I've written about October before. It's when the leaves fall, along with my meager defenses in the face of my annual dysphoric spike. At the very least, this has been the pattern the last three autumns. This year I've been left wondering.
Normally this thing builds through September and reaches critical mass in October. There was no real build in September this year. Just yesterday, I was musing that perhaps I had finally found my Plateau Of Satisfaction (POS). I've kept my fingers crossed that at some point short of transition I could find a POS, a situation where I was getting enough quality Leslie time to keep the girl fog at bay. Is this what it feels like to be balanced? Had I reached my resting point?
In a word, nope. A little back story, then the trigger. Please forgive the TMI aspects.
I have been having mild prostate issues most of the year. This has been new for me, and I thought I was dealing with it okay. At my recent physical, my doctor found an infection in my urinary tract, probably due to an inability to fully empty my bladder. So he put me on some big time antibiotics. I also brought up my concerns about hair loss, and acquired a prescription for Propecia. The doc asked me to wait to start that one till my urinary tract cleared up.
So, I've been eagerly anticipating Propecia. Maybe my hair might thicken up on top, and maybe my testosterone would be blocked somewhat, removing the sting of my dysphoria. Best case: gynecomastia! But a girl shouldn't get her hopes up too high.
Yesterday, I finally got back to the doctor for a followup, and got the green light to start. I wanted to write about taking that first pill, the closest thing to hormone therapy I've experienced.
I went to the pharmacy to pick up my stuff after work. The pharmacist asked if I had any questions, and we talked a bit about it. Then she remembered to tell me that my insurance doesn't cover it. The one mg dosage is regarded as cosmetic, not medical. Oooo-kaaaay, what's the damage? Eighty four dollars, she says.
I was crestfallen, but I held it together. I told her that money woes are the reason that I'm losing my hair. Take it back, I can't justify the expense. As I shuffled out of the store, I felt the first twinges of GD. More than anything, I felt like going home and crying myself to sleep.
It's not that big a deal, really. I am going to go bald, and I'm well on my way already. I put too much stock in a potential treatment. Just more reinforcement for my pessimistic view of the world.
October started five days ago, but my pink October started today.
Musings: It's All About Community
5 hours ago

Dear Leslie.
ReplyDeleteYou might ask your physician to prescribe a 2X larger dosage to get over the cosmetic cut line. It is an easy thing for a smart lass to cut a tablet in half, yes?
Moving on. Don't let problems of unique provenance gang up and become a bigger, more insoluble problem. Big problems are depressing.
You have a prostate thingy and you have taken steps to be treated for it. Achievement.
You have issues around gender, and you do much, and have achieved much in the way of managing them.
These two separate issues, when tied together have more mass than they deserve. Keep your enemies as small as possible.
Very best ...
O, and by the way ... Pink October ... I hate you (in the very best way) for this headline. I am quite certain it was meant to be mine. Damn but you are good. :)
ReplyDeleteOh Leslie...(()) hugging you as best I can from here!
ReplyDeleteLeslie, I'm sorry to read that. They do take the mick with the prices on the 1mg, don't they! I can only echo Petra, ask your doctor to prescribe 5mg Finasteride, and buy a pill cutter. 1/4 pill a day for 4 days, then a rest day. The extra good news is that one box of pills goes 4 times as far. My doctor came out with that straight away, no need for a prompt.
ReplyDeleteInsurance companies! They love to tell you how wonderful they are, and how much you need them, but when it's time to collect, they always have an excuse not to pay. Cosmetic? Well, male pattern baldness may not be life threatening, but it is a genetic defect, and therefore should qualify as a disease. And for someone with GID, it can be especially traumatic, and can exacerbate depression and possible suicidal tendencies.
ReplyDeleteOf course the anti competitive political shenanigans of the pharmaceutical companies, and their totally unnecessary and extremely costly television ad campaigns, play a major role in the outrageous cost of drugs here in US. There is no excuse for 1 mg Propecia costing $85. Propecia has been around for well over 20 years. All R&D costs should have been recouped long ago.
The original patent should have run out on Propecia by now. Isn't there a cheaper generic version of this drug? Have you tried Walmart?
Melissa XX
Jenny is absolutely correct. 1 mg of Finasteride (Propecia) is not covered under my insurance. The 5 mg version (Procar) is more readily accepted. I cut the pill into fifths. I'm not sure about having a 'rest day,' as the DHT will build up again during this time. I do my best to cut the pill into equal pieces, but it's never exact. Then again, it all adds up to the same 5 mgs after 5 days. Oh, and way back when, my older insurance wasn't covering the 5 mg either. But for 6 pills, it was only $23 or so.
ReplyDelete'The Hunt For Pink October' is actually the name of a porno movie. It's a bit of a different meaning, huh? LOL! :)
*hugs*
Sounds like good strategy on the meds, from the above comments. Hope you can work it out. I won't even get into how the corporate establishment is controlling our lives, and our health. :p
ReplyDeleteHope you continue to find your (POS). You deserve it honey! :)
Peace Out, <3 Tina
Amy, a porn movie? Really? I feel much less clever now, frankly. It wasn't a penis joke, I swear!
ReplyDeleteHair growing like fury in all the wrong places and thinning out everywhere it was wanted broke me out of just accepting my situation as the horror of loosing my androgynous look dawned on me. At this point you then start to worry about feedback but not in a good Jimi Hendrix way but worrying about hair causing hair loss leading too...
ReplyDeleteDumb doctors! They must have worked out the quirks in the system by now and know how to get round them.
Fancy you girls being so knowledgeable about porn! I just thought you were referencing hidden threats from the depths.
Caroline xxx
Have no fear, Leslie, I know what you meant. I did a Google search for the movie and couldn't find it, but look what I did find. A similar meaning (to the movie, not your blog subject):
ReplyDeletehttp://www.urbandictionary.com/define.php?term=hunt%20for%20pink%20october&defid=833761
Oh the humanity!
It hurt me to read this, Leslie. I hope you can figure out a way to make this happen. Perhaps Petra's idea may work. You only have one shot at keeping your hair and, whether you remain male or transition at some point, if there is a way to prevent hair loss, then you need to go for it.
ReplyDeleteCalie xxx