In The longest journey, I bemoaned the nine-month wait between my first gender identity clinic (GIC) appointment and starting hormone replacement therapy (HRT). I didn’t mention the other NHS-funded treatments I started in the meantime, namely speech and language therapy (SLT) and laser hair removal. I had planned to write separately about each of these, but having been stricken by an unpleasant cold/lurgy this week, it suddenly seems apt to write about them together.
Finding my voice
This ‘aimless, unprincipled’ blog arose as a result of a New Year’s resolution made in front of my followers on Twitter. I don’t normally have much truck with rash promises-to-self made at the start of a calendar year, but I thought the extra motivation provided by an (imagined) Twitter audience would be a useful spur to doing something I’d wanted to do for a very long time. (And it worked, as you, my imagined reader, can see.)
In fact, though, I made two resolutions on Twitter, and the first was to do with my voice:
Within about three months of my first GIC appointment, I had my first appointment for speech and language therapy. It was really just a chat about what I hoped to achieve and why. I realised that I wanted a more ‘female-sounding’ voice for two reasons: first, to overcome the dysphoria I feel in hearing a ‘male’ voice when I speak; second, to reduce the chances of being misgendered in public on account of my voice (if my appearance doesn’t do the trick first!).
Since then, month by month, I have been working mainly on raising the pitch of my spoken voice through a series of vocal exercises. I’m not considering any voice-related surgery (scary on a number of levels!), and no hormones can reverse the effects of the male puberty I went through in my teens. (If you’re on masculinising hormone therapy, you may fare better, because testosterone will cause your voice to break to some extent. It’s just that it’s a one-way ticket: the only way is down.) So what I’m trying to do is turn a different part of my vocal range (a part that I already use for singing) into my habitual speaking voice.
This has gone fairly well on the whole. I can consistently find a pitch that is within the typical range for cis women, and it’s relatively easy for me to read in that voice for an extended period. What’s much harder is sustaining the voice while thinking about other things (such as what to say). I’ve managed short interactions with people in shops etc., but conversations with people I know have so far remained in (more or less) my old voice. There’s a habituation/practice issue and also a confidence hurdle to be overcome.
So this resolution is still a work in progress, but I do hope to get there soon. Having this cold, which has so far mostly affected my throat, means that at times in the last few days I’ve had practically no voice – or a strained and peculiar voice at best. I did wonder whether this might be a good transitional opportunity: go into a cold with one voice and come out with a different one? Hmm. Maybe.
Losing (some of) my hair
As a transitioning trans woman, my hair comes in two varieties: the kind I want more of – this grows out of the top of my head, and I know I’m lucky to have what’s there – and the kind I could well do without. There’s some of the latter over much of the rest of my body, though hormones will hopefully improve matters over time, but the worst from the perspective of gender dysphoria is the hair that grows out of my face, because it’s so visible and is such a cue for (mis)identifying my gender.
One of the first things I wanted from the GIC was facial hair removal, which I had expected would involve electrolysis, given that most of my beard was grey or white. (Laser hair removal only works with dark hairs and relatively light skin.) But that wasn’t my call: it would be up to an unseen NHS dermatologist to decide on the best course of action.
The first thing I had to do was submit to the horrors of – cue scary music – medical photography. OK, so that didn’t sound too scary. Let’s try again. The first thing I had to do was have medical photography of my facial hair after – cue scary music again – four days of beard growth. If that’s not terrifying, I don’t know what is! Bear in mind that at this point I’d been shaving once if not twice (and sometimes even three times) daily for the best part of a year.
Fortunately, I could choose a time when I didn’t have to present myself in public for a few days. (It must be doubly hard for people who are in full-time employment.) Once I’d accumulated a horrific amount of beard, I made my way gingerly (OK, greyly) to the hospital for my photo shoot. Once I got there, the introduction to my modelling career was relatively painless.
Then I had to wait for an assessment. I found out to my surprise that the dermatologist had chosen laser and that there would be a six-week wait for my first appointment at the laser clinic. Laser hair removal can be painful, but it’s a short-lived kind of pain and, in some ways, much more bearable than those four days spent without shaving. I had eight monthly sessions on the NHS, with the last one last month. But it’s not over yet.
As I suspected, laser wasn’t going to get rid of all my facial hair. So I’ll probably still need (many hours of) electrolysis at some point. In the meantime, the GIC has recommended waiting to see what hormones do to my facial hair. Then it’ll be back for another photo shoot with four days’ growth of (mostly white) stubble.
However, one benefit of having a cold is that one day this week, when I wasn’t going out anywhere, I didn’t bother shaving at all. Even the next morning, 48 hours after my last shave, I noticed that there had indeed been a remarkable change in the appearance of my facial hair. To the touch, it was every bit as bad as I’d have expected, but visually, it was passable: I wouldn’t have been too concerned about a stranger seeing me like that. Progress indeed.