I agree with Pansy-Mae, by and large. However, for me, the mental femanising effects, kicked in about the same time as the knots and associated tenderness, around 5 months. Female fat distribution, kicked in, very suddenly, about 2 1/2 years down the line, followed by a blossoming of boob growth. Even now I have, like almost all women, one boob, bigger that the other; why do we girls, like foam lined bras? Post, if you can't work out the answer!
For me, a maintenance dose is about retaining my femaninity; all ts girls need that PM or perscrption drugs; pre or post op. It comes with the territory.