What are some alternatives to pharmaceutical transition
Hormonal contraception in women with migraine: is progestogen-only contraception a better choice? When I became a teenager and started to go through puberty, it was an absolutely awful experience. Not with my appearance, but with some of my personality.
However, since testosterone is of particular concern is insuring maximal feminization, the calculation of bioavailable testosterone in transgender women may still be of value. Plus, there are always dangers with taking testosterone blockers and estrogen. I still wasnt confident in myself, hated who I was, but was somewhat ok with being a male. Sexual desire in trans persons: associations with sex reassignment treatment.
Other reasons for measuring hormone levels in the maintenance phase include significant metabolic shifts such as the onset of diabetes or a thyroid disorder, substantial weight changes, subjective or objective evidence of virilization, or new symptoms potentially precipitated. Note that the use of conjugated estrogens (Premarin) or ethinyl estradiol (found in most combined oral contraceptives) are not accurately measured by estradiol assays and will typically result in low measured levels.