These release hormones directly into the bloodstream so that they are carried all round the body. Patches or implants are preferred for transwomen over 40 years of age. See my previous blog on patch vs pill for cost discussion. Patches can be very effective and safe, but they need to be worn at all times. We have helped and advised many transgender women and found that it matters little when the srs is performed during this period as far as the final results are concerned. Treatment options include oral, parenteral, subcutaneous implant, and transdermal patches, gels. Have you told your doctor you are applying them directly to your breasts. Because it is worn for several days, with this option you do not have. Not every transgender person deals with their gender dysphoria in the same way. I have been taking it for just over a year now and in a month i have my orchidectomy.
We offer a safe, inclusive community for transgender and gender nonconforming folks, as well as their loved ones, to find support and information. Estrogen is necessary for many processes in the body. As stated previously, it takes approximately three years of estrogen antiandrogen use to achieve full feminization. Estrogen may be given as a pill, by injection, or by a number of skin preparations such as a cream, gel, spray or a patch. It doesnt have to be applied to your breasts though. The shortterm benefits of estrogen therapy can help ease symptoms of several conditions and reduce your risk of other diseases. Physiologically, this requires a suppression of endogenous androgens and the addition of estrogen. I had a question about estrogen patches is it just as effective as the pills. There are many different hormones produced in the body by a system of glands. For many people, hormone treatment is the first step to transitioning physically.
Testosterone blockers are a necessary part of estrogen treatment for transgender women because testosterone acts more strongly in the body than estrogen does. For many women, it appears that the benefits outweigh the risks. However, health concerns related to hormone therapy are valid. Combination estrogen and progestin patches like climara pro and combipatch are also available. A transdermal estrogen patch is one of the many types of hormone replacement therapy hrt you can choose. A transgender therapy primer transgender individuals may use male or female hormones to make them more masculine or more feminine. When ert first came to market in 1942 it was a simple choice, as there was only one fdaapproved medication, premarin. I can understand that you have to be careful when taking any medication and hrt can be harmful, i have struggled with my sexuality for as long as i can remember, i am a shy person and find it hard. Examples are alora, climara, estraderm, and vivelledot. In transgender women, estrogen brings an increased risk of blood clotting, pulmonary emboli and. Climara 50 patches are used to relieve symptoms of menopause and also to induce the development of female sexual characteristics in transgender hormone therapy. A subreddit devoted to transgender issues pertaining to.
A practical target for hormone therapy for transgender women mtf is to decrease testosterone levels to the normal female range 30100 ngdl without supra physiological levels of estradiol weekly. The main pharmacokinetic feature of estrogen patches in comparison with pills is the avoidance of firstpass hepatic metabolism. Estrogen patches may be effective in preventing osteoporosis in postmenopausal women. Studies are mixed on whether the risk of breast cancer is increased with hormone therapy in transgender women. The menopause patch and hrt can assist in managing the symptoms of menopause. Their active ingredient is oestradiol 50mcg per day and you can buy climara 50 online from inhousepharmacy.
Overview of feminizing hormone therapy transgender care. Transgender hormone therapy, also sometimes called crosssex hormone therapy, is a form of. If a male applied estrogen cream directly to the breasts. Consider transdermal estradiol for patients over age 40, and for those who have risk factors such as smoking, a personal or family history of dvt or cardiovascular disease, etc. Feminizing hormone therapy trans primary care guide. Practical guidelines for transgender hormone treatment. Patches or implants are preferred for transwomen over 40 years of age although they can be used in younger people to minimise the risk of venous thromboembolism. How to put on an estrogen patch mtf transgender hannah. Risks, rewards increase for older transgender adults. Oral estrace, gynodiol and transdermal alora, climera, esclim, estraderm, vivelle estradiol and parenteral estradiol. I have seen a number of transgender individuals use estrogen patches with good success. Premenopausal women may be recommended to take progestin with estrogen therapy.
Transgender hormone therapy maletofemale wikipedia. How much estrogen is she getting from those patches. Tablets can be given in divided doses if nausea occurs at higher doses. The most common estrogens used in transgender women include. Estrogen is a hormone that plays various roles in the body. This can affect how some women feel when taking hormone treatment. Oral and transdermal estrogen dose equivalents prescribing estrogen replacement therapy ert can be confusing. Monitor serum testosterone and estradiol at followup visits with a practical target in the female range testosterone 30 100 ngdl. So, although im still on blockers, ive had to discontinue e because taking it sublingually was giving me pretty intense nausea and headaches. To reduce risk, cavanaugh recommends a transdermal estrogen patch to patients so the hormone metabolizes before it reaches the liver. E2 transgender teen so this video is aimed for mtf transgender peeps who want to know more about how to put an estrogen patch on for mtf transgender peeps. Patchmd antiaging topical patches includes natural antiaging antioxidants like resveratrol, coq10, curcumin, vitamin c 30 day supply. The general approach is similar to estrogen replacement in agonadal i. Estrogen treatment for transgender women verywell health.
Estrogen pills vs patches transpulse transgender resources. Discussion in terps basketball forum started by santabekbarara, may 31. Regarding applying cream to your breasts and expect them to grow, you may have some increase in size depending on how much estrogen gets absorbed through the skin. You need to use your legs, arms, butt or stomach, but never, ever the breasts themselves. Menostar has a lower dose of estrogen than other patches, and its only used for reducing the risk of osteoporosis. In females, it helps develop and maintain both the reproductive system and female characteristics, such as breasts and pubic hair. Estrogen should be prescribed at the lowest possible effective doses to avoid the serious complications of highdose estrogen therapy.
The first rule of hrt for women is to never apply hormones directly to your breasts. The goal of hormone therapy in trans women is to reduce the endogenous effects of testosterone such as coarse body hair and facial hair. A transdermal estrogen patch is one type of hormone delivery system you can use for your hormone replacement therapy hrt. Estradiol is a form of estrogen, a female sex hormone produced by the ovaries. Information on estrogen hormone therapy transgender care. How to start hormone replacement therapy male to female. Estradiol patch is also used to prevent postmenopausal osteoporosis, or to treat ovarian disorders. Hi, i had a question about estrogen patches is it just as effective as the pills. These numbers are based on the amount of estradiol that is measured in venous serum blood following administration.
Has anyone had good experiences with estrogen patches. Transgender hormone replacement therapy hrt guide 101. Standards of care for the health of transsexual, transgender and gender. It can be a topical option that offers systemic menopause symptom relief by replacing the estradiol your ovaries once made. Treatment with estrogen patches showed modest benefit for sexual function, especially in those who had low sexual function to begin withand patches were more effective than estrogen pills. This topic is now archived and is closed to further replies. The dose of estradiol valerate tablets starts at 24 mg daily, increasing up to 8 mg.
It causes the physical changes of transition and many of the emotional changes. Estradiol patch skin patches are used to treat certain symptoms of menopause such as hot flashes, and vaginal dryness, burning, and irritation. Most commonly, an estrogen is combined with an antiandrogen to suppress and block testosterone. Current recommendations for estrogen dosing range from starting doses of 0. Hrt self medicating hormone resources planet transgender.
Experiences on estrogen injections or patches vs pills i was hoping to hear from one some fellow mtf or non binary folk on estrogen who have taken more than one form of estrogen. Experiences on estrogen injections or patches vs pills. I am using an estrogen patch as part of my hormone replacement therapy hrt. For transmasculine people, this involves testosterone treatment. Knowing where to apply it and how often to change it are important criteria for using the patch effectively. Estrogen balance, menopause relief, hormonal acne, pcos and weight loss for women and men vegan, nongmo, gluten free 4. 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. I just dont why my doctor put me on such a small dose. This is testosterone for female to male transition and estrogen. Therefore, in order for transfeminine people to experience the effects of estrogen treatment, they must block their testosterone. How to put on an estrogen patch mtf transgender hannah phillips. Hormone regimes for transgender men female to men, ftm.
However, for many people, hormone therapy can help them feel more like themselves. For transfeminine people, this usually involves a combination of testosterone blockers and estrogen treatment. Estrogen is the predominant sex hormone that slows bone loss, even in men. Im a transgender person and i apply estrogen patches to. One form of hrt hormone replacement therapy that is both popular and available to women in surgical menopause to treat their menopausal symptoms are estrogen patches examples are climara, vivelle dot, alora, minivelle, and estraderm along with generic estradiol patches. The decision to start maletofemale hormone replacement therapy hrt can be an exciting choice. Sketchy pharmacies are selling hormones to transgender people.
However, the venous serum level of hormones has not necessarily been shown to reflect actual tissue activity of a topically applied hormone. Monitoring for transgender women mtf on hormone therapy. Monitor for feminizing and adverse effects every 3 months for first year and then every 6 12 months. Estradiol, climara, and vivelledot are all available as 50 mcg patches. Since levels of estrogen peak and then decline with injections and transdermal patch. After orchiectomy, estrogen can be decreased to onequarter to onehalf of the preop dosage, and antiandrogens can be discontinued. My doctor changed be from a low dose of estradiol pills to mylan patches lowest dose twice a week due to possible side effects of the pills.
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