In general, we do not prescribe progesterone. People are very different so their emotional and intellectual changes vary widely. People taking estrogen have reported:. Feminizing Hormone Therapy. What medications are used for feminizing hormone therapy? Estrogen Estrogen is the hormone responsible for most feminine characteristics.
Antiandrogens Antiandrogens or testosterone blockers, are medications that reduce the testosterone level. She ordered Estradiol, a commonly prescribed form of estrogen, and Spironolactone, a testosterone blocker traditionally prescribed to transgender women, from an online pharmacy without a prescription.
With a lack of transgender-related services across the country, as well as discrimination from medical professionals and insurance companies, many transgender patients are conducting their own hormone replacement therapy, a regiment of medications meant to help them develop some of the secondary sexual characteristics of their gender identity. Because of the legal questions around these practices, we agreed not to identify the full names of some individuals we spoke to for this story.
For Andrea, the do-it-yourself method was only a stepping-stone towards a doctor-managed approach. But she may return to DIY to retain the independence and control it gave her, she says. Without insurance coverage to affordably and legally pursue a transition, however, Adam ended up ordering hormones for a number of months, and monitored the results through close observation of lab results and online research into the side effects of the different hormones.
Estradiol and Spironolactone are the most popular drugs for transgender women to increase estrogen and decrease testosterone, respectively, which help develop softer skin, feminine fat distribution in the face and body, and breasts. Transgender men are typically prescribed Depo-Testosterone, regular consumption of which helps them develop muscle, body hair, and a deeper voice. While Estradiol and Spironolactone can be acquired at numerous online pharmacies, most forms of testosterone are regulated as a steroid by both the Controlled Substances Act and the Anabolic Steroid Control Act of —meaning most DIYers are transgender women.
Safer believes this hesitance is less a matter of malice than it is a matter of ignorance. Fifty percent said they had to teach their doctor about appropriate care—one reason some people may feel confident enough to manage their own transition. Changes caused by these medications can be temporary or permanent. Feminizing hormone therapy can be done alone or in combination with feminizing surgery. Feminizing hormone therapy isn't for all transgender women, however. Feminizing hormone therapy can affect your fertility and sexual function and cause other health problems.
Your doctor can help you weigh the risks and benefits. Feminizing hormone therapy is used to alter your hormone levels to match your gender identity. Typically, people who seek feminizing hormone therapy experience discomfort or distress because their gender identity differs from their sex assigned at birth or sex-related physical characteristics gender dysphoria. To avoid excess risk, the goal is to maintain hormone levels in the normal range for the target gender. If used in an adolescent, hormone therapy typically begins at age Ideally, treatment starts before the development of secondary sex characteristics so that teens can go through puberty as their identified gender.
Many trans girls are treated with a medication to delay the start of puberty. Gender affirming hormone therapy is not typically used in children. Feminizing hormone therapy isn't for all trans women.
Your doctor might discourage feminizing hormone therapy if you:. Talk to your doctor about the changes in your body and any concerns you might have. Complications of feminizing hormone therapy might include:. Because feminizing hormone therapy might reduce your fertility, you'll need to make decisions about future childbearing before starting treatment. The risk of permanent infertility increases with long-term use of hormones, especially when hormone therapy is initiated before puberty.
Even after stopping hormone therapy, testicular function might not recover sufficiently to ensure conception without reproductive technology assistance. If you want to have biological children, talk to your doctor about freezing your sperm sperm cryopreservation before beginning feminizing hormone therapy.
Other side effects of estrogen use in trans women include reduced libido, erectile function and ejaculation. Erectile function might improve with the use of oral medications such as sildenafil Viagra or tadalafil Adcirca, Cialis.
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