Insights & Information in Hormone Therapy and Endocrinoogy

Oestrogen Options: Transdermal Estradiol Patch (25/50/75/100 micrograms/24h), Transdermal Estradiol Gel, Transdermal Spray (new!) - Lenzetto, Oral Estradiol. Androgen Blocker Options, GnRH Agonist - Leuprorelin (Prostap), GnRH Agonist - Triptorelin (Decapeptyl SR), Oral Antiandrogen - Spironolactone, Finasteride, Cyproterone Acetate

Initiating Masculinising Hormone Treatment on Sustanon / Nebido / Testosterone Gel. Recommended starting doses: 1. Sustanon (or testosterone enantate) 250mg every 4 weeks. 2. Nebido 1000mg every 12 weeks (usually after established on short-acting T). 3. Gel – Testogel pump 40.5mg daily / Testogel sachets 50mg daily / Tostran pump 40mg daily

Answers to Questions about Testosterone. How is Testosterone taken? Who is at higher risk of health problems if they take Testosterone? What Testosterone does to your body?

Our detailed consent forms have information regarding what to expect from cross sex hormones, common side-effects and complications: Informed Consent for Estradiol; Informed Consent for Testosterone. We provide hormone care.  We are not commissioned to provide or arrange any investigations.  We will offer dose titration, administration, initiation, duration of treatment, monitoring, interpretation of laboratory results and likely treatment effects.

Prescribing for Transmen, Injectable Testosterone - Sustanon, Brand names: Sustanon, Starting dose: 250 mg every 4 weeks, Directions: 1ml injection IM. Avoid in peanut/soya allergy, Frequency/dose range: 2-6 weeks, Further treatment: If periods persist after 6 months of adequate testosterone treatment, a GnRH agonist such as Leuprorelin (11.25mg 3 monthly) or a long-acting form of progestogenic contraception can be added

Answers to Questions about Estradiol. How is estradiol taken? Who is at higher risk of health problems if they take estradiol? What estradiol does to your body

Testosterone is normally started in a short acting formulation such as a gel or injectable (Sustanon/Enanthate) with initial monitoring at 4-6 months and with dose titrations up to target range. For risks of testosterone therapy, please see detailed information available on our consent forms for testosterone which are located on our health professional hormone support hub on our website.

FEMINISING HORMONE TREATMENT ON ORAL OR TRANSDERMAL ESTROGEN. Recommended starting doses; 1. Transdermal estradiol – patch 25–50mcg twice weekly or gel 0.5- 1.5mg daily; 2. Oral estradiol – 1 or 2mg daily Consider lower starting doses in older patients or those with CV risk factors Oral estrogen may increase VTE risk.

What is an intramuscular injection? An intramuscular injection delivers medication directly into the muscle. This allows the medication to be quickly absorbed into the bloodstream

What is Progesterone? Progesterone belongs to a group of steroid hormones called ‘Progestogens’ or ‘Progestins’ that are produced by the ovaries during the menstrual cycle. Progestogens are secreted by the ovary at higher levels in the first 10 weeks of pregnancy followed by the placenta in later pregnancy.

Leuprorelin is a synthetic hormone (also known as a Gonadotrophin Releasing Hormone agonist or GnRHa) which can be used to reduce the levels of testosterone circulating in the body. It may be given alone, or alongside oestrogen, to improve feminisation by helping to: Reduce the amount of body and facial hair; Reduce sex drive; Reduce erectile activity; Reduce muscle size and strength

There are several things to consider when a transman or non binary, assigned female at birth individual presents for routine cervical screening. It is important to remember that cervical screening in a transman or non-binary individual can cause significant distress and further exacerbate their dysphoria. Engaging with a health practitioner to discuss this and have a vaginal examination can be difficult and very confronting especially when there is dysphoria around their geni

Considerations of other aspects of long term care for Transgender Non-binary individuals: Considerations of other aspects of long term care for Transgender Non-binary individuals in Feminising and Masculinising Treatment. Such as how to Approach Cervical Screening for TGNB Individuals – Info for Health Professionals

Considerations of other aspects of long term care for Transgender Non-binary individuals: Considerations of other aspects of long term care for Transgender Non-binary individuals in Feminising and Masculinising Treatment. Such as how to Approach Cervical Screening for TGNB Individuals – Info for Health Professionals

What is Progesterone? Progesterone belongs to a group of steroid hormones called ‘Progestogens’ or ‘Progestins’ that are produced by the ovaries during the menstrual cycle. Progestogens are secreted by the ovary at higher levels in the first 10 weeks of pregnancy followed by the placenta in later pregnancy.

The aim of this document is to provide a framework to sensitively assess the significance of the bleeding, examine and investigate appropriately. There is an absence of clear guidelines in this area and cases should be considered on an individual basis.