This is a page written by Dr Lawerence, herself a transsexual, on her recommended dosage of hormones. I am providing this page for those who are self prescribing hormones and don't have the support of a doctor or endocrinologist.
http://www.annelawrence.com/twr/regimens.htmlI will point out that although Dr Lawrence doesn't recommend ethinyl estradiol, it is the standard hormone used for hormonal reassignment. It is considered the most potent of all hormones. Her reasons for not recommending it seem to stem from the fact that there is a higher risk of blood clotting (a standard risk for all hormone treatments). I would contend however that this risk can be negated by including a low dose of around 200mg of aspirin/day which has a wide spectrum of positive health effects other than a decrease in blood clotting.
You may also want to see this page:
http://jcem.endojournals.org/cgi/conten ... /8/3467/T1 which includes a list of dosing regimes of different gender clinics around the world. You will see the widespread use of ethinyl estradiol here with supplemental estradiol doses.
Please note that the second list also includes a dosage recommendation for female to male transsexuals using testosterone.
I would also point out that care should be taken using progesterone. Progesterone can have strong effects on mood swings. The Monash University Gender Reassignment Clinic in Melbourne Australia at one stage refused to treat patients who take progesterone. The reason seems to be that it increases the risk of suicide due the the effect on emotions. Progesterone is not required for feminisation - it is more of a reproduction hormone. Although some benefit in breast development occurs at the beginning of feminisation with the use of progesterone, it is limited. It is also unnecessary if you are taking cyproterone which is a progestin.
Remember, I am not a doctor but I do worry that many TS are self medicating and taking hormones with knowledge of appropriate doses.
M.
M.
