Top trans doctors in Thailand?

[AnonyMs]

Well you might also tell them via email... its possible they want to do a little research themselves first... so you could profit from some experience until then 

Its a good idea, but I'm not really comfortable doing it. He's so incredibly busy if feels like I'd be imposing on him, and I owe him a lot. On the other hand if there's an possibility of having a progesterone implant that doesn't get rejected again that's worth considering and I could schedule an earlier appointment.

Its quite unpleasant when its rejected, so if its even deeper and that happens its not going to be much fun.

[Laura_7]

Its a good idea, but I'm not really comfortable doing it. He's so incredibly busy if feels like I'd be imposing on him, and I owe him a lot. On the other hand if there's an possibility of having a progesterone implant that doesn't get rejected again that's worth considering and I could schedule an earlier appointment.

Its quite unpleasant when its rejected, so if its even deeper and that happens its not going to be much fun.

Well it could help quite a few people.
If you could mail him a summary and the reference he could look into it.

Well according to the reference an extrusion is not likely.
Since the reference cites having it tested it should work.


hugs

[AnonyMs]

Well it could help quite a few people.
If you could mail him a summary and the reference he could look into it.

Well according to the reference an extrusion is not likely.
Since the reference cites having it tested it should work.

Ok, I'll do it.

Its likely to be in a few weeks.

[Laura_7]

Ok, I'll do it.

Its likely to be in a few weeks.

Taking bioidentical progesterone as implant has the advantage there are no side effects from capsule materials etc.
And there is no hassle with taking meds daily.


hugs

[AnonyMs]

Taking bioidentical progesterone as implant has the advantage there are no side effects from capsule materials etc.
And there is no hassle with taking meds daily.

Agreed, that's what I was doing. If only it wasn't rejected. I'm back on Microgest again now, but I can't take as much as I should because it makes me too drowsy.

[Laura_7]

Agreed, that's what I was doing. If only it wasn't rejected. I'm back on Microgest again now, but I can't take as much as I should because it makes me too drowsy.

There are small capsules. You could take one in the morning and one in the evening.

And go to implants eventually 

[AnonyMs]

They say its not uncommon it comes out.
The given solution is a trocar and cannula.

books.google.co.nz/books?id=gFc1uHEKxskC&pg=PA279&lpg=PA279&dq=progesterone+pellet+implant+intramuscular

I finally asked my endo about this today. I posted some of my discussion in the following thread, and you can see he's very experienced.

Re: Masculinization after SRS
https://www.susans.org/forums/index.php/topic,207756.msg1843224.html#msg1843224

This bit is about the progesterone implants. He implants them subcutaneously, not intramuscular. The problem with intramuscular is that due to the higher blood flow in muscle vs fat you get a very high peak blood levels and the implant doesn't last very long. Its much slower in fat (and lower peak levels of course). He also mentioned the book was very old and a small study.

[Laura_7]

I finally asked my endo about this today. I posted some of my discussion in the following thread, and you can see he's very experienced.

Re: Masculinization after SRS
https://www.susans.org/forums/index.php/topic,207756.msg1843224.html#msg1843224

This bit is about the progesterone implants. He implants them subcutaneously, not intramuscular. The problem with intramuscular is that due to the higher blood flow in muscle vs fat you get a very high peak blood levels and the implant doesn't last very long. Its much slower in fat (and lower peak levels of course). He also mentioned the book was very old and a small study.

This is VERY interesting.
Does he have a solution ? He agrees with the author of the book that progesterone implants are prone to extrusion, you mentioned that in another posting and I also know this from another endo.
So his solution would be deep in fat ?


*hugs*

[warlockmaker]

I live in Bangkok and I can provide you with some good endocrinologist names and their hospitals plus therapists who are used to tgs and speak English. I will send you a list by pm.

[AnonyMs]

This is VERY interesting.
Does he have a solution ? He agrees with the author of the book that progesterone implants are prone to extrusion, you mentioned that in another posting and I also know this from another endo.
So his solution would be deep in fat ?

If I remember correctly I got mine about 2cm deep (sounds like a lot of fat if its correct), and it did extrude. I don't think he's got any at the moment, so I can't try it again.