Who is a candidate for gender-affirming hormone therapy?
HRT- How much is it // FTM TRANSGENDER
To receive hormone therapy through our clinic, an adult must:
Slightly different requirements apply to those under the age of 19. Anyone under the age of 19 requires parental or guardian consent and a relationship with a therapist.
How long a person continues hormone therapy
The decision to continue or stop hormones is entirely up to the individual. The physical transition process, in which hormones change the physical characteristics of the body, can take up to five years. After that, many people choose to continue taking hormones to maintain the changes that have already occurred. The goal of hormone therapy is to keep hormones within normal physiological limits. Around the age of 50-60 in healthy people, hormone levels naturally drop and some people are able to stop them or reduce them with a very low dose.
If a person has surgery to remove the testicles, the body will stop producing testosterone. A testosterone blocker would no longer be required, but estrogen would still be required to maintain female characteristics.
When a person has surgery to remove the ovaries, the body stops producing estrogen. However, testosterone would still be required to maintain masculine characteristics.
Information Accuracy and Personnel Risks
In fact, some transgender people often choose to do this because it is the only way to self-prescribe hormones and/or androgen blockers. This article compares recommendations from medical and non-medical sources and explains the conditions that can result from HRT, whether or not the therapy is medically supervised. This information is not provided as, or intended to replace, professional medical care or advice.
I am not a medical doctor. Also note that the glossary at the end of this article is just that: a glossary, not a dictionary. Descriptions of terms in the glossary are intended only to help you interpret their use in this article and are not exhaustive definitions.
Military Cadet Corps
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therapies with estrogen
Estrogen, testosterone blockers, or androgen and progesterone blockers are the broad groups of therapies typically used in estrogen-based GAHT. Each group of drugs can be administered in a variety of doses and routes.
The endocrine society, ÖUniversity of California, San Francisco, It is inWorld Professional Association for Transgender HealthPublished clinical guidelines for medication use in GAHT. Here we look at the different options available and what to expect from each therapy.
How long does hormone replacement therapy last?
Every time you start taking a new prescription, there is a period of time for it to build up in your system. This can last from a few hours to a few days.
Once you reach the optimal level, the type of replacement therapy will determine how long you stay at the maximum level. Granules offer the longest lasting average level, ranging from 3 to 6 months, followed by injections that typically last 1 to 2 weeks. The patches can last a few days and the pills a single day. Creams and gels only last a few hours.
When choosing HRT, consider how often you will need to see a doctor, travel expenses, how often you will need to actually use the treatment, and any deductibles, co-payments, or unexpected insurance expenses. And ask your doctor about the expenses, you will be surprised how much lower they are.
HTCA providers are trained in bioidentical pellet therapy while minimizing additional costs. They appreciate how easy it is to prescribe the pills and how quickly and consistently their patients experience relief.
Although the pellets only have a cash payment option, we believe they are the most convenient and cost-effective treatment method. You can search in ourList of Doctorsto find one near you.
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Gender-affirming genital surgery
Regarding gender-affirming genital surgeries, the Ministry of Health has funded a limited number of these types of surgeries through its since 2005Treatment pool with high costs.
As of 2019, gender-affirming genital surgery in New Zealand can be publicly funded and offered in the private sector. People referred for gender-affirming genital surgery are on a waiting list to see a surgeon who can discuss surgery options. There is currently a long waiting list.
Referrals for gender-affirming genital surgery are usually made by the DHB specialist who is providing transgender healthcare to an individual. This is usually an endocrinologist or sexual health doctor. In some cases, a DHB may have an agreed process by which a referral from a GP with particular expertise in the care of transgender people can be accepted.
If you would like to be considered for this surgery, you should discuss this with your transgender specialist. If you are not currently under specialist treatment you should discuss this with your GP who can refer you to an appropriate specialist.
What happens when you stop hormone replacement therapy for transgender people
Many of the effects ofhormonal therapythey are reversiblewhen you stoptake. the degree up to thatYou caninvested depends on how longOftook them Some breast growth and possible reduced or absent fertility are not reversible.
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How much does gender reassignment surgery cost?
How much does gender reassignment surgery cost?
How much does gender reassignment surgery cost? Mainly preferred by transgender people, sex reassignment surgery is female to male or male to female conversion surgery. Gender reassignment surgery is surgery performed on people who were born male or female but have a gender identity other than their biological sex. Sexual identity is a concept that, unlike biological sex, is about how a person feels. People who don't feel their physical body and have spiritual characteristics of the opposite sex are referred to as transgender people.
The question of how much sex reassignment surgery costs is just as curious for many as the content of the surgery. Since gender reassignment surgery involves different pre- and post-surgery processes, exact price information cannot be given. Although this operation is considered expensive, it is an operation that can be performed by people of average income. You can contact our company for more detailed information about it.
S from taking estrogen
ð?µ Tea time! Does Estrogen Change Your Personality? | Transgender MTF
Estrogen can be taken in a number of ways. People get estrogen through a pill, an injection, a patch, or even a topical cream. It's not just a matter of preference. The way people take estrogen affects some of the risks of estrogen treatment. Estrogen is absorbed differently by the body depending on how you take it.
Much of the research on the risks of estrogen treatment focuses on oral estrogens, taken by mouth. What the research has found is that oral estrogen appears to carry a higher risk of several annoying side effects compared to topical or injectable estrogens. This is due to the effects of ingested estrogen on the liver as it passes through the liver during the digestive process.
This is known as the hepatic first pass effect and is not a problem for off-pill estrogen therapy. The hepatic first pass effect causes changes in several physiological markers that affect cardiovascular health.
These changes can lead to increased blood clotting and reduced cardiovascular health. They are not seen as often, if at all, with non-oral estrogens. Therefore, non-oral estrogens may be a safer option.
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New research compares transition costs in four countries
A new article in a special issue ofpsychology and sexualityexamines the costs associated with the transition from treatmenttranssexualmiGenderseveral people living in four different countries: Canada, Japan, South Africa and the United States. The authors of the article presented their work for the first time at a symposium inLGBTQ-Psychologiekonferenz 2018: Preaching to the Choir, held in Montreal, QC.
One reason it's important to examine the costs associated with transitional care is that researchers have consistently shown that transgender and gender-matched people are at the highest riskSuicidemiDepressionbefore receiving gender-affirming care. Consequently, affordable access to medical and social transitional forms plays a protective role in reducing mental health problems and suicide. The article is the first of its kind to examine the costs associated with transitional care across a range of four different countries. The authors did not intend to be a definitive study of costs worldwide, but instead chose four different countries to see how costs can vary from country to country.
Consider crowdfunding your gender change
When insurance policies seem to change regularly,CrowdfundingSites like GoFundme are an option that many are turning to during the transition. While coming out online can be a scary time, many have supportive communities that are more than willing to fund their procedures. For a transgender person, surgery can be a lengthy process when the cost of the procedures is very high. Therefore, providing additional financial support for their procedures will allow them to get their reassignment operation much quicker.
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Other factors to remember:
Hormone replacement therapy works very well, and you have several different options to choose from. Based on the cost of the prescription alone, you can say that the pills are your best option. However, we would like to remind you that other factors play a role.
The cost of visiting the doctor is not included in the price of the prescription. If you have a co-payment for a doctor's appointment, your therapy costs can quickly add up to hundreds.
The same goes for blood tests to check your levels. You have to pay for these tests because many insurers have capped the number of blood tests they pay for in any given year.
Counseling by therapists and psychiatrists
Before an individual decides to proceed with a variable degree of sex reassignment, an individual must receive two separate notes from a psychiatrist and a therapist confirming their desire to transition. With an average cost of$80 for a therapistmi200 $ bis 375 $ +For an uninsured psychiatrist, bi-weekly or even monthly appointments can quickly add up.
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Preparation before taking hormones
Before beginning estrogen hormone therapy, it is important to gather as much information as possible. Therefore, always discuss the risks and side effects that hormone therapy can cause with a doctor.
It's also important for the person to get a handle on their expectations of when they will start seeing changes. Some people can take hormones for over a year before noticing any noticeable changes.
A person's doctor may ask you to do this
The cost of estrogen hormone therapy can vary based on a number of factors. These include the type of hormones a person is taking and how they are used.
If you want to switch, you should make sure that your health insurance company will cover the costs.
People should also verify that the health care provider or medical facility their doctor referred them to is in their insurance network.
There are several other gender confirmation procedures that people can opt for.
Information on estrogen hormone therapy
Overview of Feminizing Hormone TherapyUCSF Transgender CareUniversity of California – San FranciscoJuli 2020
Hello, I'm dr. Maddie Deutsch, associate professor of clinical family and community medicine at the University of California, San Francisco, and medical director of UCSF Transgender Care. In this paper, I will discuss various aspects of feminizing hormone therapy, including the options, risks, and unknowns involved with associated with feminizing hormone therapy.
As you prepare to begin treatment, now is a good time to think about your goals. Do you want to get on your way to the maximum level of medically useful feminizing effects right away? Or would you like to start with a lower dosage and take it slow? Perhaps you are looking for submaximal effects and want to stay on a low dose for a longer period of time. Thinking about your goals will help you communicate more effectively with your doctor as you work together to develop your treatment plan.
Many people are afraid of rapid hormonal changes, which is completely understandable. It is important to remember that the magnitude and speed at which change occurs depends on many factors. These factors mainly include your genetics and the age at which you start taking hormones.
There are four areas where you can expect changes as hormone therapy progresses. Physical, emotional, sexual and reproductive.
The first is physical.
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Erik Steele Mfa Ma Ccc
Erik Steele, MFA, MA, CCC-SLP,is a speech pathologist at the UCSF Center for Head and Neck Surgical Oncology and Voice and Swallowing in the Head and Neck Surgery Division of Otolaryngology. He specializes in the assessment and treatment of patients with a variety of voice, swallowing, and upper respiratory problems. Clinical and academic interests include individual professional voice care, use of advanced instrumental diagnostics in voice and swallowing function, patient-centered voice, speech and swallowing rehabilitation after head and neck cancer treatment, and outreach to promote increased voice awareness, Swallowing and upper respiratory problems and therapies.
Prior to joining UCSF's Department of Otorhinolaryngology and Head and Neck Surgery, Mr. Steele completed his graduate work at San Diego State University, a clinical internship at the Scripps Center for Voice and Swallowing in San Diego, and his graduate fellowship at the Center for Voice and Swallowing at UC Davis, where he stayed for two years.
Use and Disclaimer of Consumer Information
How much does the sex change cost?
This information should not be used to decide whether or not to take this medicine or any other medicines. Only healthcare professionals have the knowledge and training to decide which medications are appropriate for a particular patient. This information does not endorse any drug as safe, effective, or approved for the treatment of any patient or medical condition. This is just a brief summary of general information about this medication. It does NOT contain all information about possible uses, instructions, warnings, precautions, interactions, side effects or risks that may apply to this drug. This information does not constitute specific medical advice and is not a substitute for information that you may receive from your healthcare professional. You should speak to your doctor for complete information on the risks and benefits of using this medication.
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You have to wait 18 years.
Many serious procedures must be performed in order to perform sex reassignment surgery. The person who wants to undergo this operation must have reports drawn up in the courts and hospitals. Otherwise, the person cannot undergo this operation. It's worth researching these procedures before asking how much sex reassignment surgery costs. In turn, an adult over the age of eighteen is an essential requirement for surgery.
Behind HET for cis men
Hormone therapy for cis men is well known, as are the options available for women, but it has some critical availability issues. Although estrogen therapy for women also requires a prescription, it is estradiolNOa planned drug under the Controlled Substances Act. Testosterone, as a potent anabolic steroid, is a Schedule III drug that can be difficult to access.
What does HRT treat in cis men?
As with cis women, cis men are prescribed HRT to treat the side effects of a natural decline in testosterone production due to aging. It can also be used to treat men with androgen insensitivity, erectile dysfunction, osteoporosis, and many other physical and mental health issues.
On the question of costs
As with hormone therapy for cis women, e.gmostCis men should have insurance that covers the cost of the procedure. However, patients may still need itdrug discount cardsto reduce HRT costs when insurance provides insufficient coverage or when prescription drug deductibles are too high.
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Sarah L Schneider Frau Ccc
Sarah L. Schneider, MS, CCC-SLP,is Director of Speech Therapy and Clinical Associate Professor of Health Sciences in the Department of Otorhinolaryngology and Head and Neck Surgery. He practices clinically at the Voice and Swallowing Center. Clinical and academic interests include the evaluation and treatment of all aspects of the voice and upper airway with expertise in professional speaking and singing voice, transgender voice and communication, spasmodic dysphonia and voice tremors, laryngeal irritation including PPVM, and chronic cough and larynx. Restoration. In addition, he has experience in pediatric vocal and instrumental assessment of velopharyngeal insufficiency.
She joined UCSF's Department of Otorhinolaryngology, Head and Neck Surgery at the Voice and Swallowing Center in 2007. Since then, she has contributed to the advancement of the Speech Pathology program throughout the Department of Otorhinolaryngology, striving to provide interdisciplinary care and world-class services. for people with voice, swallowing and communication problems. She received her Certificate of Clinical Competence in Speech Therapy from the American Speech-Language-Hearing Association and is licensed in the State of California.
Professional affiliations include ASHA, ASHA Special Interest Groups - Voice and Voice Disorders and Telepractice, and the California Speech-Hearing Association. She is a certified Lee Silverman Voice Treatment Clinic.
How much estrogen should a transgender take? ›
Generally, 100 mg is inserted for most transwomen, but a supplementary 50 mg implant can be added for patients with a high body mass index.What is the recommended estrogen level for MTF? ›
The ideal estrogen level for transfeminine people is less than 200 pg/mL. Your result will be under Estradiol on your lab report. The ideal testosterone level for transfeminine people is less than 55 ng/dL.What hormone tablets do transgender take? ›
Anti-androgens (i.e. spironolactone, bicalutamide, flutamide, finasteride) are also commonly used in trans women who have not had an orchiectomy. These medications block the effects of testosterone, resulting in decreased erectile function and allowing estrogen to develop typical female secondary sex characteristics.What should my estrogen level be on HRT? ›
The aim of oestrogen replacement should be to achieve blood levels, which correspond to those of the early follicular phase in pre-menopausal women. Indeed, blood levels of estradiol associated with the standard dose of HRT (1 mg of oral estradiol or 50 mcg estradiol patch) are between 150-370 pmol/L.What happens if you take too much estrogen MTF? ›
Overdosage of estrogen may cause nausea, vomiting, breast tenderness, abdominal pain, drowsiness and fatigue, and withdrawal bleeding may occur in women.What is the best estrogen for transgender? ›
17-beta estradiol (or simply estradiol) is most commonly delivered to transgender women via a transdermal patch, oral or sublingual tablet, or injection of a conjugated ester (estradiol valerate or estradiol cypionate).What level of estrogen do I need? ›
30 to 400 pg/mL for premenopausal women. 0 to 30 pg/mL for postmenopausal women. 10 to 50 pg/mL for men.Does estrogen stop facial hair growth MTF? ›
While estrogen can help thin hair, it cannot completely reverse facial and body hair growth. Many trans women and other transgender people know all too well about how time-consuming daily grooming routines can be, so thankfully, there are alternative options available.How long does it take for estrogen to work MTF? ›
It will begin 1 to 3 months after you start treatment. You'll see the full effect within 1 to 2 years.How long does it take for estrogen to work? ›
It may take a few weeks to feel the effects of treatment and there may be some side effects at first. A GP will usually recommend trying treatment for 3 months to see if it helps. If it does not, they may suggest changing your dose, or changing the type of HRT you're taking.
Does estrogen change your voice? ›
Anti-androgens and estrogens have no effect on the voice.What are the side effects of estrogen for transgender? ›
The study looked at the records of 5,000 transgender people and found a higher risk of blood clots, stroke and heart attack for transgender women. Transgender women on hormone therapy may be at a higher risk for cardiovascular problems, such as stroke, blood clots and heart attack, researchers reported Monday.Does estrogen make you gain weight HRT? ›
Many women believe that taking HRT will make them put on weight, but there's no evidence to support this claim. You may gain some weight during the menopause, but this often happens regardless of whether you take HRT. Exercising regularly and eating a healthy diet should help you to lose any unwanted weight.What is considered high estrogen? ›
What's considered “high”? In terms of the Modern Fertility Hormone Test, levels of estradiol (an estrogen) in premenopausal people with ovaries on day 3 of their cycle are “high” if they're above 115 pg/mL. Symptoms of high estrogen levels include: Heavier periods or increased frequency of periods.What happens if I take a lot of estrogen? ›
Your body needs estrogen for your reproductive, cardiovascular and bone health. Too much estrogen, though, can cause irregular periods and may worsen conditions that affect your reproductive health.Can you overdose on estrogen HRT? ›
Estrogen is a female hormone. Estrogen overdose occurs when someone takes more than the normal or recommended amount of a product containing the hormone. This can be by accident or on purpose.How often do you take estrogen shots MTF? ›
The estradiol cypionate and estradiol valerate forms of long acting estrogen injection come as a liquid to inject into a muscle. These medications are usually injected by a health care professional once every 3 to 4 weeks.What if you take estrogen as a male? ›
Estrogen may stimulate breast tissue growth. Men with too much estrogen may develop gynecomastia, a condition which leads to larger breasts. Erectile dysfunction (ED). Men with high levels of estrogen may have difficulty getting or maintaining an erection.Can you buy estrogen over the counter? ›
Yes, you can buy OTC estrogen creams without a prescription from your healthcare provider. However, you shouldn't try to substitute OTC estrogen creams for prescription estrogen products. If you're looking for vaginal estrogen creams for vaginal dryness, these aren't available for OTC purchase.Can you get hard on estrogen? ›
Estrogen treatment inhibited sexual activity, spontaneous erections, and nocturnal penile tumescence. No significant effects on psychophysiological response to film and fantasy or frequency of sexual feelings were found, but the psychophysiological data were very variable.
How do I know if I need more or less estrogen? ›
Irregular periods, hot flashes, difficulty sleeping, mood swings, and headaches can all be signs of low levels of the hormone estrogen in women. The most common cause of low estrogen is perimenopause, your body's transition into menopause, but other factors can be involved.How do I know when I need more estrogen? ›
- Dry skin.
- Tender breasts.
- Weak or brittle bones.
- Trouble concentrating.
- Moodiness and irritability.
- Vaginal dryness or atrophy.
- Hot flashes and night sweats.
- Irregular periods or no periods (amenorrhea).
High blood levels of vitamin D linked to reduced estrogen – and potentially lower breast cancer risk. Can taking daily vitamin D supplements decrease sex-hormone levels and thereby potentially reduce the risk of breast cancer in older women?Does estrogen make your hair thicker? ›
Estrogen is related to hair growth — and hair loss. During pregnancy, for example, a woman's estrogen levels are higher than normal, which signals more hair follicles to "grow" and fewer to "rest." While estrogen levels are high, women have full, thick hair.Does estrogen regrow hair? ›
Estrogen and Progesterone
These hormones also help with hair growth. Estrogen and progesterone can help keep your hair in the growing (anagen) phase. Therefore, these hormones can help your hair stay on your head longer and may even help your hair grow faster.
“Your estrogen level starts to decline, which alters the balance of estrogen and testosterone in your body,” Dr. Kingsley explains. “As a result, you end up with relatively more testosterone, which can cause facial hair growth.”How long should you stay on estrogen? ›
Most women are able to stop taking HRT after their menopausal symptoms finish, which is usually two to five years after they start (but in some cases this can be longer). Gradually decreasing your HRT dose is usually recommended, rather than stopping suddenly.How many days do you take estrogen? ›
Usually your doctor will want you to use this medicine for only three weeks of each month (three weeks on and one week off). Your doctor may increase your dose as needed. However, the dose is usually not more than 2 grams per day.How do you feel after taking estrogen? ›
Estrogen injections tend to cause very high and fluctuating estrogen levels which can cause mood swings, weight gain, hot flashes, anxiety or migraines.What happens if you take HRT for too long? ›
HRT may be used short-term to treat menopausal symptoms. Long-term use is discouraged because the risk for heart attack, stroke and breast cancer increases the longer HRT is used.
What foods to avoid while taking estradiol? ›
Take this medicine with food. Do not eat grapefruit or drink grapefruit juice while you are using this medicine. Grapefruit and grapefruit juice may change the amount of this medicine that is absorbed in the body.How long does voice feminization last? ›
We help you through this process and guide you to a voice that reflects who you are and what you need to do with your voice. The therapy usually takes 4-6 sessions over 8-10 weeks, but this schedule can be accelerated.Does estrogen change your body shape? ›
Many people take estrogen specifically to change the shape of their body. Taking estrogen can affect your weight. It can also shift where your body fat settles on your body. For example, if you have narrower hips and a round belly, some of your belly fat might move into your hips and upper thighs.How long does voice feminization take? ›
How long does vocal feminization training take? It depends on the person and their goals, but typically we see trans people achieve voice feminization that they are happy with in 3-6 months of vocal feminization training. Voice feminization for singing may take a bit longer, with a year being a more common time frame.Does estrogen decrease muscle in Transwomen? ›
Conclusion In transwomen, hormone therapy rapidly reduces Hgb to levels seen in cisgender women. In contrast, hormone therapy decreases strength, LBM and muscle area, yet values remain above that observed in cisgender women, even after 36 months.Why do Transwomen take progesterone? ›
Progesterone may add the following: (i) more rapid feminization, (ii) decreased endogenous testosterone production, (iii) optimal breast maturation to Tanner stages 4/5, (iv) increased bone formation, (v) improved sleep and vasomotor symptom control, and (vi) cardiovascular health benefits.How do I know if my HRT is too low? ›
"A return of night sweats, flushes, not sleeping and so on is very indicative that your hormones are not quite in balance. I recommend all my patients have a blood test once a year as part of an annual review to see where their oestrogen is at and whether an HRT adjustment is required."Can too much HRT make you feel worse? ›
If you are unlucky, you may even find that HRT can make you feel worse before you feel better. Common side effects of oestrogen include bloating, nausea, indigestion, tender breasts, vaginal bleeding and headaches.How long does it take for estrogen to work transgender? ›
It will begin 1 to 3 months after you start treatment. You'll see the full effect within 1 to 2 years.How do you know how much estrogen to take? ›
- Blood tests – At-home estrogen blood tests are quick and easy. ...
- Urine tests – Estrogen tests that use urine take a little longer to administer. ...
- Saliva tests – Lastly, you can collect a saliva sample to check your estrogen levels.