Question: When I was conceived, my mother had months before had the remove of an atypical hydatidiform mole. I have been diagnosed with gender dysphoria. As a child, I knew I was a girl but my body was different. I had a female habitus even before I went on HRT, I had a female habitus. When I entered adolescence, I first experience at around the age of 11 breast growth. I ended up with an A cup within a year. Then it slowed. I then started to go through a male puberty, yet I still had a pain in my abdomen every month cyclically. I continue to have it to this day and sometimes it renders me unable to continue my activities and sometimes it is not noticeable. Once a month I do have swelling around my breasts as well as bloating. This was even before HRT. HRT made all of my female cyclical symptoms more pronounced. I have two questions. Could this be an intersex condition and which one? And please inform me on anything you can based on the information I provided in terms of what I should be advised of. Thank you. (I am considered a Male to Female Transsexual)

Hello Dr. Hudda:

Please excuse me for the late delay. I have been busy with grad school activities. In concerns of the questions you gave to me, I have been on hormone therapy for a little over 27 months. I do not know if I get menses as I cannot see it. Although during my period, I do get all of the symptoms of bloating, water retention, breast sensitivities, and a whole lot more. I track this activity with an app the Hormone Horoscope that tracks when ovulation would occur. I have never had a karyotype test or a hormone study. I approached my last endocrinologist who told me "This is what happens when you are on estrogen." The fact that this has been happening since I was 12 and not on any hormone therapy is making me wonder. I have yet to have another endocrinologist look at this, but right now I am experiencing these issues. I just have many years of my experience to go from.