Patches are also safe and effective, but you will need to wear them all the time. They can also irritate the skin. Most transwomen take in estrogen via injection. Injections can cause fluctuating or high estrogen levels, resulting in weight gain, mood swings, anxiety, migraines, or hot flashes. Contrary to popular belief, relatively small doses of estrogen can actually have the most effect on the transition. After going through orchiectomy the removal of testicles or genital surgery, the estrogen dosage should be lowered by the doctor.
Without testicles, you will need less estrogen for good health and feminine characteristics. You will periodically need to get liver function, cholesterol, and diabetes screenings to check on your health while on estrogen. The risks of strokes, cancer, and blood clots are small but do increase. It is better to follow standard testing guidelines according to your age. The risk of breast cancer can slightly increase but still remains lower than that of a non-transgender female.
After years of Estrogen Hormone Therapy, it is a good idea to get breast cancer screenings, depending on your age and risk factors. This is especially true for transwomen who have been using estrogen for many years.
At the end of the day, it is important to consider all the different changes you will go through with a clear mindset. Transitioning is an important step for anyone, and proper care should be taken with your health as you go through it. Transgender health and Transgender hormone therapy is a highly specialized field and it is important to find a transgender clinic that has experience in managing hormone therapy for transgender patients.
The evaluation might assess:. Adolescents younger than age 18, accompanied by their parents or guardians, also should see doctors and behavioral health providers with expertise in pediatric transgender health to discuss the risks of hormone therapy, as well as the impact and possible complications of gender transition in that age group.
Typically, you'll begin feminizing hormone therapy by taking the diuretic spironolactone Aldactone at doses of to milligrams daily. This blocks male sex hormone androgen receptors and can suppress testosterone production. After four to eight weeks, you'll begin taking estrogen to decrease testosterone production and induce feminization. Estrogen can be taken in a variety of methods, including as a pill, by injection or in skin preparations, such as a cream, gel, spray or patch.
Don't take estrogen orally, however, if you have a personal or family history of venous thrombosis. Use of gonadotropin-releasing hormone Gn-RH analogs to suppress testosterone production might allow you to take lower estrogen doses and wouldn't require the use of spironolactone. However, Gn-RH analogs are more expensive. Feminizing hormone therapy will begin producing changes in your body within weeks to months.
Your timeline might look as follows:. During your first year of feminizing hormone therapy, you'll need to see your doctor approximately every three months for checkups, as well as anytime you make changes to your hormone regimen. Your doctor will:. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Feminizing hormone therapy care at Mayo Clinic. Mayo Clinic does not endorse companies or products.
It can take some time for people to notice physical and emotional changes while taking estrogen hormone therapy. Some people may see these changes within months, whereas others may only notice changes after a year. It is important to receive estrogen hormone therapy from a healthcare professional. Sourcing estrogen and anti-androgens online can carry many risks. A healthcare professional can ensure that a person takes the correct dosage of their medication and treat any additional health conditions.
Female-to-male gender-affirming surgery may involve the creation of a new penis. Learn more about what to expect from different forms of this surgery….
Transgender and transsexual have different definitions. Learn more about what they mean and the terminology to avoid here. Transphobia, or cissexism, refers to the oppression and discrimination of those who identify as transgender. Learn more here. What are gender pronouns, and how do you use them correctly? Read on to learn about different gender pronouns and how to be inclusive by using them….
How will estrogen hormone therapy affect the body? What is it? How long? Physical Emotional Sexual Reproductive Considerations Types and doses Beginning the process Preparation Cost Additional procedures Support Contacting a doctor Summary Male-to-female MTF hormone therapy, or estrogen hormone therapy, can cause a person to experience physical, emotional, sexual, and reproductive changes.
How long until changes occur? Physical changes. Emotional changes. Sexual changes. Reproductive changes. Potential considerations. Types and typical doses. How to get access to estrogen hormone therapy. How to prepare. Additional gender-affirming procedures. When to contact a doctor. Exposure to air pollutants may amplify risk for depression in healthy individuals.
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