Mtf hormones dosage. 12 & my Estrogen was 140.

Mtf hormones dosage The standard clinical range for parenteral administration is 5-20 mg every two weeks, while the particular range for intramuscular estradiol valerate and cypionate (the two most common among physician-supervised and DIY injection girls) is 2-10 mg weekly. 5mL - 1. Symptoms can include hot flashes, low mood or energy, and Understanding MTF Self-Medication: MTF self-medication refers to the process of acquiring and administering hormone medications without a formal prescription. Female-to-Male: Testosterone enanthate (Delatestryl®) or cypionate (Depo-Testosterone®), 150 - 250 mg IM q two weeks; or Transdermal testosterone patch (Androderm®), 5 – 7. My endocrinologist called the dose “potentially homeopathic. Every other day I take 100 mg of progesterone Starting dose, I'm at 2 months on HRT. No prescription needed. Differently from FtM HRT where a single class of drugs is used (androgens, which means testosterone in one of the many forms, dosages and routes of administration available), feminizing HRT for the MtF patient utilizes a combination of different class of drugs, available in multiple Taking a low dose until you know your numbers is probably safest. Though I wouldn’t add progesterone until you’ve been on other hormones for a year I personally started at a few months after starting HRT. At this dose, estrogen can cause complications, like high triglycerides, gallstones, and an increased risk of heart disease and venous thromboembolism (blood clots in veins). These are: Cyproterone Acetate Dosage is the difference between a med and a poison. In the same study, 58% of MTF patients were satisfied with their breast development, although the result was insufficient against individual’s expectations [51,52]. If you have an article you like, or a worry to talk about, or you just want to vent a bit about trans life, then we're here! One 2mg E pill oral, will give 50pg/ml after 28 days. pills can lead to lows at night if you take them once a day and I've heard many people recommending splitting your dose to half in mornings, remainder in evenings, but I have no experience with pills and I'm sure others would have Typically MTF hormone therapy involves estrogen, medication to block testosterone, or a combination of the two. It is more commonly prescribed as a 1-mg daily dose (the same dose as Propecia). 12 & my Estrogen was 140. Estrogen is the main hormone responsible for promoting female physical traits. Changes can and do happen well before hormones reach normative levels. If you have an article you like, or a worry Awesome! I started on Tuesday as well :) doc even has me on the same Spiro and estrogen dose. Someone already shared that susan's thread. Reception: 022 673 7002 reception@genderminorities. With estrogen together it is super effective though. Blending in as a Transgender Women – 7 MTF Passing Blood tests are essential to monitor hormone levels and potential complications, such as blood clots, heart attacks, strokes, and diabetes. Most people have probably heard of the hormone estrogen. And it can depend on how much estrogen and anti androgen are used. 5 g per day if there are increased each month until psychiatric problems or other blood testosterone is within the health concerns. Similarly, just as every person’s body is different, each person might need a The effects of a low dose bromocriptine intake won't cause unwanted effects on my low T maintainence program either. It’s the beginning of your transition journey, which may be exciting and challenging at the same time. Male to Female Voice Training Lessons Typically MTF hormone therapy involves estrogen, medication to block testosterone, or a combination of the two. com Microdosing testosterone & microdosing estrogen can be ideal for many reasons So, we’re here to guide you on safe ways to microdose the male-to-female (MTF) hormone, estrogen, and female-to-male (FTM) hormone, Historically, trans women may have obtained a “secret”, low dose of estrogen and enjoyed the subtle effects in In theory one should take their RXs as it says on the bottle. Genetic Background: This blog post will help trans women, folks who identify as male-to-female (MTF), and nonbinary people navigate the first week on estrogen. Estrogen treatment consisted of beta-estradiol given via transdermal patch (average daily dose of 83. Here were equivalents and here might also be some resources. TransLine. 5 MTF HRT Body Changes You Shouldn’t Expect When Transitioning. “There isn’t a clear target goal for hormone levels in trans women over 50,” she said. 2mg estradiol is equivalent to . Microdosing can be helpful for anyone looking for a gentle rate of physical change, whether you identify as MTF and want to take estrogen for a more culturally feminine appearance , or identify as FTM and seek the What Your Endocrinologist May Not Know About MTF Hormone Treatment November 26, 2017; The Top 12 Myths About Injections for MTF Trans people November 19, 2017; Chart: Properties of HRT Estrogens November 16, 2017; The Urban Transgender Dictionary November 13, 2017; Rutin for Prevention of Thrombosis in MTF Transsexual Hormone Two months ago in February I was on 8mg of estrogen and when I did a test for estrogen levels I was too high at over 400pg/ml. Likewise, if your hormone levels are higher than Medications and Dosage Anti Androgens Two anti-androgen options seem to be more widely used than others. Feminizing hormone therapy (FHT) is a gender-affirming medical therapy. I also find having progesterone and a high dose of E makes my mood so much better (than when I was on a lower dose of E and hadn’t started P). Estrogen: The Effects of HRT for MTF Women. a For oral estradiol. 25mg is too much and wont help, more than 10mg cypro per day do you no good. Male-to-female (MTF) hormone therapy, or estrogen hormone therapy, provider may ask people to come back for health checks regularly to ensure they are taking the correct medication dosage. Typical Typical starting dose is 5-10 g per day if no physical or starting 50-80 mg every two weeks (or mental health concerns; start with dose 25-40 mg every week), gradually 2. That said, when I took oral estrogen (4mg/day) I split it into morning/evening doses that synced with breakfast and dinner. The idea of a low starting dose is giving your body just enough hormones to wake up it’s puberty programs while giving you time to be sure you want to transition. 7 nmol/L), respectively . I had great boobs while I was on low-dose HRT (and estrogen levels around 70pg/mL), and ramping that up to full-strength HRT hasn't actually made them grow any larger. Note: Not all people want the same changes from using oestrogen, anti-androgens, and progesterone, and not all bodies will respond the same to hormone therapy. F3mshep • MtF HRT Since 5/2/15 • 150 mg spironolactone, 3 mg estrogen in the morning, 150 mg spironolactone and 3 mg estrogen right before bed. Hormones may change your body so you can not make children. I went from 6mg daily pills to 5mg weekly injections and my estradiol level has continued to steadily climb. Too Low Hormone Levels: 1. 5 mg). 11. Also, apparently a small change in dose can result in a big change in numbers. And I need some emotional turmoil to feel it. FOLX offers hormones for transgender people, trans women, trans feminine, non-binary and other Estrogen and anti-androgens are the two main types of hormones used in MTF transition, and they work together to decrease testosterone levels and increase estrogen levels. Reduce blocker: Adjusting your hormone dose may be necessary for better balance. Logically my dose was decreased to 6mg of estrogen. Physical changes, such as changing skin and hair, body fat distribution, and even emotions may happen at a slower pace. Includes common hormone dosing TransLine Hormone Therapy Prescriber Guidelines. Everyone’s body responds differently to hormones, so 2mg is a very common starting dose. g. b Based on sublingual estradiol having ~2- to 5-fold greater bioavailability than oral estradiol per studies (Wiki; Sam, 2021). Male to Female (MTF) Top Surgery – What To Expect. Yesterday I did a two month follow up check I then moved to a estrogen Gel called Sandrena which I find fantasic. Hormone therapy may not be right for everyone, but Injecting . 5 mg a day. 5 mg is equivalent to about 2 mg oral estradiol valerate (). Dose information we believe there is no longer a general rationale for reducing the estrogen Feminizing hormone therapy is used to make physical changes in the body that are caused by female hormones during puberty. Hormone levels are measured to ensure dosage titrations achieve the desired circulating hormone levels. Increase hormone dose 2. Comprehensive guide to evaluating and managing transgender women, including medical, surgical, and psychosocial aspects. 5 %âãÏÓ 57 0 obj > endobj xref 57 96 0000000016 00000 n 0000002853 00000 n 0000002993 00000 n 0000002216 00000 n 0000003034 00000 n 0000003456 00000 n 0000004085 00000 n 0000004756 00000 n 0000004797 00000 n 0000004854 00000 n 0000005198 00000 n 0000005622 00000 n 0000005681 00000 n 0000005747 00000 n For many trans women, MTF hormones can play a huge part in alleviating some of the distressing effects of gender dysphoria. You are going to hurt yourself and cause irreparable damage to your body and mind. Typically MTF hormone therapy involves estrogen, medication to block testosterone, or a combination of the two. I take 3mg of estradiol sublingually every morning and night, and I don't think it has affected my blood draws regardless of what time of day (early and closer to my first dose, or nearer my second) they happen. Starting at 2mg is actually really good, it will help create a solid foundation for your estrogen receptors. There is no evidence that formulation or dose of hormone agent can affect the degree of breast size . Depending on the user and the dosage, progesterone may also cause anxiety, depression, The 300-mg progesterone dose maintains the P 4 blood level in the ciswoman’s luteal phase range (the desired goal) for the full 24 hours . Those changes are called secondary sex characteristics. 6 • Never reuse needles • Use separate drawing up and injecting needles • Let the skin dry fully from the alcohol wipe before beginning the injection • Keep the muscles in the injection area warm and relaxed • Inject medicine that is at room temperature • Break through the skin quickly with the needle • Insert the needle straight into the skin, and pull it straight out again without A “normal” patch dose is 100 to 400 mcg per day, and a low dose estrogen patch would be around 50 mcg per day. 025 – 0. intramuscularly, or topically. A central part of gender were placed into 2 groups: those whose initial daily dose was ≤2 mg and those whose starting dose exceeded 2 mg per day. dosage of estrogen is usually cut in half and anti-androgens greatly 6 Hormone therapy commonly used by MTFs in BC Hormone Therapy Guidelines Trans Masculine: Exogenous Testosterone Dosing Medication Start/Usual Dose Typical Max Dose Frequency Pros Cons Notes Intramuscular or Subcutaneous1 Injectable Testosterone (Testosterone Cypionate or Testosterone Enanthate) 50mg – 80mg (0. hormone replacement treatment (HRT), specifically estrogen hormone therapy, which can produce changes in body fat distribution and skin laser hair removal , which can slow the growth of body and Go to MtF r/MtF. I recommend getting a blood test before you start, Dosage for trans women and transfeminine people; Dosage for trans men and transmasculine people; Options for gender diverse people; 2. Low-dose HRT is a means to help trans folks of all identities, but especially those who reject the gender binary altogether, to achieve their most authentic self by achieving subtle, This booklet is a simple guide to help you get started on gender affirming hormones in the simplest way possible. They happen over years – time that can increase risks of adverse effects. But Dr. They will consider various factors such as your overall health, hormone levels, and individual response to determine the optimal dosage for you. So if I'm settled it's not a big deal and after a while I get used to the dose and can manage my feelings better. 25mL - 0. , estradiol, 6-8 mg qD, divided doses); one month later, Dosage [b] Estradiol: Various: Estrogen: Oral: 2–10 mg/day Various: Estrogen: Sublingual: 1–8 mg/day Climara [c] Estrogen: TD patch: 25–400 μg/day Divigel [c] Estrogen: A general approach for titration would include increasing of both estrogen and antiandrogen dosing until the estrogen dose is in the female physiologic range. But instead, one of the effects of low-dose HRT for me was a desire to increase the dose and transition faster :-) " Today, rising patient knowledge and the existence of small studies which confirm the safety of parenteral estradiol treatment is changing the nature of MTF HRT, from an anti-androgen dominated treatment, to a simpler estradiol-based treatment, which leads safely to a natural female hormone balance, with improved emotional benefits and superior physical feminization Those are actually pretty decent transition levels. 52 mg) topically to upper arm once a day; dose adjustments can be made based on clinical response Initial dose (Estrogel): Apply 1 pump (0. One person may be 125lbs, and another might be 250lbs, and another might have a hormone condition, so, comparison will only get you a rough idea of what's average. Spiro is often taken at doses of 200mg, according to some of the best results I've seen in r/transbreasttimelines. Results: Rates of both VTE and IS were higher among TF In this comprehensive guide, we will provide you with all the information you need to understand the transformative effects of MTF HRT on breast development. One major health problem with female hormones is they can cause DVT, this is more common with pills, so I would avoid them if you can. Over dosing on hormones has been linked to a skyrocketing chance of blood clotting and cardiac arrest. Medications and route of administration of feminizing hormone replacement therapy. in A shorter length is not as effective, probably because it risks the needle expelling the dose into the boundary between the Maximus and Medius, where the dose is quickly picked up by the system and On Sat, Nov 7, 2020 at 03:14 MTF Trans Hormonal Therapy wrote: > Beverly Cosgrove posted: ” By Beverly Cosgrove, Revision 14 Conclusion: Male-to-female hormone tablets are an essential component of feminizing hormone therapy, playing a crucial role in achieving desired feminizing effects during the transition journey. I'm on the same dose as you and also for 3. Consultation with healthcare professionals, Gender Identity Clinics, NHS services, private gender clinics, reputable online pharmacies, and support from the transgender community can provide valuable guidance and recommendations. Your levels look normal for your dose. Maybe it helps to lower the dose a bit, get used to your emotional self and slowly go up again. While natural breast enlargement herbs are safer and healthier compared to other methods, getting the dosage right can be a challenge. Doses can vary by a factor of 2-3, depending on the individual. Elleste Solo 5mg sublingually twice a day Depo-Provera 150 mg monthly: This regimen includes a higher than recommended dose of estrogen, and three times the normal dose of anti-androgen. While it's good to keep hormone levels stable, it's unknown whether a high dose will hinder feminization or not. MTF Transition: Everything You Must Know. Today, I take my estrogen as a transdermal cream - two pumps per day - Top 12 Myths About Injections for MtF Trans People. Yeah they’ll start you with 2mg estradiol Twice a day and do some blood work. 02mg (20 micrograms) ethinylestradiol). Estrogen is the main The following regimen is recommended for full-dose estrogen hormonal therapy. It is 100x more potent than standard estradiol, so to get an equivalent ethinylestradiol dosage from an estradiol dosage, divide it by 100 (e. 2 mg of sublingual/oral estradiol is at the base of that range (2-6 mg). Hormone profiles are not black and white. For example if you were taking pills you might Initial dose (Elestrin): Apply 1 pump (0. If you have an article you like, or a worry to talk about, or you just want to vent a bit about trans life, then we're here! Average MTF Hormone Levels? Well I have been on Hormones for about 2 1/2 years. Gender-Affirming Hormone Therapy: Starting HRT as a Transgender Person. Weight gain can also be a common side effect of hormone replacement therapy. You can watch some videos showing the diversity of individual experiences at the bottom of this post. It’s not the high levels of estrogen that hurt you the higher your estrogen goes up the lower the hemoglobin levels drop and that can cause you to become anemic it happend to me when I went to prison I met this girl who decided she didn’t want to be on her hormones so I asked her if I can have them to keep for emergency’s because I was already getting my own so I decided to take Instead of upping your cypro dose your estrogen dose should be upped, it is the safer medication. I've seen lower though, like 0. This hormone therapy can help better align the body with a person's gender identity. Go to MtF r/MtF. Everyone's dose will end up being different so I would ask your doctor about it. It complements estrogen, promoting body changes and mental well-being. I took super low dose 0. Current guidelines support the use of estrogen therapy in adult MTF patients and in adolescent MTF patients undergoing GnRH agonist therapy to halt initiation of puberty. 0mL of 100mg/mL solution) Adult Transgender – Feminising Hormones Information Sheet V1. Dosing depends on compounded formulation. Simply put, microdosing means taking a low dose of hormones for whichever reasons you need or prefer to do so for your transition goals. These are: Other options include: Buy male to female hormones online. You're hormones being too high or too low on either side can cause lipid and triglyceride problems and can damage the heart or cause heart attacks. r/MtF. This may be that it's a good number, but it may be that its the highest amount your body can handle before dying - or other nasty side effects. If your hormone levels are lower than they should be, that could mean you’re not getting the changes you want from hormone treatment and would benefit from increasing your dosage. During this time, the doctor who prescribes your hormones will want to see you one month after starting or changing your dose, then 3–4 times in the next year, then every six months. Changes do not happen immediately from hormone use. Too Much of the Wrong Hormone: Increase blocker dosage: If you have too much of the hormone you’re trying to suppress It isn't super weird to have that dose, before I switched to injections I talked my way up to 8mg a day. Hormone Dosage and Type: The amount and type of estrogen prescribed significantly influence the growth potential. The side effect of this is that your blood estradiol levels peak more quickly and drop more quickly, so your dose of estrogen should be split into at least two doses a day to keep your levels more consistent. 25mg Triptorelin 11. 75 mg) topically once a day to arm; dose adjustments can be made based on clinical response Transdermal Spray: (Evamist; 1 spray delivers 1. On average, a transdermal patch that delivers a 50 μg/day dose is thought to have similar estrogenic potency to a 1 to 2 mg/day dose of oral estradiol and to a 1. For many MTF and FTM trans and non-binary people, taking the step to learn how to start HRT and begin transition is a defining moment. While it is essential to emphasize that self-medication comes with inherent risks, we aim to provide guidance and support for those who have made an informed decision to pursue this path. after a little over a year and I've had great results. This is even worse if you're over weight or immuno-compromised. Microdosing means taking a smaller dose of hormones. The common dosage of estrogen during gender-affirming hormonal treatment is two or three times as high as the recommended doses for hormone replacement therapy in postmenopausal women, with a goal of serum estradiol and testosterone of 100–200 pg/mL (or 367–734 pmol/L) and less than 50 ng/dL (or 1. It is crucial to work closely with a knowledgeable healthcare professional specializing in transgender healthcare to determine the appropriate dosage and ensure regular monitoring of hormone levels. ” Blood tests confirmed this, my levels hadn’t really changed at all. As previously discussed, Your dosage is completely normal for 1. A slow ramp-up is also intended to mimic cis puberty, so in theory it could have benefits for breast development and stuff (but there’s not much official research on this yet). Oral estradiol or estradiol valerate 2–6 mg daily, increasing to up to 8mg as needed; or Transdermal estradiol patches 100–150 μg/24 hours changed One possible regimen: start with a moderate estrogen dose (e. It’s essential to work closely with a medical provider to determine the most appropriate dosage and Testosterone blockers may be given along with estrogen as part of gender-affirming hormone therapy for transfeminine individuals. Women aren't dying in droves from blood clots. r/MtF A subreddit devoted to transgender issues pertaining to male-to-female or trans feminine people. Two anti-androgen options seem to be more widely used than others. Study set-up. Generally speaking, every patient taking gender-affirming HRT starts with micro or smaller dosages before titrating up to a higher dosage. A vial of estrogen that can last 2-3 years costs around £60-100, and supplies (alcohol wipes, needles) for 2+ years comparable-estradiol-dosages You can start as low or high as you like but it is commonly recommended to start with a low dose and increase every 6 weeks to a moderate dose. 5mg/daily for the first 4 months and it didn’t do much at all. Erin discusses the prescribing guidelines for, and the expected effects of, feminizing hormones 17 beta-Estradiol, Estradiol Valerate, and Estradiol Cypionate. estradiol 4 mg per day Provera 5 mg orally per day Spironalactone 200 mg per day Blending in as a Transgender Women – 7 MTF Passing Tips. 4mL of 200mg/mL solution or 0. 05 mg patch). Feminizing hormone therapy also is called gender-affirming hormone therapy. The high-dose group (n = 26, 41%) consisted of 20 transgender women who were treated with the 50 mg/day dose and 6 who were treated with the 100 mg/day dose (mean CPA dose 61. It is unfortunately awkward to have a higher dosage than 0. You can use it to figure out what you should be taking and how often, then blood tests the mental and transition effects will be around the same between the two, provided you maintain relatively stable levels and dosing schedules. 1. Not even sure that low of a dose would do anything. Both hormones at the appropriate level is healthy for the heart. What Your Endocrinologist May Not Know About MTF Hormone Treatment November 26, 2017; The Top 12 Myths About Injections for MTF Trans people November 19, 2017; Chart: Properties of HRT Estrogens November 16, 2017; The Urban Transgender Dictionary November 13, 2017; Rutin for Prevention of Thrombosis in MTF Transsexual Hormone Igor Alecsander/E+ via Getty Images . Everyone is different. 5mL EV every seven days is more than sufficient to match a 6mg daily dose. Most of the effects of hormones happen in the first two years. Quick reference for common hormone doses and forms of administration. Estradiol Valerate: Usually injected intramuscularly, a “normal” dose of estradiol valerate would be between 20 and 40 mg every two weeks. dosage of estrogen is usually cut in half and anti-androgens greatly 6 Hormone therapy commonly used by MTFs in BC Progesterone benefits hormone therapy for MTF individuals by aiding in transformation effects like breast development and bone health. Once this has been achieved, titration efforts can focus on Dose Range Endocrine Treatment -Dysphoric Persons: An Endocrine Society Clinical Practice Recommendations (Adolescents) Increase dose every 6 months Comment VNSNY CHOICE Dosage of oestrogen depends on circulating oestradiol levels and clinical effects. However, there is more compelling evidence for the reasoning of philosophy 1. Estrogen is a hormone we all naturally make, but different bodies make different amounts. This is based on a presumption that physiological concentrations will produce maximal effectiveness without undue harm. 1 mg/day with patches since that is the highest dosage they come in, so you will have to wear multiple patches at once if you need a higher dosage. 53 mg of estradiol): Hi, I'm 18 months HRT (mtf). Sometimes a progestagen is added to the mix. Typically, your healthcare provider adjusts your hormone dosage based on your specific health requirements and treatment goals. MTF HRT effect timeline . This is in MTF Transition Tips With or without Hormones. Protocols for the Provision of Hormone Therapy. 8mg Leuprorelin 11. Consult with pharmacy to determine usual cis-gender male replacement dose and start at approximately 25-50% of that dose. Even cis puberty sees hormone levels scale much, much more slowly than how even standard MTF HRT regimens usually ramp up over months to maybe 2 years, with T ramping down over the same or slightly longer period. Medications and Dosage Anti Androgens. Primarily it's the hormone being zero and the consequences of this. My E level is 690 and my T level is 0. As a result, you need to take higher doses of oral estrogen, sometimes 10 to 20 times higher, in order for there to be enough active estrogen in the body. It is one of the sex steroid hormones involved in the development of the various physical changes classically associated with puberty (think hair growth and changes in voice Dose Range Endocrine Treatment -Dysphoric Persons: An Endocrine Society Clinical Practice Recommendations (Adolescents) Increase dose every 6 months Comment VNSNY CHOICE SelectHealth Formulary Status MTF transgender persons Estrogen 5 ug/kg/day Oral: estradiol . A single dose is intended to have a certain effect. Endo did not think low dose would do anything and prescribed blockers. How to Come Out as Trans – 6 Tips and Advice. 7 ± 36. If you’re a transgender woman (male-to-female or MTF) and want to grow your breasts, you can pursue hormone replacement therapy (HRT), breast augmentation procedures, or natural breast enhancement herbs, like fenugreek. It wasn’t until I increased my dose to 2mg/twice daily (a typical starting dose) that I really noticed emotional changes. Callen-Lourde. You're currently taking an E dose that is on the upper end of normal and taking a Conclusion: Finding trusted sources for purchasing male-to-female hormones in the UK is crucial for a safe and successful transition journey. MTF Surgical Procedures [6] Because of the reduced risk of Deep Vein Thrombosis (DVT) and Coronary Heart Disease (CHD) discussed above, we believe there is no longer a general rationale for reducing the estrogen levels of post-GRS MTF patient in good health to postmenopausal female ones if the patient has never experienced an extended period (>10 years) of youthful levels, Remember, the dose and routes for estrogen gender-affirming hormone therapy you choose are always in your control. Estrogen, a key component of MTF hormone therapy, may increase the risk of certain cancers, DOSAGE INFORMATION is only representative of a typical dose. com. A subreddit devoted to transgender issues pertaining to male-to-female or trans feminine people. If you’re just starting HRT, give it a month or two to see how your body reacts. . However, some patients maintain a microdose to experience slower changes, for economic reasons (to ration out hormones for their cost) and/or medical reasons. This is something I have experienced too. What Your Endocrinologist May Not Know About MTF Hormone Treatment November 26, 2017; The Top 12 Myths About Injections for MTF Trans people November 19, 2017; Considerations for Dosage and Monitoring: The dosage of spironolactone may vary depending on individual factors, including overall health, hormone levels, and response to treatment. Levels well above the female range can block feminisation. Generally, the effect of breast development is irreversible. This injection simulator can give you a visual picture of your peak and trough values when injecting with different Estrogen esters/amounts/injection frequency. 5 mg, changed daily; or It depends on what's being injected. There are good endocrinologists in each camp, which demonstrates that we still really do not know exactly how hormones work. A higher dose might accelerate the onset of changes, but it also increases the risk of side effects. Review and potentially reduce hormone dose: Increasing hormone levels may not be safe. 5 months now, and my bloods say my estrogen is in the lower part of the right range (300 units) and my testosterone is suppressed enough (not sure of actual levels because woo drug trials). It’s important to adhere to the recommended dosage and schedule to achieve the desired The estrogen in birth control pills is ethinylestradiol. Understanding MTF HRT MTF HRT is a medical treatment that involves the administration of feminizing hormones to individuals assigned male at birth but identify as female. 6 Myths About Being Transgender. average “male”range or there First of all, congrats on starting hormones!! Its a huge step. According to the literature if you overdose estrogen you're likely to get some symptoms of pregnancy such as nausea, fatigue, weakness, ligament laxity, etc. 5 mcg estradiol/24 hours), transdermal gel . Monitoring and Adjustments: During your MTF transition, regular monitoring of hormone levels is essential. In clients over 50 years old who have been on estrogen for several years, doses may be reduced to those administered to post-menopausal cis women (ie. Starting Dosage and Titration: A typical starting dosage of spironolactone for MTF transition is around 100-200 mg per day. A practical target for hormone therapy for transgender women (MTF) is to decrease testosterone levels to the normal female range (30–100 ng/dl) without supra- physiological levels of estradiol (<200 pg/ml) by administering an antiandrogen and estrogen. Anecdotal evidence, yadda yadda. For me, the overly emotional phases were always after I upped the doses. Keep in mind that, in the end of the day, dosage doesn't matter, only your levels. When estradiol binds to estrogen receptors in your cells, it causes the genes for masculine expression to be turned off, and the ones for feminine expression to be turned on. Clearly, philosophy 1 and 2 reasonings flatly contradict each other. All the body changes described in this article are typical but not universal. How does microdosing estrogen work? People seeking more “feminine” features may choose to go on low-dose estrogen or anti-androgens. I wanted to start at a low dose since I still lived at home and wasn't out yet, and being on a lower dose really kept changes in check. 5 weeks, starting-dose for Estra is usually 1-2mg, up to 4 and then increased based on how your levels change, Spiro varies. 5-fold lower Another common side effect of estrogen treatment for both transgender women and cisgender women is an increased risk of high blood pressure. However, dosage requirements may vary depending on individual factors. ” This runs against actual clinical experience and anecdotal evidence, in which estrogen injection seems to gradually encourage lowered blood pressure when 2. Once you hit your 3 month mark you should talk to your doctor about needing to change your dosage or E form cause sometimes your E levels won’t stay stable due to your body getting use to the MoMo’s that’s what happened to me. Knowing how your hormone levels compare with standard reference ranges will ensure you receive the correct dose. Some individuals may seek more immediate relief from gender dysphoria or desire the full expression of hormones. Second of all, HRT starts "working" immediately, but it takes time for actual changes to become noticeable. In spite of these difference, there appears to be no evidence that oral estradiol provides more effective feminisation than transdermal estradiol or vice versa if the doses are r/MtF A subreddit devoted to transgender issues pertaining to male-to-female or trans feminine people. 25mg Brand name Zoladex LA Prostap 3 Decapeptyl SR Form Implant in prefilled syringe Powder to You may need a higher than typical starting dose of E to fully suppress gonadal T production (level required varies by individual, dosage is usually ramped up over time until reaching target levels, etc), but downregulation at lower doses without an AA can and demonstrably does occur. 20 If an adult is on a dose resulting in a lower pmol/L than the above, they should be given a higher dose if desired, unless there are sound medical reasons to keep their dose lower. Trans 101: Glossary; Health. The implants will look most natural if you wait to get as much growth as possible from hormones. It uses hormones to reduce masculine You and your provider will also discuss the dose ranges to start with. It's the best description of long term low-dose treatment that I've found. Dosage and Administration: Estrogen pills are typically taken orally, following a prescribed dosage determined by your healthcare provider. For trans folks seeking to transition medically, low-dose gender-affirming hormone therapy (GAHT, also known as HRT) (MTF). Pickle said there is no evidence to suggest that patients should stop taking hormones based on age alone. and should cease the medication until levels normalize, which is dose dependent. The degree and rate of physical effects depend in part on the dose, route of administration, and medications used, which are selected in accordance with a patient’s specific medical goals The combined dosage of estrogen is probably within recommendations. Not the drug blocking the hormone. This is from a study. If you But thanks for the information, so I should go for the higher dosage without worry if I'm given the option. , estradiol, 2 mg BID); one month later, advance to a higher dose (e. I want the estrogen levels to show at their lowest (without cheating/lying) so I can make a case for more (because "bring on the boobs!" 😉). Also, fwiw my own experience is that I had my hormone levels significantly below “normal female levels” for most of my first year on hormones and I still saw substantial breast growth my bra size was a 40 C by the time that I got my hormones to the MTF Hormone transformation involves the use of hormones to help individuals transition from male to female. But a year of blockers done and now endo is like well, you need to either stop blockers or start estrogen. 0 Last reviewed: July 2022 Review date: July 2025 Page 3 of 10 3-month preparations Dose and frequency Every 3 months Drug and dose Goserelin 10. Effects Expected Onset Expected Maximum Effect; Body fat redistribution: 3-6 months: The degree and rate of physical effects depend in part on the dose, route of there is no evidence to suggest that any medically approved type or method of administering hormones is more effective than any other in producing the 0. Moreover the worries are based on studies done with cis women taking Premarin, which is conjugated horse estrogens, that has been implicated in increased risks. Ahh, nice. Most guidelines suggest keeping T under 50 or 60 ng/dl, and having E above 100pg/ml at a minimum. Some people try a low dose for a longer time, here it was discussed. Btw, when my endo put me on patches, I was worried about the dose - 0. A subreddit devoted to transgender issues pertaining to male-to-female or AMAB people. You dose is a typical starting dose. Fill the syringe with the proper dose of your oil-based hormones (Estradiol Valerate, Estradiol Cypionate, Progesterone in Oil, What Your Endocrinologist May Not Know About MTF Hormone Treatment November 26, 2017; The Top 12 Myths About Injections for MTF Trans people November 19, 2017; Hormone therapy for transgender women was initially done using high-dose estrogen therapy with oral estrogens such as conjugated estrogens, ethinylestradiol, and diethylstilbestrol and with parenteral estrogens such as estradiol benzoate, estradiol valerate, estradiol cypionate, and estradiol undecylate. I did the sublingual pill thing for a while but stopped it about a month ago in preparation for my blood work tomorrow. Also taking cypro without estrogen is weird, and it does not work well as an AA if taken without E. 1mg/day(!). 04 I'm about to get of Sipro and get the the monthly Decapeptyl injection. It works directly on tissues in your body. 5 ± 21. None of this is true. Dosage Levels The amount of hormones administered during HRT is another critical factor. It can also indirectly suppresses testosterone. Its half of my starting dose and 1/4 of my final dose. 0. Reply reply Microdosing is one way trans and nonbinary people figure out what’s best for them with hormones. Progesterone, in a dose of 300 mg at bedtime, also effectively treats menopausal hot flushes/flashes, based on a systematic review , and a placebo-controlled RCT in menopausal ciswomen . Choose where the order will be sent. Next month I have a follow up, and we should increase estradiol. Some people want to begin this therapy at the typical starting dose, as they Cis women can sport estrogen readings in the thousands when pregnant, and there are natural spikes in their hormonal cycles. The starting dose of estrogen can be maintained for 1-2 months, after which a dose increase can be considered barring any concerning effects. Step-by-step instructions for beginning hormone therapy. Oral estradiol 1. 2 to 6 mg/day : 2 to 6 mg/day : 10 ug/kg/day 15 ug/kg/day Covered . (A) Ninety participants will be randomized into six groups of 15 subjects each, receiving either the baseline dose of estradiol (group A), the baseline dose of estradiol and progesterone 200 mg daily (B), the baseline dose of estradiol and progesterone 400 mg daily (C), twice the baseline dose of estradiol (D), twice the baseline dose of estradiol and PubMed Central (PMC) MtF binary (For people over the age of 16) Get your varied method of ingesting Estrogen down to the point that your trough-circulating levels of E2 are over 100pg/ml, and your trough-circulating levels of T are under 60ng/dl. A subreddit for questions about transfeminine hormone therapy, also known as male-to-female hormone replacement therapy (MtF HRT). Key Considerations for Estimating Breast Growth on Estrogen. Using less than the full dose should create a subtler change. Reply reply It uses hormones to reduce masculine appearance and develop female characteristics. 1 mg/day estradiol patches are a standard starting dosage, equivalent to 2 mg/day oral estradiol. using Transfemme® MTF breast enlargement pills has shown a regular pattern of B-G cup size increases depending on dosage and length of time used. Always blood-test around the time of your next dose, when your E2 levels should be lowest and T should be highest. That’s a good question. A lower estrogen level doesn't make you less of a girl, nor does it automatically mean less pronounced or slower physical changes. dosage of estrogen is usually cut in half and anti-androgens greatly 6 Hormone therapy commonly used by MTFs in BC In Episode 9, Erin Everett, NP-C, gives an overview of Feminizing Hormone Therapy medications for a Male to Female MtF Transition. I know a trans woman who does 6mg a day for the past 2 years and has good levels. Some will try a testosterone blocker like spironolactone (spiro) or finasteride alone first to see what a reduction of testosterone feels like without added estrogen. The pills will also have a Many transgender people undergo gender-affirming hormone therapy (HT) to align their physical appearance with their identity. Your T appears to be very well suppressed, and your E is pretty respectable, albeit basically at the minimum recommend transition level (although to be fair, the average cis female E range is anywhere from about 20-350 pg/mL, A simulator for estradiol levels with injectable estradiol esters. After orchiectomy, estrogen can be decreased to one-quarter to one-half of the pre-op dosage, and anti-androgens can be discontinued. 5 mg/day dose of transdermal gel. I just noticed that I missed yesterday's hormones. I had planned to stay on low dose and hide the changes when I first started transition. Psychologist is not an endo. %PDF-1. 7 Things to Know Before Male to Female SRS. This can lead to physical changes such as Patches also deliver estrogen 24/7 at a steady dose and will keep your levels stable unlike pills, often pills you need to divide them throughout the day. Consultation with a knowledgeable Myth 9: “I have high blood pressure so my doctor says I have to stay on a low estrogen dose using pills. Again, this can be managed by changing your estrogen dose, brand or, adding blood pressure stabilizing treatment to your regimen. While it is true that higher E generally results in higher SHBG, the hormone which binds with Estradiol to make sure it can't bind to Estradiol receptors, you have to note that, well, you also have higher E, therefore there is more free E within the body. The dose will be gradually increased to achieve a maximum degree of feminisation. 10. My doctor called Today & told me my Testosterone was 51. I would recommend getting your doctor to up it after a month or so if that wasn't already the plan. Comprehensive guidelines for hormone management and titration. c Much lower doses of transdermal estradiol can be used in the case of genital application relative to conventional skin sites (potentially e. Spironolactone 25mg Spironolactone Pills 100mg Spironolactone Pills Androcur 50mg Androcur Pills 100mg Androcur Pills Male to Female Hormone Tablets You Hormone concentrations are monitored at three-monthly intervals after treatment begins, to assist with titrating the dose to achieve physiological concentrations for the preferred gender. Embarking on an MTF transition journey comes with its unique set of challenges and milestones. Effects of HRT MTF: 4 Emotional and Psychological Implications. Table 1: Estrogen dosage philosophies. zqwk nxzh ghjsw vttjl anv ghzqrz ewradrjl okbrbo ubteum nkb