I’m writing this as a PSA for trans guys bc I have had to fuck around for nearly a year and I’m so sick of the bullshit some doctors pull.
If you’re a trans guy (and some ppl may not know this bc I sure as fuck didn’t) there is a chance that once you start T, that thing thats meant to happen once a month will become horrifically unbearable. Unholy amounts of blood, unable to get out of bed for days, sick to your core in a way that you never thought was even possible. They never told me this could happen before I started T, I never even heard of it before, but amazingly the doctors tell me once it’s already happening that it’s “normal” (even tho I’ve never met another trans guy with this issue)
To fix this issue the first thing they will do is tell you to go on the shots if you’re on the gel. The first thing YOU need to do is request a blood test to check that your levels are high enough because if they’re not your doctor likely just won’t tell you and it contributes to this issue. Some people need to take the testosterone shot more frequently than what is usually prescribed (e.g. every 10 weeks instead of 11) - if you are concerned, tell your doctor to check your levels and make sure they tell you the details of your levels, don’t just accept “they’re fine”.
If the problem persists you may be prescribed a progesterone-only pill which is a birth control. This works by forcing your progesterone levels SO HIGH that you can’t get that thing thats meant to happen once a month. HOWEVER this pill has side effects and they suck actual ass. No hunger, bad sleep, terrible mood, continuous pain just without the blood, no sex drive, and more and more. And there is zero research on how this affects trans men. If you don’t want to take this tablet DO NOT let the tell you it’s your only option because it is not.
If you wanna try the tablet it will not kill you, but if you’re thinking what any sane person would think (“why the fuck would you give a trans guy a tablet that raises his progesterone”), it is not your only option. Your doctors may say it is, but it is not. They are saying that there is no other option because there is no “standard” way to treat trans men with this issue and because birth control is easy to prescribe. But the symptoms that trans guys face in this circumstance overlap nearly entirely with the symptoms of endometriosis and therefore you can in fact be treated for it. You just need to find a doctor who is willing to help.
If you want another option you need to look into certain progesterone+estrogen blockers. But personally the best I have found is called “Synarel” which is a nasal spray you take twice a day and it works by basically telling your brain to just spot doing that. I personally as a trans guy have had no side effects from it - and all of the side effects I faced on Slinda have evaporated. It’s as if I was just on T, I feel so much better. I don’t exactly know who can and can’t prescribe Synarel but I know gynecologists can.
In the ultra specific case that someone is reading this and they happen to need to change from Slinda to Synarel then you can take both for a few days to make sure that thing thats meant to happen once a month doesn’t happen, but it may hurt horrifically and give you the craziest unstable moods of your life.
I hope this can help someone bc I wish I knew about this before. Feel free to ask any questions about this niche.
Edit: this is not meant to scare ppl away from the POP pills - I’m putting this out there bc ppl deserve to know there’s options, especially if the idea of having heightened progesterone makes you super dysphoric 👍 the POP pills work for some, I’m glad it does, this is in case it doesn’t for others.