41
2day
8

I Am constantly tired now

So I started HRT 6 weeks and it seems like, that the amount I have to sleephas skyrocketed since then. Before it was impossible for me to sleep more than 9-10h, now if nothing wakes me up I easily sleep 11-12h. If I wake up after 9h of sleep I feel like I barely slept at all and I get quite tired over the day. I know that this is an expected side effect of HRT (or puberty in general) but I did not expect for this to happen this fast. When did you started to get so tired?

ThotDragon - 1day

Well I think that's part of your body doing the remodeling. Idk how much was HRT or getting older but I do have less energy than I used to.

16
captainlezbian @lemmy.world - 1day

About 6 weeks is about right. Your body is using energy to change. During the first 2-3 years I'd get really tired, then really hungry, then my tits would get really sore after a few days of it.

Early on it's all the time, then it moves to the bursts I described, then it just slowly fades to happening maybe once a year in mild form.

13
Tywèle [she|her] - 1day

During the first 2-3 years I'd get really tired, then really hungry, then my tits would get really sore after a few days of it.

After one and a half years of HRT I had all of that so far except the sore tits. A mild discomfort like a pulling or stabbing feeling or some itching but nothing else and the past year basically nothing. How long can growth breaks be for breasts?

3
Ada - 1day

To add to the other comments, what you're describing is a symptom of reduced testosterone levels. As others have pointed out, It will take you some time to adjust, but it's also possible that your T levels are simply too low. This is especially likely if you're on a blocker like cypro.

Which is to say, if things don't sort out, you should look at getting your bloods done so you can see what your T levels are, and adjust your blocker accordingly.

10
da_cow (she/her) - 1day

I am doing Monotherapy (4mg/week EEN subq.) And I am already planning at getting my levels checked in January.

5
Catoblepas - 1day

I started HRT in my early twenties and literally slept through my alarm for the first time in my life! If it lasts more than a few months I’d talk to the doctor about it, but your body is going through a lot of changes so it’s naturally going to be tiring.

10
LadyAutumn - 1day

I think you might have it somewhat backwards at the very end there. I also felt tired early on, more drowsy and sleeping longer and stuff. I think for me a big part of it was Spiro.

But the noticeable sleepiness went away after a few months for me. Like idk if I just on the whole adjusted to feeling that way, or my brain chemistry acclimated to the new hormones. But either way I think it does go away for some people eventually, and I think its very pronounced early on.

6
hazel - 13hr

I started HRT 11 months ago, and I have now been tired for 10 months. Around month 9 I stopped making a lot of plans I would have made otherwise. I don't go out nearly as much now, because I don't want to risk going to all the effort of going out just to find that I'm too tired to stand.

I have hope that things will turn around, but I've spent a lot of time this year searching for reassurance that others struggle with this past the initial few months. There are a lot of people who quickly got over their fatigue, and report feeling "more energetic than ever before" on E, which I found disheartening as that has not been my experience at all.

Here is my analysis of my energy troughs this year.

2 – 3 months: Initial reduction in testosterone after starting estrogen. It wasn't a smooth start either. I was using patches at the time. Convinced that my dose was insufficient on the basis of some pretty bullshit reasoning, I self prescribed a second patch. To give me energy! Then I went a little crazy, and decided that the remedy was more estrogen, so I slapped on a third patch. I was basically incapable of sleeping for longer than an hour towards the end of this period, which can be expected of a person with very high estrogen. My endocrinologist eventually saw my insanely high E, I came clean, she told me off, and now I'm a good girl who follows her medical practitioners' advice to the letter.

5 – 6 months: With the addition of cyproterone, my testosterone nosedived. I believe cyproterone on its own, anti–androgenic effects aside, is kind of a lot for the body to adjust to as well. I was getting up at 7 and going back to bed at 11 some days.

9 – 10 months: Cyproterone stopped working, as cyproterone has been known to do, and I had to increase my dose. So basically my T rose to somewhere between female and male range, then nosedived again. A few weeks later, I was going through the same adjustment as last time, but moreso. This was the point at which I started telling people that I'm staying home for all but the most important events.

11 months: Cyproterone is out because I was getting so upset by the fatigue. Started on progesterone instead and discovered that I am not one of the people who feels happier, less anxious and more rested after sleeping. Nope, I'm an anxious, depressed megabitch on progesterone. My dreams are terrifying, I wake up crying all the time, every sound puts me on edge, and I also weirdly feel emotionally numbed like I did on SSRIs. So we'll see where this goes, but I feel like I've leapt backwards in my transition with this decision, and I am still SO TIRED!

As a bonus, I was diagnosed with POTS recently, which I know I've had since my teens, but which only became a problem in need of a solution in the absence of testosterone. This also impacts my sleep and energy.

One positive thing I take away from this is that I must really want this. 'Cause things really suck right now, but never have I ever considered slowing or pausing my transition. A year ago I was all "but what if I'm not really trans", and now I think I'd sooner get a mobility scooter than stop HRT.

I hope things will be different for you, but I don't want you to be discouraged if they aren't, and I don't want you to feel like something is wrong with you if things still suck 11 months in.

4