So now like three weeks and endless exfoliation later, it’s becoming clear that my first laser session did in fact do things. I have neglected to shave for a few days here, and the way things are growing in is kind of wild. A patch will seem pretty normal, then it’s just blank. It’s just ragged bits and pieces all over my lower face, though my cheeks—which are lowest on my priority list—seem to have been hit the hardest. My upper lip, which matters most to me, is only thinned in a few small irregular dots.
I do of course also have a mix of coloration; it’s not completely dark. Some is just naturally blonde or red. A few white hairs have been sneaking in the last few years. It’s unclear how much of an issue that will be in the end. But there are prickly areas with not much pigment.
Anyway this is just interesting to see, after a few weeks of thinking, hunh, well, maybe I’ll start to see some kind of effect after the second treatment? It’s pretty random what’s cleared and what isn’t. A right old mess, really. But hey, it’s definitely a start!
Getting rid of this garbage is not just a general dysphoria issue, though it’s bothered me for like 25 years, increasingly so as it filled in through my late 20s and 30s, and it’s maybe the biggest physical problem I have with myself right now. There’s also a body autonomy thing. I’ve talked about how I just… did not have control over my body for about a quarter of my life there, and how this was a particular thing I was not allowed to touch, even as it made me deeply miserable. So there’s a liberation in being able to say, fuck you, no. In closing that door forever.
God, this time next year—if I can take care of my face, and I can be on progesterone for a year, and be another year along with my steady e levels… I feel like I will be very close to where I want to be. There won’t be lots more to repair, that can actually be addressed. The only other thing I can think of is, maybe in a few years looking into FFS—but I’m really not certain about that. It’s not unimaginable, but we’ll just see where things are and how I feel. It’s hard to entertain right now, and that’s fine because now would not be the time.
That’s kind of it, though.
Maybe after my second shot I will start to think about getting my ears pierced. That’s kind of beside the point, but it’s proximate and it uh feels like it’s gonna actually happen, and sooner than later. Probably this year.
After I deal with my current… situation, that’s giving me all the stress, I’ve got someone eager to help me with my whole legal identity thing. Pro bono even. So that will also be untangled soon.
It’s astounding to me that I’ve set personal goals and I’m meeting them. When has that ever happened? My two big transition goals this for this year, they should be pretty well done by summer. I’ve even added another goal in there, that should happen in the next couple weeks. Broader life goals, I’m getting them done. Psychiatrist stuff, social services, etc.
I guess after my second shot I can also start thinking about my left-over medical stuff I didn’t get a chance to tend to last year. Of which there is so much. Getting a GP. Finally going to a dentist, after 20 years. God. I am getting my life in order. For the first time ever. What. Gee whiz.
After all this, basically the only thing left will be, how do I support myself? We’ll see how it goes with the disability. If that happens, there’s our answer; I get to just fuckin live. If not, uh, I don’t know what to do. But at least I’ll be a human being. All my parts will be in place. Despite everything. And we’ll just see where we can build from there.
So the journey continues, reclaiming my body for myself, fixing the damage that’s been done to me over the years. There are a few things going on right now, all of which are really exiting for me. One that’s been going on for a while is that I’m finally on Ritalin, and after two months it seems to be having a positive effect on balance (though whee are there ever things to adjust to, some of which play into my inherent problems with food and sleep). The second has now officially begun, and the third I’m gonna pounce on a month from today, at my next HRT follow-up.
Yes, I did have time to fix my nails before my appointment.
In regard to the second thing, it’s happening. I’m all committed now. All signed up. This face is gonna be clear. After HRT, laser therapy was the second big thing for helping me out of this horror show I’ve been living for three decades.
My first appointment was three days ago, and it’s going to recur monthly until this is gone. It’s a bit of an oof financially for someone without a reliable income, but the payment is spread out and if I were actually receiving money on a regular basis it would be negligible. It’s not by the session; it’s for the procedure as a whole, which is guaranteed, unlike with most laser places. Like, it’s a lifetime investment. If any touchups are needed down the line, they’ll already be covered. And you know. I’m barely surviving here, but this is necessary medical treatment, so I’ll figure it out.
The experience has been weirdly positive so far, just dealing with the people. They seem all about making sure their clients have all the information up-front so everyone is talking on the same level and can understand what’s going on and communicate clearly. The main lady seemed kind of nerdy, and appreciated my whole neurodivergent approach to things. They were accepting and seemed to totally get it. They get all the transes there, so they know.
Also she kept telling me how pretty I am, which I guess is her job, but it felt kind of nice.
The procedure itself was even quicker than I had come to expect, and largely painless except for my upper lip and, to a lesser extent, a sensitive part of my throat. Mostly it just felt like someone flicking my face over and over. The upper lip was intense enough that I needed to ask for a five-second breather after every zap. It was bearable, but yikes. I think it was when she was doing my right cheek that the nurse commented on the roots just popping out of the skin, as they can and will do sometimes, the ones that die right then and there. There was this smell of a birthday candle being put out.
To be sure, I don’t have a lot of facial hair compared to some people: very thin, rather fine. Lots of gaps. Grows slowly. I’ve been fortunate that my natal puberty was so underwhelming in nearly every regard. The nurse was poking my upper cheeks, asking me, “Don’t you want me to go up here? Why didn’t you take off your makeup in these places?” And I’m like, there’s no hair there. I didn’t do makeup where there was hair.
So between that and the one-two of my complexion and my darker hair pigment, I want to think that this should be a pretty straightforward procedure with me. A neat thing is, where the follicles aren’t dead, they are likely damaged. The effect here is, the hairs are likely to get finer, fairer, and to grow more slowly. Which is a result in itself, albeit one that may take a little while to present itself.
To that end, it was hard to tell exactly what effect the first wave had until I gave it a couple days for my skin to recover and for me to exfoliate any dead hairs that didn’t just pop out immediately. After the weekend things were less raw, and were easier to judge. The upper lip in particular was too pink to really see what was what. The impression I got after about 24 hours reminded me of past cycles following long periods of compulsive plucking, as stuff would begin to grow back in, a little weirdly at first.
As of today I can maybe assess things a little better. There’s been enough growth that I can shave it all evenly, and the redness has gone down enough that I have decent contrast. The first treatment was no miracle, as I had no reason to expect it would be, but I do see some patchiness developing. It’s not like big sections, right. It’s more that one out of every five or six spaces where there should be a hair there isn’t. It’s thinning out, with the occasional space half the size of a pencil eraser where things seem basically clear, at least for this growth cycle. Which seems pretty much according to plan.
As one does, I had these ideas in my head that I might be the miraculous special case where somehow half the work is done on the first go. But no, this seems to be be normal. Nothing really obvious yet unless you’re me and you’re staring at this garbage every day while it eats your soul alive, but we’ve got progress. I can’t say yet how any damaged but surviving follicles are doing. I think with my growth rate, what little hair has grown out since Friday is what was still in the sockets, right, under the skin. Over the next week it may get clearer if and how the remaining hair may have changed in character at all.
My next appointment is a month from Wednesday, and that may build on this exponentially. They say typically it’s 6-10 sessions to get everything, so two of them will be between a fifth to a third of the way there. I imagine the progress will be easier to measure at that point.
This should be basically done by the end of the year. Fixing the damage. Reclaiming Azure for Azure. September will be the six-month mark, which puts it on a similar cycle to my HRT. Around the time I’m finished here, I’ll be up on my two-year Azureversary—to which point, we have my third and pending intervention.
Now that I’m up to my optimal estrogen level (any later wobbles and adjustments aside), and that my T levels mope about in the single digits, I figure I’m going to pounce on the micronized progesterone. I know there’s not been enough clinical research, like with any goddamned trans healthcare, but the anecdotal support is overwhelming and provided I go with bio-identical hormones it can’t possibly hurt. And I can just take another pill; it’s fine.
My next HRT appointment is in 30 days, two days before my second laser appointment. And so long as my body isn’t secretly exploding, which would surprise me as I’ve never felt better in my life, I’m sure they’ll shrug and allow it. I looked at the provider’s website, and on their /trans/ sub-page they call it out by name. I talked to my therapist, and she said oh yeah, they absolutely do progesterone there—which isn’t a given, right. I know a lot of providers push back on anything that’s not clinically proven to hell and back.
I hadn’t really considered adding this until the last week or so, when I realized, this will be my first follow-up where I have no new immediate goals to set. And every day I read something new about how great this stuff is. All the transes go nuts over it. And I’m at a stable baseline here now, and this is a year of just improving things, getting my life in order. So, hey. Why not give it a shot. It should be good, right? Just biologically it feels like a missing piece, the more I read on it. If not for my particular medical condition, my body should already be producing this in some quantity that it isn’t.
So this is pretty exciting actually. I get how people who have chronic conditions they’ve been treating their whole lives might not love maintaining this daily thing just to keep going—but as someone with chronic conditions that have gone untreated for 40 years, this is all kind of… good. I like it. I like the routine of taking care of myself in this measurable way every day, knowing that I’m doing something to make things better after decades of misery. It’s a daily dose of self-love. Rebuilding this relationship that was taken from me. And each of these suckers is different. Different color, texture, quantity, schedule. It’s so interesting to me.
I am so grateful and so happy to have all these gosh-darned pills to take now. I mean yeah, in an ideal world my body would just work out of the box in a way that didn’t make life unbearable. But as with so many people, it doesn’t. And now I can address that to some extent. So, hooray? Keep it coming, sure.
I used to get so upset when people complimented my appearance, unless they did it in a super weird way. For one thing I just didn’t want to be seen. For another it was such confusing dissonance from what I was told the rest of the time. And then the terms they used were all wrong.
There was that one guy who went up to me on the upper east side, and told me I looked like the lord of darkness. That was kind of interesting. Random shit like that, yeah. Sure. Baffling, but I’d take it.
Otherwise it’s like, either you’re wrong or everyone else is wrong—and if they’re wrong, then oh no, because I don’t want you to be right like that. The things everyone else said, they sucked but at least they reflected how I actually felt about myself at that time, drowning in dysphoria.
Getting an insult almost felt neutral. Yeah, it was no good but at least it was true. Getting that kind of a compliment—I’ve never been suicidal exactly, but if I’ve ever been close, those moments would have edged me in that direction. At times I remember melting down entirely.
It never made any sense to me, why I reacted like this. Which just added another layer of fuckery to the whole thing.
I mean. Makes sense now. I didn’t want to be that person; I wanted to be me.
Considering how old this body is and what a young trans I am, I think I look pretty good mostly. Some things will never be perfect. Other things are a work in progress. Generally, though, i am in good spirits about this. (Which again is so novel to me.)
I say this, as I am not having a particularly pretty day, and it has been frustrating me. But you know. not every day is gonna be a winner. It’s up and down, and today isn’t the end of everything; it’s the beginning of everything else. We’re done with the doom. Azure doesn’t need it.
For decades I’m used to every day being the start of the end. But it’s really not. It never has been. It’s just the start. On prior record, I’ve still got plenty of good days ahead of me. Probably my best is far ahead—way over the horizon available to me today. Yesterday was fine. Nothing is consistent, but there are patterns. and I’ve finally caught mine. not ever gonna let it go.
Being this new in a body this old, it’s kinda like getting a used car or a fixer-upper of an old house. you got a project ahead of you, fixing the damage and maintaining the bones of the thing, but you can make anything your own. Play up the strengths. It’s all in how you wear it.
I remember when I lived in Oakland, people would invite me out, and I couldn’t go. Part of it was masking exhaustion or poverty or any number of other things. But just as often, I’d have, say, a pimple on my neck, or my hair looked weird, or there was some other minor problem. I’d sit there for days and days, sometimes weeks, until I felt presentable enough that I could tolerate someone looking at me. But I had so many other anxieties I didn’t really know how to process this one in isolation.
Part of it’s a more general problem, but I’m seeing how many of the standards I’ve applied to myself have been gender-related. Like, the things that freaked me out about myself tended to be more masculine. I’m never been very masculine, which maybe makes them stand out more.
The pressure to present masculine was both largely impossible and unwanted. Yet I didn’t feel like I really had another option. I tried to carve out this curated semi-androgynous space that was just me. But it was fragile, and it wasn’t quite right either. On top of that were all the more general repulsive bodily things that nobody is fond of, and that there are so many industries devoted to making an even big deal out of, but that weighed so much harder considering the shaky balance I was treading.
And you know the killer? Almost none of this was entirely conscious, to the extent that I only now pieced together what was going on. It was just some low-level voice whispering in my brain in a code without words: you are gross. If you can’t mitigate, you can’t go out like that.
I did not have a good childhood. My parents were absent and neglectful on a good day, on a day I could relax and enjoy the silence. But the way they had about them when they chose to compliment my appearance, the things they chose to focus on, it skeeved me. Made me feel worse. Like, I don’t know how many times I was sent to tears when they tried to comment on me, only for them to turn to a rage as a result of my response.
I know I’ve talked about how I’ve wound up sort of cloning my early abuse scenario in later life situations. My ex-spouse was hugely controlling, over every aspect of how I presented myself. I got so much shit if I refused to change for them a fourth time before leaving the house. Now that I’m developing a better handle on my gender issues, that dysphoria has moved up through the layers of consciousness so I can get a better grip on it. But it’s not necessarily any quieter just because it’s out in the open, and applying to something I can easily point at.
It’s better to be able to say, okay, I don’t feel in control of the way I’m presenting today and it’s freaking me out than to be crushed by this overwhelming wordless swirl of oh god I am gross everything is wrong what is happening that sends me back under the blankets. But by also coming out of stealth mode, it’s almost scarier in a way. Like, I have this specific daunting thing relating to a much more obvious and visible-to-anyone issue. I can’t mask this like I can mask my autism. Neither of which I should be masking, ideally. But it’s scary.
It’s all masking—the unhealthy side of queerness, of neurodiversity. All about presenting in a way as to make other people comfortable, to avoid standing out, even as it kills you. And once you learn that survival skill, it’s hard to force yourself to stop trying to survive.
It’s a long road to find the courage to simply be and assert who I am, and stop trying to fawn and appease people who either don’t care about me or don’t care about being appeased. I’m… safer, now. In so many ways. I need to get that into my head. I’m gonna be okay. I can let go.
(Now as to how all of this interacts with my aroaceness… cripes, that’s a whole thing. I’m almost reluctant to spell it out, given the nuances that would entail and how easy it is to write off asexuality as a real, valid thing. But, it surely gee-whiz does factor in!)
