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It’s Been A While

I started on pills in Tāmaki Makaurau, Aotearoa (Auckland, New Zealand) way back when I was a young thing. A daily combo and I did not enjoy swallowing them. In Naarm (Melbourne) my best ever doctor gave me the choice of pills or injections. I knew about injections but didn’t think they were available and was very immediate unequivocal yes on them. First shot in my arse in my upstairs room in a flat in Carlton.

I did injections all the way through VCA, and all the way till I came back from some overseas trip in maybe 2005. They were perfect for those long travels, the same doctor — or when he left, his replacement — would give me a 6–9 month prescription of them and I’d bundle them up with the needles and syringes, taking up hardly any space. And I never had to use the letter they provided for if I got questioned in Customs about all those drugs.

Returning to Australia with a half-year supply remaining, I found that injections were no longer available. Which had sent the entire trans (-gender, -women, I forget what we were called back then) community into a spin. And six months later I joined that spin. I went on multiple different pills which had random unenjoyable side-effects — despite my doctors assuring me they were “all the same”. And then I moved to Kaurna Land (Adelaide) and because of differing State legislations I had to face the gatekeeping of the Gender Clinic for the third time.

Back in time a moment. Immediately prior to seeing the doctors in both Auckland and Melbourne, I’d tried to get into the Gender Clinics, only to be very stringently denied. Stories for another time. What’s pertinent though is both doctors I saw who did prescribe me hormones either wobbled the interpretation of the law or lol fuckit toppled the cunt. Both were very much of the harm reduction school. Not so lucky in Radelaide. Where the skeevy predatorial extremely conservative and heteronormative old codger and his matching twin old cunt presided (fun story, they still do).

I could have just got a flight back to Melbourne to score a repeat script (with what money, exactly?), but decided I wanted to attempt the surgery route again. And endured some pretty fucking humiliating humiliation at those two’s hands. Which also eventually got me an official hormone prescription for the first time in my life. More manky pills which semi-worked along with manky side-effects, in a city which, at that time, had effectively no trans healthcare. Though I did find probably the one good doctor (who I took out for a night at SO36 when he came to Berlin).

And then Berlin. Also astoundingly lacking in trans healthcare. I mean it does exist, but primarily for white trans men and mascs, and the same tired cis-het-normative expectations. I went through so many truly awful GPs (what gets called Hausarzt), and endocrinologists to get similarly truly shite pills which were slowly fucking my liver. Because pills work by overloading your liver which otherwise filters out all the hormones ’cos that’s what livers do (or at least that’s how I remember my good doctors describing it). Which left me constantly tired on top of the fun rando, life-long other hormone problems I’d had.

This is turning into a long story, innit?

Finally, I accidentally found a good endo. A young white German man who talksveryfastallatonce and is actually kinda educated about trans stuff — and from all the above I’m pretty fucking qualified to make that assessment — and actually cares and takes an interest in his patients (i.e. me) as a person and not just a recipient of a prescription. And I should mention since being in Berlin, my ‘official’ status as ‘transsexual’ (yup, 20 years behind on terminology here) is very conditional and there’s a lot of goodwill on the part of doctors to prescribe hormones to me because I don’t actually have the paperwork or proof I did two years of therapy (’cos I didn’t) with those sign-off letters from gatekeepers. All very tenuous, and as much as the world is moving towards an informed consent model the reality remains very much ‘fucking lucky to get them’ when it comes to hormones or anything else transsexual.

So, he prescribed me gel, which I describe as, “getting jizzed on your arse and then you gotta rub it in.” Which I’ve been on for most of a decade after he talked me into trying it ’cos I was really, truly jack of pills fucking with me and not in a great place, and having some actually proper serious repercussions from those life-long hormone problems (also another story, and no, you TERFy cis cunts not caused by taking hormones). And which, along with surgery back in May ’09, has given me a fairly stable, acceptable several years on meds.

But I still miss injections.

Because they’re one and done, once a week, quick and easy, no mess no jizz, I felt better on them, don’t fuck my liver, and are by far the best route to get hormones into me. And for the majority of the last 15 years haven’t been available (unless you’re in Mexico or the US or some other random countries). Until a young trans woman I met here told me she was on them. Which was a fucking eye-opener.

And she gave me the name of them and where she got them from, which I asked my endo about and he was kinda suss about it, ’cos he thinks the curve with injections (peaking then trailing off) is not desirable and favours the flat dose of daily gel, and thinks I’m a weirdo for wanting the former. Nonetheless, he gave me a prescription, which isn’t covered by health insurance, and I went to my local Apotheke and was told, “Yaaah, around 25€ and might take 40 days?” and got a phone call 2 days later, and here we are. Thanks rando pharmaceutical company in Czech Republic!

Which is me wondering what the correct dose would be after all these years. ’Cos my endo doesn’t know, I can’t remember the strength of the injections I used to take, comparing it with jizz gel isn’t a direct one-to-one, I have no long-term medical history ’cos I’ve moved so many times and so have my doctors, trans healthcare is an actual fucking trash heap on fire, and I find myself on rando internet forums trying to scrape through DIY hormone convos by people who very much are not doctors or endos. And there’s whole conversations to be had around how we, as trans femmes, trans women, transsexuals, whatever the fuck we’re getting called this year, are resorting to buying hormones from non-medical suppliers like other trans women who started making it themselves and now sell it (just to clarify, this isn’t what I’m taking). And that if we want actual, up-to-date information, we have to look to those same trans women and assemble something meaningful out of our decades of collective experience. Which is not to throw shade on them or the hormones they’re making or our collective knowledge. We do this because we’re denied real, affordable, accessible healthcare. Because we’re mentally ill in the head fucking trannys.

So finally I have injections again, and because I don’t trust anyone, let alone white German healthcare and white the German government (come on, the potential Merkel replacement let the n-word slip out her mouth, this is where this country is at), I’m thinking that getting a stockpile first is good Auntie planning.

Funny story though, I forgot to ask for needles?