents flowing through the MRI coil (magnetic flux) to take pictures of your body part. The very first MRI image they took of my head made me jump a little bit because the magnetic flux was so loud it vibrated me a bit, but once you're used to the sensation it's pretty fascinating to experience. MRIs are absolutely not painful, just weird.

    Perhaps the scariest part (if you're not fond of needles) is the dye contrast they can inject for some part of the imaging process to quote "light the pituitary gland up like a christmas tree on the scan". It's just a simple IV injection, and not that bad (for what it's worth, I hate needles).

    MRIs can be claustrophobic, so if this is something you think you may have issues with see if your endo is able to prescribe a short acting anti-anxiety medication to help with the experience.

    Overall my session took about 50 minutes, was boring as hell as I obviously couldn't read or do anything other than imitate a statue (moving causes blurry images) but it's not a terrifying experience. It can be unsettling if you've never had one before, but they're genuinely not scary machines.

    Realistically, CTs are scarier because you're being shot with high energy x-rays to take an image, but they're also not painful. MRIs just exploit physics to take images with a huge magnetic coil. There are a few YouTube videos on the experience.

    Don't worry about the whole metal and MRI thing - you'll be extensively screened before you're allowed anywhere near the MRI, because those things are extremely expensive to repair after an emergency quench (dumping the liquid helium from the machine to 'turn off' the magnet). MRI operators are very protective of their machines... πŸ˜‚

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  • [–] [S] 2 points 1 week ago

    That's actually really assuring. Thank you ❀️

    I know MRIs aren't painful, I'm just worried I'll get super claustrophobic. Although, it'll probably be a cool experience lol.
    I think I'm honestly more worried about the marker injection...

    I'm really serious about doing it if my endo recommends it. I know it's important...

    Honestly, thanks πŸ’œ
    This makes me feel a lot better already. I guess I will be alright then. Thanks for the comment 🩷

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  • [–] 6 points 1 week ago (1 child)

    Yaaay! I know I'm just a random stranger, so I hope this isn't weird to say, but I am SO proud of you!! <3 I'm the same way with doctors appointments, so I totally get how big of a hurdle it can be to get yourself to actually go. And I'm so glad your doctor is so good!! :D

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  • [–] 6 points 1 week ago (1 child)

    Yay! Woohoo! Yippee! Glory to QUEEN Miisha!!!!

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  • [–] 5 points 1 week ago (1 child)
  • [–] 5 points 1 week ago (1 child)

    Congratulations!!!

    It's so hard to pick yourself up and go sometimes, but often it ends up really being worth it. I'm so glad that you had such positive outcomes today! Hooray!

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  • [–] [S] 4 points 1 week ago

    Yes it's rough jeez, it's like getting run over by a steamroller and immediately getting all the life sucked out of me by a group of vampires...please don't take that out of context 😭

    It definitely was worth it tho! Thanks πŸ’œ

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  • [–] 5 points 1 week ago (1 child)

    Hell yeah miisha, you got this. Seems like your doctor is really on top of things and ACTUSLLY LISTENS, that's worth its weight in gold.

    be well continuing your journey into girlhood!!

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  • Being so close to cancelling an appointment and then just going anyway, and being glad you did is so me lol

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  • [–] 5 points 1 week ago (1 child)

    congrats! monotherapy has been wonderfully simple for me, hope you get the treatment you deserve

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  • [–] 4 points 1 week ago (1 child)

    woohoo! happy for you, miisha!

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  • [–] 4 points 1 week ago (11 children)

    yay some much wuv news, gz You!

    Glad Your doc is so friendly - some of them feels the mission and do awesome job. Or maybe sorry for these who don't follow changes? My endo also do such stuff, even if I have to travel a lot.

    hmmm beer, long time didn't went any czech tavern, like after 1.5 year or so (after being at one weekly for years)... but was at one today! Much nice taste, with cheesy snacks and stuff, did miss that af. Think overall (I may not be ready to say detail) stress of the day did overtake drunkin, so felt nuffin :<

    Don't forget about magical 20! and stay cute.

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  • [–] [S] 2 points 1 week ago (10 children)

    Thank youuu! My doc is amazing, honestly

    Did you go to an actual Czech tavern or pub? Cause those places...well, they're a different world, lol.
    My bf loves them. I...don't. They're very...idk, male-coded honestly? I don't like the culture much. But you do you girlie! ❀️

    And I'm sorry to hear about the stress. Life is hard for everyone now, it seems. We'll all get through this tho 🩷

    Girl, you stay cute! You're doing a great job already <3

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  • [–] 3 points 1 week ago* (last edited 1 week ago) (9 children)

    The one of today - "ČeskÑ" restaurant by the name, full of pilsner, a little kozel - but somehow more a kozlovna in style.

    Used to visit some Svejk weekly with own pack, until they came out as bigots, so no more... My top1 (even have it on my lemmy profile background lol) and top2 taverns are in Prague too, yet I'm not even Czech... oopsie. Also not drinking much since hrt, just happened today coz of friends.

    For the stress part, fuck me, it was hrt related after all, doing progress, to say that much. That makes life lovely.

    Lets go CUUUUUUUUUUUUUTEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

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  • [–] [S] 1 point 1 week ago (8 children)

    Pilsner is good! Kozel too. I hear anyway, I hate beer...

    Don't go to Švejk tho 😭
    If it's the one I know, the food is mediocre at best with prices like the center of freaking Vienna. It's actually a scam, it's insane.

    I'm glad you like Prague tho. It's a nice city and it's definitely one of the more liberal places in this country. Super glad 🩷

    Lets go CUUUUUUUUUUUUUTEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

    YEEEEEEEAH πŸ€˜πŸ’œπŸ©·

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  • [–] 2 points 1 week ago (7 children)

    Afaik, there's hundreds of Svejks all around the world. Unregistered mark, ez to recognise, many older peoples know books or movies well. One in my town was quite friendly at time, up to moment I did discover peoples there, at times when world was not so divided between lefties and righties, while we all could sit at single table and talk star wars...

    Pilsner is good? nah, it's terrible, their super aggressive marketing, buyouting every place possible, getting monopoly on supply and increasing prices af... And even taste, it's nothing super special, much good, but I never got an orgasm by drinking pilsner urquel ;d

    CUTIE - lets do 20!

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  • [–] [S] 2 points 1 week ago (6 children)

    Afaik, there’s hundreds of Svejks all around the world

    Aha, that makes more sense. I've definitely seen a couple around...I just know that one particular one in Prague that sucks

    Pilsner is good? nah, it’s terrible

    WHAT 😭
    I mean, literally everyone who drinks beer around me (so everyone, lol) has praised Pilsner so much...waow. You might be the first to do the opposite. That's something special :3

    I never got an orgasm by drinking pilsner urquel ;d

    Me neither girlie. Me neither πŸ˜‚

    CUTIE - lets do 20!

    Already done. I'm ahead :3
    I'm so...old tho 😭
    I mean, it's easier each day, but still, 20 squats is nothing. Omfg 😭
    Still, thanks for making me do this. I desperately need to get in shape a bit πŸ’œ

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  • [–] 3 points 1 week ago

    Maybe get some dumbbells too :P

    More or less recently started getting into shape as well and I can't complain. 15 minutes every day and I feel like a new person.

    All I'm doing are squats, curls, overhead presses, crunches and bench presses. Alternating between each half of those every day.

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  • [–] 2 points 1 week ago (4 children)

    I know of 2 Svejks in Prague, and both are meh to me.

    Pilsner, no shame in drinking that, but have lots and lots others, that are way more in my style.

    Are You ahead? I did 3 repeats of 20 today :P - our butts must grow!

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  • [–] [S] 2 points 1 week ago* (3 children)

    Are You ahead? I did 3 repeats of 20 today :P

    Well, I guess I kinda suck then 😭

    our butts must grow!

    I know. Thanks girlie <3

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  • [–] 2 points 1 week ago (2 children)

    And, went lil drinks today... like 1.5 of beer so far, Litovel.

    Aaaaaaaand... Found myself appointed to gynecologist clinic.

    I feel weird knowing I have this... totally NOT intended, not even 2months into hrt so far (doc visit will happen at 3rd month of hrt?)... WAIT WHAAAAAAAAAAT??????????????????????

    Doing 20 today will be far not enough!

    GIIIIIIIIIIIIIIIIIIIIIRRRRRRRRRRLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLL

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  • [–] [S] 2 points 1 week ago (1 child)

    Litovel is nice! I like the nonalcoholic lemon-flavored one tho. I don't really do beer.

    Gynecologist clinic? Really? πŸ‘€

    Doing 20 today will be far not enough!

    But girlie, I can barely do 20 without keeling over 😭
    Surely 20 must suffice...right?

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  • [–] 2 points 1 week ago

    Litovel Cerny Citron... recently renamed into Cerny Citron Radler... did add that to dinner very today while cooking :3

    Gynecologist clinic... yes. Never asked for, and my mind struggle with that info for few hours already... What, how, why... Got called, got asked to confirm the date. During shock, think I've agreed. Get text with address, yep clinic is there. My head is still processing.

    Well, I'm adding bit color to the story, my endo has moved to the new office. Thats it. Solid explanation. Still sound... bold af. Can I ask for some gg? ;_;

    For 20, yeah, be proud of doing each 20! The butt must grow. One day, we add wall push-ups, afaik nice for breast :3 🎡 Girlie butts 🎢 Girlie boobs🎡 πŸ’ƒ

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  • [–] 4 points 1 week ago (7 children)

    wow you can get an SRS referral within a year of starting HRT in your country? The standard here is to wait a few years for pretty much any surgery.

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  • [–] [S] 3 points 1 week ago

    Yes. You can either go the official route, which means 1 year of HRT then being almost literally interrogated by a bunch of supposed "specialists" (really just bureaucrats) and then insurance pays for your SRS completely.

    Although I'm personally going for Suporn in Thailand, cause I love the consistently good results. No shade on Czech SRS tho!

    I just need a letter from my endo specifically for the Suporn clinic. Turns out, my endo is extremely liberal and supportive, has a male partner and is based as fuck, so he said I could have it anytime.
    He's honestly amazing πŸ’œ

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  • [–] 2 points 1 week ago (5 children)

    Jeez, here in the US I just needed 1 year for the endo letter (as well as a therapist letter saying I've thought it all through and a psychiatrist letter saying I'm fit to make the decision). I took a few years because poor college student though

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  • [–] 1 point 1 week ago (4 children)

    I am in the US. I haven’t actually asked about surgery yet. I read that surgery is usually held off for like 3 or so years because they don’t want to mess with the early stages of hrt and I assumed that was just the standard. I would love to get vocal feminization surgery sooner though.

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  • [–] 2 points 1 week ago (3 children)

    Yeah it's usually held off, but especially if you're going for a long wait list surgeon you can probably get your letters sooner than later, similarly if your bottom dysphoria is particularly bad. Idk about vfs though, I'd love to get it but I don't think I can shut up long enough to recover

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  • [–] 1 point 1 week ago (2 children)

    I don't think I can shut up long enough to recover

    So real lmao. I hate my voice more than anything else though. So vfs is on the top of my priority list.

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  • [–] 2 points 1 week ago (1 child)

    Yeah I feel that. Voice training has done a lot for me, but part of me still considers vfs

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  • [–] 1 point 1 week ago

    I’m in the process of signing up for voice training at a local hospital speech pathology department. I’ve stalled out with self teaching. I think I’ll still want vfs after since I have a very deep voice naturally and I’d rather my involuntary sounds be pitched up as well.

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  • I'm proud AF of you Miish! <3

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  • [–] 3 points 1 week ago (1 child)
  • [–] 3 points 1 week ago (2 children)

    Hell yeah congrats on all of it. And good luck with Suporn, the wait list was hell back when I was picking surgeons

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  • [–] [S] 2 points 1 week ago (1 child)

    Thanks 🩷

    The wait lists still are hell and I probably won't be able to get it before 2028. But honestly, the results are more than worth it to me, for something so important that I can only get done once.

    It'll be worth the wait πŸ’œ

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  • [–] 2 points 1 week ago

    Two years is much better than the lottery system to get a spot onto the two year waitlist I remember. And yeah, surgery prep takes a long time anyways so two years sucks but is manageable. And finding a surgeon you trust is so important, especially considering there are some bad surgeons out there (I know nothing about Czech surgeons, and I went to someone relatively nearby to me at the time).

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  • [–] 2 points 1 week ago (2 children)

    I'm so fucking happy for you sis ! And proud !

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  • [–] 2 points 1 week ago (1 child)

    I wish I my body didn't handle alcohol. But it does :3 Even with E and weight loss and the fact that don't drink in general. Still need a significant amount if I ever do so (a bit less today I'd say)

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