Trans Hormone Therapy
Transgender Affirming Hormone Management
People are different, bodies are different, and there are various ways of moving through the world. We see you and we believe you. For our gender diverse population, our LGBTQ doctor provides affirming care to meet your goals. We understand that appropriate and timely care is necessary.
As a member of the World Professional Association for Transgender Health (WPATH), we follow the latest guidelines for medical and mental health care.
Medications to Support You
- estradiol, spirinolactone
- testosterone, finasteride
For Increasing Estrogen:
estradiol (oral): 1-4 mg daily
estradiol (patch): 0.1-0.2 mg, apply twice a week
estradiol (pellet): 60 mg-120 mg
spirinolactone (testosterone blocker): 50-200 mg twice a day
Labwork: CBC, creatinine and electrolytes (spirinolactone), ALT/AST, total testosterone, estradiol, lipids, A1C
Contraindications: unstable heart disease, estrogen-dependent cancer, end stage chronic liver disease
Estrogen is known to increase the risk of: blood clots, gallstones, elevated liver enzymes, weight gain, elevated triglycerides, vascular disease
Estrogen may increase the risk of: high blood pressure, high prolactin, diabetes
No current evidence for: increased risk of breast cancer
Click here to see onset of estrogen effects.
For Increasing Testosterone:
testosterone gel (transdermal): 2.5-10 mg daily
testosterone patch (transdermal): 2.5-10 mg daily
testosterone cypionate/enanthate (injection in muscle or fat): 50-100 mg weekly
Labwork: CBC, ALT/AST, total testosterone, LH, A1c
Contraindications: pregnancy or breastfeeding, active known androgen-sensitive cancer, active endometrial cancer, poorly controlled psychosis or homicidality
Testosterone is known to increase the risk for: increased red blood cell count, weight gain, acne, sleep apnea, male pattern baldness
Testosterone may increase the risk for: elevated liver enzymes, lipids, high blood pressure, diabetes, vascular disease
No current evidence for: bone density loss, breast/chest/uterine/ovarian cancers
Click here to see onset of testosterone effects.