I walked out of my appointment at Callen-Lorde, on Thursday morning, with a box of 30 packets of 25mg of 1% testosterone gel (Perrigo brand, expires 5/2018) and a signed Informed Consent form.
The week before the appointment I kept flip-flopping. When I walked in, I didn’t know if I was going to bring it up again. I didn’t know if my new Nurse Practitioner even remembered that was why I came in a year ago, when I had my intake with her predecessor, but, right after she asked me how I was feeling, she asked me if I wanted a prescription. I squeaked out “Yes.” She said my blood work looked good, my cholesterol was down, and if I chose to use hormones she’d monitor my progress and work with me.
She took out the Informed Consent form, and quickly ran down the risks: increased cholesterol, increased number of red blood cells, acne, and increased risk of heart disease, high blood pressure, stroke, and liver inflammation. Then she read me the irreversible body changes: deepening of voice, facial and body hair, fat redistribution, and male pattern baldness.
I signed, she signed, and another Callen-Lorde staff member signed as the witness. It took less than two minutes. She asked me if I wanted to set up a follow-up, and I told her that I wanted to wait a while before I started, if I started, and that I’d set something up when I had a plan.
Before I left, I asked her if she had other clients who took low-dose testosterone and how they fared on it. She said that everyone was different, but that it was not uncommon to start on a 1/2 packet (12.5mg) and wait and see what happens and how it feels. The gel is slower and less of a shock to the system than injection. It is matter of personal preference, but she hadn’t worked with anyone who regretted starting. Continue reading