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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Hormone Pills Required In Case Of Gender Transformation

hiya, my name is Nichola, i am going thought the transgender from male to female, my question is more about hormone pills, i want to start on them asap and get the ball roiling, i am currently awaiting to go 4 a psychiatric assessment, but i just wanna get it going, i would be here all day should i type my feelings on it, what would you suggest
posted on Fri, 14 Mar 2014
Twitter Wed, 28 Dec 2016 Answered on
Twitter Wed, 28 Dec 2016 Last reviewed on
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Endocrinologist,  's  Response
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 (
Hormone regimes for transgender women (male to women, MTF)

1. Anti-androgen:

Spironolactone 100 – 200 mg/day (up to 400 mg)
Cyproterone acetatea 50–100mg/day
GnRH agonists 3.75 mg subcutaneous monthly
2. Oral estrogen

Oral conjugated estrogens 2.5–7.5mg/day
Oral 17-beta estradiol 2–6mg/day
3. Parenteral estrogen

Estradiol valerate 5–20mg i.m./2 weeks or cypionate 2–10mg i.m./week
4. Transdermal estrogen

Estradiol patch 0.1–0.4mg/2X week

You need for sure to follow a specialised center to give you the right dose and monitor closely.

Kind regards,
Dr.Mirjeta
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Suggest Hormone Pills Required In Case Of Gender Transformation

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 ( Hormone regimes for transgender women (male to women, MTF) 1. Anti-androgen: Spironolactone 100 – 200 mg/day (up to 400 mg) Cyproterone acetatea 50–100mg/day GnRH agonists 3.75 mg subcutaneous monthly 2. Oral estrogen Oral conjugated estrogens 2.5–7.5mg/day Oral 17-beta estradiol 2–6mg/day 3. Parenteral estrogen Estradiol valerate 5–20mg i.m./2 weeks or cypionate 2–10mg i.m./week 4. Transdermal estrogen Estradiol patch 0.1–0.4mg/2X week You need for sure to follow a specialised center to give you the right dose and monitor closely. Kind regards, Dr.Mirjeta