This is a milestone. Half a year since I began hormones.
This update won't be like the others. It won't be an itemized list
of the minutiae of the past month. Instead, prepare for some rambling musings
on the whole experience, where I started, where I'm going, and what it all
means.
Beginnings
Wednesday, February 26ᵗʰ. I put on my skirt, my frilly top, my
high-heeled boots, and way too
much makeup. I gobbled some of my anti-anxiety medication, paced around, and
finally got in my car. My appointment was right behind the physics building,
where I spent all my time at UNM; I parked right next to the LIDAR array our
research group is working on. I don't pray, but I certainly hoped to myself, “oh
please don't step outside to work on the damn thing now” (re: my boss). My
heart was pounding the whole way to the clinic; I scrupulously avoided eye
contact.
I checked in, a truly cringeworthy experience. Internally I had a
bitter chuckle at the irony: I was there as Rachel, to see a doctor about being
Rachel, and I had to check in and interact with everyone as Ryan (because
paperwork). I was so nervous waiting in the exam room for the doctor. When
he got there he started asking me questions about what I expected from the
hormones. No, I’m not expecting it to get rid of my facial or body hair. Yes, I
know there’s only so much it can do for appearance with immutable bone
structure. No, I don’t expect it to change my voice. He suggested I might want
to get a laser ablation procedure done on my vocal folds to undo some of the
damage wrought by testosterone during puberty. Basically, he wanted to make
sure my expectations were realistic.
I was afraid I might answer something wrong and he wouldn’t give
me the hormones. But 15 minutes later I walked out of there with two
prescriptions – spironolactone to get rid of my testosterone, and estradiol to
replace it with estrogen – and a spring in my step (yes, even in heels). I went
home, switched to boy mode, and went straight to the pharmacy. That Wednesday
afternoon, I took my first doses, and my first step toward physically becoming Rachel.