Brief Answer:
Transgender

Detailed Answer:
I understand what you are saying.

When I see someone like you in my practice, in addition to a thorough physical examination I order several blood tests:
CBC
Liver function tests
Kidney function tests
Electrolytes
Calcium
TSH
HbA1c
Lipids

These serve as an important baseline because sometimes hormones can have side effects.

Then I refer the patient to a psychiatrist to evaluate if the he is ready to begin female hormone treatment. Without such a formal referral from a psychiatrist I do not start hormonal medications.

Finally I prescribe three types of medications and not just estrogen. There is progesterone and spironolactone. These medications have to be used cautiously and required periodic blood testing to monitor effects and side effects, and appropriate dose adjustments accordingly.

Progesterone works at the pituitary level to suppress LH (Leutinizing Hormone) which lowers the male hormone (testosterone) levels, and spironolactone blocks the effect of testosterone at the receptor site such as hair follicle and muscle.

Such powerful medications must not be purchased online, and require the expertise of an experienced endocrinologist to prescribe them after a comprehensive physical assessment.

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Brief Answer:
Follow up

Detailed Answer:

1 You will have to find an endocrinologist near you by asking your family physician

2 Cost varies from country to country and in some cases, from doctor to doctor. it also depends on whether you have medical insurance and whether it will pay for transgender treatment

3 You can only get such medication by the prescription of a licensed doctor who has the opportunity to examine you first in person.

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