HRT & Progesterone for Transgender Women (mtf): Everything you wanna know from Dr Anastacia Tomson
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- Опубліковано 26 лип 2024
- It's Doc Tomson y'all!! 🙌🏽 I sit down with my doctor, Anastacia Tomson-Myburgh, who has been managing my medical transition for the last few years. We talk about progesterone and its role in HRT for trans women, and whether or not you should be on it.
Most importantly,this video is not medical advice. You should definitely talk to your physician about what options may be best for you and your wellbeing.
If you have questions, please pop them in the comments and I'll do my best to answer. If not, I'll see if i can get Anastacia on the channel again :)
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ABOUT ME:
My name is Zoey Black. I’m a transgender woman living in Cape Town, South Africa, working as a filmmaker and director. Here you’ll find all things queer, lifestyle, and vlogs… LOTS of vlogs! 🇿🇦 To connect with me about film work, sponsored content, and brand promotions, drop me mail at info@zoeyblack.com 🏳️🌈
She truly is amazing thank her for us 🥰 I just took my first dose of progesterone today 03/08 at 1:50am
Oh snap congratulations 🙌🏽
Go to bed
how is it working?
How is it working, I just started!
I wish this doctor had a channel , her information is very informative and I would like to know her insight on more transgender health . Thank you for this video
It’s a pleasure. Anastacia is really amazing 🥺
Exactly!! We really missed you too...I almost msgd you to ask when are you going to load another episode...and then realised stay in your lane...you're probably super busy. I'm literally addicted to your channel!Thank you for the content. So real, and authentic
Lmao! You should totally message me 😂 It’s been a really rough last while and I really miss making videos.
Thanks for this. As someone wonderfully often says ..I appreciate you!
Hehe 😉 You are most welcome!
Thank you so much for this content on HRT
Only a pleasure
Thank you so much, Zoey. Not only was this video interesting and informative, but it addressed the questions I had around possibly going on progesterone. Still a lot to think about, but it did educate me quite a bit. Thanks to Dr. Tomson as well.
Can't wait for the next upload.
I’d also been wondering for a while about progesterone and more and more people kept asking me about it, so I thought I’d just ask my doctor. Glad you enjoy the video 😊
@@ZoeyBlack So, just some feedback....I added progesterone to my therapy in the beginning of March, and to be honest, I'm not impressed. It's really done very little to assist in my breast maturity and development. My doctor was not too keen on it either and only agreed because I begged her for it. Anyway, I guess it works for some and not for others.
Tumi, hey! Thanks for the report back on how it’s going. I’m sorry it didn’t give you any noticeable results, I guess you’re right, for some it may work and for others not. Are you otherwise happy with where you are now?
Very insightful!
Glad you enjoy it 😊
• Literal watery eyes right now. For the past week or so, I've been thinking to myself, "I wonder how Zoey's doing, where is she?". For the first time ever, I'm thinking of starting Progesterone and been in conversation with my provider about it. So we decided to possibly start in a couple of months. Been on HRT for close to a year and a third now, so I feel it may be time, with the idea of starting slow then building the process. It's a bit nerve-wrecking but also exciting. Then I come across this vlog on my feed. Talk about timing! 🫶🏼 Super informative and insightful. Can't thank both you and Dr. Anastasia Tomson enough. Miss you‼️ 🩷 Be well. •
What a beautiful video 💚
Thanks Jade 🤗
Thanks for this content. ❤️❤️❤️
Such a pleasure 🤗🥰
I'm in California. As progressive as this state is, we don't have as many trans doctors providing general practitioner services and/or endocrinology for those of us that are trans. Dr Tomson gave me the best explanation I've ever heard regarding the use of progesterone and the variants. So informative. FYI, I'm 53 and have been on Estradiol Valerate and Spiro for 10 years. I had man boobs before I started, but they never really developed in all these years. I just had weight loss surgery, so I'm going to wait before I ask my endo about it. But I do have breast augmentation planned for late this year or early next.
Thank you for the wonderful information.
hmm get off spiro my gosh! horrible drug the orchie is covered on insurance and easy recovery.
Ayo the gamer chair. Thanks for the info, it’s helpful since it’s sometimes confusing due to lack of readily available information. I’ve been getting ready to start HRT within the coming months or so, this topic is the only thing I’ve really used Google Schooler and local university’s research data bases.
That chair is dope! 🙌🏽 Yeah, I’ve tried to do my own homework around progesterone and there didn’t seem to be much proper research, so I’m glad this was helpful in some way. Have you started HRT yet?
@@ZoeyBlack yeah gaming chairs directly have a positive impact on gamer skills. No I have not yet unfortunately, waitlist is pretty long for specialist I’m going with.
Okay. Keep me post once you start. Would love to hear about your experience ☺️
What a lovely doc. Content like this needs more eyes on it.
She’s incredible 🙌🏽 Yeah I need to get these subs up 😂
Thank you for this video
Only a pleasure 😊
Just started progesterone in my fourth month, I'm in my 5th month of HRT now 🥰
Oh snap congratulations!! 🙌🏽 How has it been going?
@@ZoeyBlack so far so good. I'm very pleased with the process as slow as it is. I'm sleeping better, but still take naps more than ever lol. Went from a sleepless maniac, to a cat. Went my entire adulthood with maybe 2 naps lol, I pass out like 3 times a week now 😅 (That's since start all HRT)
Haha that’s amazing 🙌🏽 I also remember feeling a lot calmer when I started hormones, less anxious.
@@ZoeyBlack I'm am soooooo much better with the anxiety especially. From when I came out to when I got on hormones took 10 years. In the last 5 months, I've enjoyed quietly sitting, contemplating. I had a pretty messed up childhood and for the first time in 28 years, I sing, I dance all day. I am happy. I still have a few issues in public but after all this time and therapy, my confidence grows.
Ah this makes me so damn happy. I’m so happy that you’re happy. It’s a beautiful thing ♥️
Πολυ κατατοπιστικη η Αναστασια πηρα προγεστερονη και εχω προχωρησει αρκετα ειμαι ετοιμη για τηναλλαγη φυλου.
She’s is really amazing! So glad you’ve had a positive experience on progesterone, I’m flirting with the idea of going on it. Also, so excited that you’re ready to get bottom surgery 🙌🏽 Do you have any idea when you’d like to get it?
Ειμαι σε προτεραιοτητα 14 θα αποκτησω επι τελους τον πολυποθητο κολπο.
I’m about to start taking
Aaaah amazing!! How has it been going?
About to start my hormones next week and obviously interested in the use of and when to implement progesterone. I'm not seeking a "full transition" or anything gender affirming outside of hormones. As some would describe its a feminine tug as opposed to a need to fully express 1 way over the other.
Gonna take more with my therapist and doctor before I start so yeah.
Thanks for the video.
Oooo very exciting! Yeah, completely get you about only wanting to do hormones, there’s so much pressure for trans people to “transition” and then also “fully transition”, which is so weird to me. So I’m glad you’re clear about what you want. And if that shifts or changes, I’m sure make a considered decision. So happy for you 😊
@@ZoeyBlack
Thank you.
Yeah I use to fall into that thought process "what are you transitioning to then" the answer really is "me" but coming from a Roman catholic conselfative upbringing...took a long time to deprogram.
I've always been one to do things my way, yay for autism and oppositional defiance, so I'm not gonna let anyone's lack of understanding influence my decision.
I don't identify as a woman just a much more feminine individual who wants some mommy milkers XD jk but yeah.
Thank you ❤️🧡💛💚💙💜
Such a pleasure 😊
@@ZoeyBlack found the response by the Brazilians also very interesting. Trying to figure out something better than self medication on contraceptive pills for community in 🇰🇪. Also having a Doctor who is trans is awesome on so many levels
its complication with there mood but every body body is different.
Yes, that also how I how I understand it. The medication can have all sorts of impact on different people and mood is one of them.
In Brazil we have just PERLUTAN (ACETOPHENIDE ALGESTONE + INJECTABLE ESTRADIOL ENANTHATE) and Mesigyna (Norethisterone Enanthate + Val Estradiol 50mg + 5mmg) We ddon't have the opttion of taking estradiol injectable without progesterone, and is very common in our comunity take PERLUTAN... We have doctors, butt the most don't undestand or studies about transitioning, is vert expensive and hard to find...
That really sucks that the doctors aren’t educated on trans healthcare. We have similar struggles in South Africa. There are only a handful of them that do hrt.
Is PERLUTAN an estrogen? It’s the first time I’ve heard of it. What’s your experience been on it?
@@ZoeyBlack I would say that 95% of us trans women make our own HT, Perlutan is a contraceptive composed of algestone acetophenide estradiol enanthate 150 MG/ML + 10 MG/ML . It sells in all pharmacies, without prescription, very important, image the number of unwanted pregnancies that are prevented in a country that does not have medicines for all... We, the Brazilian trans community, use this hormone a lot. There are practically no specialized endocrinologists, medicine is very sexist and with remnants of Christianity. Perlutan is defenitly the most popular drug in trans comunity here, off labbel.
ua-cam.com/video/yqIEKTs2hVM/v-deo.html This is Paola, 8 years a go, on perlutan, there are a lot of videos of we, trans woman brazilians taking perlutan on youtube, for this year. I use perlutan also!!
Wow, the community there sounds so incredibly resourceful. I mean you’re making your own hormones. I know it’s not the most ideal situation though. Thanks for sharing this with me, I’m always interested in what healthcare looks like for trans people in other countries. Do you know if there are plans from the Brazilian government to make gender affirming healthcare more available to the community?
Thank you
Pleasure 🤗
I've been on progesterone for a year and it's definitely changed the shape of my breast and aided the growth of my thighs and butt. I just don't know when to come off of it...
I've been told to come off of it when I am satisfied with my boob shape, whilst I've also been told to not be on it for any longer than a year.
Yeah it’s a little bit unclear and sometimes confusing as to what the timeframes and dosages are for best results. I actually might go on Progesterone and see if it’s doing things for me.
Howzit Zoey, I was prescribed “Microgynon 50 ED” which, here in Australia, is pretty much standard HRT prescribed for MTF. It is a birth control tablet. Not knowing any different I didn’t question the oncologist and just went with it. I have done some digging around on various websites only to find that it is not “strong enough”. Doctors here are quite reluctant to give the injectables, maybe because of my age, I am 59 now and have been on Microgynon for the best part of ten years. Breast development sort of peaked to a full A cup and hasn’t changed for the last seven or so years. What is the “normal” HRT prescribed in South Africa? Taking into account my age and that I have had double orchiectomy 12 years ago.
By the way I think you are awesome.
Heya! Sorry for this super late reply, I don’t know how I missed your comment 🤷🏽♀️ As far as I know, the injectable doesn’t carry any significant risk with increased age. So I don’t know why they wouldn’t want to prescribe it to you. Are you doing it through the state or privately? Because I here in South Africa, the state provides pills and not the injectable, that you need to get privately. We’ve been trying to get the government to move away from the contraceptives as a form of HRT because it carries too many side effects, where as the bio identical estrogen is much more effective and safer.
@@ZoeyBlack if it's like in the Netherlands, the only covered drug is the cheapest alternative on the market that's not contraindicated for the patient.
Side effects are not considered unless they are serious enough to need treatment with medication more expensive than the next cheapest alternative that doesn't have those side effects...
Yeah, I think the situation is quite similar here 😞
Interesting I’ve been taking the synthetic medroxyprogesterone version for over 3 years. I didn’t realize there was different types
Love progesterone Fairly cheap thru Amazon pharmacy. I use injectable
I take it’s been working well for you?
I cycle my progesterone to follow a typical menstrual cycle, half on and half off over a 29 day period. I would be interested to hear Anastasia's comments.
Oooo that’s interesting. When I see her again I’ll ask her. How is that cycling been working for you?
What food are you supposed to take it with? She didn't say. And I tried doing it as a suppository for a while but I don't know if I was doing it right. One of my friends says to puncture the pill with a needle before putting it up there but I've never had a needle at hand. I dunno
Yeah I’m not sure about which foods are best. I do want to do a follow with Anastacia and ask her more question about progesterone since so many people have been asking.
Hello thank you so much. I just started progesterone last week and I'm 9 months on hrt. I have been going to breast augmentation consultation. Considering surgery after my first year on hrt. I'm 40 years old. Do you have any advice
.
Oh snap congratulations! Um, best advice I can give is to take your time in finding the right surgeon. You want someone that your comfortable with and who will be able to deliver on the results you want
Would you recommend Progesterone over Premarin & what are the side effects between the two?
Q&A is live where I answered this 😊
ua-cam.com/video/MRA3WiBBehs/v-deo.html
Perfect video about the annoying reality of considering prog lol
🤣🤣🤣 accurate 😂
do you know what the prevalence of the progesterone to DHT pathway is? I feel like I've masculinized on P
I’m not sure about the prevalence but I know it’s happened to some trans women who have gone on Progesterone. Dosage is tricky with P. Really sorry about that. Have you spoken to you physician about it?
omgg i was wondering why i was getting so loopy and dizzy after taking progesterone
OMG 😅 hope those dizzy spells have subsided
So what is the proper medicine to take with your estrogen? I have been on estrogen for a year now but I haven’t seen the breast tissue grow yet
Hey. I just answered this question in the latest video…
Q&A: Breast Growth, HRT & Polyamory
ua-cam.com/video/0qRUqvJSq-Y/v-deo.html
lm not transgender but lm interesting with chemical of medicine thank you for your information.
Glad this is helpful.
Hi, I have spironolactone and haven't tried this it's my first time having it, and looking at the effects for it, I don't know if I want to take it. I read around is it best taking progesterone hormone, which I see what I want to achieve with my transition. And I don't have heart failure and high blood pressure, and I don't want to feel dizzy than I am and not pass out at work.
You should definitely speak to your physician to see if this is something you want to pursue. You don’t have to be on it. I’m not and I’m happy where I’m at.
@@ZoeyBlack I started taking finasteride and with estradiol patch.
where might I get progesterone here in south Africa girl will I need a prescription for it? I'm currently in cape town taking my hrt at wits
Yeah, I think you’d need a prescription from you doctor to get on progesterone
@@ZoeyBlack we can I get it though that's okay I can get a prescription
is Dr Anastacia a private or state doctor ?
She is in private practice. But she does a lot of work with the state in terms of workshops, speaking at conferences, lecturing, etc.
been on 100mg daily of prog no issues yet, sex drive a little less but still pretty good. Idont have testicles they were removed. I won't know for sure the changes for a couple months or so. been on hrt for about year now doubled my estrogen from 4 mg to 8mg recently too. Boobs hurt alot more growth I'm assuming. thank got im not on spiro that drug is nasty as hell to be on!!!!!! omg! i was in such pain for about 7 months!
Hmm… I worry about the impact on my sex drive, I really don’t want that to go away 😞
@@ZoeyBlack update I still have zero sex drive i don't think that's going to ever change now. But my boobs are growing more since adding prog daily i have is 100mg prog and 8mg of estradiol no balls they were removed, having SRS planned in June this year 2024 my boyfriend is ED so this actually is not that big of a deal to me there are other ways so have intimacy besides penetration. Holding hands is a big one for me.
@@ZoeyBlack Zoey I have 0.00 sex drive that's not a big deal for me, milage will vary person to person I am close to a C cup since adding prog to my HRT but again i don't have the ball things and having SRS 7/9/24 so i have to be on HRT men are not worth the bother so no sex drive is fine by me lol
just wondering what foods it should be taken with and if there's an ideal time of day to take it
Oooo that’s a great question. I tried to do some googling but couldn’t really find anything concrete. I’ll ask anastacia and see if she has any info.
Before bed it helps you sleep
What a wonderful endo
She so great 🙌🏽😊
does she have her gaming setup at work or something? lol
Lol that’s what I thought 😆
Con solo estradiol no hay senos bonitos solo chupas y pasas tiempo y no ves ningún resultado.
I've had really great results just on estrogen. But I also hear you, some women have reported some really good results when using estrogen in combination with progesterone. I'll put link to below to my 6 years on hormones video... Hope you enjoy :) ua-cam.com/video/03JQCvvhhrg/v-deo.html
I definitely found this helpful. I've been taking progesterone for almost a month, and maybe "should have" intensely grilled my doctor about the current state of research on the subject, but... she kinda lets me follow my intuition without even keeping a close monitor on bloodwork, as long as the experimentation falls within reasonable limits and I inform her of any dosing changes. There can be a lot of psychological baggage to work through during transition, so that's something to bear in mind and try to stay flexible about. I backed off to only half the usual spiro dose, early on in my HRT process, because I had too long of a history of internalized trans-phobia to shut off so much of my own testosterone too quickly. It was dissolving my previous straight identity before I'd formed enough of a new one, so even though my body probably would have preferred more testosterone suppression (to resolve the "existential angst" depressive feelings that I experience as gender dysphoria), I had to go through more therapy and internal dialogue before realizing that. Gosh, this is all so complicated! Better than trying to kill the pain with booze and masking and emotional repression, tho! 🥲
I started hrt with progesterone
That’s so great! What’s your experience been like?