mtf hrt not working fully?

[JadeQueen]

I'm 20 mtf on hormones since December 23rd
On estrogen and anti androgens
My doctor is saying my e levels are still too low
He doubled my e dose a month ago but left my anti androgen the same, still at a low dose
I've been on a higher dose of blockers for 3 months
My hair has been falling out fast and its thin since starting hrt but I also have a thyroid I'm treating at the same time he said they were really low last time I saw him so he increased that dose
My body has changed a lot my face has changed my skin is softer my body hair lessened but my hair is thinning on my head and I'm having bad symptoms like hot flashes and night sweats
My doctor said I'm having menopause symptoms right now because my e levels have been so low
I saw him last in June next app is on October 1st
Why are my e levels so low is hrt just not working for me
I'm kinda bummed out
Does he just have to increase my blockers dose?
Any advice?
He's experienced and well respected as a trans friendly endo
Luis Rodriguez from Houston
I might just switch to a new doctor like hunter hammil

Mod edit: no dosages thanks

[Alysinspace]

What you may need is to get off the anti andro blockers and have him give you one shot of lupron depot.
What this shot does is takes your T levels and increases it ten folds..... And then....  It shuts down.
The shot takes about 24 hours to take full effect.
then since T isnt being generated anymore and all your feeding your body is E then the changes will come!
My endo is extremely against blockers like the ones you are taking because a lot of them are used to treat hypertension not be used as a form of HRT.
E is the most important thing.
There is also a topical elestrin its very expensive but you can take it with your E the topical bypasses the liver and goes right into the blood stream.
So then you have two forms of E and no blockers.
I'd try that I'm seeing results with it.  as with you I am 20 been on HRT for almost 2 full months. my hair is not thinning at all but is growing at an alarming rate it also feels so much softer c :
my skin is soft I guess and some of my hairs arent black and corse anymore but white and almost invisible.
Unfortunately I cant pass yet but in due time both of us will pass just fine c :
My boobs always hurt too : c but thats progress!

[ClaudiaLove]

I'm 20 mtf on hormones since December 23rd
On estrogen and anti androgens
My doctor is saying my e levels are still too low
He doubled my e dose a month ago but left my anti androgen the same, still at a low dose
I've been on a higher dose of blockers for 3 months
My hair has been falling out fast and its thin since starting hrt but I also have a thyroid I'm treating at the same time he said they were really low last time I saw him so he increased that dose
My body has changed a lot my face has changed my skin is softer my body hair lessened but my hair is thinning on my head and I'm having bad symptoms like hot flashes and night sweats
My doctor said I'm having menopause symptoms right now because my e levels have been so low
I saw him last in June next app is on October 1st
Why are my e levels so low is hrt just not working for me
I'm kinda bummed out
Does he just have to increase my blockers dose?
Any advice?
He's experienced and well respected as a trans friendly endo
Luis Rodriguez from Houston
I might just switch to a new doctor like hunter hammil

Mod edit: no dosages thanks

Hi  , 

I can relate to this
I am on an average dose of estrogen and also on AA
My estrogen levels are quite low , menopause levels , and my testosterone levels are apparently undetectable .
I have some levels of physical feminization and I feel ok , although moody and depressed sometimes .
My biggest concern and sadness is that my hair is falling  and not just falling a little more than normal , is falling extremely
It seems like in a month or so , I won't have any more hair left
Already I lost so so much hair , and my hair is one of the things I love the most .
I have OCD and that doesn't help either , it mixes with hypochondria and whenever I find out new possibilities , like the hair never growing back entirely , or growing thinner , I get so scared and depressed  .  The dermatologist said that stress is a factor , yet I enter in a vicious circle even because of hair fall alone , I get stressed and sad , and that cause even more stress .
I am really doing a lot to prevent any more hair loss , beside my usual healthy lifestyle , so I just feel frustrated and punished .
It may be also because I have a long surgery a few months ago  ,  and that makes me worry for when I will have SRS . I hope by then the hair loss problem will be solved , and it seems that after that I will lose it again .
My mother have this problem too , hair loss from any kind of stress  so I may be prone to it  .

Anyway , I guess that was not the point of the topic , sorry for derail
I just felt the need to rant and also to tell many causes and symptoms that worry me ...  you know , OCD doing its thing

About HRT not working , I am also hoping that my new Endo will solve things out , I hope I will get another form of Estrogen  ,  at the moment I take pills , and I am hoping for injections or implant .
I am quite happy with the AA I am using , Androcur , it really stopped my testosterone production , and I tested after 7 days of non using it , my levels were still really low , lower than women 's regular levels . I hope I will be able to have an orchiectomy sometimes soon , yet many women use AA even after it or SRS , so it might not make any real changes in the HRT medication . 

[Yulaiyre]

I had a similar problem, but i went onto estriadol valerate and I'm going swimmingly, a big big change since i started injections.



DO NOT POST DOSAGES

[Allyda]

I have the same problem. My T is very low but my E isn't where it is supposed to be for a full transition dose. My Endo just doubled my estradiol valerate pills and instead of just swallowing them, I've been placing them under my tongue letting them dissolve there. Hopefully, this increase plus my taking my E sublingually under my tongue will bring my E levels up. However, I still don't think my E level will be where it needs to be. I am getting somewhat decent development though, but I attribute this to my IS condition rather than my hrt for it highly favors my femininity.

I did have a feminine hair loss issue before starting my hrt, but that has reversed and my hair is coming back in those areas as well as thickening and growing faster than ever.

My Endo tried to switch me to injections first before increasing the tablet dose, but my insurance wouldn't pay for them so unfortunately I'm stuck with the tablets for now. Since I still have the script though and have informed my Endo of my intentions which, if my E levels aren't where they're supposed to be this time I plan to order the injections online and switch over to them. My Endo agrees with me on this.

I also suffer from achalasia, which is a condition affecting my espohagus, which may be causing an absorption problem in my case.

Jade you may need to switch you delivery method over to injections. I'm almost sure I'll have to to cure my problem as I feel doubling my pill dose will at best, double what my E level is now which will still be shy of where it should be by almost 200 pg/ml.

I hope this helps you some.

Allie

[JadeQueen]

Guys I think I'm gonna go on injections
It'll work better just because it'll be absorbed right away
Also, I've seen a lot of posts about Spiro causing shedding. Maybe I can get on androcur and e injections? By the way, if I just call my doctor would he be able to just get me on injections or would that require blood tests and all that I don't want to wait until October for my next appointment

[Allyda]

Guys I think I'm gonna go on injections
It'll work better just because it'll be absorbed right away
Also, I've seen a lot of posts about Spiro causing shedding. Maybe I can get on androcur and e injections? By the way, if I just call my doctor would he be able to just get me on injections or would that require blood tests and all that I don't want to wait until October for my next appointment

It may require bloodwork depending on when your last bloodwork was.

Allie