HRT: Difference between revisions

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==== Anti-androgens and GNRH Agonists ====
==== Anti-androgens and GNRH Agonists ====
These should '''not''' be taken sublingually
{| class="wikitable"
{| class="wikitable"
|+
|+
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|-
|-
|Androcur
|Androcur
|Cyproterone acetate (aka: CPA, cypro)
|Cyproterone acetate (aka: CPA, aka: cypro, (Οξεική) Κυπροτερόνη)
|23.10euro/50mg * 50 pills
|23.10euro/50mg * 50 pills
23.10-46.2/year
23.10-46.2/year
|?
|?
|6mg/2days - 12.5mg/day !MAX!
|6mg/2days - 12.5mg/day
<nowiki>!!!HIGHER DOSAGES MAY CAUSE BRAIN TUMORS AND LIVER FAILURE!!!</nowiki>
'''Do not take higher dosages'''
|C
|C
|Pill
|Pill
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Stops testosterone production
Stops testosterone production
|Prolonged use of dosages higher than 12.5mg/day may cause brain tumors.
|Prolonged use of dosages higher than 12.5mg/day may cause brain tumors.
IF YOUR DOCTOR PRESCRIBES YOU 50mg/day SWITCH DOCTORS IMMEDIATELY
'''IF YOUR DOCTOR PRESCRIBES YOU 50mg/day SWITCH DOCTORS IMMEDIATELY'''


Very rare chance for liver damage.
Very rare chance for liver damage.
Note: lower dosages are very much possible, but they are not included because splitting the pill more would be annoying and there isn't a pill smaller than 50mg.
|-
|-
|
|
|Bicalutamide (aka: bica)
|Bicalutamide (aka: bica, Βικαλουταμίδη)
|29.10 euro/30 pills
|29.10 euro/30 pills
29.10/month
29.10/month
~350/year
~350/year
|?
|?
|50mg/day
|50mg/day
|B
|A-
|Pill
|Pill
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
|Androgen receptor antagonist (Nonsteroidal antiandrogen)
Blocks absorption of all androgens (including testosterone)
Blocks absorption of all androgens (including testosterone)
|Serious negative interactions can be noted if combined with other anti-androgens and GNRH agonists (except progesterone)
|'''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.
'''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)
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).
|-
|-
|Progesterone
|
|
|Progesterone (aka: Prog, Προγεστερόνη)
|
|
|
|
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Is supposed to help with feminization (including breast growth)
Is supposed to help with feminization (including breast growth)
|-
|-
|
|Arvekap
|Arvekap
|Triptorelin (Τριπτορελίνη)
| -
| -
|~200/year?
|~200/year?
|
|
|A
|A?
|Injection
|Injection
|GNRH Agonist
|GNRH Agonist
(indirectly) Stops testosterone AND estrogen production
(indirectly) Stops testosterone AND estrogen production
|Also a puberty blocker
|Also a puberty blocker
|-
|Aldactone
|Spironolactone (Σπειρονολακτόνη)
|
|
|50mg-200mg/day
|B-C
|
|
|Very inefficient, makes you pee, it's a medication for blood pressure
|-
|
|Flutamide (Φλουταμίδη)
|
|
|
|F---
|
|
|Only in this table as an example to avoid
|}
|}


Revision as of 12:08, 8 August 2024

Note: after around a month on HRT some of your ranges in your geniki ematos should be in the ranges of the sex you are transitioning into.

If you are a transfem: no, its not anemia

MTF

THERE IS NO GOOD REASON TO TAKE ONLY PUBERTY BLOCKERS (gnrh agonists, eg: arvekap) OR ANY ANTIANDROGEN WITHOUT ESTROGEN (i say this about youth transitioners, not nb ppl)

Monotherapy

Sublingual vs oral

Vial info

Medications

For cyclacur: take only the white pills, the brown pills are Norgestrel which has an androgenic effect and may also cause other side effects.

Estrogen:

Εμπορικό Όνομα Ουσία Κόστος Κόστος με ασφάλιση Δοσολογία Safety Notes
Cyclacur Estradiol 1.69/per 11 pills

~111-277 euro/year (depending on the dosage) ~9.3-23.1 euro/month (depending on the dosage)

- 6mg-10mg/day (per Dr. Will Powers)

4mg-8mg/day (Greek average)

A ONLY THE WHITE PILLS

Needs an anti-androgen or a gnrh agonist if not undergone orchy

Estradiol Enanthate (aka: EEn) 80 euro/year (including transport, syringes, and medical alcohol wipes) A+
Estradiol Undecylate (aka: EU, EUn) 130 euro/year (including transport, syringes, and medical alcohol wipes) A+

Anti-androgens and GNRH Agonists

These should not be taken sublingually

Εμπορικό Όνομα Ουσία Κόστος Κόστος με ασφάλιση Δοσολογία Safety Method Type Notes
Androcur Cyproterone acetate (aka: CPA, aka: cypro, (Οξεική) Κυπροτερόνη) 23.10euro/50mg * 50 pills

23.10-46.2/year

? 6mg/2days - 12.5mg/day

Do not take higher dosages

C Pill Progestin (Steroidal antiandrogen)

Stops testosterone production

Prolonged use of dosages higher than 12.5mg/day may cause brain tumors.

IF YOUR DOCTOR PRESCRIBES YOU 50mg/day SWITCH DOCTORS IMMEDIATELY

Very rare chance for liver damage.

Note: lower dosages are very much possible, but they are not included because splitting the pill more would be annoying and there isn't a pill smaller than 50mg.

Bicalutamide (aka: bica, Βικαλουταμίδη) 29.10 euro/30 pills

29.10/month

~350/year

? 50mg/day A- Pill 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).

Progesterone (aka: Prog, Προγεστερόνη) 200mg daily, rectally A Stops testosterone production Shouldn't be taken until after 1 year on estrogen.

Should never be taken orally.

May have androgenic or other (non-serious, recoverable) effects for some people - specifically it can be converted to DHT by your body. Often combined with dutasteride or bicalutamide as other anti-androgens will not stop it.

Is supposed to help with feminization (including breast growth)

Arvekap Triptorelin (Τριπτορελίνη) - ~200/year? A? Injection GNRH Agonist

(indirectly) Stops testosterone AND estrogen production

Also a puberty blocker
Aldactone Spironolactone (Σπειρονολακτόνη) 50mg-200mg/day B-C Very inefficient, makes you pee, it's a medication for blood pressure
Flutamide (Φλουταμίδη) 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.

Name Effectiveness
Dutasteride High
Finasteride None to Medium (Please just take duta - will not stop conversion of progesterone to DHT)

Blood Levels

PLEASE make sure that you are using the right measures

Careful: biotin can mess with blood tests and make everything seem much higher

Grapefruit fucks everything

Do the test JUST BEFORE your next dosage


E2: - pg/ml

Some doctors claim that it should be 100-200 pg/ml, this is not scientifically supported.

T: <1.5nmol/L (ng/??)

DHT: <10? (High values signify an issue but low values don't signify lack of an issue, DHT is often created inside of tissues and doesn't leak to blood)


If taking Androcur (Cyproterone acetate), also check: Prolactin

If taking either Androcur (Cyproterone acetate) or Bicalutamide, also check: ALT, AST. As an extra if you feel like wasting money: Bilirubin, ???

FTM

Legal

It is legal to buy anything without a diagnosis or a prescription (off the counter - OTC) EXCEPT testosterone

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 sex, or to have a surgery.

Other resources

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