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Old 07-03-2011
JodieTs JodieTs is offline
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Default Obtaining Feminising hormones

This topic comes up from time to time on TLB & other trans forums.
I've combined several posts from other site which is UK based.
But much of this is applicable to anyone considering Transitioning / Obtaining Feminising hormones.

This may make a useful "Sticky"
(It would be great if one of the USA Ts women on TLB, could post on how "First Approaches" to your doctor should be handled by the doctor)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

There are a number of options open to people considering treatments for Male to Female Gender Dysphoria. Much will depend on actually what the individual wants. In the UK this will be assessed if treatment is sought through the National Health Service (NHS) and the emphasis will be placed upon what the individual ?needs? rather than wants. Often the two go hand in hand. The difficulty for some is not that a particular thing (in this case feminising hormones) would be refused but the time it takes to confirm the reason for needing them and to ensure that the person taking them is fully aware of the implications of doing so.

There are many things you need to consider about transitioning which are of a greater initial priority, than feminising hormones.
For example being absolutely sure that transitioning is what is needed for you, and being able to handle your transitioning at work and in everyday life.


There are three basic routes:

1. {UK based} First you should speak to your Doctor/GP and discuss your feelings with him or her.
They will refer you to a local psych service. The level of expertise at these first two points is varied. Some will know the process and make a recommendation whilst others will flounder and this can delay any referral process. You will likely, though, be referred to a regional specialist centre, called a Gender Identity Clinic (GIC)
Once that referral has been made the clinic, will then apply for funding.
However, there is a waiting list at these clinics and the waiting time from you receiving a letter for your first appointment there is between 6 to 8 months at present, though it could take 6 months or more before the GIC receives notification of your referral to them.

This will of course give you plenty of time to plan and prepare any other transitional needs you may have. For example changing your name legally, your bank account details and other official details, it will also give you time to talk to your employers about a time scale for transitioning in work, as well as building up a wardrobe of everyday clothes, and.........
just as importantly giving you time to acclimatise to living as a female in everyday society should you wish to commence your transition prior to your first appointment at the clinic.


The time frames within this do vary but it?s likely that you will not be prescribed hormones until you are living full-time as a female and have demonstrated your intentions to at least two consultant specialists in Gender Dysphoria, a counsellor and that you have agreement for funding from your local GP/PCT.
In short the process is unlikely to be shorter than six months, more likely to be a year, there are exceptions, there always are but the only way to be completely sure is to start the ball rolling yourself.


2. You could make an appointment to see private specialist. The timeframes here are much quicker and an appointment can usually be arranged within a few days or at worst a couple of weeks. The specialist will assess you and will also attempt to identify any other conditions which may affect the diagnosis and any treatment (Split Personality Disorder or Bi-Polar Depression are a couple of examples). The specialist will usually recommend counselling to help you understand the implications and to confirm that you have realistic expectations. The number can vary but will likely be more than two over a period of three to six months. The specialist will see you during and after this and has been known to recommend feminising hormones on the second (but more commonly these days the third) consultation. He or she can treat you privately or {in the UK} send a recommendation to your own Doctor/GP who if in agreement) can provide the medication itself. This isn?t universally accepted and some Doctor 's/GP?s will refuse and you will then have to go through a ?justification process? through your own Primary Care Trust (PCT). This can take months and in some cases years.


3. Search the Internet and buy some hormones online. The timescales here can be as little as one week. The problem here is that although most suppliers are reputable you will never be absolutely guaranteed that what you buy is actually what you get. You will be taking medication that has significant effects beyond those you are seeking. They affect the blood, metabolic rate and can have an adverse effect on the organs (such as the liver) which have to process them. If you are not part of a medical support programme you won?t really know if everything is ok until you develop a problem and by then the consequences may be serious (up to and including dying)? In addition you will find yourself isolated from your healthcare providers and as the changes progress, find increasing difficulty with managing that change.
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  #2  
Old 07-03-2011
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Melissa Pink Melissa Pink is offline
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Quote:
Originally Posted by JodieTs View Post
This topic comes up from time to time on TLB & other trans forums.
I've combined several posts from other site which is UK based.
But much of this is applicable to anyone considering Transitioning / Obtaining Feminising hormones.

This may make a useful "Sticky"
(It would be great if one of the USA Ts women on TLB, could post on how "First Approaches" to your doctor should be handled by the doctor)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

There are a number of options open to people considering treatments for Male to Female Gender Dysphoria. Much will depend on actually what the individual wants. In the UK this will be assessed if treatment is sought through the National Health Service (NHS) and the emphasis will be placed upon what the individual ‘needs’ rather than wants. Often the two go hand in hand. The difficulty for some is not that a particular thing (in this case feminising hormones) would be refused but the time it takes to confirm the reason for needing them and to ensure that the person taking them is fully aware of the implications of doing so.

There are many things you need to consider about transitioning which are of a greater initial priority, than feminising hormones.
For example being absolutely sure that transitioning is what is needed for you, and being able to handle your transitioning at work and in everyday life.


There are three basic routes:

1. {UK based} First you should speak to your Doctor/GP and discuss your feelings with him or her.
They will refer you to a local psych service. The level of expertise at these first two points is varied. Some will know the process and make a recommendation whilst others will flounder and this can delay any referral process. You will likely, though, be referred to a regional specialist centre, called a Gender Identity Clinic (GIC)
Once that referral has been made the clinic, will then apply for funding.
However, there is a waiting list at these clinics and the waiting time from you receiving a letter for your first appointment there is between 6 to 8 months at present, though it could take 6 months or more before the GIC receives notification of your referral to them.

This will of course give you plenty of time to plan and prepare any other transitional needs you may have. For example changing your name legally, your bank account details and other official details, it will also give you time to talk to your employers about a time scale for transitioning in work, as well as building up a wardrobe of everyday clothes, and.........
just as importantly giving you time to acclimatise to living as a female in everyday society should you wish to commence your transition prior to your first appointment at the clinic.


The time frames within this do vary but it’s likely that you will not be prescribed hormones until you are living full-time as a female and have demonstrated your intentions to at least two consultant specialists in Gender Dysphoria, a counsellor and that you have agreement for funding from your local GP/PCT.
In short the process is unlikely to be shorter than six months, more likely to be a year, there are exceptions, there always are but the only way to be completely sure is to start the ball rolling yourself.


2. You could make an appointment to see private specialist. The timeframes here are much quicker and an appointment can usually be arranged within a few days or at worst a couple of weeks. The specialist will assess you and will also attempt to identify any other conditions which may affect the diagnosis and any treatment (Split Personality Disorder or Bi-Polar Depression are a couple of examples). The specialist will usually recommend counselling to help you understand the implications and to confirm that you have realistic expectations. The number can vary but will likely be more than two over a period of three to six months. The specialist will see you during and after this and has been known to recommend feminising hormones on the second (but more commonly these days the third) consultation. He or she can treat you privately or {in the UK} send a recommendation to your own Doctor/GP who if in agreement) can provide the medication itself. This isn’t universally accepted and some Doctor 's/GP’s will refuse and you will then have to go through a ‘justification process’ through your own Primary Care Trust (PCT). This can take months and in some cases years.


3. Search the Internet and buy some hormones online. The timescales here can be as little as one week. The problem here is that although most suppliers are reputable you will never be absolutely guaranteed that what you buy is actually what you get. You will be taking medication that has significant effects beyond those you are seeking. They affect the blood, metabolic rate and can have an adverse effect on the organs (such as the liver) which have to process them. If you are not part of a medical support programme you won’t really know if everything is ok until you develop a problem and by then the consequences may be serious (up to and including dying)… In addition you will find yourself isolated from your healthcare providers and as the changes progress, find increasing difficulty with managing that change.
That is excellent information. Thanks for posting it. Just in case any of you t-girls are a U.S. military veteran entitled to health care at Veteran's Administration medical facilities or know a transitioning lady the Veteran's Administration will prescribe HRT. It's one of those things that I had to ask about but they've been actually pretty helpful. The first few times I walked into the V.A. enfemme was a trip, but it's all worked out.

Melissa
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  #3  
Old 09-16-2012
ChrisTinaBruce ChrisTinaBruce is offline
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Please be very careful and do plenty of research before DIY.
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Old 09-16-2012
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Not sure if it allowed but there are sites where you can have your blood work tested so DIY HRT can make sure they are being safe.

Feel free to PM and will forward a few blood work sites and HRT suggest level sites.

Be Safe.
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  #5  
Old 12-30-2012
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shemale arab shemale arab is offline
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Taking hormone replacement to the feminization of the body under medical supervision is a beautiful thing
Thank you Thank you for this important instructions
I wish success to all here
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  #6  
Old 12-31-2012
JodieTs JodieTs is offline
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You're welcome.
I hope it helps.
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  #7  
Old 01-10-2013
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Quote:
Originally Posted by ChrisTinaBruce View Post
Not sure if it allowed but there are sites where you can have your blood work tested so DIY HRT can make sure they are being safe.

Feel free to PM and will forward a few blood work sites and HRT suggest level sites.

Be Safe.
your info is great and very helpful!!! guess i was lucky many years ago i dated a medical studant and i was his little project. and a fine job he made of me to if i do say so myself lol:
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  #8  
Old 09-15-2015
Smoothie Smoothie is offline
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Most gals are started on 2mg of Estradiol & 100mg of spironolactone as a T-Blocker. After a month you're upped to 4mg of estradiol. If you're a smoker or at high risk for an embolism, you'll go with a single 0.1mg patch weekly for a month and switched over to two patches at a time after the first month.

I have dehydration issues with 100mg of spironolactone, so I take 50mg of spironolactone and suppliment it with 1mg of Finasteride.

Completely optional and debated, but I also take 100mg of progesterone in capsule form nightly for more natural, rounded breasts.
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  #9  
Old 11-01-2016
kellytrans kellytrans is offline
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Default hormonas

Quote:
Originally Posted by Smoothie View Post
Most gals are started on 2mg of Estradiol & 100mg of spironolactone as a T-Blocker. After a month you're upped to 4mg of estradiol. If you're a smoker or at high risk for an embolism, you'll go with a single 0.1mg patch weekly for a month and switched over to two patches at a time after the first month.

I have dehydration issues with 100mg of spironolactone, so I take 50mg of spironolactone and suppliment it with 1mg of Finasteride.

Completely optional and debated, but I also take 100mg of progesterone in capsule form nightly for more natural, rounded breasts.
but is it some complication?
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  #10  
Old 11-29-2016
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JamieTS JamieTS is offline
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Default OK so I got Lucky.

Yes I am a freak of nature. I have boobs and a really small non functioning penis other than sticky sweet clear salty "honey" that drips. No MPB and really light body hair even on the arms that I trim because I sleep on my stomach with my arms under my head and hate longer hair that tickles my nose. I mean I trim it and it lasts a couple of months at least. my beard is really scraggly and hair on my chest is really scraggly and fine. I have seen women with more hair on their belly button down that is more stubbly than my whole chest. The facial hair does suck though.

Look there are natural ways you can take. There are so many foods that contain natural Estrogen. You can take Saw Palmetto to slow the production DTH or DHT???? Anyway T isn't what causes MPB but DTH. Cis women are recommended not to use Saw Palmetto. I have been taking the supplement since I was in my 30's.

There are a lot of natural ways you can go but it takes some time to see or feel any results. HRT is quick and you can feel the difference, natural takes a lot of time and is usually so minute that you won't even notice it until later on comparing pics and other things.

Hell, I got told by and endo that if I went on HRT I would probably be a total bitch. Sort of like a cis woman constantly experiencing PMS constantly. It sux but... With my genes and other things. One thing I do not want to experience is PMS and the emotional ups and downs associated with it. I mean I already cry during sad movies. I have no MPB. I have light body hair and have boobs even though my nips are on the side instead of the front. My fat to muscle ratio is more along the line of a cis female. My facial features are more feminine than masculine.

No I don't feel like a "Natural Woman" but I am a natural Tranny it seems.
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  #11  
Old 12-28-2016
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Default excellent information

That is excellent information. Thanks for posting it. Just in case any of you t-girls are a U.S. military veteran entitled to health care at Veteran's Administration medical facilities or know a transitioning lady the Veteran's Administration will prescribe HRT. It's one of those things that I had to ask about but they've been actually pretty helpful. The first few times I walked into the V.A. enfemme was a trip, but it's all worked out.
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  #12  
Old 02-21-2017
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Default Look make totaly for sure.

MTF is a really hard road to go down. If you start HRT then there may be no turning back. Your genitalia may shrink and become useless and your boobs may grow and neither one my go back to normal after a certain amount of time.

I am gonna' be sooooo serious right now and I usually am not.

First off is that you are gonna' get ridiculed and called sissy, tranny, shemale, gay, queer and many other names.

First is that transgender is an umbrella term that spans everything from people wearing the opposite gender's underwear to full blown transsexual living as their preferred gender.

Test the waters to see if you can handle it. Shave your legs and underarms. Then wear shorts and tank tops in public. If you can handle the looks and so on then you may be trans. Get a feminine hairstyle and forget about the facial hair and shave that super close. If you can get comfortable with that along with the smooth body then you may be trans. If you shave you legs, underarms, trim your arm hair without guilt or feeling like you made a mistake then you may be trans.

About the hair, grow it long and just deal with the awkward stage. You may look like Justin Beiber but... You can't go from a flat top or buzzed or even a fade without the awkward stage. Once it gets girly, keep it girly. Then when you mess up and get it cut short like I did at least it will grow back girly.

OK I am gonna' go here because someone needs too. If you do all this and get really horny and then relieve yourself or relieving yourself with someone else and then have second thoughts about it then you may not be full trans. You may just be into cross dressing, which there is nothing wrong with that. It is still transgender but it is totally different than being transsexual.

If you still want to transition then have both ears pierced and wear feminine earrings, wear makeup, polish your nails and so on. Remember that when you start HRT that it isn't an overnight thing. There will be a really awkward stage in which you are in between genders. Then you will hear all the names that I mentioned earlier. Even after HRT kicks fully in and the thingy shrinks and the boobs grow, you still may not be fully passable. If you are willing to live with that then you may be trans.

For me dressing feminine does not turn me on. It is a pain in the ass shaving every day. It is a pain in the ass choosing clothing for the occasion and making sure my makeup is just right. It is a pain in the ass taking care of my hair even though it is way shorter now, but it still has to look right. To me it just feels right to do these things. It doesn't turn me on but makes me comfortable with who I am on the inside.

I have been on many sights and have heard horror stories from people that thought they were women to the point that they had SRS even and then regretted it. Now they are trans men. They have to take T to be men again. Same with some FTMs, they decide they made a mistake.

I personally knew from an early age. When I was prepubescent and people told my mom and dad that they had a cute daughter then I felt secure. If they said something about their son then I felt really insecure and self conscious. When I was diagnosed with gynecomastia it actually made me feel good and in no way self conscious. I mean a boy having boobs at 14 and feeling really good about it? I couldn't even take gym class after 9th grade and that was awkward even. The school put me in study hall half way through my freshman year. I dated girls but they laughed at me when I couldn't perform. They actually turned out to be better friends than lovers. I made a statement at my senior prom with my boyfriend at the time and showed up in a really nice formal gown but was turned away at the door. We ended up doing our own thing. I passed but everyone knew me. But we had more fun than we would have at the prom. My diploma was sent to me 3 days before graduation instead of me walking up on stage when I graduated. Fuck 'em. I know I am and who I was.

I don't want to bring anyone down but it takes a really strong person to be a trans woman or trans man. Make sure that you have the total drive and total conviction of who you are to go down that road. Spend a year or two shaving your body along with your face, then go and buy makeup and actually wear it, shop in the women's section for clothing and wear it out in public, pluck those brows, remember a handbag or a purse is part of the outfit and can you handle all that and not be totally passing? See a gender therapist to explore those feelings and find out who you are and where you want to go. Sometimes there is such a thing as low dose HRT that won't change much but will really help with gender dysphoria. Sometimes hairless legs and underarms will help even but get ready to hear some shit.

This is the most important thing though. No matter what anyone says, decide who and what you are on your own. Don't let anyone else tell you who and what you are. You know. Don't let society judge who and what you are. Be you and fuck everyone else. But, make sure that who and what you are is who and what you wanna' be for the rest of your life because you may not be able to go back. I can't but don't want to.

I really hope this helps.
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  #13  
Old 03-16-2017
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Default Don't do it!

Without a doctor, could be life or death! I know!



Quote:
Originally Posted by JodieTs View Post
This topic comes up from time to time on TLB & other trans forums.
I've combined several posts from other site which is UK based.
But much of this is applicable to anyone considering Transitioning / Obtaining Feminising hormones.

This may make a useful "Sticky"
(It would be great if one of the USA Ts women on TLB, could post on how "First Approaches" to your doctor should be handled by the doctor)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

There are a number of options open to people considering treatments for Male to Female Gender Dysphoria. Much will depend on actually what the individual wants. In the UK this will be assessed if treatment is sought through the National Health Service (NHS) and the emphasis will be placed upon what the individual ?needs? rather than wants. Often the two go hand in hand. The difficulty for some is not that a particular thing (in this case feminising hormones) would be refused but the time it takes to confirm the reason for needing them and to ensure that the person taking them is fully aware of the implications of doing so.

There are many things you need to consider about transitioning which are of a greater initial priority, than feminising hormones.
For example being absolutely sure that transitioning is what is needed for you, and being able to handle your transitioning at work and in everyday life.


There are three basic routes:

1. {UK based} First you should speak to your Doctor/GP and discuss your feelings with him or her.
They will refer you to a local psych service. The level of expertise at these first two points is varied. Some will know the process and make a recommendation whilst others will flounder and this can delay any referral process. You will likely, though, be referred to a regional specialist centre, called a Gender Identity Clinic (GIC)
Once that referral has been made the clinic, will then apply for funding.
However, there is a waiting list at these clinics and the waiting time from you receiving a letter for your first appointment there is between 6 to 8 months at present, though it could take 6 months or more before the GIC receives notification of your referral to them.

This will of course give you plenty of time to plan and prepare any other transitional needs you may have. For example changing your name legally, your bank account details and other official details, it will also give you time to talk to your employers about a time scale for transitioning in work, as well as building up a wardrobe of everyday clothes, and.........
just as importantly giving you time to acclimatise to living as a female in everyday society should you wish to commence your transition prior to your first appointment at the clinic.


The time frames within this do vary but it?s likely that you will not be prescribed hormones until you are living full-time as a female and have demonstrated your intentions to at least two consultant specialists in Gender Dysphoria, a counsellor and that you have agreement for funding from your local GP/PCT.
In short the process is unlikely to be shorter than six months, more likely to be a year, there are exceptions, there always are but the only way to be completely sure is to start the ball rolling yourself.


2. You could make an appointment to see private specialist. The timeframes here are much quicker and an appointment can usually be arranged within a few days or at worst a couple of weeks. The specialist will assess you and will also attempt to identify any other conditions which may affect the diagnosis and any treatment (Split Personality Disorder or Bi-Polar Depression are a couple of examples). The specialist will usually recommend counselling to help you understand the implications and to confirm that you have realistic expectations. The number can vary but will likely be more than two over a period of three to six months. The specialist will see you during and after this and has been known to recommend feminising hormones on the second (but more commonly these days the third) consultation. He or she can treat you privately or {in the UK} send a recommendation to your own Doctor/GP who if in agreement) can provide the medication itself. This isn?t universally accepted and some Doctor 's/GP?s will refuse and you will then have to go through a ?justification process? through your own Primary Care Trust (PCT). This can take months and in some cases years.


3. Search the Internet and buy some hormones online. The timescales here can be as little as one week. The problem here is that although most suppliers are reputable you will never be absolutely guaranteed that what you buy is actually what you get. You will be taking medication that has significant effects beyond those you are seeking. They affect the blood, metabolic rate and can have an adverse effect on the organs (such as the liver) which have to process them. If you are not part of a medical support programme you won?t really know if everything is ok until you develop a problem and by then the consequences may be serious (up to and including dying)? In addition you will find yourself isolated from your healthcare providers and as the changes progress, find increasing difficulty with managing that change.
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