A Pharmacy Partner You Can Rely On
Alto is here to support your journey with hormone replacement therapy. Our team of patient care pharmacists has experience working with the LGBTQ+ community and is available to answer any questions you have about the process.
We also make it as simple as possible to stay on top of your medications, with same-day delivery and mediation management tools like reminders and auto refills in our app. Reach out any time to get started by phone at 1-800-874-5881 or download the app for secure messaging with our care team.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.
What Are The Types Of Transgender Surgery
Gender-affirming surgery gives transgender people a body that aligns with their gender. It may involve procedures on the face, chest or genitalia. Common transgender surgery options include:
- Facial reconstructive surgery to make facial features more masculine or feminine.
- Chest or Top surgery to remove breast tissue for a more masculine appearance or enhance breast size and shape for a more feminine appearance.
- Genital or Bottom surgery to transform and reconstruct the genitalia.
For Transgender And Nonbinary People
For people in transition, anti-androgens can help block some masculinizing effects of testosterone. They can reduce some characteristically male traits, such as:
- male pattern baldness
- morning erections
Anti-androgens can often be most effective for transgender women when they take the medications with estrogen, the primary female sex hormone.
In addition to triggering the development of feminine physical traits, such as breasts, estrogen also indirectly reduces testosterone levels. Taking anti-androgens with estrogen can help to both suppress masculine traits and promote feminine ones.
For people who identify as nonbinary, taking anti-androgens alone can help .
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Typical Changes From Estrogen
|13 months after starting oestrogen
Table source: Gender Affirming Hormones Prescribers Guide, Version 2, August 2019
What Are The Symptoms Of The Menopause
All women will experience the menopause however not all with have the usual symptoms that accompany it, or experience all of them on the list. The majority of women will have a few signs, and these usually start a couple of months in advance, otherwise known as the perimenopause. These will then continue for up to four years on average, however the NHS have stated that 1 in 10 women will have menopausal symptoms for up to 12 years.
- Change to your period
- Loss of bone density
- Recurrent urinary tract infections
In terms of a change to your periods, this could be lighter or heavier flows, a difference in frequency or any change in what is usually a normal pattern. Eventually, you all find that your periods will stop altogether.
The Relationship between menopause and osteoporosis
Osteoporosis is a disease that weakens the bones, increasing your risk of sudden fractures. There have been a number of studies which have shown a direct link between menopause and osteoporosis. This is due to the lack of oestrogen during the menopause. Symptoms of osteoporosis will usually not be detectable until the condition becomes so severe that even the slightest of bumps will cause a fracture.
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Other Services That Complement Gender
Cooper provides an array of services for the transgender and non-binary community, including primary care, mental health care, masculinizing/top surgery and gender-affirming hysterectomies for transgender men, and orchiectomies for transgender women.
Cooper also specializes in sexual health for members of the LGBTQ+ community. These services include TelePrEP for HIV prevention, screening and treatment for sexually transmitted diseases, medications for erectile dysfunction, and HPV vaccinations for patients up to age 45.
Side Effects Of Hormone Therapy In Men
Many men find that the side effects are often worse at the start of treatment. They usually settle down after a few weeks or months.
The side effects you might have depend on the type of hormone therapy that you are having.
Some side effects are common to all hormone therapies. Some vary from drug to drug. You might not have all of these side effects.
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How Should This Medicine Be Used
Hormone replacement therapy comes as a tablet to take by mouth. It is usually taken once a day. To help you remember to take hormone replacement therapy, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take this medication exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Do not stop taking this medication without talking to your doctor.
Activella, FemHrt, and Prempro come as tablets containing estrogen and progestin. Take one tablet every day.
Ortho-Prefest comes in a blister card containing 30 tablets. Take one pink tablet once daily for 3 days, then take one white tablet once daily for 3 days. Repeat this process until you finish all the tablets on the card. Begin a new blister card the day after you finish the last one.
Premphase comes in a dispenser containing 28 tablets. Take one maroon tablet once daily on days 1 to 14, and take one light-blue tablet once daily on days 15 to 28. Begin a new dispenser the day after you finish the last one.
Before taking hormone replacement therapy, ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient and read it carefully.
Problematic Aspects In Relation To Sex Reassignment Treatment
It appears obvious that maintenance of steroid hormone levels in the physiological range of the desired sex should be achieved in individuals with GD prior and post-SRS . The Endocrine Society recommends monitoring patients every 3 months during the first year of therapy and once or twice yearly thereafter . For CHT to be well tolerated, it is necessary to perform the hormonal administration in a highly individualized scheme in terms of timing, doses and modes of administration . Treatment can be considered successful if it relieves distress or facilitates substantial improvement in function and well-being of the patient .
The hormonal therapy in MtF subjects lasts 6.0 years on average . Based on expert opinion, however, patients tend to follow their self-controlled individual regimes as estrogen- and androgen-formulations are easily available via the Internet, over the counter, without prescription in certain settings, and through veterinary supply . However, subjects should be strongly discouraged from inducing supra-physiological hormone levels due to serious side effects . According to Leinung et al. , 9.8% of male-to-female transsexuals started hormonal therapy without prescriptions from a physician and nearly all admitted of initiating hormonal therapy without medical supervision . This is surprising as one of the three inclusion criteria of the WPATH for GD therapy is the ability to take hormones in a responsible manner .
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Drug Interactions Of Estriol Vs Estradiol
Estrogen is primarily metabolized in the liver by CYP3A4 enzymes. CYP3A4 inhibitors, such as certain antibiotics, antifungals, steroids, and anticonvulsants, can increase the levels of estrogenic drugs in the body. In turn, this can increase the risk of adverse side effects.
CYP3A4 inducers like certain antibiotics, antifungals, and antivirals can decrease the level of estriol or estradiol in the blood. CYP3A4 inducers can ultimately lead to reduced effectiveness with drugs containing estrogen.
Estriol and estradiol can also interact with grapefruit juice. Consuming grapefruit juice with estrogen-containing products can increase the risk of side effects. Its important to discuss your complete medical history with a doctor who specializes in endocrinology.
This may not be a complete list of all possible drug interactions. Consult a doctor with all medications you may be taking.
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Effects Of Testosterone And Estrogen
Many trans men seek maximum virilization, while others desire suppression of their natal secondary sex characteristics only. As a result, hormone therapy can be tailored to a patients transition goals, but must also take into account their medical comorbidities and the risks associated with hormone use.
The following changes are expected after estrogen is initiated: breast growth, increased body fat, slowed growth of body and facial hair, decreased testicular size and erectile function. The extent of these changes and the time interval for maximum change varies across patients and may take up to 18 to 24 months to occur. Use of anti-androgenic therapy as an adjunct helps to achieve maximum change.
Hormone therapy improves transgender patients quality of life . Longitudinal studies also show positive effects on sexual function and mood . There is biologic evidence that may explain this. Kranz et al. have looked at the acute and chronic effects of estrogen and testosterone on serotonin reuptake transporter binding in trans men and women. SERT expression has been shown to be reduced in individuals with major depression . Kranz et al. found that androgen treatment in transmen increased SERT binding in several places in the brain and anti-androgen and estrogen therapy led to decreases in regional SERT binding in trans women. These types of data are preliminary, but do point to the important role of hormone therapy in patients who suffer from gender dysphoria.
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How Do I Prepare For Feminizing Hormone Therapy
There are many steps to help you prepare, including:
- Patient education to explain how treatment works and what to expect. This includes reviewing risks and benefits.
- Medical history to check for estrogen-dependent conditions, like certain breast cancers and endometriosis.
- Physical exam to ensure you are healthy enough to start feminizing hormone therapy.
- Lab tests, including a blood panel, urinalysis and liver function test.
- Mental health evaluation to make a gender dysphoria diagnosis. It also confirms your understanding of therapy and ability to agree to it.
What Happens When A Man Takes Female Hormones
The risks include high blood pressure, high blood sugar, inflammation, higher C-Reactive Protein, high cholesterol, type 2 diabetes, and weight gain, all of which can cause heart disease. Excessive prolactin or the formation of noncancerous tumors in your pituitary gland that causes prolactinoma. Blood clots called deep vein thrombosis or a pulmonary embolism, blood clots can also cause strokes.
Infertility, decreased libido, erectile dysfunction, gallstones, elevated liver enzymes. Once your testosterone levels decrease your sperm count will decrease and you will not be able to have children. Many men using hormones for a male to female transition are happy to have decreased erectile function, shrinking genitals they can tuck, and smaller testicles. Drugs have side effects, think carefully before you decide to do this. There are safer ways to still have great results without resorting to more extreme measures. We have helped thousands of pre- and post-op transwomen and men seeking partial feminization since 1996.
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Feminizing Hormone Therapy And Fertility
Gender-affirming hormone replacement therapy may affect your fertility, as it impacts sperm production. While some transgender women can produce sperm again after stopping hormone treatment, research indicates that this may not be the case universally, and there is a risk of permanent infertility with long-term use of hormones. If you would like to have biological children, ask your doctor about your options with freezing your sperm before starting hormones.
Male To Female Hormone Replacement Therapy
Male to female hormones help men develop female characteristics like breasts and a more feminine body. The following article will discuss on this hormone therapy and its effects.
Male to female hormones help men develop female characteristics like breasts and a more feminine body. The following article will discuss on this hormone therapy and its effects.
There are many men around the world who feel trapped in their bodies. They think like a woman, feel like a woman, and want to develop physical characteristics like a woman. Cross dressers, transgenders and transvestites are looking for ways that will make them more feminine than masculine. There are many things that will help a man develop a female body, like sex change operations. Before one tries out something so drastic, male-to female-hormone therapies are used as the first step towards womanhood.
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What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from heat and moisture .
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
Are Phytoestrogens Dangerous
The health benefits of consuming phytoestrogen-rich foods likely outweigh the potential risks, so these foods can be consumed safely in moderation.
However, limited research has suggested that there may be some risks and complications associated with a high intake of phytoestrogens. These findings are mixed and inconclusive, so more research is needed in humans.
Thus, strong conclusions about the dangers of phytoestrogens should be approached with skepticism.
Potential concerns people have raised about phytoestrogens include the following:
- Infertility. While some research states phytoestrogens may harm reproductive health, the bulk of this research has been conducted on animal models, and strong human studies are lacking (
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Can You Buy Estrogen Tablets
The U. All estrogen therapy medications are approved by the Food and Drug Administration . There are some hormones that are marketed as bio-identical hormones and are not approved by the FDA. The drugs are available without a prescription, and they are not regulated to the same standards as prescription drugs.
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How Does Hgh Help In Facilitating Athletic Performance
All athletes need stamina, endurance, and strength, which HGH supplements could offer so that they can perform well both inside and outside their gyms. Plus, HGH supplements may increase testosterone levels, promoting further benefits such as increased libido, improved energy levels, and reduced body fat.
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What Happens During Follow
These appointments enable healthcare providers to track your response to treatment. Care includes tests to check for signs of complications. These often include blood tests. Occasionally, you may need a bone density test .
You can expect to see your healthcare provider:
- Every three months during the first year of hormone therapy.
- Every six to 12 months after that.
Will Hrt Make You Gain Weight
Many women are wary of HRT as they believe it will make them gain weight. However, there is no evidence to support this claim, particularly since womens bodies react to HRT in different ways. Menopause itself is often a cause of weight gain, which may or may not affect you regardless of whether you are using HRT. Weight gain with menopause can be managed by exercising regularly, eating healthily, and generally maintaining a healthy lifestyle.
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How We Made This List Of Best Hgh For Sale
Before writing this guide, we compiled a list of some of the most renowned Best HGH supplements brands currently available on the market. Only those supplements manufactured in 100% FDA-approved labs following the GMP guidelines and were transparent with their policies and ingredients were allowed a spot in our coveted list.
We avoided those brands that claimed to have proprietary blends and secret ingredients in their products. After that, we assessed the overall performance of the brands based on the parameters mentioned below:
- Customer reviews
- Website interface and ease of browsing
- Ingredients used
Furthermore, the supplements brands that made it to our coveted lists were tested extensively by our team for more than a month. And after going through the results, we came up with this guide of the top 3 HGH supplements on the market.
Risk Of Heart Problems
Hormone therapy for prostate cancer might increase the risk of heart problems if you have certain medical conditions.
This may be because some of the side effects of hormone therapy, such as weight gain, can make heart disease worse.
Gynecomastia in Patients with Prostate Cancer: A Systematic Review
A Fagerlund and others
Cardiovascular effects of hormone therapy for prostate cancer
J Lester and D Mason,
Drug, Healthcare and Patient Safety, 2015. Volume 7
Cognitive Effects of Androgen Deprivation Therapy in Men With Advanced Prostate Cancer
B Gunlusoy and others