This is the second in a series of blogs about how testosterone hormone therapy interacts with my ME. In this blog I write about my reactions to my first hormone injections over the last eight months or so.
The first injection really set off my leg pain. I’d been considering using a wheelchair before, but this really made a necessity. Even getting from my bed to the bathroom – which in the temporary accommodation I was in at the time was an ensuite – was excruciating. Over the course of the evening the pain spread to my lower back along the length of my leg. This was aggravated by any movement or weight-bearing. I hired a wheelchair the next day.
I have not had such an extreme reaction to later injections, but think this is in large part because I pre-emptively use my wheelchair – no longer hired, but inherited from my mum – in the run-up to and after my injections. I’ve found that avoiding any activity which might irritate the muscle both before and after the injection lessens the increase in pain.
A lot of people have occasional pain or irritation in reaction to depo injections. (These are large injections that are injected into a muscle for slow release.) My reactions, though much less extreme now that I’ve found ways of dealing with them, are consistent. I guess this fits in with the muscle fatigue and heightened pain response I have in any case.
The other common way of administering testosterone hormone therapy is transdermal, through gels which are applied daily. I went for injections because I thought they would be less effort and not give me yet another medication to take with me wherever I go. After my more extreme reactions to my first injections I was considering changing to gel, but now I’ve found ways of minimising and coping with any pain I am happy with my choice of injected administration. Indeed, the pain has been less bad each time; at some point I may experiment with not using my wheelchair to try to work out whether this is my body getting used to the injections or just because of my wheelchair use.
Maybe this sounds quite negative. I just thought that it was perhaps the most obvious interaction of my ME with my hormone therapy. Overall the experiences both more complicated and more positive.
Crucially, since symptoms are exacerbated by psychological as well as physical stress, the psychological benefits of the treatment have had positive effects (though this has probably been less apparent in recent weeks due to psychological stress from other factors such as a dispute with the University).
The most obvious examples to me include a reduction in stress from talking to people face-to-face or – even more so – over the phone; as my voice has got lower I am less frequently gendered as a woman. Knowing this about my voice also means I feel freer in my visual expression, to look more androgynous or fluid, or anything else – to engage in something closer to as much genderfuckery as I like!
This greater freedom to be, a reduction of the feeling that I need to give visual cues is empowering, and feels like another weight off my mind, another stress lessened. These examples are indirect, but have been central to my experience in recent months. And, as noted above, this lessening of psychological stress has been beneficial for my ME.