A Trans Woman Hormone Therapy



Introduction | The Therapy Process | What worked (for a while) | In the end |Conclusion

The Therapy Process

WARNING 1: A HORMONE THERAPY MUST BE MADE WITH THE SUPPORT OF A GOOD ENDOCRINOLOGIST; AND IF YOU FEEL WHICH YOU NEED, A PSYCHOLOGIST FOR MIND SUPPORT. WHAT WORKED FOR ONE TRANS WOMAN MAY NOT WORK FOR OTHER, THAT DEPENDS ON EACH ONE ORGANISM. YOU CAN HAVE A BETTER EXPERIENCE, A WORST EXPERIENCE, OR EVEN COULD DIE. FOLLOW WHAT I WILL SPEAK AT YOU OWN RISK; AND DO NOT BLAME LATER IF IT DOES NOT WORK, CASE IN WHICH THE ONLY ONE TO BLAME WILL BE YOURSELF.

WARNING 2: SOME ENDOCRINOLOGISTS WILL REQUEST YOU TO HAVE THE "APPROVAL" OF A PSYCHOLOGIST ANYWAY.

The hormone therapy regitry of a physically frail trans woman of 1.63m, 50kg, 31 years, with migraines, slightly low blood pressure, mild autism and severe skin allergy to some foods and medications was as follows:

At first, my endocrinologist prescribed to me capsules of a manipulation pharmacy of the so called "Valerato de 17 beta estradiol" to deliver to my body estrogen, and the usual "spironolactone" to cut the testosterone (anti-androgen) because they are cheaper and more popular. For a while I did not had side effects as expected, my body start to change: My breasts started developing, the influence of the testosterone over my mind weakened and a whole new way of thinking germinated, the body fat started to leave the torso and arms and go to the thighs and rear, the waist got thinner, the skin softer... the pointers of the clock went back considerably for me. You can think which it was as expected, but depending on your organism your body will not change or change more than mine in the end; this is a process which take aroun 5 years. You have a few months to give up before the permanent loss of all or almost all of your fertility; some of the lesbian sexual orientation store their sperm if they want to have kids later, and there is always the possibility of adoption. With time it became obvious the following points about this Hormone Therapy (HRT) start:

It was an unhappy result my first attempt, I even tried using a more expensive and less risky version of spironolactone called "Aldactone" to no avail. My endocrinologist did not gave up and had the knowledge to offer another options: For the estrogen he prescribed me "Natifa", a medication for women with problems with their estrogen levels and which came in a well designed package and with smaller pills. It was strange how Natifa did not boosted my chronic headaches as the capsules from the manipulation pharmacy. I also started using the anti-androgen known as "Androcur", a medication created for who have testoreno in excess, for the chemical castration of rapists or would be rapists among other applications. It is not diuretic, but something done specifically to change the hormone levels of someone; that is why it was better overall and did not caused frequent pee desire or hunger, neither the urine was stinky. Its package was also pretty and the pills small, but the problem of both were: They were expensive as hell.

Also:

Again it was an unhappy attempt, and some rude things which I said or did in that period of testing to some people would had been said or done differently or even not said or done if my mind was not warped due to androcur. Some of them deserved it, other in part only, but a few did not and that left me sad as I do not like being rude without reason as I myself I am a sensitive person who was target of injustices. It was then which my endocrinologist did a final suggestion: Clearly I could not use any anti-androgen currently available, but he could double my estrogen in an attempt to reduce the testosterone in other ways. It was allowed me to use gel estrogen (actually I asked to), but the extra estrogen would increase my chances of grave health issues in the future. I was happy which I did not used progesterone too as it would be even worst. In other words: My hormone therapy would be forever incomplete until I did the surgery known by the public as the "sex change surgery" in order to reduce my testosterone.

What worked (for a time)



I started using what is called "Sandrena Gel" from the manufacturer "Schering Plough" at the dosage of 1mg; but used four times a day. It comes with 24 sachets by box, not being too expensive neither too cheap for the quantity which a trans woman need daily. As natifa, it was made for the usage of women lacking estrogen due to the age or other causes; There is no medication just for trans women, as we are a market of few people. It is important to mention which it is also a medication which does not need a doctor prescription to be purchased.

Other points of interest regarding the medication called "Sandrena gel":

A hint I give is to feed well, so your body have enough fat to give you a better female shape. I do not care much as I like to fit the skinny "nerd lolita" stereotype, but even so my body still had significant changes.

Ao Fim

The above mentioned dosage of estrogen worked for a time, but eventually I discovered which I had 5 stones in my vesicle when I made a medical appointment about digestive discomfort, and I had to take them out as soon as possible as I said at other article. It did not took me long to discover which it was caused by the excess of estrogen, and I asked myself what more hidden side effects my hormone therapy was having. My endocrinologist asked me to once more use androcur but at a minimum dosage, as my testosterone was still above that of a woman with 3 sachets of 4 of sandrena gel. For a while it worked, but I eventually started feeling the same side-effects wihich made me stop to use androcur in the past; with the difference which now I could not use extra estrogen to make up for it. IF my hormone therapy was incomplete before, now it was even more so and soon I shall lose part of the female traits I acquired. My body once more entered a period of hormonal instability and that causes negative physical and mental effects, the situation is not worse because I can still use 2 sachets a day.

So, this was my hormone therapy before the gender confirmation surgery, something which every trans women dream of but not all can achieve or achieve with good results. In my case it is an urgent necessity due to the mentioned above, but I expect to do it this year (2022) or the next.



Last Updated: 2022/02/13

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