- Improve the quality of life.
- Improve sexual fulfillment.
- Reduce the severity of gender dysphoria.
- Improve psychological and social usefulness.
- Alleviate psychological and emotional distress.
- Are aged 15 years and below.
- Had or have hormone-sensitive cancer, such as breast cancer.
- Are a pregnant or breastfeeding mother.
- Have uncontrolled behavioral health conditions.
- Have a thromboembolic disease, such as:
- Pulmonary embolism (blockage of a pulmonary artery in your lungs).
- Deep vein thrombosis (blood clot formation in one or more of the deep veins in your body).
- Experience uncontrolled significant medical conditions.
- Are faced with a condition that limits your ability to provide informed consent.
- Let your doctor know if you are taking any other prescribed or over-the-counter medication because they might affect the masculinizing medication.
- Let your doctor know about your whole medical history.
- A review of your family medical history.
- A review of your immunizations.
- Know (from your doctor) about any other preparation you are expected to make before the testosterone therapy.
- The therapy might reduce your fertility.
- A physical exam, including one to assess your external reproductive organs.
- Your doctor would like to know about your possible tobacco use, drug abuse, alcohol abuse, HIV and other STIs, etc, for proper management; if you have any.
- Engage the counsel of an expert in transgender health, to discuss:
- Gender dysphoria.
- Relationship abuse.
- Social discrimination.
- The risk of hormone therapy.
- The use of non-medical grade silicone injections.
- Unapproved hormone therapy or supplements.
- Lab tests, to measure your:
- Blood sugar.
- Blood count.
- Liver enzymes.
- A pregnancy test.
- Taking Testosterone.
- Taking Progesterone.
- Ceasing of your period.
- Voice deepening.
- Body fat redistribution.
- Increased and coarseness in facial and body hair.
- Enlargement of the clitoris and vaginal atrophy.
- Increased muscle mass and strength.
- Soreness at the injection site.
- Sleep apnea.
- Change to cholesterol profile (for example, lower HDL cholesterol).
- Monitor and document your physical changes.
- Check your hormone concentrations, while using the lowest dose necessary to achieve desired physical effects.
- Enable him/her to monitor changes in your fasting blood sugar, blood count, lipids, liver enzyme, and electrolytes that might be caused by hormone therapy.
- Check your behavioral health.
- Mammogram of your breast.
- Pelvic exam, a pup smear, or HPV test.
- Blood test.
|1.||Testosterone.||Androderm. Axiron. Testopel.||2.5─10mg/day|
|2.||Testosterone enanthate.||Delatestryl.||50─100mg once/week OR 100─250mg every 2─4 weeks.|
- Pelvic pain.
- Weight gain.
- Sleep apnea.
- Type- 2 diabetes.
- Clitoral discomfort.
- Male-pattern baldness.
- Increasing cardiovascular risk.
- Hypertension (high blood pressure).
- Polycythemia (too many blood cells).
- Deep vein thrombosis and/or pulmonary embolism.
- Atrophic vaginitis (the drying and thinning of the vaginal lining).
- Development of an abnormal level of cholesterol and other lipids.
How long can you take estrogen therapy?
Estrogen therapy lasts five years or less, but the duration can be individualized for each female. Only those women who have had their uterus removed can take estrogen.
Does testosterone therapy last for life?
Testosterone therapy is for life. If you stop taking testosterone, your testosterone levels will drop. Some men with low testosterone count decide not to be treated. They may fail other ways to increase their energy level, or they may decide to live with the changes in their sexual desire and body.
Are the effects of hormone therapy permanent?
In some ways, the effects of hormone therapy are not permanent, if you stop taking them. The degree to which they can be reversed depends on how long you have been taking testosterone. However, facial hair growth, clitoral growth, voice deepening, and male-pattern baldness are not reversible.
What does testosterone replacement therapy do?
TRT is a widely used treatment for men with symptomatic hypogonadism. The benefits seen with the therapy, such as increased libido and energy level, beneficial effects on bone density, strength, and muscle, as well as cardio-protective effects, have been well-documented.
What drugs are used for hormone replacement therapy?
Some women choose to treat their menopause symptoms with hormone medicines sometimes called hormone therapy. Estrogen-only medicines:
Skin spray (Transdermal)