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Feminizing Men - A Guide for Males to Achieve Maximum Feminization (Non-fiction Crossdressing and Feminization Books)

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Another approach is to maintain current physiologic estrogen dosing and titrate upward on antiandrogens and/or addition of a progestogen. This should be done according to breast cancer screening recommendations for cisgender women your age.

Stated simply, feminizing hormone therapy is for anyone who feels that there’s a mismatch between their external appearance and their authentic sense of gender and self. When measuring hormone levels in patients using injected forms of estradiol, a mid-cycle level is often sufficient, however if the patient is experiencing cyclic symptoms such as migraines or mood swings, peak (1-2 days post injection) and trough levels of both estradiol and testosterone may reveal wide fluctuations in hormone levels over the dosing cycle; in these cases, consider changing to an oral or transdermal preparation, or reducing the injection interval (with concomitant reduction in dose, to maintain the same total dose administered over time).Taking estradiol and progestins or anti-androgens without a healthcare provider’s guidance is dangerous.

Feminizing hormone therapy involves taking medicine to block the action of the hormone testosterone. For patients without positive prothrombotic mutations or evidence of hypercoagulative state, determine if there is a clear external cause for VTE such as long bone fracture, immobility, or tobacco use. You might be saying something along the lines of, oh that wouldn’t happen to me I my wife would never leave me and bah bah bah… But the reality is that the minute she realizes that your are overly feminine and that she doesn’t need you or has lost attraction for you, you’re left all alone having to pay for your kids’ education who you hardly ever get to see. It's not just the act of putting on lipstick—it is the unchangeable reality that you once put on the lipstick. As such an escalating regimen beginning with low dose estrogen only, and titrating up over several months, and then adding spironolactone may be an alternative approach,[17] consistent with management practices in children with delayed pubertal onset (Grading: T O W).

Injected depo-medroxyprogesterone acetate (Depo-Provera®) is less commonly used in transgender women. S. Spironolactone is a potassium sparing diuretic, which in higher doses also has direct anti-androgen receptor activity as well as a suppressive effect on testosterone synthesis. In fact one study found that transgender women experience improvements in social functioning and reduced anxiety and depression once estrogen therapy is begun. Taji and James had been participating in various male-bonding activities—skateboarding and drinking at a bar, respectively—when they decided to feminize themselves. Some providers choose to omit the use of hormone level testing and only monitor for clinical progress or changes.

S. is 49,[41] it is reasonable in transgender women who have undergone gonadectomy to consider stopping hormone therapy around age 50.How you become more feminine depends largely on your self-definition and feelings about gender expression. Insufficient evidence exists to definitively guide estrogen therapy in transgender women with risk factors or with a personal history of prior VTE, either on or off estrogen. If you would like more information on this I highly suggest reading the below article when you are finished this one. Suppression of testosterone production and blocking of its effects contributes to the suppression / minimization of male secondary sexual characteristics. Once hormone levels have reached the target range for a specific patient, it is reasonable to monitor levels yearly, or only as needed as described below.

Compounded estradiol valerate or cypionate for injection also exists, and may be an alternative in times of shortage or more cost effective for those who must pay cash for their prescriptions. Possible alternatives include using a lower dose of estrogen, and/or changing to a transdermal route if not already in use.Numerous sources publish target ranges for serum estradiol, total estrogens, free, total and bioidentical testosterone, and sex hormone binding globulin. In many countries, cyproterone acetate, a synthetic progestogen with strong anti-androgen activity is commonly used. If no, consider episodic or long-term anticoagulation or antiplatelet therapy on a case-by-case basis, using the same criteria as for nontransgender patient. Many other common interventions such as contraception or HIV pre-exposure prophylaxis do not involve the use of consent forms, and rely on a discussion and shared decision making between patient and provider. An evaluation for testicular neoplasms should be performed with a scrotal exam as well as testing for elevated serum human choriogonadotropin (hCG), lactate dehydrogenase (LDH), alpha-fetoprotein (AFP) levels, and possibly scrotal imaging.

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