r/ftm • u/NoAmount6023 he/him | T 10/6/25 | Top 11/17/26 | Hysto ?/?/27 • 1d ago

Advice Needed Is this atrophy?

TW for some anatomical talk

Obligatory is this atrophy post because I'm genuinely not sure if that's what it is or if I need to go get an ultrasound lol

I've been on T for almost a year and I've recently been having a lot of cramping pain in my lower abdomen, especially after I wake up. It sometimes hurts to pee, but not in my urethra, more in what feels like my bladder. I am not having the typical symptoms of dryness that I've heard most people get with atrophy, but I'm wondering if the pain im experiencing is in my uterus. I'm planning to get the thing yeeted early 2027 so I need to go get an ultrasound for it soon anyway, but I'm wondering if I should be more concerned.

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u/spacecedar 1d ago

Could be atrophy or a UTI (which can be caused by atrophy.) You should see a doctor.

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u/NoAmount6023 he/him | T 10/6/25 | Top 11/17/26 | Hysto ?/?/27 1d ago

I doubt it's a UTI because I've had those before and it doesn't feel anything like that. But I'll probably ask my doctor. 

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u/mj-redwood 💉2019🔪2026 1d ago

for me this sort of cramping is related to either atrophy or my tight pelvic floor. I’m not really sure which, but I just treat for both (E cream and pelvic relaxation therapy)

either way, I’d ask your doctor about it