HRT for Transgender Women

 

Smoking while on HRT?

 
If you smoke, stop or cut down. Smoking greatly increases the risks involved with hormone therapy. If you are a smoker, your estrogen level may have to be kept low.Smoking alone can cause many cardiovascular diseases na and blood borne diseases. it can cause high blood pressure, nakakalapot ng dugo and so much more. Take note blood pa lang pinaguusapan while smoking ALONE. lahat ng systems ng katawan affected ng smoking. likewise, hrt alone has effects sa blood naten. esp those taking ethinyl estradiol na nasa micropil, trust pills,lady pills, dianne35 and althea. All forms of estrogen are subject to cause blood clotting diseases and hyper tension in some cases. mixing two risk factors , smoking and hrt, aggravates your blood clotting risks. so pls think abaout it

Drinking alcoholic drinks while on HRT?


It is known that drinking alcohol and taking hormone replacement therapy (HRT) can increase breast cancer risk.
A previous large study combined the two by looking at how drinking alcohol while taking HRT affected breast cancer risk.

Bawal na bawal uminom ng alak while on hrt. Why? drinking alone, kahit di ka nag hrt , is already stressful and damaging to the liver. like wise, being on hrt is also stressful to the liver esp if youre taking anti androgens and combination pills. Anti Androgen are already heavy on the liver alone. Drinking while on hrt is much much more stressful to the liver thus increasing your risk to liver damange.Bale wala ang pills na tine-take nyo,mawawalan ang effect kaya kung gusto nyu mag-hrt tigilan nyo na ang pag-inom.

Mixing hormones?

Pwede ka mag mix but be aware. Combine 1 Estrogen and 1 Anti androgen. Dont mix different types and forms of estrogen. mas lalo na wag imix and two different anti androgen.

Combo hormones. combination of estrogen and anti androgen are althea and dianne. 2-3 tabs take only. wag na samahan ng different type of estrogen.

Pure estrogens - premarin, estrace, estrofem, progynova, progynon depot,if taking pure estrogen, you can take pure anti androgen

Anti androgen - spironolactone 100-200 mg or androcur 50 mg daily yan . androcur pls start with 25mg daily. aldactone pls start with 100mg. read risks, use, effect, contraindications associated with anti androgens. be careful with your liver. both are heavy on the liver

wag pamix mix ng different types of estrogen and anti androgen. OVERDOSE ANG RESULT MO. estrogens kahit anong type man yan have the same feminizing effects kaya even if icombine mo lahat yan eh same results.

Mas effective ba ang injection hormones kesa sa oral or sublingual?

Walang study na mas effective ang inject or sublingual kesa sa oral. ang advantage lang eh with inject and sublingual is less stress on the liver compared to oral. Sublingual and injection bypasses the liver sa first pass kaya less stress sa liver. yun lang so far ang studied.

Pag mas madami ba pill and injection mas effective?

Nope! Overdose lang labas mo. hrt takes time. walang transgender and nagtake ng hrt for one day tas next morning eh kevin balot or nong poy na ang peg. OVERDOSE ang aabutin mo. hormones are like drugs prescribed para gumaling ka sa saket mo. simple analogy. may lagnat ka at gusto mo gumaling. hindi ba isang gamot lang para sa lagnat iniinom mo? naglalaklak ka ba ng sobrang mga gamot? walang gumagaling sa isang take lang ng gamot. if so sana nagreseta mga doctor ng 1 milyon mg para gumaling ka agad. kaso not the case. so pls be advised.



Also Read: Feminizing Foods

Pwde magtake ng vitamins?

Pwedeng pede. just be advised sa effects ng vitamins and minerals oag sobra sila or kulang. kaya pls research more about it.

pwde ba magGlutha, collagen or placenta while on hrt?

Glutha - major antioxidant na nakakatulong linisin ang liver at ang blood. Side effect is whitening effect. Kaya pede isama sa hormone

Collagen - used to replace lost elasticity ng skin thus making skin look.fresher and younger by lessening wrinkles ad making skin more smooth and softer. Pedeng pede.isabay sa hormones. Collagen has no known side effects so far

Placenta - for rejuvenation and for more freshness. Definitely pede isabay sa hormones. No known side effects so far

Anong pills ang mas nakakalaki ng boobs at balakang?

Walang pills na mas nakakalaki ng boobs kesa sa isa. Boob size is dependent sa genes mo. 1 cup smaller ang maximum size.na itutubo ng breasts mo than your sister or mother. Example. Mother and sister cup c, possible that you can achieve cup b

Take note, may.word na possible. Why? Mostly ng naghohormones na transwoman only develop aa cup. a few goes to full a cup. Some achieve full b cup. But rare lang ang nakaka c cup sa hormones. Also full development takes 3 years to see your maximum size. If nakirot pa boobs mo, it means it's still growing.
More pills.will.not give.you more boobs and balakang. Instead it will give you overdosage and more health problems esp sa liver kidneys and blood. So be a responsible hormone user.

Paano ko malaman hiyang ako sa hrt o hindi?

Hiyang ka if positive effect sayo ng hormones like soft whiter and smooth skin. thinner body hair. thicker hair sa head. more feminine and so on. May mga side effects ang pills na normal lang. like mood swings, cravings, medyo mainitin ang ulo, nananaba or walang gana. decreased libido (libog) . normal yan. and these are controllable.Di ka hiyang if you experience one or more of these: skin rashes,red spots,super sakit ng ulo, nasusuka, pimple break out, super nananaba , nanlalata, depressed (i mean super) and more

Dosage

ESTROGENS

kung micropi, lady pills,trust pill,marvelon lang iniinom mo, 3 pills a day lang
kung estrofem, premarin and progynova lang tinetake mo, 1-2 tabs daily lang
if estrogen injectible ka, progynon, oestradiol benzoate at tushia, once a week lang inject nyan.

ANTI ANDROGEN

kung hyles/aldactone ang anti androgen mo, 100-200 mg daily on divided dose (50 morning 50mg evening kung 100 mg ka daily )
kung androcur anti androgen mo, 25mg-50mg daily. (pede din mag 1/4 tab daily if desired )

COMBINED ESTROGEN AND ANTI ANDROGEN

kung dianne35, althea/arriane lang tinetake mo, 2-3 pills a day lang (wag na samahan ng ibang hormones dahil estrogen and anti androgen combo na ang althea o dianne35) (kung two pills daily ka, pede samahan ng 1 tab micropi,lady pill,trust pills and marvelon) (kung nagtetake ka nito, pede samahan ng 1/4 tab - 1/2 tab androcur if desired)



Effects of estrogen

facial feminization thru fat deposition on cheeks, jaw line and other areas to controur face and make it appear more feminine, softer skin, tighter pores, whiter skin/complexion, moodswing, decreased libido, fat redistribution to breasts hips thighs lower belly and other areas to countour body and make it more feminine, decreases risk of male pattern baldness and osteoporosis.

Progesterone effects

no study yet to claim effects but is believed to aid in breast and hip augmentation by routing fat deposition to those areas. Promotes softer and smoother skin. Increases effect and potency of estrogens.
adverse effect includes depression, moodswing and changes in blood fats causing weight gain.

Anti androgen effects

blocks effects of male hormones and reduces their production in your body drastically thus aiding the effectivity and contributing in potency of estrogen and progesterone. Promotes softer and smoother skin. Makes muscles less bulky and feminizes them. Decreases libido drastically, makes body hair and leg hair thinner (with plucking or waxing of course) new hair will be thinner . ( facial hair is unaffected though but will grow in slower rate compared before) . bone structure not affected ( such as hands and feet size or shoulder width)
Lady and micro pills po ay hindi anti androgen. They are just combined contraceptives meaning they Contain both estrogen and progesterone.

Combined hormones

Combined Hormones (estrogen and progesterone)
lady contains ethinyl estradiol (synthetic estrogen) and levonorgestrel (progesterone) .
micro pills contains ethinyl estradiol (estrogen) and norethisterone (progesterone) ..
norifam : norethisterone (progesterone ) and estradiol ( estrogen)
marvelon : desogestrel (progesterone ) and ethinyl estradiol (estrogen)
Pills that contain both estrogen and anti androgen are dianne, arriane and althea.
Same formula ethinyl estradiol (estrogen) and cyproterone acetate (anti androgen)

Progesterones

Proluton (hydroxyprogesterone)
Depotrust (medroxyprogesterone acetate)
Depoprovera (medroxyprogesterone) - has also weak anti androgenic effects

Estrogens

Progynon (estradiol valerate)
Progynova (estradiol valerate)
Estrofem (oestradiol)
premarin (conjugated estrogen)

Anti androgens

Androcur ( cyproterone acetate)
Hyles ( spironolactone)
Aldactone ( spironolactone
Androcur is pure anti androgen dahil cyproterone acetate lang ang content nya.originally intended for patients with hypersexuality and sex offenders (persons with philias) and for hormonal treatment of mtf transsexuals. also used to treat prostate cancer. and counter acts effects of increased testosteronefor natal woman



Note:
When taking andocur, never ever drink alcohol kase this drug is associated with liver damage kaya banned sa u.s.
Bawal sa mga patients na may liver damage before or currently. Bawal din sa may prostate cancer before na gumaling or any other type of cancer as it might predispose you again of cancer. And.more water as well.
this medication is commonly prescribed in european countries and u.k. for anti androgenic effect. sakanila , spiro naman ang di nirerecommend .
liver toxicity or liver damage is dose dependent. 100-150mg daily androcur might predispose you to hepatotoxicity. 50mg daily is well tolerated but to be safe, half tab lang po ang pag take daily.
Aldactone/Hyles (spironolactone) is originally indicated for patients na may edema , hypertension, hypokalemia at diseases related to edema like pulmonary edema, congestive heart failure and more. Has anti androgenic effect if taken on higher dose (100mg - 200mg up to 400 ) mg

When taking aldactone, bawal ang potassium rich foods such as banana and orange and so on kase this drug is potassium sparing diuretic. It means pampaihi sya pero nireretain nya ang potassium sa katawan. If you eat.more potassium rich food while taking this drug, tendency is abnormally high level of potassium or hyperkalemia. A condition which is deadly. Symptoms are.muscle twitching, abnormal reflex, abnormal heart beat and worse death due to heart attack. Kaya ingat po. Also more water to prevent dehydration. Bawal.magtake din ang may hypo tension o low blood. Kase this is for hypertension kaya pabababain nya ang bp mo. Kaya be informed.

Drink more more water as iihi ka ng iihi sa gamot na ito 4-5times.or higher dailym kaya more water para iwas tuyot.
be mindful of your electrolyte leves. dahil nga iihi ka ng iihi, possible at risk sa low sodium blood levels or hyponatremia. signs are slurred speech, disorientation and so on.
this drug is also heavy on the liver so take good care of your liver din. claimed to be tolerated for prolonged use
additonal information :

It is adviseabLE to take calcium supplement and vitamin while on hrt. why? vit d is responsible for letting calcium go and deposit into the bones. it's like calcium gate pass, without vit d, calcium deposition will be lesser. as we all know, hrt can result in bone density loss especially AAs (anti androgens) . other vitamins shud not interfere with hrt and hrt effects as well. no direct relationship between vitamins and increased feminization for those on hrt. vitamins are just supplements po. not cure or anything. be advised of regular dose for vitamins den.

Better if you take milk nalang like bear brand kase it's cheap but it has all essential vitamins na makakatulong sa health naten while on hrt

for those acidic and taking vit c, it's adviseable to take sodium ascarbate (non acidic type of vit c) instead of regular vit c or ascorbic acid. ascorbic acid is acidic vit c po

Collagen has no direct effect in feminization thru hrt but still has some beneficial effects. collagen is a type of protein naturally produced sa katawan naten. has many functions but mainly functions by preserving elalsticity ng skin. due to aging, collagen levels decreases and skin becomes more supple leading to wrinkles. kaya taking collagen supplements will help you become fresher kase skin becomes softer and more elastic in a sense na reduced and wrinkles. also beniifits in faster wound healing, thicker and shinier hair and toher beneficial things. as well , NO SIDE EFFECTs.

walang study din na nagprove na mas effective or mas nakakafeminize ang injections kesa oral pills. mas risky sya kung tutuusin esp sating nag self medicate, kase we tend to self inject kahit walang alam. possible risks are, infection sa injection site, wrong route of injection, instead na sa muscle mainject eh sa taba, causing pamamaga and infection and mas matagal maabsorb ng katawan ang formula. overdosage as well kase most people on hrt tend to do it on weekly basis when it;'s not necessary/

coffee and soy milk and other soy products (taho, taholin, tofu) contains phytoestrogens. phytoestrogens are two kinds, some that acts or mimics effects of estrogens and others that blocks estrogens. both types are contained in coffee and soy products so there is really no proven or agreed effects of coffee and soy products regarding them increasing estrogen levels as some phytoestrogens as well have characteristics that they mimic estrogen in low levels and then block estrogens in high levels of phytoestrogens pls be advised

A HEALTHY ADVISE EVERYONE: wag po tayo mag cocktail ng different estrogens at ganun din sa AAs. one type of estrogen and one type of anti androgen is good enough. the more types of estrogen and or anti androgen you take, the higher the risks for overdose and health related problems and yet, same beneficial effects lang yan whether you take two kinds of estrogen or isa lang. youre just going hard on your liver. think of this analogy pls. when you take multiple kinds of estrogen and or AAs, para kang umiinom ng potencee, centrum, fern c and other types of vitamin c ng sabay sabay. same effect dahil lahat vitamin c pero overdose ka na pala without knowing kase nagaaccumulate ang vit c sa every vit c na iniinom mo and will cause you calcium stones possibly and other side effects of hypercalcemia. hope gets nyo analogy ko. walang pumipigil sa inyo na magcombine. sa ngayun maybe maganda resulta sa inyo pero how about after 5-10 years and more? maganda ka nga, bed ridden ka naman . pls think about it.




Payong kapatid:

Advice po ng maraming expert na maconsult muna sa doctor bago magstart ng hrt,para malaman kong ilan dosage ang nababagay sa katawan mo. Masyadong delikado ang hrt,kaya kong nagseself medicate ka? do more and more research about,magtatanong ka sa mga beki na matagal ng nagpipills. Kong my nararamdaman kakaiba mas mabuti tigilan mu muna ang pills na tinetake mo,baka hindi ka hiyang.