What to expect when starting T in the USA?

Who will I have to see?
- You'll have to see an endocrinologist. If you have a gender therapist (or know of an excellent trans friendly clinic), they might be able to refer you to a trans friendly endo to help you get on your feet. If you have a primary care physician, they also might be able to help you out as well. Websites like TrueSelves and Susans can also be helpful in finding a good endo to work with as well.

What it is like having blood drawn?
- It's different for everyone. Some people get light headed or dizzy, and some are fine. For me, as long as I don't watch them draw it, I'm generally fine. If you're allowed to, try drinking juice or eating something before going in--but I'd ask first before doing so, since some doctors recommend that you fast for some time (like 12 hours) before getting labs done.

If you're worried you might black out (which can happen for those who are more squeamish) then you can see if the person drawing for you can help you relax or not think about it so much. If anything, you can always see if they have cookies or something sweet to eat or drink after to help--which is something plasma centers often do after a session.

What kind of tests they will have to do?
- They'll do a full set of tests to check not only your hormone levels, but as well as general things like your cholesterol, blood sugar, vitamin levels, and so on. For me, I have a preexisting thyroid condition, so my endocrinologist did some tests for that as well.

How often do I have to go back?
- This will vary from doctor to doctor with what they recommend. Sometimes it's every three months, every six, or once a year. For me, I had to get labs done within the first month of starting so he could see how my thyroid was, and then I went back six months later for a regular check up. Now I'm expected to go in at least once a year for labs and a regular check-up.

If you have preexisting conditions like cholesterol or liver issues, you might need to get them more frequently or be diligent with getting your appointments scheduled on time.

---------- Post added 8th Jul 2016 at 01:49 PM ----------

If you have any more questions, feel free to ask!

 

I don't see why they wouldn't cover things like bloodwork, since it's such a general thing. I'd check in just in case to play it absolutely safe. For me, it would seem silly if they didn't cover it; even if there's a cheap copay.

 

Are you worried about when shot days come around? If not, then I wish I was like you early on. For someone who has some piercings, I cringe at the thought of getting shots and I used to have panic attacks for the first two or so months when I had to get mine done. Thankfully they've gotten way easier and I rarely freeze up or get nervous.