So… I’m slowly losing it.
For those who don’t know, I was born without female reproductive organs. A total bummer, because I’m pretty sure I’d have a kid otherwise. But having known most of my life that that wasn’t a possibility, I think I’ve resigned myself to a childless life to the point I don’t even want to consider adoption.
There was this brief relationship I had around 2000 with an incredibly fascinating woman who was raising a 4 year old daughter with the help of her mother. We became so close I actually was entrusted with the little girl a few times and I adored her so. The time wasn’t right for me to be in such a relationship though… not ready for the responsibilities of parenthood, and looking back now, I think that was the only window that had opened in regards to such things.
Who knows… maybe medical science will keep me youthful and restore the fertility which fate robbed from me.
Anyhow. Lacking such vital reproductive organs, providers of such wondrous chemicals that mean as much to personal physical development as much as a newborn’s, you can imagine my life has been pretty FUCKED when it comes to hormonal imbalances and how such things can ravage one’s body.
So… over the years I’ve been doing what needs to be done to restore balance, and things seemed to be going well recently after some rough bumps in the road here and there with trying a few new things to keep it all running smoothly.
But now things are FUCKED once again.
In a nut shell it goes like this : I’ve been hormonally fucked most of my life due to ignorance and a blind-eye turned on me by my parents (I blame the south, because they ultimately do love me and would have done more at earlier age if they had been better educated in such things). About 10 years ago I took it upon myself to get things in balance and had been on a self-medicated regimen for a few years till I finally started trying to find doctors who could help me.
Unfortunately, living in the south meant I had to find some experienced specialists, which were hard to come by. I had to drive 500 miles (round trip) every month for a year to get things headed in the right direction hormonally. Even then I didn’t feel great about the treatment, but I definitely felt better than before. I think I was a little too trusting of their “expertise” and looking back I wish I had been a little bit more pro-active in the process rather than sitting back and letting them “do there thing” with me.
So I get into a routine with them… they get me setup with a system to a point where I don’t have to drive all the way to the doctor’s office to keep everything headed in the right direction.
Fast forward a few years (2005 or 2006) and I’m off to the west coast. During a brief stay in the bay area I self medicate again to keep my hormones in balance (once again, not really knowing the numbers, but feeling good none-the-less… it’s amazing the difference the right hormones in one’s body can make… sometimes I think suicidal / depressed / manic folks just need to get their hormones in line).
Eventually I find out that there are local clinics who can help with such things, and I get set up with a prescription, but again, I don’t feel great about the quality of service, but at least I’m not ordering my medication from over seas.
Fast forward a little further… it’s around 2007 or so and I’m settling into Portland and god bless there are a few well recommended general practitioners who have experience with my kind of hormonal fuck-upery and I get settled into a regimen again, but this time with plenty of blood work and analysis to make sure everything is order.
A “standard” range of estrogen level is anywhere between 50 and 300 or so. Mine tended to hover around 30 or 60, but my mood was good and I wasn’t having any other ill effects, so I never considered trying to get the levels higher… especially because fucking around with hormone medication can lead to bad side effects, such as stroke… but thankfully I’m young and healthy, so regardless, I’m not at risk.
So, in case I wasn’t clear, to keep my estrogen level normal, I take estrogen pills. This is what most women go through when their reproductive system begins to shut down later in life… but of course since I was born with out one in the first place, I’ve been experiencing menopause horrors long before most women even daydream of such things.
Anyhow… a few months ago I was getting frustrated by the fact that I kept forgetting to take my pills, so I decided to investigate the possibility of getting estrogen shots. See, the thing about estrogen shots is you do it once every week or two and that’s that.
So I gave it a try.
… and it sucked. First of all, you have to realized, we’re talking about SELF INJECTING a nearly TWO INCH, relatively large gauge needle into your thigh. And I’m not talking about a simple jab-and-done. You have to make sure everything is clean, you have to make sure you don’t hit a blood vessel, and then the viscous liquid the estrogen is in takes a few seconds to be pushed through the needle deep into the muscle of your thy.
Look… I realize people have to do this shit all the time to survive for other medical conditions… but I don’t, and it fucking sucked. When it’s life or death I will shut the fuck up and make it happen, but since it’s not necessary, it sucked.
Not only did I not look forward to each time I had to self inject… but my body didn’t react very well at the injection site. My leg would bruise easily and I usually had a limp for a few days.
Then of course there was the fact that as the hormones dissipate, I’d get all moody for a few days before the next injection.
Pills on the other hand is a nice and steady release so I never have to be hormonal.
So anyhow… I get on the injectable for about a month, get sick of the routine and decide to get back on the pills.
Now, of course, since I’m going to a better doctor these daze (god bless portland), I get some blood work done just to make sure everything is okay.
…. and so yeah, remember… I’m normally at around 30 or 60… “normal” is 50-400…
So what is my estrogen level?
1,800
Yeah… let me say that again.
1,800
1-800-hly-fuck
1800 was the year the world population reached nearly 1 billion people
Anyhow.
Yeah.
I was wondering why my boobs were so sore (and had gotten kinda bigger… swollen, but nice to be a little bigger for a while).
… and no wonder I was moody for that month.
Any-who.
So needless to say I got back on the pills… but we decided to up my dosage a little, since I was always hovering a little towards the low end of the scale before.
… also needless to say, I was scheduled to get my bloodwork done again in a month to make sure my hormone levels were back to less crazy numbers.
So why the crazy numbers? Well… there were a lot of ideas… and now that I think about it… I don’t really know. Once again… not really paying attention to everything as much as I probably should… trusting my doctor with all the medical stuff… but now that I think about it… kinda weird how I trust them so much. I guess I feel like it’s out of my hands… they are the expert… and so far they’ve treated me well (and a lot better than past doctors).
I was under the impression that the level involving the injectables were some kind of fluke, and things would be back to normal again while on the pills.
… so a month goes by, and I’ve been regularly taking the pills and feeling good again… my boobs become less sore (and less swollen) and in general I’m feeling great.
I get my blood work done, and am excited to see if the higher dosage of pills is bringing my estrogen level up to a more nominal level.
Now let me take a moment here to stress the fact that the higher dosage of pills was in relation to my original pill regimen which was providing me only a 30-60 range of estrogen. The 1,800 level was associated with the injectables which isn’t an exact science, but SHOULD have been around the same dosage as what was putting me at 30-60. So the reason we increased the pill dosage was based on the previous pill-based numbers and had nothing to do with the injectables.
SO… all that being said, I get my blood work done with the only slightly higher level of pill-based-hormonal-wonder and my bloodwork comes back…
1,900
1-900-WTF-OMFG
In 1900 a powerful hurricane hits Galveston, TX killing nearly 10,000 people.
So yeah.
My doctor : “I have no idea what is going on. I’ve even called around to get other people’s thoughts.”
Could be a fluke in the testing. Could be a weird body-not-metabolizing the hormones for some reason or something. Could be things I have no idea what is going on about.
Biggest deal of all : High estrogen level = higher chance of stroke.
… but all my other bodily stats are great and healthy, so she’s not horribly concerned about stroke. I am. So we decide to completely cut out the hormones for a month, and do blood work again.
That was about a week ago.
I’ve been with out estrogen before. Most of my life. It was hell. I’ve come off them a few times since realizing I could be on them in the first place. Was a necessary thing to do before some surgeries I’ve undergone (stroke risk, etc). That was hell too.
So here I am… the same familiar feelings returning. Gut wrenching anxiety. Desperate inability to focus. Fake smile. Piercing dullness. Always hungry. Inspired but no motivation to follow through.
Thankfully I know this is temporary. Thankfully I can cope with out being self destructive. I peer into the void… dip down into it… sink my teeth in… curl my toes in the black mire… and bathe my head in the curling fire and find a strange comfort here.
Strength in the chaos. Embracing the manic tangles of energy that lap at every fiber of my being, desperately clinging onto what they can to try and break me apart… but I stay as one whole, because unlike before, I know who I am and nothing can take that away from me.
No chemical castration owns me.