/gwik/ - User contributions [en]

User:Goblinmoder

2026-01-28T13:15:00Z

Goblinmoder: /* discord pill */

=== dosecalculator.cpp ===
<syntaxhighlight lang="c++" line>
#include <iostream>

using namespace std;

void estimate (float days, float mg)
{
int type;
cout << "\n\nchoose your e2\n1 - een\n2 - ev\n\n";
cin >> type;

float avg;
switch (type)
{
case 1:
avg = (mg * 490) / days;
cout << "\n== een estimates (pg/ml) ==\naverage e2: " << avg << "\npeak e2: " << avg * 1.07 << "\ntrough e2: " << avg * 0.93;
break;
case 2:
avg = (mg * 453.25) / days;
cout << "\n== ev estimates (pg/ml) ==\naverage e2: " << avg << "\npeak e2: " << avg * 1.45 << "\ntrough e2: " << avg * 0.51;
break;
}
}

float dosageC ()
{
bool mode;
cout << "input 1 for mg to mL conversion or 0 for mL to mg conversion: ";
cin >> mode;

if (mode)
{
float conc;
cout << "your vial's concentration per 10mL (in mg): ";
cin >> conc;

float mg;
cout << "dosage (in mg): ";
cin >> mg;

float dose = (10/conc) * mg;
cout << "your dose of " << mg << "mg is equivalent to " << dose << "mL";

return mg;
}
else
{
float conc;
cout << "your vial's concentration per 10mL (in mg): ";
cin >> conc;

float ml;
cout << "dosage (in ml): ";
cin >> ml;

float dose = (conc/10) * ml;
cout << "your dose of " << ml << "mL is equivalent to " << dose << "mg";

return dose;
}

}

int main()
{
float mg = dosageC();

string ans;
cout << "\nwould you like to estimate your blood test results (not a definitive point of reference)? (Y/N): " << endl;
cin >> ans;

if (ans == "Y")
{
int days;
cout << "days per injection: ";
cin >> days;

estimate(days, mg);
}
else cout << "\nok!";

return 0;
}
</syntaxhighlight>

== stand for ==

* TDD, TGD, TCD.
* trans liberation.
* '''diyhrt.'''

Doctors

2025-10-18T11:34:15Z

Goblinmoder: added mourikhs

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 7 ❌
| -
|-
|❌
|Ηρακλής Μουρίκης
|Αθήνα
|Δημόσιο
| -
| -
| -
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
| -
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό: 2831053220
Κινητό: 6937294404

Email: valiapetg@gmail.com
|50€
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| Ναι
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
- Δεν έχει θέμα με DIY.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-10-18T11:30:44Z

Goblinmoder: floudas fix 2

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 7 ❌
| -
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό: 2831053220
Κινητό: 6937294404

Email: valiapetg@gmail.com
|50€
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| Ναι
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
- Δεν έχει θέμα με DIY.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-10-18T11:29:45Z

Goblinmoder: floudas fix

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 7 ❌
| -
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό: 2831053220
Κινητό: 6937294404

Email: valiapetg@gmail.com
|50€
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| Ναι
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
- Δεν έχει θέμα με DIY.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-09-28T18:30:38Z

Goblinmoder:

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό: 2831053220
Κινητό: 6937294404

Email: valiapetg@gmail.com
|50€
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| Ναι
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
- Δεν έχει θέμα με DIY.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-09-28T18:29:59Z

Goblinmoder:

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό: 2831053220
Κινητό: 6937294404

Email: valiapetg@gmail.com
|50€
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| Ναι
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
- Δεν έχει θέμα με DIY.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| -
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-09-07T12:49:29Z

Goblinmoder: /* Ενδοκρινολόγοι */

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|Σταθερό:
2831053220
|(?)
|Δημητρακάκη Σ. 31, Ρέθυμνο 741 32
| -
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-09-07T12:48:41Z

Goblinmoder: fixed 2 Περιοχή fields and added petkova

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γιουλάντα Πέτκοβα
|Ρέθυμνο
|Ιδιωτικό
|2831053220
|(?)
|Δημητρακάκη Σ. 31, 741 32
| -
|
*1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Ενδεχομένως να θέλει χαρτί για συνταγογράφηση, '''για αιματολογικές''' δεν έχει ζητήσει.
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Οδός
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

HRT

2025-07-22T13:25:14Z

Goblinmoder: fix syringes mono disclaimer

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
'''Note:''' Syringes usually account for dead space by starting the measurement markings '''after the dead space.'''
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [[wikipedia:Biological_half-life|half-life]] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
| -
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [[wikipedia:Biological_half-life|half-life]] of Enanthate)
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks

20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
|}
=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~100-110€/year (including shipping. not including, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|?
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|?
| -
| -
| -
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

Doctors

2025-05-03T00:43:53Z

Goblinmoder: changed anastasaki price

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 90Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

HRT

2025-05-03T00:33:46Z

Goblinmoder: finasteride change/placeholder

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~100-110€/year (including shipping. not including, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|?
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|?
| -
| -
| -
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:29:46Z

Goblinmoder: fixed EC and EV prices

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~100-110€/year (including shipping. not including, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|?
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:25:50Z

Goblinmoder: fixed EC price

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|100-110€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|?
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:17:55Z

Goblinmoder: changed EC and EUn ratings

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|?
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:15:22Z

Goblinmoder: fixed e2 patch rating

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A+
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:12:34Z

Goblinmoder: /* Transfem */

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged. (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:11:54Z

Goblinmoder: changed taking hormone blockers or aa explanation

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking hormone blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgens (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

HRT

2025-05-03T00:04:03Z

Goblinmoder: added questionable resources

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimers ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
'''Pricemaps''' are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

'''Questionable resources''' are to be taken with a grain of salt on every aspect of their contents.

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* https://hrt.coffee/
* https://transharmreduction.org/ - useful for checking potency and quality of diy products.
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)

==== Questionable resources ====

* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://groups.io/g/MTFHRT/wiki/29602 - Lena's guide (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://archive.ph/uQb8g - Noire Labs (alt link: https://anarch.cc/making-your-own-injections/, as above)

==== Very questionable resources ====

* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above) - '''Potentially outdated.'''
</translate>

Doctors

2025-04-26T22:36:14Z

Goblinmoder: /* Ενδοκρινολόγοι */

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|✅
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 5 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Έχει γράψει '''50mg androcur''' ανά '''μέρα'''. Παρ' όλα αυτά δεν έχει υπάρξει άλλο περιστατικό σαν αυτό, οπότε '''δεν είναι fully conclusive''' το "Έγραψε παράξενη δοσολογία μια φορά σε μια κοπέλα."
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

HRT

2025-04-19T14:02:52Z

Goblinmoder: testo link fix 2 (legal)

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Testosterone|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-19T12:29:45Z

Goblinmoder: minor testo inj type fixes

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Transmasc|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-19T09:14:00Z

Goblinmoder: change testosterone suggestion to redirect

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for any product names mentioned (that have links attached to them/are blue in colour) [[HRT#Transmasc|here]].


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T12:27:48Z

Goblinmoder: honscience reference...

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours (This however is from a study from 2005 on cis women)
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

Blood Testing

2025-04-17T12:22:01Z

Goblinmoder: mtf => transfem

{{#seo:|title=Blood Testing|title_mode=replace}}
== Insurance ==
Οι εξετάσεις που πραγματοποιούνται σε δημόσιες δομές (Κέντρα Υγείας - ΚΥ / Νοσοκομεία) '''είναι δωρεάν για όλα'''.

Από 01/07/2022 βάσει '''άρθρου 38 του ν.4865/2021 και Υ.Α (υπουργικής απόφασης) 30268/30-05-2022''' οι '''ανασφάλιστα πολιτά''' δεν μπορούν να λάβουν '''συνταγές ΕΟΠΥΥ από ιδιώτες γιατρούς'''. Το οποίο πρακτικά σημαίνει πως αν είμαστε ανασφάλιστα, τότε είναι πρακτικό αδύνατο να εξυπηρετηθούμε από ιδιώτες.

'''Θέλετε να μάθετε περισσότερες πληροφορίες για την κατάσταση ασφάλισης σας όπως το αν είστε ασφαλισμένο και για ποιο χρονικό διάστημα;'''

Αναφερθείτε στις e-υπηρεσίες του ATLAS στον εξής σύνδεσμο με χρήση κωδικών taxisnet και ΑΜΚΑ ή στοιχείων eIDAS (who uses that anyways): https://www.atlas.gov.gr/ATLAS/Atlas/Login2.aspx

'''Σε περίπτωση που είστε ανασφάλιστοι και επιθυμείτε να ασφαλιστείτε για να προβείτε σε εκτέλεση συνταγών υπάρχουν αρκετοί συχνοί λόγοι που μπορείτε να λάβετε την κατάσταση ασφαλισμένου, μερικοί από αυτούς συμπεριλαμβάνουν:'''

* Για φοιτητά και άτομα που αποφοίτησαν < 2 χρόνια νωρίτερα από την σημερινή, έμμεσα μέσω ασφαλισμένου γονέα. Η ανανέωση της κατάστασης ασφάλισης γίνεται κάθε 6 μήνες στον ΕΦΚΑ και συνήθως απαιτείται απλά ο ΑΜΚΑ των εξαρτώμενων μελών και πρόσφατη βεβαίωση σπουδών / απονομή σπουδών.
* Εργασία ως ιδιωτικό/δημόσιο υπάλληλο (μερική ή πλήρης).
* Αν είστε συνταξιούχα (αυτό περιλαμβάνει σύνταξη χηρείας και ορφανού).
* Αυτασφάλιση για ελεύθερα επαγγελματία/ αυτοαπασχολούμενα.
* Είστε μακροχρόνια άνεργο ή λαμβάνετε ταμείο ανεργίας.
* Μέσω του συζύγου σας.

'''Δεν γνωρίζετε σε ποιον ΕΦΚΑ να απευθυνθείτε για θέματα ασφάλισης;'''

Χρησιμοποιήστε την εξής εφαρμογή του ΕΦΚΑ για να βρείτε που ανήκετε μόνο με χρήση ταχυδρομικού κώδικα (ΤΚ) και περιφέρειας: https://www.efka.gov.gr/mathepouanikeis.php

== Cost ==
Συνταγογραφημένες εξετάσεις μπορούν να πραγματοποιηθούν σε οποιαδήποτε δημόσια δομή (π.χ τμήμα αιματολογικών Νοσοκομείου ή Κέντρο Υγείας) '''δωρεάν'''.

'''Μη συνταγογραφημένες εξετάσεις (DIY)''' καθώς και '''συνταγογραφημένες εξετάσεις''' μπορούν να πραγματοποιηθούν σε '''ιδιωτικές δομές (κέντρα αιματολογικών εξετάσεων) με μερική κάλυψη από τον ΕΟΠΥΥ όταν υπάρχει συνταγή'''. Το θετικό των ιδιωτικών κέντρων είναι συνήθως η αυξημένη μέριμνα του ασθενή και η ταχύτερη έκδοση αποτελεσμάτων (συνήθως γίνεται αυθημερόν ενώ στα δημόσια παίρνει 10+ μέρες).

Άρα για ανακεφαλαίωση, στα δημόσια εκτελούμε συνταγές ΕΟΠΥΥ '''χωρίς κόστος, όμως με καθυστερήσεις'''. Σε κάθε περίπτωση, με κάποιο κόστος, με συνταγή ή χωρίς, μπορούμε επίσης να εκτελέσουμε '''εξετάσεις και συνταγές ΕΟΠΥΥ σε ιδιωτικές δομές'''.

Για Transfem άτομα, σε περίπτωση που κάνουμε DIY εξετάσεις (χωρίς συνταγή ΕΟΠΥΥ) το κόστος είναι σχετικά υψηλό, με αποτέλεσμα να εξετάζουμε κυρίως:

- Testosterone - Ολική τεστοστερόνη (T)

- Estradiol - Οιστραδιόλη (Ε2)

- Dihydrotestosterone - Διυδροτεστοστερόνη (DHT - Σε περίπτωση που μας ενδιαφέρει ή σε περίπτωση που παίρνουμε Progesterone - Προγεστερόνη)

- Prolactine - Προλακτίνη (PRL - Σε περίπτωση που λαμβάνουμε κυπροτερόνη - CPA).

Η εξέταση χωρίς συνταγή ΕΟΠΥΥ για Τ+Ε2+DHT είναι στο range '''30-55€ στις μεγάλες πόλεις'''.

Σε γενικές γραμμές, τα έξοδα ενός ασφαλισμένου - ακόμα και αν πραγματοποιήσει εξετάσεις σε ιδιωτική δομή - είναι αρκετά μειωμένα, εφόσον υπάρχει συνταγή ΕΟΠΥΥ.
{| class="wikitable"
|+Κόστος Εξετάσεων Ασφαλισμένου σε Ιδιωτική Δομή με συνταγή ΕΟΠΥΥ
!Εξέταση
!Συμμετοχή Ασφαλισμένου
!Δαπάνες ΕΟΠΥΥ
!Σημειώσεις
|-
|Testosterone - Τεστοστερόνη (Τ)
|2,47€
|7,58€
|
|-
|Serum Estradiol - Οιστραδιόλη (Ε2)
|1,86€
|6,36€
|
|-
|Γενική Εξέταση Αίματος
|0,43€
|1,69€
|Χρήσιμη, προσοχή σε false positives για αναιμία σε transfem άτομα.
|-
|Prolactine - Προλακτίνη (PRL)
|1,86€
|6,01€
|Ιδιαίτερα χρήσιμη σε άτομα που λαμβάνουν Κυπροτερόνη - CPA.
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|1,62€
|8,36€
|
|-
|Sex Hormone Binding Globulin - Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|? - Χαμηλό
|7,16€
|
|-
|Thyroid-Stimulating Hormone - Θυρεοτρόπος Ορμόνη (TSH)
|1,86€
|12,38€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Free Thyroxine - Ελεύθερη Θυροξίνη (FT4)
|3,08€
|4,88€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|1,62€
|5,26€
|
|-
|Pottasium - Κάλιο (K-Pottasium)
|0,78€
|1,71€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Σπιρονολακτόνη - Spironolactone
|-
|Alanine Aminotransferase - Πυροσταφυλική Τρανσαμινάση (ALT/SGPT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|-
|Aspartate Aminotransferase - Οξαλοξεϊκή Τρανσαμινάση (AST/SGOT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|}

== Transfem ==
Τα πιο σημαντικά επίπεδα για καταμέτρηση είναι Τεστοστερόνη (T) και Οιστραδιόλη (E2).
{| class="wikitable"
|+
!Εξέταση
!Αποδεκτές Τιμές
!Σημειώσεις
|-
|Estradiol - Οιστραδιόλη (E2)
|100-200 pg/mL ή 450-700 pmol/L αν λαμβάνονται [[HRT#Anti-androgens and GNRH Agonists|αντιανδρογόνα]]
>300 pg/mL ή >1100 pmol/L σε [[HRT#Μονοθεραπεία|μονοθεραπεία]]
|Για [[HRT#Μονοθεραπεία|μονοθεραπεία]] οι αποδεκτές τιμές εξαρτώνται από το αν έχει επιτευχθεί σωστή καταστολή της τεστοστερόνης. Οι τιμές είναι ενδικτεικές και μπορούν να διαφέρουν κατά πολύ από άτομο σε άτομο.
|-
|Testosterone - Τεστοστερόνη (T)
|15-50 ng/dL
|
|-
|Dihydrotestosterone - Διυδροτεστοστερόνη (DHT)
|<10 ng/dL
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers. Η DHT μπορεί να προκαλέσει ανδροποίηση ακόμη και αν η τεστοστερόνη είναι μέσα στις αποδεκτές τιμές. TODO: Write available actions when DHT is high.
|-
|Prolactine - Προλακτίνη (PRL)
|2-29 ng/mL (TODO: Check if higher levels are acceptable)
|Σημαντική εξέταση αν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|κυπροτερόνη]] για την πρόληψη [[wikipedia:Prolactinoma|προλακτινώματος]].
|-
|Progesterone - Προγεστερόνη (P4)
|5-10 ng/mL
|Αν δεν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|προγεστερόνη]] η εξέταση δεν είναι σημαντική.
|-
|Sex Hormone Binding Globulin - Φυλοσύνδετη Σφαιρίνη ή Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|14.60-110 nmol/L
|Επιρρεάζει την ελεύθερη οιστραδιόλη. Χαμηλότερα επίπεδα SHBG αυξάνουν την ελεύθερη οιστραδιόλη.<ref name=":0">https://www.sciencedirect.com/science/article/abs/pii/S0039128X14001986</ref>
|-
|Thyroid Stimulating Hormone - Θυρεοειδοτρόπος Ορμόνη (TSH)
|0.27-5 μIU/mL
|Σημαντική εξέταση αν υπάρχει ιστορικό στην οικογένεια για θέματα με τον θυροειδή. Άτομα με θυληκές ορμόνες έχουν παραπάνω πιθανότητες να τα αναπτύξουν.
|-
|Free Estradiol - Ελεύθερη Οιστραδιόλη
|>1,5% της Ε2
|Η διαθέσιμη οιστραδιόλη για να δεσμευτεί από τους υποδοχείς (προκαλεί τη θυληκοποίηση). Η SHBG και η τεστοστερόνη επιρρεάζουν την τιμή. Μπορεί και να υπολογιστεί με μαθηματικό τύπο.<ref name=":0" /><ref>https://aacrjournals.org/cebp/article/11/10/1065/166164/Validity-of-Free-Testosterone-and-Free-Estradiol</ref>
|-
|Estrone - Οιστρόνη (E1)
|Το 1/3 της Ε2
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers και σύμφωνα με αυτόν η σωστή αναλογία συμβάλει στην ανάπτυξη στήθους για ορισμένα άτομα. TODO: Find which cases.
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|TODO
|TODO
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|TODO
|TODO
|-
|Dehydroepiandrosterone - Δεϋδροεπιανδροστερόνη (DHEA)
|TODO
|TODO: Find the case which this blood test is relevant.
|}

== Transmasc ==

== Πηγές ==
<references />

HRT

2025-04-17T12:12:30Z

Goblinmoder: separate blood levels from transfem and put them in general

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''

== Blood Levels ==

==== Refer to the [[Blood Testing]] page. ====
== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T12:10:19Z

Goblinmoder: /* Miscellaneous/Progesterone */

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, [[Blood Testing|blood tests]] are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T12:09:06Z

Goblinmoder: /* Miscellaneous/Progesterone */

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg or 200mg daily (rectal administration, blood tests are recommended)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T12:07:36Z

Goblinmoder: /* Miscellaneous/Progesterone */

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|100mg daily (rectal administration)
or
200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T11:40:19Z

Goblinmoder: fixed disclaimer

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences''' or '''(diy)hrt pages/websites/papers'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T11:37:02Z

Goblinmoder: /* Miscellaneous/Progesterone */

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|5.83 euro/30 caps (100mg)
8.08 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-17T11:27:20Z

Goblinmoder: added disclaimer

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

== Disclaimer ==
To clarify on '''dosages''', the values mentioned below are rather speculative and most are based on '''personal experiences'''. Therefore it is encouraged to do [[Blood Testing|blood tests]] and if possible, check with an [[Doctors#Ενδοκρινολόγοι|endocrinologist]] (we also suggest [[Doctors]] that can help with such cases), especially if you have any specific '''health conditions'''.
Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

Doctors

2025-04-17T11:19:40Z

Goblinmoder: minor punctuation mistake

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive.
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|🟨 (Βλέπε Σημειώσεις)
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 4 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Είναι γνωστό πως έχει γράψει '''50mg androcur''' ανά '''μέρα'''.
- Αντίστοιχη αντιμετώπιση με το σύνδρομο "Broken Arm" αλλά σε Τρανς έκδοση.
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

Doctors

2025-04-17T11:17:50Z

Goblinmoder:

{{#seo:
|title_mode=replace
|title=Doctors
|description=List of doctors documented, most of which are from real life encounters, opinions are non-definitive
}}

== Ψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Καρατζαφέρης Λυκούργος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2177207765
Τηλέφωνο: 6944302577
|30-70 ευρώ, 1-2 συνεδρίες για γνωμάτευση.
|Αμφιτρύωνος 78, Αττική, 11853.
|Κάνει και online αλλά προτιμάει irl.
|
* 2 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Μαρία Αναστασάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
Τηλέφωνο: 6980566188

E-mail: [mailto:anastasakitherapy@gmail.com anastasakitherapy@gmail.com]
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 2 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| Μπορεί να είναι δύσκολη η επικοινωνία.
|-
|✅
|Κατερίνα Χαλκιαδάκη
|Ηράκλειο / Διαδικτυακά
|Ιδιωτικό
|Σταθερό: 2810223940
|40Ε ανα συνεδρία / 80Ε (γνωμάτευση)
|Λεωφόρος Ιωνίας 136, Ηράκλειο [Δήμος], Ηράκλειο, 71305
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
|Συνάδελφος της Αναστασάκη.
|-
|✅
|Ελένη Ζαχάρη
|Αθήνα
|Ιδιωτικό
|Τηλέφωνο: 6942493053
|50-70€ το ραντεβού (γνωμάτευση σε 2 συνεδρίες)
|Χατζηκώστα 8Α, Πλατεία Μαβίλη, Αττική.
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Γεωργιλαδάκης Ιωάννης
|Ηράκλειο
|Ιδιωτικό
|Σταθερό: 2107442019
|50€ το ραντεβού. (Στο [https://www.doctoranytime.gr/d/Psychiatros/georgiladakis-ioannis site]<nowiki> αναφέρεται το εξής: "Πιστοποιητικά/Βεβαιώσεις | Από 20€ έως 40€")</nowiki>
|Πλατεία Ρήγα Φεραίου 13, Ηράκλειο, Κρήτη.
|Λογικά όχι πια (writer's conclusion, citation needed)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|✅
|Πάγκαλος Γεώργιος
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 6933091536
|100€ ανα συνεδρία
|Καρόλου Ντηλ 25, 54623
|Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Δημήτρης Ξυλάς
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310236236
|70€ αναγκαστικό ψυχομετρικό τεστ και 60€ η συνεδρία
|Εγνατία 70 & Χαλκέων 16, 546 24
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
|Δεν είναι NB friendly.
|-
|🟨
|Σταυριανάκος Κυριάκος
|Αθήνα / Διαδικτυακά
|Ιδιωτικό
| Σταθερό: 2108064113
| 70€ ανα ραντεβού (επι 6 μήνες gatekeeping)
| Θησέως 15-17, Μαρούσι 151 24
| Ναι.
|
* 0 ✅
* 2 🟨
* 0 🟧
* 0 ❌
| Διάβασε καλά την τιμή.
|-
|🟧
|Μεταξάς Σπυρίδων
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107116438
|70 ευρώ με κάρτα, 60 ευρώ χωρίς.
|Ρόδου 17, Μαρούσι, Αττική.
|Όχι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| Με MTF ήταν super friendly, ενώ με FTM το ακριβώς αντίθετο.
|-
|🟧
|Σαρρηγιανίδης Αλέξιος
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Ιπποκράτειο Θεσσαλονίκης
| Όχι.
|
* 0 ✅
* 0 🟨
* 1 🟧
* 0 ❌
| Δεν είναι κακός απλώς προτείνει τον Πάγκαλο (δλ. πήγαινε κατ' ευθείαν εκεί) και έπειτα τον ''Μπουφίδη'' (γι' αυτό και είναι 🟧 και όχι 🟨/✅)
|-
|❌
|Φλούδας Γεώργιος
|Αθήνα
|Δημόσιο
|[[File:Floudaskeeper.jpg|thumb|172x172px]]
| [[File:Flouda.png|thumb|163x163px|courtesy of Αθανασιάδης Λουκάς]]
| [https://media.discordapp.net/attachments/785742455928520725/1290054603814993930/hgf.png?ex=66fb1079&is=66f9bef9&hm=0441ce6ca9438130027d61078d2b76bc9abaa83ad99e97e7718a05554e2221f3&=&format=webp&quality=lossless&width=687&height=305 206]
| Όχι.
|
* 1 ✅
* 1 🟨
* 0 🟧
* 6 ❌
|Ο βασιλιάς του Gatekeeping, zero tolenace στο diy.
|-
|❌
|Απαζίδου Παρθένα
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| Νοσοκομείο Αφροδισίων & Δερματικών Νόσων Θεσσαλονίκης (παράρτημα Ιπποκράτειου στην Δελφών 124)
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Δεν γνωρίζει απο "τρανς θέματα".
|-
|❌
|Λουκάς Αθανασιάδης
|Θεσσαλονίκη
|Δημόσιο
| -
| -
| -
| Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 3 ❌
|Gatekeeping, zero tolenace στο diy, σπατάλη 2+ χρόνων.
|-
|❌
|Μπουφίδης Σταύρος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2310253793
|"100€ μετρητά, 80€ κά- α όχι, συγνώμη, 80€ μέτρητα. 100€ κάρτα"
|Ερμού 36, Θεσσαλονίκη, 54623
|Όχι.
|
* 0 ✅
* 0 🟨
* 0 🟧
* 2 ❌
|Αν σ' αρέσει να πληρώνεις για να σε κάνουν gatekeep, είναι τέλειος.
|-
|❌
|Καλλιόπη Προκοπάκη
|Αθήνα
|Ιδιωτικό
| -
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
|Είναι κατά τον γάμο ομόφυλων ζευγαριών.
|}

== Ψυχολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Γεωργία Καμπόλη
|Άνω Λιόσια / Διαδικτυακά
|Ιδιωτικό
| Τηλέφωνο: 6931170170
Email: geokaboli@gmail.com

Email (στην ιστοσελίδα): info@kabolipsychologist.gr
| -
| Οδ. Ελύτη 2, Άνω Λιόσια 133 41
| Ναι.
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|❌
|Γιαντσίδου Βασιλική
|Ορεστιάδα
|Ιδιωτικό
| -
| -
| -
| -
| -
| Στον κώλο της μαϊμούς, δεν θα βγάλεις άκρη, why bother?
|}

== Παιδοψυχίατροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Στέλλα/Στυλιανή Βαγιωνά
|Θεσσαλονίκη
|Ιδιωτικό
| -
|70€ (χωρίς απόδειξη)
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Ενδοκρινολόγοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|🟨
|Κούκκου Ευτυχία
|Αθήνα
|Δημόσιο
| -
| -
| Γ.Ν. Έλενα Βενιζέλου, Αθήνα 115 21
| Όχι.
|
* 4 ✅
* 0 🟨
* 1 🟧
* 1 ❌
| - Θέλει διάγνωση.
- Κάνει περίεργο misgendering μερικές φορές.
|-
|🟨 (Βλέπε Σημειώσεις)
|Θεώδορος Θωμάς
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2106436115
| 80-100€ η συνεδρία
| Λεωφ. Κηφισίας 5, 115 23 Αμπελόκηποι, Αθήνα
| -
|
* 4 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
- Είναι γνωστό πως έχει γράψει '''50mg androcur''' ανά '''μέρα'''.
- Αντίστοιχη αντιμετώπιση με το σύνδρομο "Broken Arm" αλλά σε Τρανς έκδοση.
|-
|✅
|Σκαράκης Νικήτας
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2107117965
| 50€ η συνεδρία
| Κυκλαμίνων 7 (Περιοχή Αγίου Ιεροθέου), Περιστέρι, Αττική
| Ναι. (60€ η συνεδρία)
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|✅
|Στέργιος Κιούρας
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310256498
| 50€ η συνεδρία
| Ερμού 36, Θεσσαλονίκη 546 23
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - '''Δεν ζήτησε''' διάγνωση.
|-
|🟨
|Θεμιστοκλής Καλτσάς
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310238719
| 50€ η συνεδρία
| Παλαιών Πατρών Γερμανού 21, Θεσσαλονίκη
| -
|
* 1 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Δεν έχει θέμα με DIY, '''δεν ζήτησε άμεσα''' διάγνωση, αλλά '''την θέλει''' γενικότερα (δλ. αν δεν έχεις θα στη ζητήσει μελλοντικά μεσω e-mail)
- Έχει θέμα με τα "υψηλά" επίπεδα (π.χ. κανονικά pg/ml e2 στην μονοθεραπεία με injections είναι περίεργα γι' αυτόν)
- Ζητάει διάγνωση στα άτομα που δεν λαμβάνουν DIY HRT.
- Ημι-συχνό misgendering.
|-
|✅
|Παναγιώτης Μ. Μπουντούρης
|Σύρος
|Ιδιωτικό
|Σταθερό: 2281082030
Κινητό: 6946545831
|30€ η πρώτη συνεδρία
10€ η συνταγή
|Κλεισθένους 15, Ερμούπολη, 84100, Κυκλάδων
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|-
|🟨
|Κωνσταντίνος Α. Τούλης
|Θεσσαλονίκη
|Ιδιωτικό
|Τηλέφωνο: 2310222799
|50€ η συνεδρία
|Μητροπόλεως 73, Θεσσαλονίκη 546 22
| -
|
* 0 ✅
* 1 🟨
* 0 🟧
* 0 ❌
| - Θέλει διάγνωση.
|-
|🟨
|Γεώργιος Α. Κανάκης
|Αθήνα
|Ιδιωτικό
|Σταθερό: 2107709248
|
|Τσόχα 15-17, Αμπελόκηποι
| -
| -
| - Έχει ακουστεί πως έχει παραβιάσει την ανωνυμία δεδομένων.
|-
|❌
|Πουλάκος Πάυλος
|Θεσσαλονίκη
|Ιδιωτικό
|Σταθερό: 2105579147
|50€ η συνεδρία
|Τσιμισκή Ιωάννη 69, Αγία Σοφία, 546 22
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| - 100mg cypro ανά μέρα χωρίς προειδοποίηση στο cyclacur για τα πορτοκαλί/καφέ χάπια (πολύ κακό)
|}

== Δερματολόγοι/Αφροδισιολόγοι/Laser Κλινικές ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Είδος
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|❌
|Ζαχαρίας Ι. Ανδρεαδάκης
|Αθήνα
|Δερματολόγος/Αφροδισιολόγος/Laser
|Ιδιωτικό
| -
| -
| -
|
* 0 ✅
* 0 🟨
* 0 🟧
* 1 ❌
| -
|}

== Χειρούργοι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Ηλίας Μεξής
|Αθήνα
|Ιδιωτικό
| Σταθερό: 2114068315
| Top surgery ~3000€
|Αγ. Θεοδώρων 10, 14562 Κηφισιά
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| - Δεν ζητάει γνωμάτευση.
|}

== Δικηγόροι ==
{| class="wikitable sortable"
|+
!✅/🟨/🟧/❌
!Όνομα
!Περιοχή
!Δημόσιο/Ιδιωτικό
!Επικοινωνία
!Τιμή
!Περιοχή
!Διαδικτυακά
!Κριτικές
!Σημειώσεις
|-
|✅
|Αθηνά Καλογρίδη
|Θεσσαλονίκη
|Ιδιωτικό
| Σταθερό: 2310220704
| 125€ αίτηση
125€ δικαστήριο
43€ εισαγγελέας
| Κομνηνών 20, Θεσσαλονίκη, 54624, ΘΕΣΣΑΛΟΝΙΚΗΣ
| -
|
* 1 ✅
* 0 🟨
* 0 🟧
* 0 ❌
| -
|}

HRT

2025-04-16T19:36:23Z

Goblinmoder: added EC to regular E

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
|Depo-Estradiol (US only, unavailable)
|
====== Estradiol Cypionate (EC) ======
|Injectable
|Subcutaneous or Intramuscular
|~70-80€/year (not including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/7 days
('''mono dose''')
? (TBD/'''dose with AA''')
|?
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]])
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-16T19:06:12Z

Goblinmoder: add EC and separate Prog

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, or aptekaapo.com '''but they’re not on hrtcafe''', not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Cypionate (EC) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]Depo-Estradiol (US only, unavailable),
|5-7mg/7 days
|
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/7 days
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [[wikipedia:Biological_half-life|half-life]], a higher dosage can be administered that can last up to 20-30 days.
* [[wikipedia:Intramuscular_injection|IM injections]] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space]([[HRT#:~:text=* = It has been mentioned that syringes account for dead space, although that is not 100% certain.|*]])''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}

==== Miscellaneous/Progesterone ====
Progesterone falls under this category, as it is not quite the same as other Anti-Androgens, the mention of Progesterone in this title is necessary in order to reduce confusion and questions such as "Where is progesterone?" and "Did you remove prog from the page?".
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}

== Nonbinary hrt *under construction* ==

=== !!! disclaimer-warning about potential issues !!! ===

=== General outline of nb hrt for amab and afab ===

=== Medications ===

==== Selective Estrogen Receptor Modulators (SERMs) ====

* Tamoxifen is a selective estrogen receptor modulator (SERM). In some tissues such as the brain it activates estrogen receptors, which may help reduce dysphoria. In breast tissue it antagonizes estrogen receptors, preventing the formation of breast tissue if desired. There is some evidence that Tamoxifen inhibits memory, though the effects of taking it alongside regular estrogen are undocumented. Tamoxifen can cause cognitive dysfunction and increase your risk of stroke and pulmonary embolism. Tamoxifen may also be taken alongside 17β-estradiol, more research is needed. In this combination, estradiol should still have its effects (combating dysphoria in the brain, redistribution of body fat, smoother skin etc.) while tamoxifen prevents the growth of breast tissue.
* Raloxifene is another SERM. It is an estrogen receptor antagonist in breast tissue. It is an estrogen receptor agonist in bone and can be used to prevent osteoporosis. Raloxifene has been shown to reduce ERα expression in breast tissue in premenopausal women. As the synthesis of progesterone receptors (PR) is estrogen-regulated, raloxifene also decreases the expression of PR. Additionally, it was shown to decrease the presence of Ki-67, a biomarker for cell proliferation, in breast tissue of premenopausal women. As a result, it can be used to treat gynecomastia, and has been shown effective in reducing breast size in those with the condition. Raloxifene may promote feminine fat distribution: in a study on 56-66 year old postmenopausal women, there was an increase in fat in the legs and buttocks and a decrease in fat in the abdomen and trunk after 1 year on 60 mg/day raloxifene. It is not yet known how pronounced this effect is, as there have been no comparisons of body fat distribution between raloxifene and estradiol. Raloxifene may increase the risk of stroke and pulmonary embolism.
* Afimoxifene is a topical SERM and the primary metabolite of tamoxifen.

==== Anti-androgens ====

==== Bicalutamide ====
Bicalutamide is an anti-androgen which is used mainly in the treatment of prostate cancer but can also be used to treat hirsutism, or as a component of hormone therapy in feminizing HRT, among other uses. It is nonsteroidal anti-androgen and a selective/pure antagonist of the androgen receptor. It has no other hormonal activity and does not lower androgen levels. Bicalutamide crosses the blood-brain barrier and blocks the effects of testosterone and dihydrotestosterone (DHT) both in the body and in the brain. While it has been observed that bicalutamide does not cross the blood-brain barrier in rats and dogs, this was found not to be the case in humans

In general Ralox seems the best idea based on overall effectiveness and less severe side effects compared to other SERMs. Most people on this kind of MtNB hrt seem to be using a combination of ralox (in place of estradiol) and bica [expand this + powers e1s schizo stuff?]

== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-11T21:46:15Z

Goblinmoder: galinos.gr link

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''[https://galinos.gr galinos.gr]''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/Week
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [https://en.wikipedia.org/wiki/Biological_half-life half-life], a higher dosage can be administered that can last up to 20-30 days.
* [https://en.wikipedia.org/wiki/Intramuscular_injection IM injections] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}
== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

Blood Testing/el

2025-04-11T21:21:47Z

Goblinmoder:

{{#seo:|title=Blood Testing|title_mode=replace}}

<languages/>
== Ασφάλιση ==
Οι εξετάσεις που πραγματοποιούνται σε δημόσιες δομές (Κέντρα Υγείας - ΚΥ / Νοσοκομεία) '''είναι δωρεάν για όλους'''.

Από 01/07/2022 βάσει '''άρθρου 38 του ν.4865/2021 και Υ.Α (υπουργικής απόφασης) 30268/30-05-2022''' οι '''ανασφάλιστοι πολίτες''' δεν μπορούν να λάβουν '''συνταγές ΕΟΠΥΥ από ιδιώτες γιατρούς'''. Το οποίο πρακτικά σημαίνει πως αν είμαστε ανασφάλιστοι, τότε είναι πρακτικό αδύνατο να εξυπηρετηθούμε από ιδιώτες.

'''Θέλετε να μάθετε περισσότερες πληροφορίες για την κατάσταση ασφάλισης σας όπως το αν είστε ασφαλισμένo και για ποιο χρονικό διάστημα;'''

Αναφερθείτε στις e-υπηρεσίες του ATLAS στον εξής σύνδεσμο με χρήση κωδικών taxisnet και ΑΜΚΑ ή στοιχείων eIDAS (ποιος το χρησιμοποιεί αυτο τελος πάντων): https://www.atlas.gov.gr/ATLAS/Atlas/Login2.aspx

'''Σε περίπτωση που είστε ανασφάλιστοι και επιθυμείτε να ασφαλιστείτε για να προβείτε σε εκτέλεση συνταγών υπάρχουν αρκετοί συχνοί λόγοι που μπορείτε να λάβετε την κατάσταση ασφαλισμένου, μερικοί από αυτούς συμπεριλαμβάνουν:'''

* Για φοιτητά και άτομα που αποφοίτησαν < 2 χρόνια νωρίτερα από την σημερινή, έμμεσα μέσω ασφαλισμένου γονέα. Η ανανέωση της κατάστασης ασφάλισης γίνεται κάθε 6 μήνες στον ΕΦΚΑ και συνήθως απαιτείται απλά ο ΑΜΚΑ των εξαρτώμενων μελών και πρόσφατη βεβαίωση σπουδών / απονομή σπουδών.
* Εργασία ως ιδιωτικό/δημόσιο υπάλληλο (μερική ή πλήρης).
* Αν είστε συνταξιούχα (αυτό περιλαμβάνει σύνταξη χηρείας και ορφανού).
* Αυτασφάλιση για ελεύθερα επαγγελματία/ αυτοαπασχολούμενα.
* Είστε μακροχρόνια άνεργο ή λαμβάνετε ταμείο ανεργίας.
* Μέσω του συζύγου σας.

'''Δεν γνωρίζετε σε ποιον ΕΦΚΑ να απευθυνθείτε για θέματα ασφάλισης;'''

Χρησιμοποιήστε την εξής εφαρμογή του ΕΦΚΑ για να βρείτε που ανήκετε μόνο με χρήση ταχυδρομικού κώδικα (ΤΚ) και περιφέρειας: https://www.efka.gov.gr/mathepouanikeis.php

== Κόστος ==
Συνταγογραφημένες εξετάσεις μπορούν να πραγματοποιηθούν σε οποιαδήποτε δημόσια δομή (π.χ τμήμα αιματολογικών Νοσοκομείου ή Κέντρο Υγείας) '''δωρεάν'''.

'''Μη συνταγογραφημένες εξετάσεις (DIY)''' καθώς και '''συνταγογραφημένες εξετάσεις''' μπορούν να πραγματοποιηθούν σε '''ιδιωτικές δομές (κέντρα αιματολογικών εξετάσεων) με μερική κάλυψη από τον ΕΟΠΥΥ όταν υπάρχει συνταγή'''. Το θετικό των ιδιωτικών κέντρων είναι συνήθως η αυξημένη μέριμνα του ασθενή και η ταχύτερη έκδοση αποτελεσμάτων (συνήθως γίνεται αυθημερόν ενώ στα δημόσια παίρνει 10+ μέρες).

Άρα για ανακεφαλαίωση, στα δημόσια εκτελούμε συνταγές ΕΟΠΥΥ '''χωρίς κόστος, όμως με καθυστερήσεις'''. Σε κάθε περίπτωση, με κάποιο κόστος, με συνταγή ή χωρίς, μπορούμε επίσης να εκτελέσουμε '''εξετάσεις και συνταγές ΕΟΠΥΥ σε ιδιωτικές δομές'''.

Για MTF άτομα, σε περίπτωση που κάνουμε DIY εξετάσεις (χωρίς συνταγή ΕΟΠΥΥ) το κόστος είναι σχετικά υψηλό, με αποτέλεσμα να εξετάζουμε κυρίως:

- Testosterone - Ολική τεστοστερόνη (T)

- Estradiol - Οιστραδιόλη (Ε2)

- Dihydrotestosterone - Διυδροτεστοστερόνη (DHT - Σε περίπτωση που μας ενδιαφέρει ή σε περίπτωση που παίρνουμε Progesterone - Προγεστερόνη)

- Prolactine - Προλακτίνη (PRL - Σε περίπτωση που λαμβάνουμε κυπροτερόνη - CPA).

Η εξέταση χωρίς συνταγή ΕΟΠΥΥ για Τ+Ε2+DHT είναι στο εύρος των '''30-55€ στις μεγάλες πόλεις'''.

Σε γενικές γραμμές, τα έξοδα ενός ασφαλισμένου - ακόμα και αν πραγματοποιήσει εξετάσεις σε ιδιωτική δομή - είναι αρκετά μειωμένα, εφόσον υπάρχει συνταγή ΕΟΠΥΥ.
{| class="wikitable"
|+Κόστος Εξετάσεων Ασφαλισμένου σε Ιδιωτική Δομή με συνταγή ΕΟΠΥΥ
!Εξέταση
!Συμμετοχή Ασφαλισμένου
!Δαπάνες ΕΟΠΥΥ
!Σημειώσεις
|-
|Testosterone - Τεστοστερόνη (Τ)
|2,47€
|7,58€
|
|-
|Serum Estradiol - Οιστραδιόλη (Ε2)
|1,86€
|6,36€
|
|-
|Γενική Εξέταση Αίματος
|0,43€
|1,69€
|Χρήσιμη, προσοχή σε false positives για αναιμία σε MtF άτομα.
|-
|Prolactine - Προλακτίνη (PRL)
|1,86€
|6,01€
|Ιδιαίτερα χρήσιμη σε άτομα που λαμβάνουν Κυπροτερόνη - CPA.
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|1,62€
|8,36€
|
|-
|Sex Hormone Binding Globulin - Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|? - Χαμηλό
|7,16€
|
|-
|Thyroid-Stimulating Hormone - Θυρεοτρόπος Ορμόνη (TSH)
|1,86€
|12,38€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Free Thyroxine - Ελεύθερη Θυροξίνη (FT4)
|3,08€
|4,88€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|1,62€
|5,26€
|
|-
|Pottasium - Κάλιο (K-Pottasium)
|0,78€
|1,71€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Σπιρονολακτόνη - Spironolactone
|-
|Alanine Aminotransferase - Πυροσταφυλική Τρανσαμινάση (ALT/SGPT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|-
|Aspartate Aminotransferase - Οξαλοξεϊκή Τρανσαμινάση (AST/SGOT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|}

== Transfem ==
Τα ποιο σημαντικά επίπεδα για καταμέτρηση είναι Τεστοστερόνη (T) και Οιστραδιόλη (E2).
{| class="wikitable"
|+
!Εξέταση
!Αποδεκτές Τιμές
!Σημειώσεις
|-
|Estradiol - Οιστραδιόλη (E2)
|100-200 pg/mL ή 450-700 pmol/L αν λαμβάνονται [[HRT#Anti-androgens and GNRH Agonists|αντιανδρογόνα]]
>300 pg/mL ή >1100 pmol/L σε [[HRT#Μονοθεραπεία|μονοθεραπεία]]
|Για [[HRT#Μονοθεραπεία|μονοθεραπεία]] οι αποδεκτές τιμές εξαρτώνται από το αν έχει επιτευχθεί σωστή καταστολή της τεστοστερόνης. Οι τιμές είναι ενδικτεικές και μπορούν να διαφέρουν κατά πολύ από άτομο σε άτομο.
|-
|Testosterone - Τεστοστερόνη (T)
|15-50 ng/dL
|
|-
|Dihydrotestosterone - Διυδροτεστοστερόνη (DHT)
|<10 ng/dL
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers. Η DHT μπορεί να προκαλέσει ανδροποίηση ακόμη και αν η τεστοστερόνη είναι μέσα στις αποδεκτές τιμές. TODO: Write available actions when DHT is high.
|-
|Prolactine - Προλακτίνη (PRL)
|2-29 ng/mL (TODO: Check if higher levels are acceptable)
|Σημαντική εξέταση αν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|κυπροτερόνη]] για την πρόληψη [[wikipedia:Prolactinoma|προλακτινώματος]].
|-
|Progesterone - Προγεστερόνη (P4)
|5-10 ng/mL
|Αν δεν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|προγεστερόνη]] η εξέταση δεν είναι σημαντική.
|-
|Sex Hormone Binding Globulin - Φυλοσύνδετη Σφαιρίνη ή Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|14.60-110 nmol/L
|Επιρρεάζει την ελεύθερη οιστραδιόλη. Χαμηλότερα επίπεδα SHBG αυξάνουν την ελεύθερη οιστραδιόλη.<ref name=":0">https://www.sciencedirect.com/science/article/abs/pii/S0039128X14001986</ref>
|-
|Thyroid Stimulating Hormone - Θυρεοειδοτρόπος Ορμόνη (TSH)
|0.27-5 μIU/mL
|Σημαντική εξέταση αν υπάρχει ιστορικό στην οικογένεια για θέματα με τον θυροειδή. Άτομα με θυληκές ορμόνες έχουν παραπάνω πιθανότητες να τα αναπτύξουν.
|-
|Free Estradiol - Ελεύθερη Οιστραδιόλη
|>1,5% της Ε2
|Η διαθέσιμη οιστραδιόλη για να δεσμευτεί από τους υποδοχείς (προκαλεί τη θυληκοποίηση). Η SHBG και η τεστοστερόνη επιρρεάζουν την τιμή. Μπορεί και να υπολογιστεί με μαθηματικό τύπο.<ref name=":0" /><ref>https://aacrjournals.org/cebp/article/11/10/1065/166164/Validity-of-Free-Testosterone-and-Free-Estradiol</ref>
|-
|Estrone - Οιστρόνη (E1)
|Το 1/3 της Ε2
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers και σύμφωνα με αυτόν η σωστή αναλογία συμβάλει στην ανάπτυξη στήθους για ορισμένα άτομα. TODO: Find which cases.
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|TODO
|TODO
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|TODO
|TODO
|-
|Dehydroepiandrosterone - Δεϋδροεπιανδροστερόνη (DHEA)
|TODO
|TODO: Find the case which this blood test is relevant.
|}

== Transmasc ==

== Πηγές ==
<references />

Legal

2025-04-11T20:28:39Z

Goblinmoder: /* Καρτέλες Μαθητών/Σπουδαστών και Απολυτήρια */

{{#seo:
|title=Legal
|title_mode=replace
|description=Bureaucracy my beloved
}}'''Ο νόμος που θα επικαλείστε είναι ο ν. 4491/2017 . Θα παροτρύναμε κάθε ενδιαφερόμενο άτομο να τον ξεφυλλίσει έστω και μία φορά, γιατί θα είναι χρήσιμο. Παρακάτω, δίνεται σύνδεσμος που σας ανακατευθύνει σε μία σελίδα με τα περιεχόμενα του νόμου.'''

https://www.kodiko.gr/nomothesia/document/304143/nomos-4491-2017

Σύμφωνα με τον ν. 4491/2017 δικαίωμα στην νομική αλλαγή στοιχείων έχουν '''όλα τα έλληνα πολιτά''' που:

* Δεν τους στερείται δικαιοπρακτική ικανότητα
* Είναι δεκαεφτά (17) ετών και άνω την ημέρα της κατάθεσης της δήλωσης

Σε περίπτωση που δεν είναι δεκαεφτά (17) και άνω το άτομο, δίνεται και πάλι ικανότητα διόρθωσης στοιχείων για το αιτούν πρόσωπο σε περίπτωση που είναι '''τουλάχιστον δεκαπέντε (15) ετών ηλικιακά την ημέρα της κατάθεσης''' και '''υπάρχει θετική γνωμάτευση διεπιστημονικής Επιτροπής''' που συστήνεται με κοινή απόφαση των Υπουργών Δικαιοσύνης, Διαφάνειας και Ανθρωπίνων Δικαιωμάτων και Υγείας για δύο (2) έτη, στην οποία μετέχουν:

# ένας παιδοψυχίατρος,
# ένας ψυχίατρος,
# ένας ενδοκρινολόγος,
# ένας παιδοχειρούργος,
# ένας ψυχολόγος,
# ένας κοινωνικός λειτουργός και
# ένας παιδίατρος, ως Πρόεδρος, άπαντες με εξειδίκευση στο συγκεκριμένο ζήτημα.

Επίσης, πλέον με την υπογραφή του νομοσχεδίου για την ισότητα στον γάμο ομόφυλων ζευγαριών διαγράφεται η 3η προϋπόθεση του άρθρου 3 του ν. 4491/2017 :

* "'''3'''. Προϋπόθεση για τη διόρθωση του καταχωρισμένου φύλου είναι το πρόσωπο που αιτείται τη διόρθωση να μην είναι έγγαμο."

, '''καθώς πλέον αναγνωρίζονται οι ομοφυλόφιλοι γάμοι'''.

'''Πλέον τα Ειρηνοδικεία δεν αναλαμβάνουν τις δίκες Ν4491/2017 . Αναφερόμαστε μόνο σε πρωτοδικεία.'''

Μέσω δικαστικού εκπροσώπου (κοινώς: δικηγόρου) γίνεται κατάθεση αιτήματος στο πρωτοδικείο και λαμβάνετε δικάσιμη ημέρα, που συνήθως είναι 2-4 μήνες μετά την ημέρα υποβολής του αιτήματος (βέβαια στο παρελθόν έχουμε δει και αρκετά μεγαλύτερες καθυστερήσεις). Στην δίκη επιτρέπεται να έχετε "μάρτυρα/ες" που μπορεί να είναι όποιο/όποια επιθυμείτε. '''Δεν υπάρχει (βάσει ν. 4491/2017) καμία υποχρέωση για ιατρική φυλομετάβαση''' (όπως εγχειρήσεις, ορμονοθεραπεία, κ.ά), καθώς και καμία υποχρέωση για γνωμάτευση ψυχιάτρου, παρόλο που πολλά τρανς άτομα επιλέγουν να παρουσιαστούν στην δίκη με γνωματεύσεις ψυχιάτρων.

Σύμφωνα με τον ν. 4491/2017 η δίκη θα γίνει με απόρρητο, δηλαδή ανεξαρτήτως τι αριθμός σειράς δοθεί στην δίκη, θα γίνει τελευταία και αυστηρώς χωρίς ακροατήριο.

Αφού τελειώσει η δίκη, το πρωτοδικείο έχει έως και 6 μήνες να βγάλει απόφαση. Μετά την δημοσίευση της απόφασης, υπάρχει μία περίοδος, συνήθως όχι μεγαλύτερη των 2 μηνών για τελεσιδικία. Αφού τελειώσει και αυτή η περίοδος και λάβετε όλα τα έγγραφα μπορείτε και από την επόμενη μέρα να ξεκινήσετε την νομική αλλαγή των στοιχείων σας και του καταχωρημένου φύλου σας.

'''Βάσει του ν. 4491/2017 άρθρο 4 παράγραφος 3 είναι επίσης ΠΑΡΑΝΟΜΟ για οποιαδήποτε δημόσια υπηρεσία/φορέα να κρατάει ιστορικό της μεταβολής ή αναγραφές ("πρωτότυπα") των παλιών σας στοιχείων.'''

Το "έγγραφο τελεσιδικίας" στο οποίο αναφερόμαστε, αναφέρεται πολλές φορές και ως '''έκθεση επίδοσης'''.

'''Επειδή τα επόμενα βήματα είναι αρκετά, θα τα σπάσουμε σε κατηγορίες με σειρά.'''

=== '''<big>Ληξιαρχείο</big>''' ===
Πρώτη δράση σας μετά την τελεσιδικία θα έπρεπε να είναι να πάτε στο Ληξιαρχείου που '''είναι δηλωμένη η γέννηση σας'''. Δεν χρειάζεται κάποιο ραντεβού, μπορείτε να παρουσιαστείτε οποιαδήποτε στιγμή εντός των ωρών λειτουργίας του Ληξιαρχείου. Το Ληξιαρχείο, με την απόφαση και το έγγραφο τελεσιδικίας αλλάζει βάσει του νόμου ν. 4491/2017 στον τόμο την εγγραφή της γέννησης σας.

Τα στοιχεία ΟΛΩΝ των μελών (π.χ γονέων, αιτούντων) θα παραμείνουν τα ίδια, μόνο τα δικά σας στοιχεία θα αλλάξουν (συγκεκριμένα: όνομα, επώνυμο, φύλο).

Το Ληξιαρχείο είναι υποχρεωμένο να αλλάξει την αρχική έγγραφη στον τόμο του και να μην κρατήσει κανένα ιστορικό της μεταβολής ή "πρωτότυπο" αλλά αυτό είναι θέμα συζήτησης καθώς υπάρχει μεγάλη υποψία από την κοινότητα πως, πράγματι, κρατάνε "πρωτότυπα".

Σε περίπτωση που διελεύσει διάστημα μεγαλύτερο των 30 ημερών μεταξύ της ημερομηνίας τελεσιδικίας και αίτησης στο Ληξιαρχείο, τότε χρειάζεται να πληρώσετε ένα πρόστιμο ύψους 30.00€ μέσω παράβολου (κωδικός: [ 3828 ] Εκπρόθεσμη δήλωση γέννησης, γάμου, μεταβολής αστικής κατάστασης (πέραν της 10ημερης/ 40ήμερης /30ημερης προθεσμίας).

=== '''<big>Δήμος / Δημοτολόγιο</big>''' ===
Δεύτερη δράση σας θα ήταν να ενημερώσετε την καρτέλα σας στον δήμο. Έως και 72 ώρες μετά την μεταβολή στο Ληξιαρχείο, το εκάστοτε Ληξιαρχείο είναι υπόχρεο να ενημερώσει τον δήμο στον οποίο ανήκετε για την μεταβολή των στοιχείων ώστε να αλλάξει η εγγραφή σας στο δημοτολόγιο αυτόματα, αν θέλετε (και είναι κάτι που προτείνουμε) μπορείτε να πάτε δια ζώσης να ρωτήσετε για την διαδικασία της μεταβολής. Ανεξαρτήτως, κάποια στιγμή θα χρειαστεί να παρευρεθείτε φυσικά στον δήμο για να κρατήσουν αντίγραφο σας για την συναίνεση μεταβολής και να σας δώσουν την Δημαρχιακή Απόφαση (που δεν εκδίδεται πουθενά διαδικτυακά) την οποία μπορείτε να χρησιμοποιήσετε για διαφόρους λόγους, όπως για την ταυτοποίηση σας με παλαιότερα στοιχεία σε σπάνιες περιπτώσεις που δεν υφίσταται η μεταβολή, για παράδειγμα σε έγγραφα όπως το "Πιστοποιητικό Εγγυτέρων Συγγενών".

Το δημαρχείο και πάλι, δεν υφίσταται να κρατάει ιστορικό σας. Επίσης, πλέον δεν λειτουργούν τα μητρώα αρρένων στα δημοτολόγια. Οπότε δεν χρειάζεται να αιτηθείτε την απεγγραφή/εγγραφή σας, αλλά μπορείτε (και δικαιούστε) να ζητήσετε την διαγραφή της παλιάς σας εγγραφής που έχουν κρατήσει στο αρχείο.

=== '''<big>Αστυνομία / Έκδοση νέας ταυτότητας</big>''' ===
Για την έκδοση της νέας ταυτότητας '''πρέπει''' να έχει γίνει η ενημέρωση στο δημοτολόγιο.

Μπορείτε να κλείσετε κανονικά ραντεβού στο τμήμα ταυτοτήτων ενός αστυνομικού τμήματος, αλλά ειδικά αυτήν την περίοδο με τον όχλο ατόμων που επιδιώκει την έκδοση της νέας ταυτότητας θα ήταν σοφό να μην κλείσετε κανονικό ραντεβού και να πάτε δια ζώσης με την απόφαση και το έγγραφο τελεσιδικίας στο αστυνομικό τμήμα και να αιτηθείτε να σας δώσουν έκτακτο ραντεβού. Δικαιούστε έκτακτο ραντεβού καθώς δεν είναι μόνο για κλοπές/απώλειες εγγράφων αλλά και για μεταβολές στοιχείων. Έτσι μπορείτε να γλιτώσετε πολύ χρόνο αναμονής μέσω κάτι που δικαιούστε.

'''Αφού εκδοθεί η νέα ταυτότητα ξεκινάει πάνω κάτω η μεταβολή στα πάντα, από εδώ και πέρα δεν υπάρχει κάποια "σωστή" σειρά με την οποία μπορούν να γίνουν οι μεταβολές, με εξαίρεση τον ΕΦΚΑ.'''

=== '''<big>GOV.GR / ΑΑΔΕ</big>''' ===
Για την μεταβολή φυσικών στοιχείων (και για να γίνουν πάλι λειτουργικές οι υπηρεσίες που απαιτούν ταυτοποίηση μέσω taxisnet - ΑΑΔΕ, γιατί από την περίοδο μεταβολής στο Ληξιαρχείο και στο Δημοτολόγιο λόγω της ασυμφωνίας με τον ΑΑΔΕ δεν λειτουργούν) θα χρειαστεί να μπείτε με τους κωδικούς taxisnet στα αιτήματα του myaade (https://www1.aade.gr/saadekef/eticketaade) και να υποβάλετε αίτημα στον ΔΟΥ σας. Η κατηγορία του αιτήματος θα πρέπει να είναι "'''Μεταβολές στοιχείων φυσικού προσώπου πλην δήλωσης θανάτου και κληρονόμων."''' . Μπορείτε να αναγράψετε ό,τι πιστεύετε εσείς στο κείμενο, αλλά στα επισυναπτόμενα αρχεία '''πρέπει''' να επισυνάψετε:

* Συμπληρωμένη αίτηση Δ210, το έγγραφο μπορείτε να κατεβάσετε και να το συμπληρώσετε εδώ: (https://www.aade.gr/sites/default/files/2021-09/D210.pdf)

* και την νέα σας αστυνομική ταυτότητα.

Μετά την πραγματοποίηση της μεταβολής, πλέον σε όλες τις εφαρμογές που σας ταυτοποιούν μέσω ΑΑΔΕ - taxisnet θα εμφανίζονται καταχωρημένα τα νέα σας στοιχεία.

Το πρόβλημα με τον ΑΑΔΕ είναι πως επιμένει στην παρακράτηση ιστορικού μεταβολής του ονόματος και του επιθέτου σας, κάτι που δεν θα έπρεπε να συμβαίνει καθώς δεν αλλάζει ο ΑΦΜ σας, αλλά δεν έχουμε καταφέρει να βρούμε άκρη ακόμα. Επίσης, ενδεχομένως μερικές εφαρμογές που χρησιμοποιούν το παλιό σύστημα του ΑΑΔΕ και οι σελίδες με τις οφειλές και τις επιστροφές να αναγράφουν ακόμα τα παλιά σας στοιχεία, όμως καμία αίτηση και κανένα νομικό έγγραφο δεν θα τα αναγράφει, είναι πιθανώς απλά ένα τεχνικό πρόβλημα του ΑΑΔΕ προς διερεύνηση.

=== '''<big>ΕΦΚΑ - ΑΜΚΑ</big>''' ===
Όπως μπορεί να γνωρίζετε, ο ΑΜΚΑ σαν αριθμός δεν μεταβάλλεται. Μεταβάλλονται όμως τα στοιχεία σας στον ΕΡΓΑΝΗ και τα σχετιζόμενα στοιχεία του ΑΜΚΑ (δηλαδή τα στοιχεία του φυσικού προσώπου στον οποίον ανήκει ο αριθμός).

Για την μεταβολή του ΕΦΚΑ πρέπει να έχει πραγματοποιηθεί:

* Μεταβολή στοιχείων στο Ληξιαρχείο
* Έκδοση νέας Α.Τ (αστυνομικής ταυτότητας)

* Επιτυχής μεταβολή στον ΑΑΔΕ

Για να γίνει η μεταβολή, μπορείτε να κλείσετε ραντεβού τηλεφωνικώς μέσω του αριθμού: 1555 (χωρίς χρέωση) στο τμήμα μητρώων του ΕΦΚΑ στον οποίο ανήκετε (δεν ξέρετε σε ποιον ΕΦΚΑ ανήκετε; Μπορείτε να το βρείτε εδώ: https://www.efka.gov.gr/mathepouanikeis.php ).

Ο ΕΦΚΑ είναι κατά μεγάλης αποστάσεως η υπηρεσία με τους περισσότερους ανειδίκευτους υπαλλήλους που θα συναντήσετε σε όλη την διαδικασία, και επειδή κατά μία μεγάλη πιθανότητα θα γίνει λάθος από το υπάλληλο αν δεν εμπλακείτε και εσείς, ας ξεκαθαρίσουμε μερικά πράγματα για την '''βεβαίωση απογραφής''' και τον '''ΑΜΚΑ'''.

Τα δύο έγγραφα έχουν την εξής μορφή - ανεξαιρέτως αν μιλάμε για cis ή τρανς/genderqueer/gender non typical πολιτά.
[[File:Απογραφή ΕΦΚΑ.png|left|thumb|Βεβαίωση Απογραφής ΕΦΚΑ - 2024 από eServices]]

[[File:ΑΜΚΑ.png|left|thumb|Ασφαλιστική Ικανότητα από ΑΤΛΑΣ - 2024 όπου αναγράφονται αναλυτικά τα στοιχεία του ΑΜΚΑ σας.]]

Όπως μπορείτε να δείτε, '''υπάρχουν οι στήλες "επώνυμο γέννησης" και "επώνυμο σημερινό'''". '''Αυτές οι στήλες δεν υπάρχουν μόνο στα άτομα που έχουν ζητήσει μεταβολή στοιχείων μέσω του ν. 4491/2017 αλλά σε κάθε Έλληνα πολιτό'''. '''ΟΜΩΣ''' αυτές οι στήλες "χρησιμοποιούνται" '''ΜΟΝΟ''' σε περιπτώσεις που ένα άτομο έχει κάνει μεταβολή επιθέτου '''ΕΚΤΟΣ''' του ν. 4491/2017 και άλλων σχετικών νομοσχεδίων που ενδεχομένως να καθίστανται ανυπόστατη η διάκριση αυτών των δύο.

Δηλαδή, τα επίθετα σε αυτές τις δύο στήλες θα έπρεπε να διαφέρουν μόνο σε περιπτώσεις που αλλάζετε το επίθετο σας στο επίθετο του συζύγου σας και σε λοιπές παρόμοιες περιπτώσεις - σε καμία περίπτωση δεν επιτρέπεται να διαφέρουν σε περίπτωση μεταβολής στοιχείων λόγω αλλαγής καταχώρισης φύλου. '''Για τα άτομα που ζητούν μεταβολή στοιχείων λόγω διόρθωσης καταχώρισης φύλου, θα έπρεπε να είναι σαν τους υπόλοιπους πολιτά, ΔΗΛΑΔΗ ΙΔΙΕΣ. Σε πολλές περιπτώσεις, λόγω ανικανότητας των υπαλλήλων, κρατάν ως επώνυμο γέννησης το παλιό σας επίθετο, και ως σημερινό σας επίθετο το καινούργιο σας από την δικαστική απόφαση. Το οποίο όχι μόνο είναι άκρως παράνομο, αλλά και ανεπιθύμητο.'''

Ο ΑΜΚΑ παλαιότερα ενημερωνόταν μέσω ΚΕΠ. Πλέον, λόγω προσπάθειας αποκεντροποίησης, η μεταβολή πραγματοποιείται στον ΕΦΚΑ.

=== <big>'''Διπλώματα Οδήγησης'''</big> ===
Πρέπει να πάμε στο Υπουργείο Μεταφορών με τα εξής έγγραφα:

* Δικαστική απόφαση και έγγραφο τελεσιδικίας (έκθεση επίδοσης)
* Νέα ταυτότητα
* Παλιό/α δίπλωμα/τα
* 2 (δύο) φωτογραφίες τύπου διπλώματος/διαβατηρίου

'''Εκεί κάνουμε αίτηση για έκδοση νέου διπλώματος και περιμένουμε να μας δώσουν μία προσωρινή βεβαίωση που αντικαθιστά το δίπλωμα μας μέχρι να εκδοθεί το καινούριο.'''

=== <big>'''Τράπεζες'''</big> ===
Μετά την ενημέρωση του ΑΑΔΕ, μπορούμε να αιτηθούμε ψηφιακά σε ελληνικές και ξένες τράπεζες (όπως Πειραιώς, εθνική, κ.α) την επικαιροποίηση στοιχείων μέσω των διαπιστευτηρίων του ΑΑΔΕ (gov.gr login). Μερικές φορές μπορεί να μας ζητηθεί να ανεβάσουμε ως έγγραφο την νέα μας ταυτότητα.

=== <big>'''Στρατολογία'''</big> ===
Το μητρώο αρρένων δεν λειτουργεί πλέον στο Δημοτολόγιο καθώς δεν υφίσταται. Για την απεγγραφή/εγγραφή στην στρατολογία, απαιτείται η αλλαγή στοιχείων στον ΑΑΔΕ και ...............................................................

Υπάρχει και η επιλογή για Ι5 - Αποβολή αλλά ειδικά στις θυληκότητες, δεν υπάρχει κάποιος λόγος για αποβολή καθώς μπορεί να γίνει διαγραφή.

=== '''<big>Καρτέλες Μαθητών/Σπουδαστών και Απολυτήρια</big>''' ===
Με την αλλαγή της αστυνομικής σας ταυτότητας δύναται πλέον να αλλάξετε τις εγγραφές σας στις καρτέλες σας στο εκπαιδευτικό ίδρυμα που είστε εγγεγραμμένο μέσω της γραμματείας. Σε περίπτωση που έχετε αποφοιτήσει από εκπαιδευτικά ιδρύματα και ενδιαφέρεστε να αλλάξετε τα αναγραφόμενα στοιχεία (π.χ αν ενδιαφέρεστε για ερευνητικές θέσεις, σπουδές στο εξωτερικό, κλπ.) τότε θα πρέπει να αναφερθείτε στο ίδρυμα από το οποίο αποφοιτήσατε.

Πολλά άτομα επιλέγουν να μην αλλάξουν τα αναγραφόμενα στοιχεία τους από την Πρωτοβάθμια και την Δευτεροβάθμια εκπαίδευση καθώς η ανάδειξη αυτών των απολυτηρίων είναι σπάνια και ο μπελάς για την αλλαγή τους μεγάλος.

Σε αντίθεση, για απολυτήρια τριτοβάθμιας εκπαίδευσης (ή για εγγεγραμμένα φοιτητά) η ανάγκη μπορεί να είναι μεγάλη. Κάθε τμήμα λειτουργεί διαφορετικά. Ανεξαρτήτως όμως, θα έπρεπε να αναφερθείτε στην γραμματεία και να παρουσιαστείτε με τα εξής έγγραφα (καλού κακού):

* Δικαστική απόφαση και έγγραφο τελεσιδικίας
* Νέα αστυνομική ταυτότητα
* Παλιά φοιτητική ταυτότητα (πάσο)

Σε περίπτωση που έχετε ήδη αποφοιτήσει από ίδρυμα Τριτοβάθμιας εκπαίδευσης και έχετε χρησιμοποιήσει την ειδικότητα σας για να γραφτείτε σε κάποιο οργανισμό (π.χ ΤΕΕ) τότε τα πράγματα ζορίζουνε αν θέλετε να επικαιροποιήσετε τα στοιχεία σας.

==== '''ΤΕΕ και λοιπά τεχνικά σωματεία που απαιτούν πιστοποιητικά τριτοβάθμιας εκπαίδευσης''' ====
Έχει έρθει στην προσοχή της ΛΟΑΤΚΙ κοινότητας πως .............................

=== '''<big>Λοιπές Υπηρεσίες</big>''' ===
Με την έκδοση της νέας σας αστυνομικής ταυτότητας δύναται πλέον να αλλάξετε τα στοιχεία σας και τις εγγραφές σας από όλες τις υπηρεσίες στις οποίες είστε εγγεγραμμένο, όπως γυμναστήρια, πανεπιστήμια (μέσω της γραμματείας - κάθε σχολή διαφέρει), κ.α. Κανένα δεν μπορεί να σας στερηθεί το δικαίωμα της επικαιροποίησης των στοιχείων, αν κάπου σας πουν "δεν γίνεται" τότε κατά 99.9% δεν ξέρουν τι λένε.

Blood Testing

2025-04-11T20:13:18Z

Goblinmoder: @

{{#seo:|title=Blood Testing|title_mode=replace}}
== Insurance ==
Οι εξετάσεις που πραγματοποιούνται σε δημόσιες δομές (Κέντρα Υγείας - ΚΥ / Νοσοκομεία) '''είναι δωρεάν για όλα'''.

Από 01/07/2022 βάσει '''άρθρου 38 του ν.4865/2021 και Υ.Α (υπουργικής απόφασης) 30268/30-05-2022''' οι '''ανασφάλιστα πολιτά''' δεν μπορούν να λάβουν '''συνταγές ΕΟΠΥΥ από ιδιώτες γιατρούς'''. Το οποίο πρακτικά σημαίνει πως αν είμαστε ανασφάλιστα, τότε είναι πρακτικό αδύνατο να εξυπηρετηθούμε από ιδιώτες.

'''Θέλετε να μάθετε περισσότερες πληροφορίες για την κατάσταση ασφάλισης σας όπως το αν είστε ασφαλισμένο και για ποιο χρονικό διάστημα;'''

Αναφερθείτε στις e-υπηρεσίες του ATLAS στον εξής σύνδεσμο με χρήση κωδικών taxisnet και ΑΜΚΑ ή στοιχείων eIDAS (who uses that anyways): https://www.atlas.gov.gr/ATLAS/Atlas/Login2.aspx

'''Σε περίπτωση που είστε ανασφάλιστοι και επιθυμείτε να ασφαλιστείτε για να προβείτε σε εκτέλεση συνταγών υπάρχουν αρκετοί συχνοί λόγοι που μπορείτε να λάβετε την κατάσταση ασφαλισμένου, μερικοί από αυτούς συμπεριλαμβάνουν:'''

* Για φοιτητά και άτομα που αποφοίτησαν < 2 χρόνια νωρίτερα από την σημερινή, έμμεσα μέσω ασφαλισμένου γονέα. Η ανανέωση της κατάστασης ασφάλισης γίνεται κάθε 6 μήνες στον ΕΦΚΑ και συνήθως απαιτείται απλά ο ΑΜΚΑ των εξαρτώμενων μελών και πρόσφατη βεβαίωση σπουδών / απονομή σπουδών.
* Εργασία ως ιδιωτικό/δημόσιο υπάλληλο (μερική ή πλήρης).
* Αν είστε συνταξιούχα (αυτό περιλαμβάνει σύνταξη χηρείας και ορφανού).
* Αυτασφάλιση για ελεύθερα επαγγελματία/ αυτοαπασχολούμενα.
* Είστε μακροχρόνια άνεργο ή λαμβάνετε ταμείο ανεργίας.
* Μέσω του συζύγου σας.

'''Δεν γνωρίζετε σε ποιον ΕΦΚΑ να απευθυνθείτε για θέματα ασφάλισης;'''

Χρησιμοποιήστε την εξής εφαρμογή του ΕΦΚΑ για να βρείτε που ανήκετε μόνο με χρήση ταχυδρομικού κώδικα (ΤΚ) και περιφέρειας: https://www.efka.gov.gr/mathepouanikeis.php

== Cost ==
Συνταγογραφημένες εξετάσεις μπορούν να πραγματοποιηθούν σε οποιαδήποτε δημόσια δομή (π.χ τμήμα αιματολογικών Νοσοκομείου ή Κέντρο Υγείας) '''δωρεάν'''.

'''Μη συνταγογραφημένες εξετάσεις (DIY)''' καθώς και '''συνταγογραφημένες εξετάσεις''' μπορούν να πραγματοποιηθούν σε '''ιδιωτικές δομές (κέντρα αιματολογικών εξετάσεων) με μερική κάλυψη από τον ΕΟΠΥΥ όταν υπάρχει συνταγή'''. Το θετικό των ιδιωτικών κέντρων είναι συνήθως η αυξημένη μέριμνα του ασθενή και η ταχύτερη έκδοση αποτελεσμάτων (συνήθως γίνεται αυθημερόν ενώ στα δημόσια παίρνει 10+ μέρες).

Άρα για ανακεφαλαίωση, στα δημόσια εκτελούμε συνταγές ΕΟΠΥΥ '''χωρίς κόστος, όμως με καθυστερήσεις'''. Σε κάθε περίπτωση, με κάποιο κόστος, με συνταγή ή χωρίς, μπορούμε επίσης να εκτελέσουμε '''εξετάσεις και συνταγές ΕΟΠΥΥ σε ιδιωτικές δομές'''.

Για Transfem άτομα, σε περίπτωση που κάνουμε DIY εξετάσεις (χωρίς συνταγή ΕΟΠΥΥ) το κόστος είναι σχετικά υψηλό, με αποτέλεσμα να εξετάζουμε κυρίως:

- Testosterone - Ολική τεστοστερόνη (T)

- Estradiol - Οιστραδιόλη (Ε2)

- Dihydrotestosterone - Διυδροτεστοστερόνη (DHT - Σε περίπτωση που μας ενδιαφέρει ή σε περίπτωση που παίρνουμε Progesterone - Προγεστερόνη)

- Prolactine - Προλακτίνη (PRL - Σε περίπτωση που λαμβάνουμε κυπροτερόνη - CPA).

Η εξέταση χωρίς συνταγή ΕΟΠΥΥ για Τ+Ε2+DHT είναι στο range '''30-55€ στις μεγάλες πόλεις'''.

Σε γενικές γραμμές, τα έξοδα ενός ασφαλισμένου - ακόμα και αν πραγματοποιήσει εξετάσεις σε ιδιωτική δομή - είναι αρκετά μειωμένα, εφόσον υπάρχει συνταγή ΕΟΠΥΥ.
{| class="wikitable"
|+Κόστος Εξετάσεων Ασφαλισμένου σε Ιδιωτική Δομή με συνταγή ΕΟΠΥΥ
!Εξέταση
!Συμμετοχή Ασφαλισμένου
!Δαπάνες ΕΟΠΥΥ
!Σημειώσεις
|-
|Testosterone - Τεστοστερόνη (Τ)
|2,47€
|7,58€
|
|-
|Serum Estradiol - Οιστραδιόλη (Ε2)
|1,86€
|6,36€
|
|-
|Γενική Εξέταση Αίματος
|0,43€
|1,69€
|Χρήσιμη, προσοχή σε false positives για αναιμία σε MtF άτομα.
|-
|Prolactine - Προλακτίνη (PRL)
|1,86€
|6,01€
|Ιδιαίτερα χρήσιμη σε άτομα που λαμβάνουν Κυπροτερόνη - CPA.
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|1,62€
|8,36€
|
|-
|Sex Hormone Binding Globulin - Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|? - Χαμηλό
|7,16€
|
|-
|Thyroid-Stimulating Hormone - Θυρεοτρόπος Ορμόνη (TSH)
|1,86€
|12,38€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Free Thyroxine - Ελεύθερη Θυροξίνη (FT4)
|3,08€
|4,88€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|1,62€
|5,26€
|
|-
|Pottasium - Κάλιο (K-Pottasium)
|0,78€
|1,71€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Σπιρονολακτόνη - Spironolactone
|-
|Alanine Aminotransferase - Πυροσταφυλική Τρανσαμινάση (ALT/SGPT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|-
|Aspartate Aminotransferase - Οξαλοξεϊκή Τρανσαμινάση (AST/SGOT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|}

== Transfem ==
Τα πιο σημαντικά επίπεδα για καταμέτρηση είναι Τεστοστερόνη (T) και Οιστραδιόλη (E2).
{| class="wikitable"
|+
!Εξέταση
!Αποδεκτές Τιμές
!Σημειώσεις
|-
|Estradiol - Οιστραδιόλη (E2)
|100-200 pg/mL ή 450-700 pmol/L αν λαμβάνονται [[HRT#Anti-androgens and GNRH Agonists|αντιανδρογόνα]]
>300 pg/mL ή >1100 pmol/L σε [[HRT#Μονοθεραπεία|μονοθεραπεία]]
|Για [[HRT#Μονοθεραπεία|μονοθεραπεία]] οι αποδεκτές τιμές εξαρτώνται από το αν έχει επιτευχθεί σωστή καταστολή της τεστοστερόνης. Οι τιμές είναι ενδικτεικές και μπορούν να διαφέρουν κατά πολύ από άτομο σε άτομο.
|-
|Testosterone - Τεστοστερόνη (T)
|15-50 ng/dL
|
|-
|Dihydrotestosterone - Διυδροτεστοστερόνη (DHT)
|<10 ng/dL
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers. Η DHT μπορεί να προκαλέσει ανδροποίηση ακόμη και αν η τεστοστερόνη είναι μέσα στις αποδεκτές τιμές. TODO: Write available actions when DHT is high.
|-
|Prolactine - Προλακτίνη (PRL)
|2-29 ng/mL (TODO: Check if higher levels are acceptable)
|Σημαντική εξέταση αν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|κυπροτερόνη]] για την πρόληψη [[wikipedia:Prolactinoma|προλακτινώματος]].
|-
|Progesterone - Προγεστερόνη (P4)
|5-10 ng/mL
|Αν δεν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|προγεστερόνη]] η εξέταση δεν είναι σημαντική.
|-
|Sex Hormone Binding Globulin - Φυλοσύνδετη Σφαιρίνη ή Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|14.60-110 nmol/L
|Επιρρεάζει την ελεύθερη οιστραδιόλη. Χαμηλότερα επίπεδα SHBG αυξάνουν την ελεύθερη οιστραδιόλη.<ref name=":0">https://www.sciencedirect.com/science/article/abs/pii/S0039128X14001986</ref>
|-
|Thyroid Stimulating Hormone - Θυρεοειδοτρόπος Ορμόνη (TSH)
|0.27-5 μIU/mL
|Σημαντική εξέταση αν υπάρχει ιστορικό στην οικογένεια για θέματα με τον θυροειδή. Άτομα με θυληκές ορμόνες έχουν παραπάνω πιθανότητες να τα αναπτύξουν.
|-
|Free Estradiol - Ελεύθερη Οιστραδιόλη
|>1,5% της Ε2
|Η διαθέσιμη οιστραδιόλη για να δεσμευτεί από τους υποδοχείς (προκαλεί τη θυληκοποίηση). Η SHBG και η τεστοστερόνη επιρρεάζουν την τιμή. Μπορεί και να υπολογιστεί με μαθηματικό τύπο.<ref name=":0" /><ref>https://aacrjournals.org/cebp/article/11/10/1065/166164/Validity-of-Free-Testosterone-and-Free-Estradiol</ref>
|-
|Estrone - Οιστρόνη (E1)
|Το 1/3 της Ε2
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers και σύμφωνα με αυτόν η σωστή αναλογία συμβάλει στην ανάπτυξη στήθους για ορισμένα άτομα. TODO: Find which cases.
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|TODO
|TODO
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|TODO
|TODO
|-
|Dehydroepiandrosterone - Δεϋδροεπιανδροστερόνη (DHEA)
|TODO
|TODO: Find the case which this blood test is relevant.
|}

== Transmasc ==

== Πηγές ==
<references />

Main Page/el

2025-04-11T20:10:59Z

Goblinmoder:

{{#seo:|title=Main Page}}
{{#seo:|description=A general purpose greek-based, unbiased, trans wiki for everyone.}}

<languages/>
Out with the old and in with the new, the wiki is alive again.

<span id="Page_Catalog:"></span>
==== Κατάλογος: ====

* [[HRT/el|Ορμονοθεραπεία]]
* [[Quick Guide|Ταχυ-οδηγός]]
* [[Doctors|Γιατροί]]
* [https://diyon.top/map Φαρμακεία]
* [[Εκτελωνισμός|Εκτελωνισμός]]
* [[Blood Testing/el|Εξετάσεις Αίματος]]
* [[Legal|Νομικά Θέματα]]
* [[Army|Στρατός]]
* [[Donate|Δωρεές]]
* [[About|Σχετικά]]

Θερμή παράκληση να μην μοιράζεστε αυτό το site με cis άτομα, εκτός αν όντως το σκέφτονται. Αν θέλετε να συμμετάσχετε, ή για σχόλια σχετικά με την ιστοσελίδα, ερωτήσεις, ή για να αναφέρετε θετικές/αρνητικές εμπειρίες με γιατρούς/καταστήματα/κλπ, επικοινωνήστε μαζί μας στο '''fox@diyon.top'''

Translations:Main Page/1/el

2025-04-11T20:10:52Z

Goblinmoder:

Out with the old and in with the new, the wiki is alive again.

Blood Testing

2025-04-11T20:03:57Z

Goblinmoder: removed translations

{{#seo:|title=Blood Testing|title_mode=replace}}
== Insurance ==
Οι εξετάσεις που πραγματοποιούνται σε δημόσιες δομές (Κέντρα Υγείας - ΚΥ / Νοσοκομεία) '''είναι δωρεάν για όλα'''.

Από 01/07/2022 βάσει '''άρθρου 38 του ν.4865/2021 και Υ.Α (υπουργικής απόφασης) 30268/30-05-2022''' οι '''ανασφάλιστα πολιτά''' δεν μπορούν να λάβουν '''συνταγές ΕΟΠΥΥ από ιδιώτες γιατρούς'''. Το οποίο πρακτικά σημαίνει πως αν είμαστε ανασφάλιστα, τότε είναι πρακτικό αδύνατο να εξυπηρετηθούμε από ιδιώτες.

'''Θέλετε να μάθετε περισσότερες πληροφορίες για την κατάσταση ασφάλισης σας όπως το αν είστε ασφαλισμένο και για ποιο χρονικό διάστημα;'''

Αναφερθείτε στις e-υπηρεσίες του ATLAS στον εξής σύνδεσμο με χρήση κωδικών taxisnet και ΑΜΚΑ ή στοιχείων eIDAS (who uses that anyways): https://www.atlas.gov.gr/ATLAS/Atlas/Login2.aspx

'''Σε περίπτωση που είστε ανασφάλιστοι και επιθυμείτε να ασφαλιστείτε για να προβείτε σε εκτέλεση συνταγών υπάρχουν αρκετοί συχνοί λόγοι που μπορείτε να λάβετε την κατάσταση ασφαλισμένου, μερικοί από αυτούς συμπεριλαμβάνουν:'''

* Για φοιτητά και άτομα που αποφοίτησαν < 2 χρόνια νωρίτερα από την σημερινή, έμμεσα μέσω ασφαλισμένου γονέα. Η ανανέωση της κατάστασης ασφάλισης γίνεται κάθε 6 μήνες στον ΕΦΚΑ και συνήθως απαιτείται απλά ο ΑΜΚΑ των εξαρτώμενων μελών και πρόσφατη βεβαίωση σπουδών / απονομή σπουδών.
* Εργασία ως ιδιωτικό/δημόσιο υπάλληλο (μερική ή πλήρης).
* Αν είστε συνταξιούχα (αυτό περιλαμβάνει σύνταξη χηρείας και ορφανού).
* Αυτασφάλιση για ελεύθερα επαγγελματί@/ αυτοαπασχολούμενα.
* Είστε μακροχρόνια άνεργο ή λαμβάνετε ταμείο ανεργίας.
* Μέσω του συζύγου σας.

'''Δεν γνωρίζετε σε ποιον ΕΦΚΑ να απευθυνθείτε για θέματα ασφάλισης;'''

Χρησιμοποιήστε την εξής εφαρμογή του ΕΦΚΑ για να βρείτε που ανήκετε μόνο με χρήση ταχυδρομικού κώδικα (ΤΚ) και περιφέρειας: https://www.efka.gov.gr/mathepouanikeis.php

== Cost ==
Συνταγογραφημένες εξετάσεις μπορούν να πραγματοποιηθούν σε οποιαδήποτε δημόσια δομή (π.χ τμήμα αιματολογικών Νοσοκομείου ή Κέντρο Υγείας) '''δωρεάν'''.

'''Μη συνταγογραφημένες εξετάσεις (DIY)''' καθώς και '''συνταγογραφημένες εξετάσεις''' μπορούν να πραγματοποιηθούν σε '''ιδιωτικές δομές (κέντρα αιματολογικών εξετάσεων) με μερική κάλυψη από τον ΕΟΠΥΥ όταν υπάρχει συνταγή'''. Το θετικό των ιδιωτικών κέντρων είναι συνήθως η αυξημένη μέριμνα του ασθενή και η ταχύτερη έκδοση αποτελεσμάτων (συνήθως γίνεται αυθημερόν ενώ στα δημόσια παίρνει 10+ μέρες).

Άρα για ανακεφαλαίωση, στα δημόσια εκτελούμε συνταγές ΕΟΠΥΥ '''χωρίς κόστος, όμως με καθυστερήσεις'''. Σε κάθε περίπτωση, με κάποιο κόστος, με συνταγή ή χωρίς, μπορούμε επίσης να εκτελέσουμε '''εξετάσεις και συνταγές ΕΟΠΥΥ σε ιδιωτικές δομές'''.

Για Transfem άτομα, σε περίπτωση που κάνουμε DIY εξετάσεις (χωρίς συνταγή ΕΟΠΥΥ) το κόστος είναι σχετικά υψηλό, με αποτέλεσμα να εξετάζουμε κυρίως:

- Testosterone - Ολική τεστοστερόνη (T)

- Estradiol - Οιστραδιόλη (Ε2)

- Dihydrotestosterone - Διυδροτεστοστερόνη (DHT - Σε περίπτωση που μας ενδιαφέρει ή σε περίπτωση που παίρνουμε Progesterone - Προγεστερόνη)

- Prolactine - Προλακτίνη (PRL - Σε περίπτωση που λαμβάνουμε κυπροτερόνη - CPA).

Η εξέταση χωρίς συνταγή ΕΟΠΥΥ για Τ+Ε2+DHT είναι στο range '''30-55€ στις μεγάλες πόλεις'''.

Σε γενικές γραμμές, τα έξοδα ενός ασφαλισμένου - ακόμα και αν πραγματοποιήσει εξετάσεις σε ιδιωτική δομή - είναι αρκετά μειωμένα, εφόσον υπάρχει συνταγή ΕΟΠΥΥ.
{| class="wikitable"
|+Κόστος Εξετάσεων Ασφαλισμένου σε Ιδιωτική Δομή με συνταγή ΕΟΠΥΥ
!Εξέταση
!Συμμετοχή Ασφαλισμένου
!Δαπάνες ΕΟΠΥΥ
!Σημειώσεις
|-
|Testosterone - Τεστοστερόνη (Τ)
|2,47€
|7,58€
|
|-
|Serum Estradiol - Οιστραδιόλη (Ε2)
|1,86€
|6,36€
|
|-
|Γενική Εξέταση Αίματος
|0,43€
|1,69€
|Χρήσιμη, προσοχή σε false positives για αναιμία σε MtF άτομα.
|-
|Prolactine - Προλακτίνη (PRL)
|1,86€
|6,01€
|Ιδιαίτερα χρήσιμη σε άτομα που λαμβάνουν Κυπροτερόνη - CPA.
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|1,62€
|8,36€
|
|-
|Sex Hormone Binding Globulin - Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|? - Χαμηλό
|7,16€
|
|-
|Thyroid-Stimulating Hormone - Θυρεοτρόπος Ορμόνη (TSH)
|1,86€
|12,38€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Free Thyroxine - Ελεύθερη Θυροξίνη (FT4)
|3,08€
|4,88€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|1,62€
|5,26€
|
|-
|Pottasium - Κάλιο (K-Pottasium)
|0,78€
|1,71€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Σπιρονολακτόνη - Spironolactone
|-
|Alanine Aminotransferase - Πυροσταφυλική Τρανσαμινάση (ALT/SGPT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|-
|Aspartate Aminotransferase - Οξαλοξεϊκή Τρανσαμινάση (AST/SGOT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|}

== Transfem ==
Τα πιο σημαντικά επίπεδα για καταμέτρηση είναι Τεστοστερόνη (T) και Οιστραδιόλη (E2).
{| class="wikitable"
|+
!Εξέταση
!Αποδεκτές Τιμές
!Σημειώσεις
|-
|Estradiol - Οιστραδιόλη (E2)
|100-200 pg/mL ή 450-700 pmol/L αν λαμβάνονται [[HRT#Anti-androgens and GNRH Agonists|αντιανδρογόνα]]
>300 pg/mL ή >1100 pmol/L σε [[HRT#Μονοθεραπεία|μονοθεραπεία]]
|Για [[HRT#Μονοθεραπεία|μονοθεραπεία]] οι αποδεκτές τιμές εξαρτώνται από το αν έχει επιτευχθεί σωστή καταστολή της τεστοστερόνης. Οι τιμές είναι ενδικτεικές και μπορούν να διαφέρουν κατά πολύ από άτομο σε άτομο.
|-
|Testosterone - Τεστοστερόνη (T)
|15-50 ng/dL
|
|-
|Dihydrotestosterone - Διυδροτεστοστερόνη (DHT)
|<10 ng/dL
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers. Η DHT μπορεί να προκαλέσει ανδροποίηση ακόμη και αν η τεστοστερόνη είναι μέσα στις αποδεκτές τιμές. TODO: Write available actions when DHT is high.
|-
|Prolactine - Προλακτίνη (PRL)
|2-29 ng/mL (TODO: Check if higher levels are acceptable)
|Σημαντική εξέταση αν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|κυπροτερόνη]] για την πρόληψη [[wikipedia:Prolactinoma|προλακτινώματος]].
|-
|Progesterone - Προγεστερόνη (P4)
|5-10 ng/mL
|Αν δεν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|προγεστερόνη]] η εξέταση δεν είναι σημαντική.
|-
|Sex Hormone Binding Globulin - Φυλοσύνδετη Σφαιρίνη ή Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|14.60-110 nmol/L
|Επιρρεάζει την ελεύθερη οιστραδιόλη. Χαμηλότερα επίπεδα SHBG αυξάνουν την ελεύθερη οιστραδιόλη.<ref name=":0">https://www.sciencedirect.com/science/article/abs/pii/S0039128X14001986</ref>
|-
|Thyroid Stimulating Hormone - Θυρεοειδοτρόπος Ορμόνη (TSH)
|0.27-5 μIU/mL
|Σημαντική εξέταση αν υπάρχει ιστορικό στην οικογένεια για θέματα με τον θυροειδή. Άτομα με θυληκές ορμόνες έχουν παραπάνω πιθανότητες να τα αναπτύξουν.
|-
|Free Estradiol - Ελεύθερη Οιστραδιόλη
|>1,5% της Ε2
|Η διαθέσιμη οιστραδιόλη για να δεσμευτεί από τους υποδοχείς (προκαλεί τη θυληκοποίηση). Η SHBG και η τεστοστερόνη επιρρεάζουν την τιμή. Μπορεί και να υπολογιστεί με μαθηματικό τύπο.<ref name=":0" /><ref>https://aacrjournals.org/cebp/article/11/10/1065/166164/Validity-of-Free-Testosterone-and-Free-Estradiol</ref>
|-
|Estrone - Οιστρόνη (E1)
|Το 1/3 της Ε2
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers και σύμφωνα με αυτόν η σωστή αναλογία συμβάλει στην ανάπτυξη στήθους για ορισμένα άτομα. TODO: Find which cases.
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|TODO
|TODO
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|TODO
|TODO
|-
|Dehydroepiandrosterone - Δεϋδροεπιανδροστερόνη (DHEA)
|TODO
|TODO: Find the case which this blood test is relevant.
|}

== Transmasc ==

== Πηγές ==
<references />

Blood Testing

2025-04-11T17:59:17Z

Goblinmoder: /* Insurance */

{{#seo:|title=Blood Testing|title_mode=replace}}

<languages/>
<translate>

== Insurance ==
Οι εξετάσεις που πραγματοποιούνται σε δημόσιες δομές (Κέντρα Υγείας - ΚΥ / Νοσοκομεία) '''είναι δωρεάν για όλα'''.


Από 01/07/2022 βάσει '''άρθρου 38 του ν.4865/2021 και Υ.Α (υπουργικής απόφασης) 30268/30-05-2022''' οι '''ανασφάλιστα πολιτά''' δεν μπορούν να λάβουν '''συνταγές ΕΟΠΥΥ από ιδιώτες γιατρούς'''. Το οποίο πρακτικά σημαίνει πως αν είμαστε ανασφάλιστα, τότε είναι πρακτικό αδύνατο να εξυπηρετηθούμε από ιδιώτες.


'''Θέλετε να μάθετε περισσότερες πληροφορίες για την κατάσταση ασφάλισης σας όπως το αν είστε ασφαλισμένο και για ποιο χρονικό διάστημα;'''


Αναφερθείτε στις e-υπηρεσίες του ATLAS στον εξής σύνδεσμο με χρήση κωδικών taxisnet και ΑΜΚΑ ή στοιχείων eIDAS (who uses that anyways): https://www.atlas.gov.gr/ATLAS/Atlas/Login2.aspx


'''Σε περίπτωση που είστε ανασφάλιστοι και επιθυμείτε να ασφαλιστείτε για να προβείτε σε εκτέλεση συνταγών υπάρχουν αρκετοί συχνοί λόγοι που μπορείτε να λάβετε την κατάσταση ασφαλισμένου, μερικοί από αυτούς συμπεριλαμβάνουν:'''


* Για φοιτητά και άτομα που αποφοίτησαν < 2 χρόνια νωρίτερα από την σημερινή, έμμεσα μέσω ασφαλισμένου γονέα. Η ανανέωση της κατάστασης ασφάλισης γίνεται κάθε 6 μήνες στον ΕΦΚΑ και συνήθως απαιτείται απλά ο ΑΜΚΑ των εξαρτώμενων μελών και πρόσφατη βεβαίωση σπουδών / απονομή σπουδών.
* Εργασία ως ιδιωτικό/δημόσιο υπάλληλο (μερική ή πλήρης).
* Αν είστε συνταξιούχα (αυτό περιλαμβάνει σύνταξη χηρείας και ορφανού).
* Αυτασφάλιση για ελεύθερα επαγγελματί@/ αυτοαπασχολούμενα.
* Είστε μακροχρόνια άνεργο ή λαμβάνετε ταμείο ανεργίας.
* Μέσω του συζύγου σας.


'''Δεν γνωρίζετε σε ποιον ΕΦΚΑ να απευθυνθείτε για θέματα ασφάλισης;'''


Χρησιμοποιήστε την εξής εφαρμογή του ΕΦΚΑ για να βρείτε που ανήκετε μόνο με χρήση ταχυδρομικού κώδικα (ΤΚ) και περιφέρειας: https://www.efka.gov.gr/mathepouanikeis.php


== Cost ==
Συνταγογραφημένες εξετάσεις μπορούν να πραγματοποιηθούν σε οποιαδήποτε δημόσια δομή (π.χ τμήμα αιματολογικών Νοσοκομείου ή Κέντρο Υγείας) '''δωρεάν'''.


'''Μη συνταγογραφημένες εξετάσεις (DIY)''' καθώς και '''συνταγογραφημένες εξετάσεις''' μπορούν να πραγματοποιηθούν σε '''ιδιωτικές δομές (κέντρα αιματολογικών εξετάσεων) με μερική κάλυψη από τον ΕΟΠΥΥ όταν υπάρχει συνταγή'''. Το θετικό των ιδιωτικών κέντρων είναι συνήθως η αυξημένη μέριμνα του ασθενή και η ταχύτερη έκδοση αποτελεσμάτων (συνήθως γίνεται αυθημερόν ενώ στα δημόσια παίρνει 10+ μέρες).


Άρα για ανακεφαλαίωση, στα δημόσια εκτελούμε συνταγές ΕΟΠΥΥ '''χωρίς κόστος, όμως με καθυστερήσεις'''. Σε κάθε περίπτωση, με κάποιο κόστος, με συνταγή ή χωρίς, μπορούμε επίσης να εκτελέσουμε '''εξετάσεις και συνταγές ΕΟΠΥΥ σε ιδιωτικές δομές'''.


Για MTF άτομα, σε περίπτωση που κάνουμε DIY εξετάσεις (χωρίς συνταγή ΕΟΠΥΥ) το κόστος είναι σχετικά υψηλό, με αποτέλεσμα να εξετάζουμε κυρίως:


- Testosterone - Ολική τεστοστερόνη (T)


- Estradiol - Οιστραδιόλη (Ε2)


- Dihydrotestosterone - Διυδροτεστοστερόνη (DHT - Σε περίπτωση που μας ενδιαφέρει ή σε περίπτωση που παίρνουμε Progesterone - Προγεστερόνη)


- Prolactine - Προλακτίνη (PRL - Σε περίπτωση που λαμβάνουμε κυπροτερόνη - CPA).


Η εξέταση χωρίς συνταγή ΕΟΠΥΥ για Τ+Ε2+DHT είναι στο range '''30-55€ στις μεγάλες πόλεις'''.


Σε γενικές γραμμές, τα έξοδα ενός ασφαλισμένου - ακόμα και αν πραγματοποιήσει εξετάσεις σε ιδιωτική δομή - είναι αρκετά μειωμένα, εφόσον υπάρχει συνταγή ΕΟΠΥΥ.
{| class="wikitable"
|+Κόστος Εξετάσεων Ασφαλισμένου σε Ιδιωτική Δομή με συνταγή ΕΟΠΥΥ
!Εξέταση
!Συμμετοχή Ασφαλισμένου
!Δαπάνες ΕΟΠΥΥ
!Σημειώσεις
|-
|Testosterone - Τεστοστερόνη (Τ)
|2,47€
|7,58€
|
|-
|Serum Estradiol - Οιστραδιόλη (Ε2)
|1,86€
|6,36€
|
|-
|Γενική Εξέταση Αίματος
|0,43€
|1,69€
|Χρήσιμη, προσοχή σε false positives για αναιμία σε MtF άτομα.
|-
|Prolactine - Προλακτίνη (PRL)
|1,86€
|6,01€
|Ιδιαίτερα χρήσιμη σε άτομα που λαμβάνουν Κυπροτερόνη - CPA.
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|1,62€
|8,36€
|
|-
|Sex Hormone Binding Globulin - Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|? - Χαμηλό
|7,16€
|
|-
|Thyroid-Stimulating Hormone - Θυρεοτρόπος Ορμόνη (TSH)
|1,86€
|12,38€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Free Thyroxine - Ελεύθερη Θυροξίνη (FT4)
|3,08€
|4,88€
|Για άτομα με προδιάθεση θυροειδή, καλή γενική εξέταση
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|1,62€
|5,26€
|
|-
|Pottasium - Κάλιο (K-Pottasium)
|0,78€
|1,71€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Σπιρονολακτόνη - Spironolactone
|-
|Alanine Aminotransferase - Πυροσταφυλική Τρανσαμινάση (ALT/SGPT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|-
|Aspartate Aminotransferase - Οξαλοξεϊκή Τρανσαμινάση (AST/SGOT)
|? - Χαμηλό
|1,34€
|Ιδιαίτερα χρήσιμη για άτομα που λαμβάνουν Βικαλουταμίδη - Bicalutamide
|}


== Transfem ==
Τα πιο σημαντικά επίπεδα για καταμέτρηση είναι Τεστοστερόνη (T) και Οιστραδιόλη (E2).
{| class="wikitable"
|+
!Εξέταση
!Αποδεκτές Τιμές
!Σημειώσεις
|-
|Estradiol - Οιστραδιόλη (E2)
|100-200 pg/mL ή 450-700 pmol/L αν λαμβάνονται [[HRT#Anti-androgens and GNRH Agonists|αντιανδρογόνα]]
>300 pg/mL ή >1100 pmol/L σε [[HRT#Μονοθεραπεία|μονοθεραπεία]]
|Για [[HRT#Μονοθεραπεία|μονοθεραπεία]] οι αποδεκτές τιμές εξαρτώνται από το αν έχει επιτευχθεί σωστή καταστολή της τεστοστερόνης. Οι τιμές είναι ενδικτεικές και μπορούν να διαφέρουν κατά πολύ από άτομο σε άτομο.
|-
|Testosterone - Τεστοστερόνη (T)
|15-50 ng/dL
|
|-
|Dihydrotestosterone - Διυδροτεστοστερόνη (DHT)
|<10 ng/dL
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers. Η DHT μπορεί να προκαλέσει ανδροποίηση ακόμη και αν η τεστοστερόνη είναι μέσα στις αποδεκτές τιμές. TODO: Write available actions when DHT is high.
|-
|Prolactine - Προλακτίνη (PRL)
|2-29 ng/mL (TODO: Check if higher levels are acceptable)
|Σημαντική εξέταση αν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|κυπροτερόνη]] για την πρόληψη [[wikipedia:Prolactinoma|προλακτινώματος]].
|-
|Progesterone - Προγεστερόνη (P4)
|5-10 ng/mL
|Αν δεν χορηγείται [[HRT#Αντιανδρογόνα και GNRH ανταγωνιστές|προγεστερόνη]] η εξέταση δεν είναι σημαντική.
|-
|Sex Hormone Binding Globulin - Φυλοσύνδετη Σφαιρίνη ή Δεσμευτική Σφαιρίνη των Ορμονών του Φύλου (SHBG)
|14.60-110 nmol/L
|Επιρρεάζει την ελεύθερη οιστραδιόλη. Χαμηλότερα επίπεδα SHBG αυξάνουν την ελεύθερη οιστραδιόλη.<ref name=":0">https://www.sciencedirect.com/science/article/abs/pii/S0039128X14001986</ref>
|-
|Thyroid Stimulating Hormone - Θυρεοειδοτρόπος Ορμόνη (TSH)
|0.27-5 μIU/mL
|Σημαντική εξέταση αν υπάρχει ιστορικό στην οικογένεια για θέματα με τον θυροειδή. Άτομα με θυληκές ορμόνες έχουν παραπάνω πιθανότητες να τα αναπτύξουν.
|-
|Free Estradiol - Ελεύθερη Οιστραδιόλη
|>1,5% της Ε2
|Η διαθέσιμη οιστραδιόλη για να δεσμευτεί από τους υποδοχείς (προκαλεί τη θυληκοποίηση). Η SHBG και η τεστοστερόνη επιρρεάζουν την τιμή. Μπορεί και να υπολογιστεί με μαθηματικό τύπο.<ref name=":0" /><ref>https://aacrjournals.org/cebp/article/11/10/1065/166164/Validity-of-Free-Testosterone-and-Free-Estradiol</ref>
|-
|Estrone - Οιστρόνη (E1)
|Το 1/3 της Ε2
|Οι αποδεκτές τιμές είναι ισχυρισμός του Dr. Will Powers και σύμφωνα με αυτόν η σωστή αναλογία συμβάλει στην ανάπτυξη στήθους για ορισμένα άτομα. TODO: Find which cases.
|-
|Follicle-Stimulating Hormone - Θυλακιοτρόπος Ορμόνη (FSH)
|TODO
|TODO
|-
|Luteinizing Hormone - Ωχρινοτρόπος Ορμόνη (LH)
|TODO
|TODO
|-
|Dehydroepiandrosterone - Δεϋδροεπιανδροστερόνη (DHEA)
|TODO
|TODO: Find the case which this blood test is relevant.
|}

== Transmasc == 


== Πηγές ==
<references />
</translate>

Legal

2025-04-11T17:41:44Z

Goblinmoder:

{{#seo:
|title=Legal
|title_mode=replace
|description=Bureaucracy my beloved
}}'''Ο νόμος που θα επικαλείστε είναι ο ν. 4491/2017 . Θα παροτρύναμε κάθε ενδιαφερόμενο άτομο να τον ξεφυλλίσει έστω και μία φορά, γιατί θα είναι χρήσιμο. Παρακάτω, δίνεται σύνδεσμος που σας ανακατευθύνει σε μία σελίδα με τα περιεχόμενα του νόμου.'''

https://www.kodiko.gr/nomothesia/document/304143/nomos-4491-2017

Σύμφωνα με τον ν. 4491/2017 δικαίωμα στην νομική αλλαγή στοιχείων έχουν '''όλα τα έλληνα πολιτά''' που:

* Δεν τους στερείται δικαιοπρακτική ικανότητα
* Είναι δεκαεφτά (17) ετών και άνω την ημέρα της κατάθεσης της δήλωσης

Σε περίπτωση που δεν είναι δεκαεφτά (17) και άνω το άτομο, δίνεται και πάλι ικανότητα διόρθωσης στοιχείων για το αιτούν πρόσωπο σε περίπτωση που είναι '''τουλάχιστον δεκαπέντε (15) ετών ηλικιακά την ημέρα της κατάθεσης''' και '''υπάρχει θετική γνωμάτευση διεπιστημονικής Επιτροπής''' που συστήνεται με κοινή απόφαση των Υπουργών Δικαιοσύνης, Διαφάνειας και Ανθρωπίνων Δικαιωμάτων και Υγείας για δύο (2) έτη, στην οποία μετέχουν:

# ένας παιδοψυχίατρος,
# ένας ψυχίατρος,
# ένας ενδοκρινολόγος,
# ένας παιδοχειρούργος,
# ένας ψυχολόγος,
# ένας κοινωνικός λειτουργός και
# ένας παιδίατρος, ως Πρόεδρος, άπαντες με εξειδίκευση στο συγκεκριμένο ζήτημα.

Επίσης, πλέον με την υπογραφή του νομοσχεδίου για την ισότητα στον γάμο ομόφυλων ζευγαριών διαγράφεται η 3η προϋπόθεση του άρθρου 3 του ν. 4491/2017 :

* "'''3'''. Προϋπόθεση για τη διόρθωση του καταχωρισμένου φύλου είναι το πρόσωπο που αιτείται τη διόρθωση να μην είναι έγγαμο."

, '''καθώς πλέον αναγνωρίζονται οι ομοφυλόφιλοι γάμοι'''.

'''Πλέον τα Ειρηνοδικεία δεν αναλαμβάνουν τις δίκες Ν4491/2017 . Αναφερόμαστε μόνο σε πρωτοδικεία.'''

Μέσω δικαστικού εκπροσώπου (κοινώς: δικηγόρου) γίνεται κατάθεση αιτήματος στο πρωτοδικείο και λαμβάνετε δικάσιμη ημέρα, που συνήθως είναι 2-4 μήνες μετά την ημέρα υποβολής του αιτήματος (βέβαια στο παρελθόν έχουμε δει και αρκετά μεγαλύτερες καθυστερήσεις). Στην δίκη επιτρέπεται να έχετε "μάρτυρα/ες" που μπορεί να είναι όποιο/όποια επιθυμείτε. '''Δεν υπάρχει (βάσει ν. 4491/2017) καμία υποχρέωση για ιατρική φυλομετάβαση''' (όπως εγχειρήσεις, ορμονοθεραπεία, κ.ά), καθώς και καμία υποχρέωση για γνωμάτευση ψυχιάτρου, παρόλο που πολλά τρανς άτομα επιλέγουν να παρουσιαστούν στην δίκη με γνωματεύσεις ψυχιάτρων.

Σύμφωνα με τον ν. 4491/2017 η δίκη θα γίνει με απόρρητο, δηλαδή ανεξαρτήτως τι αριθμός σειράς δοθεί στην δίκη, θα γίνει τελευταία και αυστηρώς χωρίς ακροατήριο.

Αφού τελειώσει η δίκη, το πρωτοδικείο έχει έως και 6 μήνες να βγάλει απόφαση. Μετά την δημοσίευση της απόφασης, υπάρχει μία περίοδος, συνήθως όχι μεγαλύτερη των 2 μηνών για τελεσιδικία. Αφού τελειώσει και αυτή η περίοδος και λάβετε όλα τα έγγραφα μπορείτε και από την επόμενη μέρα να ξεκινήσετε την νομική αλλαγή των στοιχείων σας και του καταχωρημένου φύλου σας.

'''Βάσει του ν. 4491/2017 άρθρο 4 παράγραφος 3 είναι επίσης ΠΑΡΑΝΟΜΟ για οποιαδήποτε δημόσια υπηρεσία/φορέα να κρατάει ιστορικό της μεταβολής ή αναγραφές ("πρωτότυπα") των παλιών σας στοιχείων.'''

Το "έγγραφο τελεσιδικίας" στο οποίο αναφερόμαστε, αναφέρεται πολλές φορές και ως '''έκθεση επίδοσης'''.

'''Επειδή τα επόμενα βήματα είναι αρκετά, θα τα σπάσουμε σε κατηγορίες με σειρά.'''

=== '''<big>Ληξιαρχείο</big>''' ===
Πρώτη δράση σας μετά την τελεσιδικία θα έπρεπε να είναι να πάτε στο Ληξιαρχείου που '''είναι δηλωμένη η γέννηση σας'''. Δεν χρειάζεται κάποιο ραντεβού, μπορείτε να παρουσιαστείτε οποιαδήποτε στιγμή εντός των ωρών λειτουργίας του Ληξιαρχείου. Το Ληξιαρχείο, με την απόφαση και το έγγραφο τελεσιδικίας αλλάζει βάσει του νόμου ν. 4491/2017 στον τόμο την εγγραφή της γέννησης σας.

Τα στοιχεία ΟΛΩΝ των μελών (π.χ γονέων, αιτούντων) θα παραμείνουν τα ίδια, μόνο τα δικά σας στοιχεία θα αλλάξουν (συγκεκριμένα: όνομα, επώνυμο, φύλο).

Το Ληξιαρχείο είναι υποχρεωμένο να αλλάξει την αρχική έγγραφη στον τόμο του και να μην κρατήσει κανένα ιστορικό της μεταβολής ή "πρωτότυπο" αλλά αυτό είναι θέμα συζήτησης καθώς υπάρχει μεγάλη υποψία από την κοινότητα πως, πράγματι, κρατάνε "πρωτότυπα".

Σε περίπτωση που διελεύσει διάστημα μεγαλύτερο των 30 ημερών μεταξύ της ημερομηνίας τελεσιδικίας και αίτησης στο Ληξιαρχείο, τότε χρειάζεται να πληρώσετε ένα πρόστιμο ύψους 30.00€ μέσω παράβολου (κωδικός: [ 3828 ] Εκπρόθεσμη δήλωση γέννησης, γάμου, μεταβολής αστικής κατάστασης (πέραν της 10ημερης/ 40ήμερης /30ημερης προθεσμίας).

=== '''<big>Δήμος / Δημοτολόγιο</big>''' ===
Δεύτερη δράση σας θα ήταν να ενημερώσετε την καρτέλα σας στον δήμο. Έως και 72 ώρες μετά την μεταβολή στο Ληξιαρχείο, το εκάστοτε Ληξιαρχείο είναι υπόχρεο να ενημερώσει τον δήμο στον οποίο ανήκετε για την μεταβολή των στοιχείων ώστε να αλλάξει η εγγραφή σας στο δημοτολόγιο αυτόματα, αν θέλετε (και είναι κάτι που προτείνουμε) μπορείτε να πάτε δια ζώσης να ρωτήσετε για την διαδικασία της μεταβολής. Ανεξαρτήτως, κάποια στιγμή θα χρειαστεί να παρευρεθείτε φυσικά στον δήμο για να κρατήσουν αντίγραφο σας για την συναίνεση μεταβολής και να σας δώσουν την Δημαρχιακή Απόφαση (που δεν εκδίδεται πουθενά διαδικτυακά) την οποία μπορείτε να χρησιμοποιήσετε για διαφόρους λόγους, όπως για την ταυτοποίηση σας με παλαιότερα στοιχεία σε σπάνιες περιπτώσεις που δεν υφίσταται η μεταβολή, για παράδειγμα σε έγγραφα όπως το "Πιστοποιητικό Εγγυτέρων Συγγενών".

Το δημαρχείο και πάλι, δεν υφίσταται να κρατάει ιστορικό σας. Επίσης, πλέον δεν λειτουργούν τα μητρώα αρρένων στα δημοτολόγια. Οπότε δεν χρειάζεται να αιτηθείτε την απεγγραφή/εγγραφή σας, αλλά μπορείτε (και δικαιούστε) να ζητήσετε την διαγραφή της παλιάς σας εγγραφής που έχουν κρατήσει στο αρχείο.

=== '''<big>Αστυνομία / Έκδοση νέας ταυτότητας</big>''' ===
Για την έκδοση της νέας ταυτότητας '''πρέπει''' να έχει γίνει η ενημέρωση στο δημοτολόγιο.

Μπορείτε να κλείσετε κανονικά ραντεβού στο τμήμα ταυτοτήτων ενός αστυνομικού τμήματος, αλλά ειδικά αυτήν την περίοδο με τον όχλο ατόμων που επιδιώκει την έκδοση της νέας ταυτότητας θα ήταν σοφό να μην κλείσετε κανονικό ραντεβού και να πάτε δια ζώσης με την απόφαση και το έγγραφο τελεσιδικίας στο αστυνομικό τμήμα και να αιτηθείτε να σας δώσουν έκτακτο ραντεβού. Δικαιούστε έκτακτο ραντεβού καθώς δεν είναι μόνο για κλοπές/απώλειες εγγράφων αλλά και για μεταβολές στοιχείων. Έτσι μπορείτε να γλιτώσετε πολύ χρόνο αναμονής μέσω κάτι που δικαιούστε.

'''Αφού εκδοθεί η νέα ταυτότητα ξεκινάει πάνω κάτω η μεταβολή στα πάντα, από εδώ και πέρα δεν υπάρχει κάποια "σωστή" σειρά με την οποία μπορούν να γίνουν οι μεταβολές, με εξαίρεση τον ΕΦΚΑ.'''

=== '''<big>GOV.GR / ΑΑΔΕ</big>''' ===
Για την μεταβολή φυσικών στοιχείων (και για να γίνουν πάλι λειτουργικές οι υπηρεσίες που απαιτούν ταυτοποίηση μέσω taxisnet - ΑΑΔΕ, γιατί από την περίοδο μεταβολής στο Ληξιαρχείο και στο Δημοτολόγιο λόγω της ασυμφωνίας με τον ΑΑΔΕ δεν λειτουργούν) θα χρειαστεί να μπείτε με τους κωδικούς taxisnet στα αιτήματα του myaade (https://www1.aade.gr/saadekef/eticketaade) και να υποβάλετε αίτημα στον ΔΟΥ σας. Η κατηγορία του αιτήματος θα πρέπει να είναι "'''Μεταβολές στοιχείων φυσικού προσώπου πλην δήλωσης θανάτου και κληρονόμων."''' . Μπορείτε να αναγράψετε ό,τι πιστεύετε εσείς στο κείμενο, αλλά στα επισυναπτόμενα αρχεία '''πρέπει''' να επισυνάψετε:

* Συμπληρωμένη αίτηση Δ210, το έγγραφο μπορείτε να κατεβάσετε και να το συμπληρώσετε εδώ: (https://www.aade.gr/sites/default/files/2021-09/D210.pdf)

* και την νέα σας αστυνομική ταυτότητα.

Μετά την πραγματοποίηση της μεταβολής, πλέον σε όλες τις εφαρμογές που σας ταυτοποιούν μέσω ΑΑΔΕ - taxisnet θα εμφανίζονται καταχωρημένα τα νέα σας στοιχεία.

Το πρόβλημα με τον ΑΑΔΕ είναι πως επιμένει στην παρακράτηση ιστορικού μεταβολής του ονόματος και του επιθέτου σας, κάτι που δεν θα έπρεπε να συμβαίνει καθώς δεν αλλάζει ο ΑΦΜ σας, αλλά δεν έχουμε καταφέρει να βρούμε άκρη ακόμα. Επίσης, ενδεχομένως μερικές εφαρμογές που χρησιμοποιούν το παλιό σύστημα του ΑΑΔΕ και οι σελίδες με τις οφειλές και τις επιστροφές να αναγράφουν ακόμα τα παλιά σας στοιχεία, όμως καμία αίτηση και κανένα νομικό έγγραφο δεν θα τα αναγράφει, είναι πιθανώς απλά ένα τεχνικό πρόβλημα του ΑΑΔΕ προς διερεύνηση.

=== '''<big>ΕΦΚΑ - ΑΜΚΑ</big>''' ===
Όπως μπορεί να γνωρίζετε, ο ΑΜΚΑ σαν αριθμός δεν μεταβάλλεται. Μεταβάλλονται όμως τα στοιχεία σας στον ΕΡΓΑΝΗ και τα σχετιζόμενα στοιχεία του ΑΜΚΑ (δηλαδή τα στοιχεία του φυσικού προσώπου στον οποίον ανήκει ο αριθμός).

Για την μεταβολή του ΕΦΚΑ πρέπει να έχει πραγματοποιηθεί:

* Μεταβολή στοιχείων στο Ληξιαρχείο
* Έκδοση νέας Α.Τ (αστυνομικής ταυτότητας)

* Επιτυχής μεταβολή στον ΑΑΔΕ

Για να γίνει η μεταβολή, μπορείτε να κλείσετε ραντεβού τηλεφωνικώς μέσω του αριθμού: 1555 (χωρίς χρέωση) στο τμήμα μητρώων του ΕΦΚΑ στον οποίο ανήκετε (δεν ξέρετε σε ποιον ΕΦΚΑ ανήκετε; Μπορείτε να το βρείτε εδώ: https://www.efka.gov.gr/mathepouanikeis.php ).

Ο ΕΦΚΑ είναι κατά μεγάλης αποστάσεως η υπηρεσία με τους περισσότερους ανειδίκευτους υπαλλήλους που θα συναντήσετε σε όλη την διαδικασία, και επειδή κατά μία μεγάλη πιθανότητα θα γίνει λάθος από το υπάλληλο αν δεν εμπλακείτε και εσείς, ας ξεκαθαρίσουμε μερικά πράγματα για την '''βεβαίωση απογραφής''' και τον '''ΑΜΚΑ'''.

Τα δύο έγγραφα έχουν την εξής μορφή - ανεξαιρέτως αν μιλάμε για cis ή τρανς/genderqueer/gender non typical πολιτά.
[[File:Απογραφή ΕΦΚΑ.png|left|thumb|Βεβαίωση Απογραφής ΕΦΚΑ - 2024 από eServices]]

[[File:ΑΜΚΑ.png|left|thumb|Ασφαλιστική Ικανότητα από ΑΤΛΑΣ - 2024 όπου αναγράφονται αναλυτικά τα στοιχεία του ΑΜΚΑ σας.]]

Όπως μπορείτε να δείτε, '''υπάρχουν οι στήλες "επώνυμο γέννησης" και "επώνυμο σημερινό'''". '''Αυτές οι στήλες δεν υπάρχουν μόνο στα άτομα που έχουν ζητήσει μεταβολή στοιχείων μέσω του ν. 4491/2017 αλλά σε κάθε Έλληνα πολίτη'''. '''ΟΜΩΣ''' αυτές οι στήλες "χρησιμοποιούνται" '''ΜΟΝΟ''' σε περιπτώσεις που ένα άτομο έχει κάνει μεταβολή επιθέτου '''ΕΚΤΟΣ''' του ν. 4491/2017 και άλλων σχετικών νομοσχεδίων που ενδεχομένως να καθίστανται ανυπόστατη η διάκριση αυτών των δύο.

Δηλαδή, τα επίθετα σε αυτές τις δύο στήλες θα έπρεπε να διαφέρουν μόνο σε περιπτώσεις που αλλάζετε το επίθετο σας στο επίθετο του συζύγου σας και σε λοιπές παρόμοιες περιπτώσεις - σε καμία περίπτωση δεν επιτρέπεται να διαφέρουν σε περίπτωση μεταβολής στοιχείων λόγω αλλαγής καταχώρισης φύλου. '''Για τα άτομα που ζητούν μεταβολή στοιχείων λόγω διόρθωσης καταχώρισης φύλου, θα έπρεπε να είναι σαν τους υπόλοιπους πολίτες, ΔΗΛΑΔΗ ΙΔΙΕΣ. Σε πολλές περιπτώσεις, λόγω ανικανότητας των υπαλλήλων, κρατάν ως επώνυμο γέννησης το παλιό σας επίθετο, και ως σημερινό σας επίθετο το καινούργιο σας από την δικαστική απόφαση. Το οποίο όχι μόνο είναι άκρως παράνομο, αλλά και ανεπιθύμητο.'''

Ο ΑΜΚΑ παλαιότερα ενημερωνόταν μέσω ΚΕΠ. Πλέον, λόγω προσπάθειας αποκεντροποίησης, η μεταβολή πραγματοποιείται στον ΕΦΚΑ.

=== <big>'''Διπλώματα Οδήγησης'''</big> ===
Πρέπει να πάμε στο Υπουργείο Μεταφορών με τα εξής έγγραφα:

* Δικαστική απόφαση και έγγραφο τελεσιδικίας (έκθεση επίδοσης)
* Νέα ταυτότητα
* Παλιό/α δίπλωμα/τα
* 2 (δύο) φωτογραφίες τύπου διπλώματος/διαβατηρίου

'''Εκεί κάνουμε αίτηση για έκδοση νέου διπλώματος και περιμένουμε να μας δώσουν μία προσωρινή βεβαίωση που αντικαθιστά το δίπλωμα μας μέχρι να εκδοθεί το καινούριο.'''

=== <big>'''Τράπεζες'''</big> ===
Μετά την ενημέρωση του ΑΑΔΕ, μπορούμε να αιτηθούμε ψηφιακά σε ελληνικές και ξένες τράπεζες (όπως Πειραιώς, εθνική, κ.α) την επικαιροποίηση στοιχείων μέσω των διαπιστευτηρίων του ΑΑΔΕ (gov.gr login). Μερικές φορές μπορεί να μας ζητηθεί να ανεβάσουμε ως έγγραφο την νέα μας ταυτότητα.

=== <big>'''Στρατολογία'''</big> ===
Το μητρώο αρρένων δεν λειτουργεί πλέον στο Δημοτολόγιο καθώς δεν υφίσταται. Για την απεγγραφή/εγγραφή στην στρατολογία, απαιτείται η αλλαγή στοιχείων στον ΑΑΔΕ και ...............................................................

Υπάρχει και η επιλογή για Ι5 - Αποβολή αλλά ειδικά στις θυληκότητες, δεν υπάρχει κάποιος λόγος για αποβολή καθώς μπορεί να γίνει διαγραφή.

=== '''<big>Καρτέλες Μαθητών/Σπουδαστών και Απολυτήρια</big>''' ===
Με την αλλαγή της αστυνομικής σας ταυτότητας δύναται πλέον να αλλάξετε τις εγγραφές σας στις καρτέλες σας στο εκπαιδευτικό ίδρυμα που είστε εγγεγραμμένο μέσω της γραμματείας. Σε περίπτωση που έχετε αποφοιτήσει από εκπαιδευτικά ιδρύματα και ενδιαφέρεστε να αλλάξετε τα αναγραφόμενα στοιχεία (π.χ αν ενδιαφέρεστε για ερευνητικές θέσεις, σπουδές στο εξωτερικό, κλπ.) τότε θα πρέπει να αναφερθείτε στο ίδρυμα από το οποίο αποφοιτήσατε.

Πολλά άτομα επιλέγουν να μην αλλάξουν τα αναγραφόμενα στοιχεία τους από την Πρωτοβάθμια και την Δευτεροβάθμια εκπαίδευση καθώς η ανάδειξη αυτών των απολυτηρίων είναι σπάνια και ο μπελάς για την αλλαγή τους μεγάλος.

Σε αντίθεση, για απολυτήρια τριτοβάθμιας εκπαίδευσης (ή για εγγεγραμμένο φοιτητό) η ανάγκη μπορεί να είναι μεγάλη. Κάθε τμήμα λειτουργεί διαφορετικά. Ανεξαρτήτως όμως, θα έπρεπε να αναφερθείτε στην γραμματεία και να παρουσιαστείτε με τα εξής έγγραφα (καλού κακού):

* Δικαστική απόφαση και έγγραφο τελεσιδικίας
* Νέα αστυνομική ταυτότητα
* Παλιά φοιτητική ταυτότητα (πάσο)

Σε περίπτωση που έχετε ήδη αποφοιτήσει από ίδρυμα Τριτοβάθμιας εκπαίδευσης και έχετε χρησιμοποιήσει την ειδικότητα σας για να γραφτείτε σε κάποιο οργανισμό (π.χ ΤΕΕ) τότε τα πράγματα ζορίζουνε αν θέλετε να επικαιροποιήσετε τα στοιχεία σας.

==== '''ΤΕΕ και λοιπά τεχνικά σωματεία που απαιτούν πιστοποιητικά τριτοβάθμιας εκπαίδευσης''' ====
Έχει έρθει στην προσοχή της ΛΟΑΤΚΙ κοινότητας πως .............................

=== '''<big>Λοιπές Υπηρεσίες</big>''' ===
Με την έκδοση της νέας σας αστυνομικής ταυτότητας δύναται πλέον να αλλάξετε τα στοιχεία σας και τις εγγραφές σας από όλες τις υπηρεσίες στις οποίες είστε εγγεγραμμένο, όπως γυμναστήρια, πανεπιστήμια (μέσω της γραμματείας - κάθε σχολή διαφέρει), κ.α. Κανένα δεν μπορεί να σας στερηθεί το δικαίωμα της επικαιροποίησης των στοιχείων, αν κάπου σας πουν "δεν γίνεται" τότε κατά 99.9% δεν ξέρουν τι λένε.

HRT

2025-04-11T17:22:58Z

Goblinmoder:

{{#seo:
|title_mode=replace
|title=HRT
|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top
}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''galinos.gr''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/Week
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [https://en.wikipedia.org/wiki/Biological_half-life half-life], a higher dosage can be administered that can last up to 20-30 days.
* [https://en.wikipedia.org/wiki/Intramuscular_injection IM injections] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}
== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

HRT

2025-04-11T17:11:30Z

Goblinmoder:

{{#seo:|title=HRT}}
{{#seo:|description=We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is fox@diyon.top}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''galinos.gr''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/Week
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [https://en.wikipedia.org/wiki/Biological_half-life half-life], a higher dosage can be administered that can last up to 20-30 days.
* [https://en.wikipedia.org/wiki/Intramuscular_injection IM injections] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}
== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

Main Page

2025-04-11T17:02:16Z

Goblinmoder:

{{#seo:|title=Main Page}}
{{#seo:|description=A general purpose greek-based, unbiased, trans wiki for everyone.}}

<languages/>
<translate>

Out with the old and in with the new, the wiki is alive again.

==== Page Catalog: ==== 


* [[HRT]]
* [[Quick Guide]]
* [[Doctors]]
* [https://diyon.top/map Pharmacies]
* [[Customs]]
* [[Blood Testing|Blood tests]]
* [[Legal]]
* [[Army]]
* [[Donate]]
* [[About]]


Please don't share this site with cis people unless they are questioning. If you want to get involved, or for site feedback, questions, or to report positive/negative experiences with doctors/shops/etc, contact us at '''fox@diyon.top'''
</translate>

HRT

2025-04-11T16:59:34Z

Goblinmoder: testing titles

{{#seo:|title=HRT}}

<languages/>
<translate>

After around a month on HRT some of your ranges in your [[Blood Testing|blood test]] should be within desired ranges.

Pricemaps are there to evaluate prices through '''galinos.gr''' (in case something is outdated, look for the green line that says "Λιανική")

We are open to discussion and actively on-going changes in formatting and contents of this Page and Website (in general). The e-mail address to refer to is '''fox@diyon.top'''


== Transfem ==
Taking Puberty Blockers ([[HRT#Antiandrogens and GNRH Agonists|GNRH Agonists]], e.g: Arvekap) or any Anti Androgen (e.g: Aldactone, Androcur) '''without [[HRT#Estrogens|Estrogens]]''' is generally discouraged even during youth transitioning (This is '''non-definitive''' for Enby folks)


=== Monotherapy ===
{| class="wikitable"
|+
!Type
!Commercial Names
!Dosage
!Notes
|-
|
====== Sublingual (E Valerate or Hemihydrate) ======
|Cyclacur (EV), Estrofem (EH, imported), Trisequens (12 pills 2mg EH, 10 pills norgestrel, 6 pills 1mg EH)
|>=8-12mg/day
|While it is possible, even with a smaller dosage ('''at least 6mg'''), it's not that common. Ideally, use your blood tests to '''minmax''' your doses.
|-
|
====== Injectable Estradiol Valerate (EV) ======
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable), [[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|5-7mg/5 days
|
* Due to the large spikes in levels combined with the short [https://en.wikipedia.org/wiki/Biological_half-life half-life] it is not recommended for dosages to surpass the 5 day mark because it may cause menopause symptoms.
* Branded versions of this medication are not available in greece.
* The ampules contain a certain mg and do not allow for larger dosages, they are not re-usable. It is recommended to use a vial with a cap.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Enanthate (EEn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|4-7mg/Week
7-10mg/10 days (7.2mg usually, depending on the vial, it's optimal because drawing cents of mL are hard to get right)
|
* You can multiply the weekly dosage by 2, which lasts up to 14 days (as much as the [https://en.wikipedia.org/wiki/Biological_half-life half-life] of Enanthate)
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|-
|
====== Injectable Estradiol Undecylate (EU/EUn) ======
|[[File:What-excuse-me.gif|thumb|[[HRT#Other resources|my honest reaction]]]]
|There's not enough information on dosage. The frequency of those may differ according to the oil used (MCT/Castor oil). Indicative Dosages:
15-20mg/2 weeks


20-40mg+/4 weeks
|
* There's not enough information on its [https://en.wikipedia.org/wiki/Biological_half-life half-life], a higher dosage can be administered that can last up to 20-30 days.
* [https://en.wikipedia.org/wiki/Intramuscular_injection IM injections] last longer so they give better levels during the same period of time per injection.
* Needs at least 90 days to reach stable levels.
* Look for '''[https://arc-w.nihr.ac.uk/Wordpress/wp-content/uploads/2015/07/Low-dead-space-syringes.png syringe dead space](*)''', e.g. if there's '''0.05mL''' remaining after injecting, draw '''+0.05mL''' from the vial.
|}
'''*''' = It has been mentioned that syringes account for dead space, although that is not 100% certain.


=== Sublingual vs Oral ===
{| class="wikitable"
|+
!Method
!Substance
!Dosage
!Observations
|-
|
====== Oral ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=6mg/day
(max 10mg as per Dr. Powers)
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. By the oral route the active substance is metabolized by the liver and part of it is converted to estrone (E1), which has much less feminizing effects than estradiol (E2) so the desired effect is essentially prevented. The bioavailability of estradiol by oral administration is very low (~5%) and usually lower levels of E2 are observed in blood tests than other methods of administration. [anecdotal apo to server, wikipedia kai tttt - correct/expand?] It is also necessary to administer anti-androgens to reduce testosterone levels to the female range.
|-
|
====== Sublingual ======
|Estradiol Valerate in pill form (e.g. Cyclacur)
|>=4mg/day
|It is recommended that doses are taken separately on set time intervals during the day for more stable estradiol levels, e.g. for a 6mg dose you would take 2mg per 8 hours. The sublingual way bypasses estradiol metabolism by the liver and has about 5 times the estradiol bioavailability of the oral way. This way, estradiol levels have greater range than orally (higher peak lower bottom), in oral they remain higher for ~12 hours while sublingually they go away after 3-4 hours [idk if honscience the study is from 2005 on cis women]
|}

=== Vial info === 


=== Medications ===
For cyclacur: '''take only the white pills, the brown pills are Norgestrel which have 0.5mg of estradiol but has an androgenic effect and may also cause other side effects'''.


==== Estrogens ====
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Cyclacur Cyclacur] ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|2.01€ for 11 pills ([https://www.galinos.gr/service/drugs/drawPackagePrice/1198 Pricemap])
~130.8-328.€/year


~10.9-27.4€/month


Prices are indicative, the cost depends on the dosage.
| -
|6mg-10mg/day (according to Dr. Will Powers)
4mg-8mg/day (according to Greek Endocrinologists)
|A
|
* '''Only white pills are used.''' Brown pills do have a bit of estradiol but arent taken due to other side effects.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Progynova ======
|Estradiol Valerate (EV)
|Pill tablet
|Orally or sublingually
|~22€ for 72 pills of 1 mg or ~32€ for 72 pills of 2 mg
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
|-
|
====== Estrofem, Estrifam (german brand name), [https://www.galinos.gr/web/drugs/main/drugs/trisequens Trisequens] ======
|Estradiol Hemihydrate
|Pill tablet
|Orally or sublingually
|~30€ for 28 pills of 2 mg without shipping costs.
Prices are indicative, the cost depends on the dosage.
| -
|4mg-8mg/day
|A
|
* There is no reason to use it in Greece since Cyclacur is available in Greek pharmacies.
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* Trisequens, while being available in Greece, is odd to take with 12 pills being 2mg EH, 10 norgestrel, and 6 1mg EH, for a much higher price than [[HRT#Cyclacur|Cyclacur]].
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Dermestril Dermestril] ======
|Estradiol Hemihydrate
|Patch
|Trans-dermally
|44€ for 24 patches of 100mcg
~15€ for 8 patches of 50mcg
| -
|50mcg/3.5 days (when starting off)
100mcg/3.5 days (whenever your e2 levels are stable)
|A
|
* '''If you have no idea how to apply patches watch this:''' [https://youtu.be/tXGIYWPqdpI?si=O0dlE19pq0ic0PZP Demonstrational Video]
* You need antiandrogens or GNRH antagonists if you haven't had an orchiectomy.
* 100mcg patches can be cut into 2 if needed.
|-
|Neofollin (can be ordered from pharmacies near Czechia, not tested in Greece), Delestrogen (Vial, unavailable), Progynon Depot (Ampules, unavailable)
|
====== Estradiol Valerate (EV) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|5-7mg/5 days (monotherapy)
4-5mg/7 days (only in combination with an antiandrogen or GNRH agonist)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Enanthate (EEn) ======
|Injectable
|Subcutaneous or Intramuscular
|80€/year (including shipping costs, syringes and alcohol swabs)
| -
|2.5mg-7mg/7 days
(usual dosage: 4mg/7days)
|A+
|
* It can be used without antiandrogens or GNRH agonists in ([[HRT#Μονοθεραπεία|Monotherapy]]) by increasing the dosage.
|-
| -
|
====== Estradiol Undecylate (EU, EUn) ======
|Injectable
|Subcutaneous or Intramuscular
|130€/year (including shipping costs, syringes and alcohol swabs)
| -
|15-20mg/2 weeks
20-40mg+/4 weeks
|A+
|
* There's not much info on dosages, usually seen in [[HRT#Μονοθεραπεία|monotherapy]].
|}


==== Anti-Androgens and GNRH Agonists ====
These should '''not''' be taken sublingually.
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Androcur Androcur] ======
|Cyproterone Acetate (CPA) is also referred to as cypro
|21.58€/50mg * 50 pills
19.7-31.5€/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/8023 Pricemap])
|?
|12.5mg/2 days- 10mg/day
'''Larger doses shouldn't be administered'''
|C
|Pill tablet
|Progestin (Steroidal antiandrogen)
Stops testosterone production.
|The max recommended dosage is 10mg/day . Monitoring of prolactin levels is recommended through [[Blood Testing#MTF|blood testing]].
'''Many doctors give overdoses of 50 mg/day. Cyproterone is a strong anti-androgen and testosterone suppression is possible with lower doses. A change of doctor is recommended.'''


[[wikipedia:Side_effects_of_cyproterone_acetate|Side Effects]]:


* Benign brain tumor.
* In rare cases, liver damage.
* Vitamin B12 deficiency.
* Breast cancer.


Testosterone suppression can be achieved with even lower doses, however a 50 mg pill is difficult to cut into pieces of less than 12.5 mg even with a pill cutter.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Bicalut Bicalut] ======
|Bicalutamide (aka: bica)
|29.10 euro/30 pills
29.10 euro/month


~350 euro/year

([https://www.galinos.gr/service/drugs/drawPackagePrice/11120 Pricemap])
|6.77 euro/month (28 tabs)
~95 euro/year
|50mg/day
|A-
|Pill/Tablet
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
|'''Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)'''
'''Very rare''' chance for recoverable and non-fatal liver damage for people with a certain rare mutation.


Most of the effects listen in the instruction manual are scaremongering. (it lists a very high chance of liver issues when they are actually very rare, and also lists photosensitivity, which if it even occurs at all, it should be quite rare. We are aware of nobody who had a negative interction between alexandrite laser hair removal and bicalutamide).


Note that bicalutamide, unlike most other anti-androgens, '''does not''' lower testosterone levels, in fact they usually rise as the body responds to testosterone receptors being inhibited. Do not be alarmed if you notice an increase of testosterone in your blood tests.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/utrogestran Utrogestan] ======
|Progesterone (P4) it is also referred to as prog
|6.56 euro/15 caps (200mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/7619 Pricemap])
|?
|200mg daily (rectal administration)
|A
|Capsule
|Stops testosterone production.
|There is not much confirmed information about progesterone.
It can also be taken orally but the absorption rate is very low.


Anecdotal claims:


* Helps with breast development and with feminization in general.
* Can be given after one year of estradiol.
* Suggested to be given after the individual reaches Tanner stage 3.


It can have androgenic or other (non-serious, recoverable) effects for some individuals - in particular it can be converted to DHT by the body even in combination with dutasteride or bicalutamide.
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/aldactone Aldactone] ======
|Spironolactone
|5.19 euro/20 tabs (100mg)
([https://www.galinos.gr/service/drugs/drawPackagePrice/148 Pricemap])
|?
|50mg-200mg/day
|B-C
|Tablet
|Antimineralocorticoid/MCRA
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}


==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
|-
| -
|Finasteride
| -
| -
| -
|F
| -
| -
|Effectiveness is none to medium (Just take Dutasteride - will not stop conversion of Progesterone to DHT)
|}


=== Blood Levels ===

==== Refer to the [[Blood Testing]] page. ====

== Transmasc ==

=== Medications ===

==== Testosterone ====
[https://www.galinos.gr/web/drugs/main/substances/testosterone/marketing Galinos.gr's testosterone availability page]
{| class="wikitable"
|+
!Brand Name(s)
!Substance
!Form
!Method of Administration
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/4929 Norma] ======
|Testosterone Enanthate
|Injection/Ampule
|Subcutaneous or Intramuscular
|17.67€/ampule
([https://www.galinos.gr/service/drugs/drawPackagePrice/4929 Pricemap])
|?
|?
|?
| -
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/21943 Nebido] ======
|Testosterone Undecanoate
|Injection/Vial
|Intramuscular
|100.37€/vial
([https://www.galinos.gr/service/drugs/drawPackagePrice/21943 Pricemap])
|~32.52€/vial (you pay 25%)
|1 vial (1000mg/4mL)/10-20 weeks
|A
|As a starting dose '''after a year of HRT''', you could also consider:

* Instead of injecting one vial per 20 weeks, you do half every 10-12 weeks, however nothing could be sourced to support this. Though logically it could make sense as a practice.
* Do a test at 6 weeks after starting, if T is too high don't take the 2nd dose, if it's not you can take the 2nd and then test 2 weeks before every other dose.
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] ======
|Testogel
|Gel
|Trans-dermally
|'''Starting dose'''

* 35.54€/2 months
* 213.24€/year


'''30 mg dose'''


* 35.54€/40 days
* ~324.30€/year


'''40 mg dose'''


* 35.54€/30 days
* 426.48€/year
([https://www.galinos.gr/service/drugs/drawPackagePrice/15739 Pricemap])
|35.54€ -> 8.89€
|20mg/day (starting dose)
30-40mg/day
|A
|
* 1 pump of Tostran ('''0.5g''') delivers 10 mg of T.
* 2 pumps of Tostran are 1 pump of Testogel (20.25mg of T)
* Can cause skin reactions.
|}

==== GNRH Agonists ====
{| class="wikitable"
|-
!Brand Name(s)
!Substance
! Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/drugs/Arvekap Arvekap] ======
|Triptorelin
| -
|~200/year?
|
|A?
|Injection
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|}

==== Other anti-androgens (optional) ====
These are used to block conversion of other androgens to DHT (which causes hair loss (hair) and body hair growth). They aren't general use Anti-Androgens.
{| class="wikitable"
!Brand Name(s)
!Substance
!Cost
!Cost with Healthcare Coverage
!Dosage
!Safety
!Form
!Type
!Notes
|-
|
====== [https://www.galinos.gr/web/drugs/main/packages/26485 Dastidem], [https://www.galinos.gr/web/drugs/main/packages/25557 Rafuster], [https://www.galinos.gr/web/drugs/main/packages/25893 Duaride], [https://www.galinos.gr/web/drugs/main/packages/25894 Dustezor] ======
|Dutasteride
|7.90€/30 caps
|~6€/30 caps
|0.5mg/day (?/TBD)
|A-
|Capsule
| -
|High effectiveness.
Not to be confused with proper Anti-Androgens.
|}
== Legal ==
It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC), Testosterone can be hit or miss, look for [https://www.galinos.gr/web/drugs/main/packages/15739 Tostran] (Testogel) or [https://www.galinos.gr/web/drugs/main/packages/4929 TEn] (Testosterone Enanthate/Norma, injections).


You can also check the '''[https://diyon.top/map Trans-Friendly Pharmacies Map]''' for any pharmacies near you (this goes for both Transfem and Transmasc HRT).


There is no minimum or maximum legal age for someone to start HRT.


It is not legally mandatory for someone to have a diagnosis by a psychiatrist in order to medically transition.


There is no legally mandatory time restriction for a psychiatrist to monitor you before diagnosing you.


You don't legally need to be on HRT in order to be exempt from the [[army]], change your [[Legal|legal sex]], or to have a [[surgery]].

== Other resources == 


* Simulator: https://www.estrannai.se/
* https://transfemscience.org/ (note, the authors of this site disagree with a lot of what they are saying, regardless, it is still interesting)
** Introduction to Hormone Therapy for Transfeminine People: https://transfemscience.org/articles/transfem-intro/
** Older simulator: https://transfemscience.org/misc/injectable-e2-simulator/
** Dosage calculator: https://transfemscience.org/misc/injectable-dose-vol-conc-conv/
* https://diyhrt.wiki/ (alt link: https://anarch.cc/transfeminine-diy-hrt-the-ultimate-guide-2/)
* https://hrtcafe.net/
* ?? https://hrt.coffee/
* https://www.reddit.com/r/TransDIY/
* https://www.reddit.com/r/TransfemScience/
* https://groups.io/g/MTFHRT/wiki/29602 (alt link: https://anarch.cc/mtf-hrt-ultimate-diy/)
* https://hrt.cat/ - info for making your own (you will probably not need it - version 1.0: https://hrtcafe.net/hrtcat/)
* https://archive.ph/uQb8g (alt link: https://anarch.cc/making-your-own-injections/, as above)
* https://crimethinc.com/2022/12/15/producing-transdermal-estrogen-a-do-it-yourself-guide (alt link: https://anarch.cc/producing-transdermal-estrogen-a-do-it-yourself-guide/, as above)
* https://archive.ph/cpy7k (alt link: https://anarch.cc/homebrewing-hormones-mtf-guide/, as above)
</translate>

Main Page

2025-04-11T16:25:23Z

Goblinmoder:

{{#seo:|description=A general purpose greek-based, unbiased, trans wiki for everyone.}}

<languages/>
<translate>

Out with the old and in with the new, the wiki is alive again.

==== Page Catalog: ==== 


* [[HRT]]
* [[Quick Guide]]
* [[Doctors]]
* [https://diyon.top/map Pharmacies]
* [[Customs]]
* [[Blood Testing|Blood tests]]
* [[Legal]]
* [[Army]]
* [[Donate]]
* [[About]]


Please don't share this site with cis people unless they are questioning. If you want to get involved, or for site feedback, questions, or to report positive/negative experiences with doctors/shops/etc, contact us at '''fox@diyon.top'''
</translate>

Main Page

2025-04-11T16:14:04Z

Goblinmoder:

{{#seo:|description=Come one come all to the Greek info emporium for transing your gender and living to tell the tale ^-^}}

<languages/>
<translate>

Out with the old and in with the new, the wiki is alive again.

==== Page Catalog: ==== 


* [[HRT]]
* [[Quick Guide]]
* [[Doctors]]
* [https://diyon.top/map Pharmacies]
* [[Customs]]
* [[Blood Testing|Blood tests]]
* [[Legal]]
* [[Army]]
* [[Donate]]
* [[About]]


Please don't share this site with cis people unless they are questioning. If you want to get involved, or for site feedback, questions, or to report positive/negative experiences with doctors/shops/etc, contact us at '''fox@diyon.top'''
</translate>