Its a period. I get mood swings every three-four weeks, including bloating and intestinal issues like other women in my family get. Just no bleeding, obviously.

I'm pretty sure uptake of the estrogen, even if its off schedule from your shots, is done in a periodic way. Progesterone IMO makes it worse, if its affecting you badly, stop progesterone. It'll still continue with estrogen but it won't be as pitched.

A lot of TERFs act like this isn't a thing, and there isn't a whole lot of data on it. But I've talked to enough trans people that I can say its a common enough experience.

In my experience progesterone makes my emotions really intense, though I'm loath to go off it because my SNRIs make me into a emotionally dull robot. I have to schedule my hormones around work because otherwise I'll get myself sent home (again).

I don't think I experience period symptoms but I know many girls who do, so you're not alone.

It most certainly is a thing, I promise you. I’m fairly regular getting symptoms every 24 days. Mood swings, irritability, cramps, migraines, and bloating. I was actually diagnosed with PMDD by my endo a couple weeks ago. Shit ain’t fun.

It’s likely a cycle of your own when it boils down to it. Your best bet is to track it so you know when it’s coming so you can prepare properly.

IDK how to feel about the discourse here as a whole, but to address some of the posters in this thread and others ive seen. First, you don't need a uterus or to shed a uterine lining to be a woman, period. Second, all people experience hormonal cycles (enby, trans, cis, etc.). So to answer the OP, yes, it is totally normal and ok, but it is never a bad idea to ask your doctor. As far as transfems and period discourse, I think we can all agree that western society takes more of a misogynistic view, and I think that leads to a focus on fem people and their cycles. Also, the physicality of someone who sheds their uterine lining is a pretty obvious physical symptom that is only possible if you have a uterus. So I think the question is more like, Can we, as transfems, call our hormonal cycles a period? IMO yes, I guess where I have an issue with posters on this one is that a lot of the symptoms that fems say are part of their cycle have nothing to do with HRT and have more to do with people that have uteri. To get a better idea, we can sort through the common period symptoms that people with uteri experience.

Abdominal cramps - Uterine contractions help shed the inner lining of the uterus (endometrium).

Breakouts - Estrogen and progesterone levels decline while androgens, such as testosterone, increase slightly. Androgens stimulate the production of sebum; if too much sebum is produced, acne breakouts are a common result.

Tender breasts - When progesterone levels increase, the mammary glands in your breasts enlarge and swell, this leads to an achy, swollen feeling.

Fatigue - When hormone levels plummet, fatigue is often the result.

Bloating - Changes in estrogen and progesterone can cause your body to retain more water, which results in a bloated feeling.

Bowel issues - your bowels are sensitive to hormonal change; this can lead to more frequent movements and/or the following: diarrhea, nausea, gassiness, and constipation.

Headache -  Estrogen can increase serotonin levels and the number of serotonin receptors in the brain, setting off migraines.

Mood swings - Estrogen can increase production of serotonin and endorphins, decreasing/increasing good feelings and/or increasing depression and irritability. For some, progesterone can have a calming effect. When you have low progesterone levels, the effect may be diminished or increased.

Lower back pain - The uterine and abdominal contractions are triggered by the release of prostaglandins and can cause muscle contractions.

Trouble sleeping abdominal cramps, tender breasts, bloating, headaches, cramps, etc. can all contribute to having issues sleeping.

Do we as transfems share some of these symptoms? Absolutely, for example, breakouts, fatigue, bloating, bowel issues, headaches, mood swings, and trouble sleeping. All of them are related to estrogen, and some to progesterone levels increasing or decreasing, like during our shot, patch, cream, or pellet cycles. However, things like abdominal cramps or lower back pains are directly related to having a uterus and the shedding of the uterine lining triggered by hormonal fluctuations. Does this mean you can't get abdominal cramps or lower back pains if you don't have a uterus no, but its most likely not related to your HRT cycles.

Also this is pretty helpful for estimating the ebb and flow of your HRT cycles