Given the discussions on mental changes and feminization, have you experienced both mental and physical transformations, and if so, do you believe they are directly related to PM use or other factors?

Mine was directly related to BO. It was a clearer calmer mental changes, at least that's the best way to describe it.

As far as I remember, PM did not do much mentally, but since some time on BO I am much more emotional and my communication skills seem to have improved. Placebo doesn't seem to be the explanation since I only observe this in hindsight. Even romantic or dramatic scenes in really bad TV-shows bring me close to tears now. Very interesting, I never reacted this way before taking BO. All the best :-)

PM was slow motion tiny bit of changes along with DVT scare. Other methods since then have proven to be the real deal and not fooling around with tiny changes and possibility of life threatening health issues.

Its probably better not to play that game, but to go for glandulars, topical protocol or real actual HRT instead. Or all of those at the same time. Also note about mechanical stimulation with vacuum pumps, lactation pumps, massage and so on.

I've done all of these, most at the same time, and topping it off with plastic surgery in form of fat transfers and I can certainly advocate for each method mentioned. Except for PM, its potentially dangerous and ineffective.