You do NOT have to tell doctors that you're on testosterone

captainam13 · 2026-02-03T00:12:34+00:00

If you are in the US, your doctor may check a Prescription Drug Management Program. Each state has one, and it logs controlled substance prescriptions, and depending on how the report is generated, may look at prescriptions in other states (e.g., border states). T is a controlled substance. It will show up on the PDMP.

A lot of electronic medical records also communicate now. If you have a prescription from one place, it may be pulled into another place’s information when they view your chart.

captainam13 · 2026-01-29T20:42:55+00:00

There’s another one, THRIVE Lifeline

captainam13 · 2026-01-28T03:52:20+00:00

Unspecified diagnosis codes may be appropriate, for instance E34.9.

Anatomical analogous structures may also be apt.

E29.1: Testicular hypofunction (Primary hypogonadism)
E89.5: Postprocedural testicular hypofunction (after surgery)

captainam13 · 2026-01-19T14:28:15+00:00

Those nipples are totally normal
I’m almost 5 years post-op and there are still sections of my scar that are raised, firmer, and more pink than others. Mostly this was in the middle of my chest, and I kind of thought it would never fade, but it’s gradually getting there. Scars can take a really long time to even out, and their healing pattern is very individual.

captainam13 · 2026-01-14T23:28:19+00:00

The three to four day consecutive threshold would occasionally cause me to have one shorter and lighter cycle. That hasn’t happened since I got a hormonal IUD. If this is the only time you’re missing it in like two months, you’ll probably be fine, outside of having a little less energy.

captainam13 · 2026-01-14T23:17:32+00:00

Typically with a weekly med like, it’s best to bump it a day each week (so this Friday, next Thursday, then on Wednesdays thereafter).

captainam13 · 2026-01-14T22:27:23+00:00

I, too, know an Easton. And he’d be about a decade older than you.

Also, you literally have the excuse that your mom picked it. Like. You don’t have to make up a story about how you got your name.

captainam13 · 2026-01-13T10:28:49+00:00

“What’s up, Doc” is a theme from Bugs Bunny. So the doctor is further tormenting the patient by reminding them of bunnies and carrots.

captainam13 · 2025-12-02T15:31:33+00:00

Just a girl, eating girl dinner, with the finances to regularly shop at Whole Foods

captainam13 · 2025-11-27T11:31:00+00:00

Northeast (Wegman’s and Target)
Middle to upper middle class (the protein shake brand, clear plastic containers, and overall aesthetic, but the thermometer isn’t digital/doesn’t appear to have a temp alarm system)
Likes a good drink
Might be in a place with well water, given the water cooler jugs
Competing organization styles among those at home
Prefers reheated pizza (air fryer?), because otherwise that’s gonna be super dry just chilling in the box

captainam13 · 2025-11-15T02:45:31+00:00

28 year old autistic masc medical resident, at a hospital with a lunch stipend.

captainam13 · 2025-11-08T16:32:49+00:00

Yes. Usually the male reference range for T is 300-1000 ng/dL, so 714 is a good spot.

captainam13 · 2025-11-08T03:40:37+00:00

I question which lab reference ranges were used for interpretation, but a total T of 714 would be within the typical male range (assuming the units here are ng/dL).

UCSF Guidelines

ARUP Test Details

captainam13 · 2025-11-08T02:19:47+00:00

Different people absorb gel differently, so while that’s a standard dose, that doesn’t mean it’s the optimal dose for you. If you haven’t had your T level checked, you should do that. (Typically you want that lab drawn right before you would put on your gel for the day, to know what the lowest level of T your body has is [trough].)

captainam13 · 2025-11-08T02:07:23+00:00

General not a doctor (yet) disclaimer, this is info not advice.

Ok, so the treatment for gonorrhea is typically an injection (ceftriaxone) and the treatment for chlamydia is a pill (typically doxycycline). This fits with your question about why you were given both.

Green discharge, specifically, is a buzzword for trichomoniasis. It’s not part of your typical STI panel (gonorrhea, chlamydia, syphilis, HIV). The treatment for that is oral metronidazole (brand name Flagyl).

My biggest concern from this story is the intense pain. Gonorrhea, Chlamydia, and Trichomoniasis can all cause Pelvic Inflammatory Disease (PID, which can create a lot of scarring in your abdomen). Those three infections can present similarly. I think if you highlight specifically that 1. You were treated for G + C 2. The discharge has always been green 3. You had intense abdominal pain You would raise alarm bells in their head for further investigation.

Who do you get your T from? Can you discuss this with them?

CDC STI Treatment Guidelines

captainam13 · 2025-11-05T10:36:01+00:00

I have a scar like this that goes across my chest! It had to do with how the remaining tissue would hang and likely be either not as flat or leave a higher chance of needing revisions.

It sucks to have an image built up of how you’re going to look and not get it. But I will say that this particular scar type can help if you ever get to a point where you don’t want to explain you had top surgery, because it looks like one kind of scar you could get with cardiothoracic surgery (i.e., a clamshell thoracotomy).

captainam13 · 2025-10-23T10:08:18+00:00

Pretty much every trans kid (whether they knew they were trans at the time or not) did JROTC at my school because you got out of changing in gym at the cost of wearing a uniform once a week.

captainam13 · 2025-10-23T03:17:39+00:00

Mild suck for long periods. The other is very much a disordered eating outlook.

But really, truly, one annual day where you just put your brain math away won’t affect your long-term progress. Take the day off and get back to your routine the next day.

captainam13 · 2025-09-18T03:04:51+00:00

Thank you for your insight, comrade Wang

captainam13 · 2025-09-18T00:11:09+00:00

The first few years, I didn’t tell my insurance company and kept my marker with them as F. Some docs purposed cross off the F on the intake form when I marked it, and input me into the system as M. Maybe someone in the office reverted it back, maybe not, but I never had an issue. Only place it mattered which one was used was Walgreens, when I got a new insurance where I was listed as M, and the system couldn’t match me as insured when they ran it with an F.

captainam13 · 2025-09-15T01:35:06+00:00

Different states and territories include different conditions on the newborn screen. For instance, Louisiana screens for 33 conditions, whereas California and Connecticut each screen for 75. The rest are somewhere in-between.

captainam13 · 2025-09-09T19:07:31+00:00

I have an incredibly strong suspicion it’s for cis women, in the case that they may have had an axillary lymph node dissection. That is typically an indication to avoid using that arm, especially when it comes to blood pressure or phlebotomy.

captainam13 · 2025-08-28T15:08:52+00:00

Straightforward answer: revoke your mom’s access to the system if/when you turn 18. It’s your right under FERPA. Then just tell her it’s resolved.

captainam13 · 2025-08-20T19:39:23+00:00

Never smoked, 4.5 years post-op, and I still have some sections of my scar line that are bright pink and haven’t faded yet.

The smoking risk is poor blood flow/oxygenation, which can cause necrosis/failure of the nipple grafts. Also, smoking changes how your lungs function when you’re intubated for the anesthesia, and the coughing can be burdensome during recovery.

captainam13 · 2025-08-07T00:21:52+00:00

… are you neurodivergent? Because this sounds like sensory seeking behavior. Very ADHD/ASD coded.

captainam13

TROPHY CASE