Curves to Die for … Wait, What?

I have a high level of enthusiasm for my too-androgynously-shaped body to become more curvy, i.e. more feminine. But, I’m not willing to run a high risk of dying to achieve that. Some t-girls are.

Some time ago, I was chatting with a gentleman who’d had a t-girl as his girlfriend. He mentioned that she’s dead now, in an “of course” manner. Wait, what? Yes, he explained, she took hormones, had a heart attack and died. It happens. The way he said it, I gathered it happens often in t-girl circles. Wow.

More recently, another conversation, another gentleman, and this one used to be married to a young-ish t-girl, sadly now also dead. Wow.

I’m all for looking more feminine but being cautious is the better way.  I did a lot of reading before I went on hormone replacement therapy (HRT).  I read that estrogen increases the risk of dying from a heart attack or stroke due to a blood clot forming, often in the legs, and then traveling to a fatal place.  The higher an individual’s blood cholesterol, the higher the risk of this sort of thing happening.

Imagine how impressed I was when the very professional folks at Planned Parenthood, whom I’d chosen to manage my HRT journey, first sent me to a lab to get my blood drawn and analyzed.  I was even more impressed when the lady in charge told me sympathetically but firmly that my blood cholesterol readings weren’t horrible but also not great, and too high for estrogen to be a safe choice for me.  However, a testosterone blocker, such as spironolactone, was viable, and that would already have some benefit. I’d start at a low dosage.

This was done. At least, I’d started. That meant a lot to me.

[Note: A wise, caring and helpful gentleman has commented on this post, and his input plus some additional reading I’d done have helped me understand that it’s an oversimplification for me to refer to spiro as a testosterone blocker. The issue is more complex in many ways. Please see the comments below for details.]

What meant more yet was how prudently my health was being managed.

Since then, I’ve been eating more and more healthily, including and especially foods that help with my blood cholesterol level. I recently had my blood pressure measured, and it’s 120 over 70, which is very good. In the long run, blood pressure readings tell much of the story.  It’s not yet time to go for a second blood test, but I’m hopeful the blood cholesterol reading will be much better. And, if they’re not, then I’ll eat more healthily yet until things do improve.

ASS01AMeanwhile, I do what I can with what I have.  This picture shows what my butt looks like without HRT.  Yes, it could be a lot more curvy and feminine, but I can’t will it so. The best I can do is to pursue a diligent routine of butt exercises.

I also eat enough protein with the right mix of essential amino acids to make sure I have the dietary building blocks for becoming more muscular you-know-where, as a result of all this exercising. To quote SFGate:

You need essential amino acids in your daily diet because your body cannot make them. If you do not get essential amino acids in your diet, proteins break down, resulting in muscle loss and problems with repair. Amino acids, which are building blocks of proteins, can be essential, non-essential or conditional. Non-essential and conditional amino acids are made in your system, so you do not need to worry about consuming them each day. Knowing which foods provide all or some of the essential amino acids helps you make sure you body gets adequate amounts.

And, one day, when I finally do have a curvy-enough butt, I plan to look good on the beach, not in the morgue.



6 thoughts on “Curves to Die for … Wait, What?

  1. Um, spironolactone isn’t a testosterone blocker – it’s an aldosterone antagonist used as a diuretic; I just read the prescribing information for it. One of the adverse reactions is gynecomastia… but I didn’t read anything in the PI that had anything to do with blocking testosterone unless it’s been updated since 2008; Pfizer makes it under the brand name Aldactone. Now I’m wondering why you’d take a drug that’s designed for people with bad hearts and livers and who needs to get the salt and water out of their body but without removing vital potassium.

    If you’ve noticed that you’re peeing a lot, this is probably why – you’re taking a water pill! Gynecomastia could happen but once you stop taking this drug, it goes away and isn’t considered to be a permanent adverse reaction. I’m going to see if Pfizer has more updated info on this drug but I’m pretty sure you don’t want to be taking a diuretic when you probably don’t need to take one… unless your heart, liver, or kidneys are jacked up.

  2. Oh, and I’d stop taking this drug until you can confirm with a doctor or pharmacist that this drug does what you think it does – it can be bad news health-wise to take a diuretic when you don’t need to and this drug, according to the FDA is tumorigenic – it can cause tumors. Plus, it also lowers blood pressure so if your BP is good, you should take anything that might cause it to drop too low – you could wind up in the morgue if it drops too low.

    Then because I’m concerned, who the hell told you that this drug blocks testosterone?

  3. An update: Pfizer updated their information for spironolactone as of 10/2014 and it doesn’t say a thing about blocking testosterone! You can go to and search for spironolactone and then read the PI yourself if you think I’m pulling your leg or something.

  4. Wow, thank you so much for all the diligent reading from which I end up benefiting. This basically is being administered under a doctor’s supervision. And, I think I need to go re-ask some questions because, as you pointed out, what I wrote doesn’t reconcile to what you read elsewhere.

    I was about to go on estrogen and my blood cholesterol levels were not healthy enough for that, so the spiro is a stop gap so there’s at least something happening, and … at least that much seems to be realistic.

    From an article in the ” Canadian Medical Association” website:

    “Spironolactone is a well-known cause of gynecomastia and may act by displacing androgen from the androgen receptor and sexual-hormone-binding globulin, and by causing increased metabolic clearance of testosterone and higher estradiol production.The patient’s spironolactone was replaced with eplenerone, a new aldosterone-receptor blocker that has greater selectivity for the aldosterone receptor and a lower incidence of gynecomastia, mastodynia, abnormal vaginal bleeding and sexual impotence than spironolactone has.”

    I think I oversimplified what the doctor’s office told me as “testosterone blocker” when a more precise way would have been for me to think of it as inhibiting the ability of androgen (which, as I recall, is a result of testosterone) to do its work, and “increased metabolic clearance of testosterone” which I understand to mean this chemical makes my body gets rid of testosterone faster. So, it’s still being made but its effects are reduced and it’s dismantled sooner too. That’s a more precise description.

    And, I agree and am aware of the effects on potassium and water, so I’ve been managing those carefully, too — drinking often, and enough, and eating fewer foods that are rich in potassium.

    Thank you again for caring so much — and acting on it. I appreciate you!!

  5. Some more info on spiro, this from the Transgendercare website.


    The use of an anti-androgen has been used for many years by endocrinologists as a biochemical means of controlling unwanted hair growth in the genetic female. In recent years, this treatment approach had been introduced in treatment of transgendered women and is now being widely practiced.

    It has been our experience that anti-androgens have a role second only to estrogen in the feminizing process. Further, without the use of anti-androgens, adequate and desirable demasculinization will likely be greatly curtailed. And following genital surgery or castration, continued use of anti-androgens is strongly recommended if continued feminization is expected.

    Spironolactone (Aldactone)

    The drug most commonly used for the task of diminishing one’s response to androgens is spironolactone (branded as Aldactone). Like many other drugs in the category of anti-androgen, spironolactone is used other than for its primary or generally intended purpose. In the case of spironolactone, it is a diuretic and anti-hypertensive medication.

    Spironolactone is a good choice for an anti-androgen. It is generally well tolerated, even when administered over a period of years. And when by happenstance, a mildly hypertensive patient enters into transgender treatment, often spironolactone can be provided as a substitute; by doing so, the medication now serves a dual purpose. While spironolactone is a potassium saving diuretic, the normal monitoring of blood chemistry during transgender treatment assures its safe administration.

    Patients often report increased unpleasant side effects (such as a need for frequent urination) when doses over 300mg per day are taken. Typically doses of 200mg daily or less are well tolerated.

  6. Not that Wikipedia is infallible, but from Wikipedia …


    Spironolactone is the most frequently used antiandrogen in the United States because it is relatively safe and inexpensive. Cyproterone acetate is more commonly used outside of the US.
    Spironolactone is a ‘potassium-sparing diuretic’ that is also used to treat low-renin hypertension, edema, hyperaldosteronism, and low potassium levels caused by other diuretics. It can cause high potassium levels, hyperkalemia, and is therefore contra-indicated in people with renal failure or who otherwise have elevated potassium levels. Spironolactone prevents the formation of testosterone in the testis (though not in the adrenals) by inhibiting enzymes involved in its production and is an androgen receptor antagonist (prevents androgens from binding to androgen receptors).

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