Where do I find a doctor to prescribe female hormones?
This is probably the most common question from new gals wanting to go further with gender expression. Starting HRT is often the essence of declaring “I’m transsexual” to many gals.
HRT Realities for Transsexual Women
I doubt anything is less understood by beginning transgender females than HRT. Early-on in my own journey, I discovered part of this problem was rooted in the number of transsexual women that exaggerated what hormones had done for them versus certain cosmetic procedures which they didn’t want to own to having had completed. Alas, this is fairly common in the world of women. Most of my natal female friends prefer to keep any cosmetic adjustments a secret, as well.
Neophytes are sometimes told “hormones” caused my changes.
Myths of Hormone Replacement Therapy for Transgender Females
HRT is not a magic pill
It'll help. However, generally speaking its effect are subtle. It can create small breasts and larger nipples. It also mildly “softens” your face & skin tone from a more ruddy male presentation - but not in a monumental way. Regardless if you took testosterone or female hormones - it’s going to create consequential emotional mood swings you must learn to manage. Such outbursts can cause you to lose your job or loved ones. They’re not an excuse to hide behind your female journey.
HRT doesn’t eliminate facial hair
Sadly, HRT has littler no effect on facial hair growth. A blocker and estrogen regimen will tend to reduce body hair growth - but you’ll still need to deal with facial hair removal the old fashioned and painful way…sorry!
HRT doesn’t change your voice
Another big myth. Developing a feminine and passable voice is an essential skill for any transsexual woman. HRT isn’t going to help in this regard.
HRT doesn’t create hips
This is probably this biggest myth. You might see mild improvement in fat storage occurring in your ass after years of hormones and blockers - but the effect is minimal. It gets better in that regard a few years after GRS or an orchie - but it never “creates” hips. Your hip bone structure is installed at birth. Additional augmentation can be achieved from buttocks implants or certain injectibles.
HRT is not an excuse to be neurotic
Most every new gal literally relishes the incredible new feelings that occur from HRT. Emotional swings, etc. Unfortunately, it also tends to make us a bit incorrigible as we accentuate our experience – aka - the placebo effect.
All of this can have a horrible impact on our co-workers or loved ones. It’s never okay to have emotional outburst that affect others.
Impact of Hormone Replacement Therapy on Transgender Females
As I recall, Annie Richard’s site included the only definitive analysis on impacts from HRT I ever saw. My own observations are based upon my own experiences and those of lots of friends.
HRT will soften male facial features
Men usually have more rugged facial features than women. This is caused by facial hair, its related large follicles and much higher levels of testosterone. A long term HRT reigning softens this appearance to a more feminine look. It usually takes about a year until such results are very noticeable and results vary depending upon where you began in this scale as well as if you’ve begun electrolysis to remove facial hair and follicles. Taking testosterone blockers like spironolactone helps this process greatly.
HRT will create breast growth
You will most definitely see breast tissue growth from a combination of estrogen-based products and t-blockers. The actual size you achieve is based upon your own family genetics but your breasts will begin to form and your nipples will grow and become more sensitive to the touch.
Most gals grow into a full A-cup or small B-cup from HRT - which creates an ideal basis to install breast implants.
HRT will reduce physical strength
You will notice reduced physical strength from a combination of estrogen-based products and t-blockers within about a year. The most noticeable will happen from hand strength when you grip something tightly. However, you’ll also see a decline in sheer force.
This reduction doesn’t become complete until years following GRS or an orchie. T-blockers just don’t product the same results as removing “the source”.
HRT will often cause emotional swings
If you’ve not been in touch with your emotions “as a man” - you can expect to get a dose of that reality on a trans HRT regimen. Outbursts of anguish, crying and depression are often common. We essentially go through the “reverse process” of menopause compared with born-women.
You need to remain extra aware of this impact and not let it negatively affect your close relationships or career. There’s a bit of a placebo effect we often feel in this process along with real results as we “change”.
As I mentioned earlier, this is not an excuse to lose your job and loved ones.
The traditional path for getting on hormone replacement therapy for transsexual women
There’s a clear-cut path for a transgender woman to get legally prescribed hormone replacement therapy. It includes regular meetings with a certified counselor who determines via an established criteria if you are indeed a good candidate to start HRT and gear to transition your gender. THere’s a valid reason for this roadblock: transition isn’t about fantasy fulfillment. It’s an absolutely overwhelming life decision that often includes grave consequences. You should thus be very sure before you start down this path in earnest.
You can find a qualified gender therapist by searching on-line using such keywords as therapist, gender identity , transgender, transsexual, gender disorder, etc.
Some girls complain they can’t afford such counseling and thus are blocked from getting the HRT they need. I’m sympathetic to that plight - having once been completely broke and homeless - but I need to remind you that HRT is perhaps the least inexpensive item in a transition journey. Also, starting transition without a viable economic plan often results in a stalled transition - which can be worse than never transitioning at all.
Subsequent to this certification from a licensed therapist, you’re given a letter recommending you for an HRT regimen. Sometimes a therapist can guide you to an endocrinologist whose transgender friendly - sometimes you just have to find one on your own. Reaching out to transgender support groups on-line in your area is the best way to find a medical resource.
Hormone replacement therapy for transsexual women
There are two essential links you will want to bookmark and review as you consider starting HRT in concert with your transition. Dr. Anne Lawrence includes detailed regimens targets for your blood work - which can be used to help educate uninformed prescribing doctors. Annie Richards information details studies regarding anticipated changes to the male body from HRT.
Anne Lawrence - detailed info on HRT regimens
Buying Female Hormones On-Line without a Prescription
I have a number of friends who completed transition through the use of non-prescribed HRT regimens. The most popular and reliable site for acquiring such meds is Transgender Zone:
The trickiest part with this path is the inherent dangers you face with blood clotting and related side effects from HRT - particular if you are a smoker. I’ve witnessed more than one transgender girl fall ill from this path from heart attack, stroke, and cancer.
Please be very careful!
Additional chapters in This Section include:
Gender Reassignment Surgery
FFS Facial Feminization Surgery
Hormone Replacement Therapy for Transgender Women
MTF Transsexual Breast Enlargement
Injecting Silicone for Transsexual Women
Brazilian Hips and Buttock Enlargement
Transsexual Erections and Sexual Pleasure
Exercise, Fitness and Diet for Transsexual Women