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Estrogen should only be taken under the supervision of a health care professional.

Not to put too fine a point on it but first of all there’s not just the health complications but mental health issues as well.

Taking high doses of estrogen can have a range of physical and mental side effects for someone who is genetically male. This coupled with testosterone blockers can have an effect on both your body and mind.

Here’s a breakdown of why you shouldn’t be taking high doses of estrogen unless supervised.

First off, let’s start with the physical side effects

Changes to Sexual and Reproductive organs

Erectile dysfunction (ED)

High estrogen can make it difficult to achieve and maintain an erection. The urge to have sex is dramatically reduced and even morning erections are significantly reduced.

A decrease in libido

High dosages of estrogen can lead to a reduced interest in sex. This can be a major problem if you are a highly sexual person then maybe you need to question why you would want to take HRT

Infertility

Testosterone plays a major role in sperm production, and low levels of testosterone from testosterone blockers and high levels of estrogen (hrt) which can lower sperm count and affect sperm health/mobility

The recipient will experience smaller testicles (atrophy) and over time this will be coupled with fewer and weaker erections, and a decrease in the volume of ejaculation.

Discharge will also be more fluid and less seminal fluid due to the decreased amount in each discharge.

Over time any one taking testosterone blockers and high volumes of estrogen may become infertile. The longer HRT continues the more likely the recipient will become infertile, permanently.

Your body will also change and the following will happen.

Your body and physical appearance

Fat redistribution

Body fat and weight gain may increase, especially gynaecomastia or enlargement of breast tissues, this is sometimes called “man boobs”. Beasts may become tender and swollen.

Body fat may shift to areas to that are more typical of female fat distribution, such as the hips and chest.

You may also experience muscle loss with muscle tone and muscle tone may decrease leading to a less firm physique.

Weight gain

Weight gain is also a side effect especially around the abdomen and derriere. You may also experience water retention which can lead to facial swelling.

Hair growth

Body hair growth on the body and face may decrease or thin over time. However if you have very dark coarse hair this will not demolish without external factors such as laser treatment.

Skin

Skin will become softer and less oily. Skin will also become much smoother and dryer.

More serious effects are possible increased risk of blood clots, risk of stroke or cardiovascular issues and studies have shown high estrogen levels may increase blood pressure and other cardio vascular issues.

Hot flushes, sweating, tiredness and fatigue, along with feelings of low energy and motivation.

More serious issues

There is also potential for an increased risk of type 2 diabetes and reduced bone density or osteoporosis. Estrogen imbalances can affect bone density over time.

All of these effects are physical and are things are that people talk about but what they don’t tell you about is…..

The mental side effects

Mood Changes, this can get worse as high estrogen levels can contribute to mood swings and increased emotional sensitivity and stability.

Anxiety and irritability can affect some individuals. I know from personal experience this has massively increased for me, the anxiety sometimes is unbearable and this then leads on to the next thing.

Depression

Elevated estrogen levels increase the risk of feeling depressed and gloomy.

Next up is the fatigue, low energy and. motivation. The persistent tiredness can significantly impact on mental well-being and motivation.

There are days where even lying in bed is too much effort and as someone who was highly motivated this is a big thing for me.

Memory and cognitive difficulty is related to fatigue in that memory, particularly short term memory, is an issue. Also difficulty concentrating can be a major problem especially with difficult tasks.

Conclusion

The severity and manifestation of these side effects will vary between individuals, sometimes significantly, depending on the dosage of estrogen, individual personal physiology, and individuals health factors.

If you are considering a transgender, male to female, journey therefore genetically male, consider if undergoing estrogen therapy is for you.

You will require close medical supervision to monitor your bloods, liver function, serum sex hormne bonding globin (shbg), estrogen levels, testosterone levels, prolactin, potassium, sodium, lipids and many more levels or these potential side effects may increase.

They then need to be understood by a health care professional

who will adjust your levels of estrogen to manage them appropriately.

Hope this helps?

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I’ve been on female hormones now for 6 years, and my own regime and over the past six years have been various drugs and the last year has been different.

Now my medication is beginning to kick in fully and I’m on Estrogen patches 150mg patches every three days and also Prostrap.

So be aware of what to expect.

Don’t think this is going to be a walk in the park!

The mood swings that I am experiencing over the past 12 months have been nothing short of mind-blowing and I don’t mean mind blowing in a good way either.

I’ve got really bad brain fog and I also my brain is flip flopping between moments of elation to really bad anxiety and really bad panic attacks.

These as i get towards the end of the Prostrap, which is a testosterone reduction drug injected once every 3 months, become very severe and cause me such mental anguish that it affects my very ability to think clearly. So much so its making me not care whether I’m alive or not, this is not suicidal thoughts but just that I couldn’t care less.

My mood suffers, my health suffers, my relationship suffers, my work suffers and I just don’t care about anything, including myself.

This has gotten worse in the last 12 months and this month is the worst yet!

I’m due my injection in 2 weeks and my mood is low.

I had a massive panic attack this morning and things I’m really good at, I couldn’t do, I couldn’t cope with the pressure of my mixing music as I practised DJing and I ended up crying on the decks.

My partner and I argued over something really trivial but it was a big deal to me.

I’ve removed myself from everyone today and I’m sat with only my brain and thoughts, which to be honest are so muddled and foggy I’m struggling to think about things, process things and order my life.

I’ve written this, as I need to get it out of my head, and for the rest of the day I will be sitting in a dark room being vacant!

The hormonal changes to my body are fantastic but the mental changes are next level shit and something I wasn’t aware of when I started in this journey.

My partner says that she can relate to how feel as it’s like being around someone with bad PMD, she’s understanding to a point but I’m not my usual happy self at the end of month, three weeks before my next prostrap injection.

It’s not all frilly dresses and nice frocks, there is a down side!

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So, I’ve been doing some research about what the trans gender crime rate in bathrooms is compared to the crime commited by cis gender people per capita of population. This is a long read, so make a brew and make yourself comfy.

The question, Crime rate statistics for trans people using bathroom of their aligned gender

It is important to address the premise of the question, what are the crime rate statistics for trans people using the bathroom of their aligned gender, as it is based on a harmful misconception.

I have done a lot of research and the articles I found online show that the consensus of governmental, law enforcement agencies and advocacy groups show no evidence of increased safety risks for cisgender people when sharing bathrooms with transgender individuals aligning with their gender identity. In fact, the data indicates the opposite!

Key findings

Lack of evidence for increased studies show no link between trans-inclusive bathroom policies and an increase in crime within these spaces. Links below.

Nondiscrimination laws have been in place for extended periods, both in the UK and worldwide, without a rise in public safety incidents in restrooms or locker rooms.

An increased risk for transgender individuals has been shown that transgender people are disproportionately more likely to experience harassment, verbal abuse, physical assault, and sexual assault when using public restrooms. This is when they use the bathroom of their aligned gender.

This risk is greatly increased when they are forced to use facilities that do not align with their gender identity.

A significant percentage of transgender individuals report being denied access to restrooms, facing verbal harassment as well as being denied, and even physical or sexual assault while trying to use or while using toilets aligned with their gender, and more so when using bathrooms of their non aligned gender.

Studies also show that restricting transgender students’ access to bathrooms aligning with their gender identity has been associated with higher rates of verbal, physical and sexual assault against them.

This is also true of binary people who neither align with male or female genders.

Statistics that transgender individuals, as victims of crime, show that transgender people are significantly more likely to be victims of violent crime compared to cisgender individuals.

This is true in all spaces not just bathrooms.

One study has found that transgender individuals were over four times more likely to experience violent victimization or assault, both verbal and physical, than cisgender people.

In some countries this is much higher and the murder rate of trans gender people is show to be higher in those countries. Particularly, South America.

Both transgender men and women experience higher rates of violent victimization than their cisgender counterparts.

Households with a transgender person also report higher rates of property victimization. This statistics also shows that the crime rate on siblings is higher in this category.

Focusing on real issues, such as law enforcement and sexual assault advocates in areas with trans-inclusive policies consistently state that bathroom bans do not enhance safety. For cis gender people or trans people.

It’s worth emphasising that harming anyone in a public restroom is already illegal.

I could not find any per capita crime rates showing any crime rates comparing transgender individuals as perpetrators versus cisgender individuals in bathrooms. They are not collected or not available, likely because the data does not support the premise of transgender individuals being a significant threat in these spaces.

However, data on victimisation reveals a stark disparity and that transgender individuals experience violent victimization at a rate of 86.2 per 1,000 people, compared to 21.7 per 1,000 people for cisgender individuals. This is a worldwide figure.

Conclusion

Any focus should be on the safety and well-being of all individuals. ALL INDIVIDUALS, not just transgender individuals.

Policies that restrict bathroom access for transgender people do not enhance safety for cisgender individuals and, in fact, increase the risk of harm for transgender people. The safety of all is paramount.

A ban on bathroom use for trans gender people will also harm cis gender people who may not fit the stereotypical gender conformity, or have features which do not align with their chosen bathroom. This is going to cause issues for those people when others wave their opinions about!

The available evidence indicates that transgender individuals are far more likely to be victims of crime, in public restrooms, than perpetrators.

Web sources

https://williamsinstitute.law.ucla.edu/publications/safety-in-restrooms-and-facilites/?hl=en-GB#:~:text=There%20was%20no%20evidence%20that,restrooms%20and%20other%20facilities%20i

https://williamsinstitute.law.ucla.edu/publications/ma-public-accommodations/?hl=en-GB

https://www.ama-assn.org/delivering-care/population-care/exclusionary-bathroom-policies-harm-transgender-students?hl=en-GB#:~:text=Nearly%2070%25%20of%20transgender%20survey,segregated%20bathrooms%2C%20the%20brief%20says%2C

https://williamsinstitute.law.ucla.edu/press/ncvs-trans-press-release/?hl=en-GB#:~:text=Transgender%20people%20over%20four%20times,of%20violent%20crime%20%2D%20Williams%20Institute

https://www.american.edu/spa/news/are-lgbt-americans-more-likely-to-suffer-violent-crimes-than-their-cisgender-counterparts.cfm?hl=en-GB

https://williamsinstitute.law.ucla.edu/publications/ncvs-trans-victimization/?hl=en-GB

https://transequality.org/issues/resources/transgender-people-and-bathroom-access?hl=en-GB

Fact Sheet: Misleading Narratives About Transgender People and Restrooms, Locker Rooms, and Other Single-Sex Spaces

https://pmc.ncbi.nlm.nih.gov/articles/PMC7958056/?hl=en-GB

https://www.renews.co.nz/toilet-politics-trans-people-more-likely-to-be-victims-not-perpetrators/?hl=en-GB#:~:text=However%2C%20statistic%20after%20statistic%20shows,crime%20compared%20to%20cisgendered%20people.

These links above are general world wide information, mainly links from the USA, but the links shown below are more specific to the UK as a whole, again along with website links.

UK based information

While specific UK-based statistics aren’t available directly, comparing crime rates of transgender individuals in bathrooms vs cisgender individuals, the general trends and findings align with the information provided above.

Here are some of the links to websites I’ve found that offer related information and UK-specific data:

Stop Hate UK

This organisation provides information and support regarding hate crimes, including those targeting transgender people. Their website includes statistics and reports on the prevalence of transgender hate crimes in the UK.

https://www.stophateuk.org/about-hate-crime/transgender-hate/

https://www.stophateuk.org/about-hate-crime/sexual-orientation-and-transgender-identity/

GOV.UK (Government Statistics)

The official UK government website publishes statistics on various aspects of crime, including hate crimes.

While specific data on transgender individuals as perpetrators in bathrooms is unlikely, I found a few reports on hate crimes motivated by transgender identity.

https://www.gov.uk/government/statistics/hate-crime-england-and-wales-year-ending-march-2024/hate-crime-england-and-wales-year-ending-march-2024

https://www.gov.uk/government/statistics/women-and-the-criminal-justice-system-2023/statistics-on-women-and-the-criminal-justice-system-2023-html

(This report provides broader crime statistics by sex, which can be useful context.)

https://assets.publishing.service.gov.uk/media/5b3a3c32e5274a6feb6f4601/Annex-11-CSEW-Sexual-Orientation-and-Victimisation.ods

(This provides data on victimisation based on sexual orientation and sex, which can offer some related insights.)

West Yorkshire Police

(Information via a freedom of information request)

This response to a Freedom of Information request provides data on recorded transgender hate crimes in the West Yorkshire area.

While geographically specific, it highlights the focus of law enforcement on crimes against transgender people.

https://www.westyorkshire.police.uk/freedom-of-information/february-2025-foi-2366406-25-transgender-hate-crimes

Galop

This organisation specialises in supporting LGBT+ victims of crime.

Their website contains statements and information related to the safety and rights of transgender individuals, including concerning bathroom access.

https://galop.org.uk/news/galops-statement-in-response-to-the-governments-plans-to-halt-the-march-of-gender-neutral-toilets/

UK Parliament Committees

The link below provides written evidence submitted to parliamentary committees, which includes data and analysis on the offending rates of transgender individuals in the UK prison population.

It’s important to note that this focuses on those within the criminal justice system and not specifically bathroom-related crime.

https://committees.parliament.uk/writtenevidence/18973/pdf/

Key information from these UK-based resources

Hate crimes against transgender people are a documented issue in the UK, and these are increasing in some areas and are bound to get worse due to the Supreme court Vs transgender people ruling in April 2025.

The focus of concern and data collection in this document is primarily on the victimisation of transgender individuals, not their perpetration of crimes in bathrooms.

There is an ongoing discussion in the UK regarding bathroom access for transgender individuals, often framed around safety and inclusivity.

Organisations like Galop highlight the fear and risk faced by transgender people when using public restrooms.

Government statistics on crime generally focus on sex (male/female) and are beginning to include data on hate crimes based on transgender individuals.

In general it’s crucial to remember that the lack of data supporting the idea of transgender people being a significant threat in bathrooms in the UK mirrors the findings globally.

The real issue is the safety and well-being of transgender individuals who face disproportionate risks in public spaces.

Again,. I will say that I am in not saying women should not be safe in single sex spaces. Quite the contrary, that Trans Women are not the issue here.

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I’m sorry to those
Around me now
I know I am a moody cow
But my head and heart
Feel weird this time
Like something inside
Inside me died
Just want to curl up
Or cry in my head
Maybe scream out loud in private
Locked up in a shed

Can’t put my finger
On why I feel like this
But really feel emotionally drained
Like my zest for life
Has gone away
Temporary blip
On a downer for the day
Let’s home this feeling
It goes away
But for today
I feel weird
Emotionally vacant
No here, if that okay?
Let’s see if it changes
After I eat a burger with bacon
Or a margarita with bourbon
Emotionally vacant

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First off, I’ve been on my transition journey now for over 6 years and have been on HRT for 5.

Secondly, I look at photos of myself pre-transition and don’t recognise that person anymore but all this can be immaterial in the eyes of the world.

Thirdly, you have no control over how others see you or how they address you!

Why, what’s made me feel like this?

In the past two days I’ve been misgendered 4 times in less than 24 hours and it’s smashed my confidence back down to zero.

Admittedly last night, one of the times I was called “sir”, was when I was in my scruffs when I popped out to get stuff from the local convenience store but the other three times I was in full makeup and a fucking dress!

One of the joys, nay! downsides, of being transgender I suppose is that you have to accept how the world sees you, not how you see yourself!

My girlfriend, as ever, is hyper supportive but today I feel like shit and have had a cry for the first time in quite a while!

C’est la vie!

We move on. Tomorrow is another day!

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This has really made me think WTF these people were thinking about my partner???

More so what do they actually think of me if they treat my partner in such a way, when they can see how happy I am with this beautiful human.

Especially when I’d been single for a great number of years.

I bring someone into my friend circles, and those friends first of all treat her with suspicion, then as an imposter, they then treat her with disrespect and then some of the treat her as a threat because they feel threatened by a female DJ.

She’s even been accused of chatting shit to another DJ when all she was trying to do was be friendly while she picked her kit up out of the DJ booth, which she’d left after her earlier set!

I’ve stepped into her world and none of her friends, not one, have disrespected me in any way. Not even a bad word about me.

It’s time to re evaluate my friend circles because if my friends are like this then are they really my friends?

This to me is a massive head fuck as why would these people treat my partner in such a way, especially when they can see how happy I am with this woman.

I’m not even going to give it any more air time in my head but just putting this on paper as there that some people have a low opinion of either me, Lilly, us both or themselves!

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For those that don’t know Leuprorelin is a testosterone blocker which inhibits the male hormone from being created in your body. This drug is also used to slow down the advance of prostate cancer in medical patients. Testosterone is one of the contributing factors in prostate cancer.

I’ve blogged about this before when there was a shortage of Synarel a few years ago. Again this is a testosterone inhibiting drug and the effects of these drugs on my brain have been to calm it down.

It also removes certain desires and generally make me a calmer person.

The lack of testosterone to me as a trans woman has changed me from someone who actively chased the next sexual encounter or self gratification.

The thoughts in my head are also changed because I am more focused on work, my life and relationship.

With these desires removed my brain calms down but the last 4 weeks I have noticed that these thoughts have crept back in and my ability to focus has began to wain!

I’ve also had a few instances recently where I have lost my temper and this is very unlikely me as it takes a hell of a lot for me to lose my temper.

I am now 2 weeks overdue for my injection.

This is because of a fuck up, yes let’s call it what it is, between my care provider and my GP. Who don’t seem to communicate despite both being NHS departments and then need a massive amount of hand holding, from me, to sort shit out.

On speaking to my main care provider, they explained that as the Leuprorelin wears off then the likelihood for the testosterone to increase in my body is increased and certain male traits may increase and because my injection is now weeks overdue this is likely to be even more increased!

I now have the injection kit and tommorow, I will be having my next injection and let’s see what this brings.

Normal services has been resumed and the calmness has returned. I’ve been more calmer and clear of thought.

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