Bright Red Rectal Bleed (Transexual)

[Saraphiene]

Ok this might be a rare question, infact I am quite sure it is and the resolution would be to go to the ER and/or a doctor as soon as possible.  At this point thats rather obvious, however, I am rather reluctant to go due to my situation.  I am 34 years old and legally female, I use to be male and I have not had the sex change surgery.  I plan to as soon as I have the funding.  I have been on hormone therapy for over a year now.  A few months ago I started bleeding monthly, it would cycle a day or two before or after my wife/domestic partner's cycle.  It wasnt coming directly from the anal area so much as just at the top edge of the anal area.  Its wasnt much, spotting at best on tissue.  It was never enough to change the water color until today.

As usual I started my monthly cycle around the same time, light spotting of bright red blood which started yesterday.  Today, all that changed as I went to the bathroom I was cramping very badly and had diarreah but when I finished it wasnt just diarreah it was blood, enough to barely change the water color.  As the day has passed its gotten worse and now its mostly blood and the water color is a dark red, so obviously more blood now.  For the first time in my life I have had to wear a maxi pad.  Normally I would be joyous since I am afteral transitioning into a woman, but the amount of blood is bothering me.

Now here is why i hesitate to go to a doctor;  6 months ago I moved out of state to a totally different state half way acrossed the US.  I did this to get away from unaccepting family members, since I have gotten here my life has improved 400x over.  No one here knows I was ever anything but what I am now.  I understand doctors are medical professionals and confidential but I really dont want to be seen... down there, until I have had the sex change surgery.  

So I am writing here asking if anyone knows what might be causing this, ideas and possible home solutions?  I am assuming the monthly menstration isnt normal either since I am a transexual and from what little I know we arent suppose to actually bleed, we can have menstral cycle symptoms especially if we live very close with another female since our cycles will allign but the bleeding is whats starting to worry me.

Please be considerate and appropriate in responding, I understand alot of people may have opinions on sex changes but I am not asking about opinions on my sex change or any religious views, I am asking for help on a medical level of what might be causing this.  

Thank you,
  Sara

[CassCore]

Even though you are on horomonal supplements, you still don't have the internal female anatomy that allows you to have a monthly period. A period is caused by the shedding of the uterine wall. This tissue is excreted through the vagina in the form of blood. Unless you have a uterus and ovaries and vagina you cannot have a period. Therefore, your bleeding has to be attributed to something else.

Are you constipated? With horomone therapy constipation can be a side effect...if you are straining to use the restroom you may have developed hemorrhoids or torn your anus. Your anus can also tear if you have anal sex and don't use the proper amount of lubrication. If the blood is bright red and there is not a lot like you discribed it was at first- it is probably just a tear. However, if it becomes brown or black or very dark you could have developed an ulcer in your intestines. This could be from an ulcerative colitis disease or from medication or a number of other things. Also, bloody stool can be a result of food poisoning and this can also cause cramping like you mentioned you were experiencing. The only way to truly rule out some form of disease or underlying condition is to have a stool sample taken and analyzed and a colonoscopy.

If you want to, try taking a laxative first if you are constipated. See if this helps the bleeding subside. Also Preperation H can help with the tear and bleeding if you do infact have a hemorrhoid. Use plenty of lubrication if you do engage in anal sex (I would advise holding off on any sexual activity until this clears up), and if none of this helps you may have no choice but to see a doctor. Drink plenty of water and monitor blood loss. If you start feeling light headed and weak go to the ER. Your life is more important than what some doctor may think about you :) Good luck keep me posted, hope this helps!

[fission]

Hi Sara. I understand your reluctance about going to the hospital, since you have had to go through much judging it's only natural to feel ths fear. Unfortunately I have no solutions on what to do about the anal bleeding. The first thing that comes to mind after the initial alarm is for you go directly to the ER to sort this out or maybe your primary care physician. No matter what people think, you are entitled to medical care so they can just kick off. But I am not in your shoes, so easier said than done. Would it make things easier if your partner went with you? You know as support and if need be, shoot some dirty looks if any one is inappropiate? Honestly, the diarrhea accompanied by the amount of bleeding you describe concerns me. I'm affraid I'm ignorant in this area so I'm not sure if that is what the hormone therapy is supposed to do. Are you able to call the doc who prescribed it to you and ask if this is normal or if you should see a doctor? Maybe that would be a start. I do hope there is someone here who can advise you better than I. I'm sorry I couldn't be more helpful.

All the best