what hormone regimen is best for post-op woman?

[Catherine Sarah]

Hi Teresita,

LH = Luteinizing hormone. It's a pituitary gland hormone. It's measurement is used to help diagnose dysfunction of the ovaries or testicles.

FSH = Follicle stimulating hormone. Again a pituitary gland hormone, responsible for sustaining ovarian follicular growth and spermatogenesis in males.

YMMV = Your milage may vary. The effect of a particular 'thing' may be different across a variety of people.

LHS = Not particularly sure. Maybe a derivative of LH by way of Luteinizing Hormone Serum.

Usually a blood test will include the neumonics of LH/FSH to investigate pituitary gland function.

I'm interested in your resource that has evidence XY exponents don't have the same receptors as genetic females. There appears to be conjecture within medical science on this matter.

Speak to you as soon as I clean out the bird cage.

Huggs
Catherine

[Lyndsey]

Hello Everyone, post SRS my Estradiol Valerate level was at least doubled.  I no longer take Sprio, my thin, dry and flaky skin issue disappeared.  Oh and no frequent need to pee.
Urologist who preformed the surgery alongside Dr. Sinclair prescribed Finasteride to deal with possible prostrate infection.  He said I can stay on it to deal with any other T blocker needs, such as DHT.  Even though I don't have a hair loss issue.  Also back on bioidentical progesterone which I stopped taking 5 months prior to SRS.

Since SRS my development has really kicked into high gear.  Skin is much softer and pore size greatly reduced.  Breasts are growing with no weight gain.  The increase of Estradiol Valerate has amplified results.  I also feel much more frisky!

Not sure a minimum dosage approach would help me feminize or keep what I have achieved.  But I was only on HRT 9 months before SRS.  Age could also factor in.  I'm old and need all the help I can get!  As they say YMMV.
Thank you,
Anne

Added: Estradiol Valerate via injections.

Hi  Anne

I am post-op 8 weeks now and feel great My Doctor did the labs on me and my levels are crazy
testosterone= 4
testosterone free= 0.4
Progesterone= 0.3
Estradiol- 502
PSA=0.68

Good reason why lots of thing have been going on with me.

Dose anyone know if this is normal ?

Hug's Lyndsey

[Laura_7]

Hi  Anne

I am post-op 8 weeks now and feel great My Doctor did the labs on me and my levels are crazy
testosterone= 4
testosterone free= 0.4
Progesterone= 0.3
Estradiol- 502
PSA=0.68

Good reason why lots of thing have been going on with me.

Dose anyone know if this is normal

I'm on   estradiol
progesterone for the first 10 days of the month
no spiro.

Hug's Lyndsey

Hello,
could you leave out the dosage ? Its because of possible misuse. You can edit your posting.

Would it be possible to add units to the lab values ?
Its a difference if estro is in pg/ml or a different unit for example...


hugs

[Lyndsey]

Hi Laura
Sorry about the mix up

All my labs are in pg/ml

Hugs
Lyndsey

[Laura_7]

Hi Laura
Sorry about the mix up

All my labs are in pg/ml

Hugs
Lyndsey

Progesterone should be
ng/ml
Post-Menopausal  0.1 - 1

might be higher...

testo levels should be good...

estro levels are well imo...

If testo should drop too far a supplement might help... there are gels and implants...
a certain amount of testo might help with overall drive and orgasmic ability...

but of course first should be estro and progesterone levels high enough...
a neovagina reacts to hormones like a vagina, so having high enough levels, above menopausal levels, might help avoid atrophy...


hugs

[galaxy]

I guess testo is 4 at ng/ml ... its much to high, really to much.
Maybe thats the "post-op-flush".

[Laura_7]

I guess testo is 4 at ng/ml ... its much to high, really to much.
Maybe thats the "post-op-flush".

                   ng/dl           ng/ml
  Females  6 - 86         0.1 - 1.2
  Males  270 - 1100     2.4 - 12

and  1 ng/ml = 3.47 nmol/l

[Lyndsey]

I guess testo is 4 at ng/ml ... its much to high, really to much.
Maybe thats the "post-op-flush".

I'm not sure if it is but my Endo said it was good

Hugs
Lynn

[Laura_7]

I'm not sure if it is but my Endo said it was good

Hugs
Lynn

Well it depends on the unit... if its ng/dl or ng/ml ...


hugs

[Lyndsey]

Hi Laura
Sorry about the mix up

All my labs are in pg/ml

Hugs
Lyndsey

All my labs are as stated above

Lynn

[Lyndsey]

I am post-op 8 weeks now and feel great My Doctor did the labs on me and my levels are crazy
testosterone= 4
testosterone free= 0.4
Progesterone= 0.3
Estradiol- 502
PSA=0.68

[Laura_7]

All my labs are as stated above

Lynn

Well Progesterone should be in ng/ml ...

same for free testosterone ?
Free testosterone with .4 :
FREE TESTOSTERONE

                     ng/dl          pg/ml
    Females  0.3-1.9      0.6 - 6.8
    Males       9-30         47.0-244.0

this might point to total testosterone with 4 as ng/dl


                   ng/dl           ng/ml
  Females  6 - 86         0.1 - 1.2
  Males  270 - 1100     2.4 - 12


hugs

[Sharon Anne McC]

*

Thank you for the comparison.

My endocrinologist acts rushed - rush me in, rush me out, no real talk or discussion about what it all means or comparisons, she mostly tells me that my blood work is within normal and sends me on my way every six months.  Maybe because I'm her first and only transsexual and she is learning.

I scored estrogen at 281 pg/mL at my July blood draw but my December crashed to 31 pg/mL.  My endo gave no explanation to me - just told me that 31 is okay for 59 years old menopausal female.  I am on negligible estradiol ERT (can't get much lower other than zero) and no progesterone (she refuses to prescribe it; have not had it since 1979).  The estrogen difference might have been that I took myself off phyto-estrogen these past six months, which suggests to me that my system accepts phyto-e so back I go when I felt better at higher estrogen.

My endo told me my testosterone is as low as it can go, but your levels are lower than mine - according to your standard basis, mine is actually high and outside the range (maximum is 6.8 pg/mL) while 'total' is at high within the range (maximum 86 ng/dL).

These are my December numbers:

   Free testosterone      8 pg/mL
   Free testosterone      1.1%
   Total testosterone   76 ng/dL

What is:  'Sex hormone binding' (mine is 68 nmol/L)?

*

[Roberta W]

Hi ... Just a "benchmark" for me, 30 years post-op.  I went to see my doctor (an MtF Transgender herself) and she had some fresh blood-test lab results for me.  Estradiol level was 345 ng/dl, testosterone was 4 ng/dl ... really low.  She didn't like 345 for the estrogen, and told me to keep it down to < 200, so I have another lab test next month to make sure I'm "obeying her rules".  I went many years with no HRT post-op, because in 1985 they sent me on my way with no HRT.  The result was that now I have mild osteopenia, which is "pre-osteoporosis".  (Determined by a bone density X-ray she ordered in addition to the blood-work lab tests.)  Not serious though, and she said I could recover the bone density with proper HRT & calcium monitoring over the next two years.  The message:  Pay attention to such things. We don't want to end up broken-hip basket cases or hunchbacks in our old age!

[Lyndsey]

Hi ... Just a "benchmark" for me, 30 years post-op.  I went to see my doctor (an MtF Transgender herself) and she had some fresh blood-test lab results for me.  Estradiol level was 345 ng/dl, testosterone was 4 ng/dl ... really low.  She didn't like 345 for the estrogen, and told me to keep it down to < 200, so I have another lab test next month to make sure I'm "obeying her rules".  I went many years with no HRT post-op, because in 1985 they sent me on my way with no HRT.  The result was that now I have mild osteopenia, which is "pre-osteoporosis".  (Determined by a bone density X-ray she ordered in addition to the blood-work lab tests.)  Not serious though, and she said I could recover the bone density with proper HRT & calcium monitoring over the next two years.  The message:  Pay attention to such things. We don't want to end up broken-hip basket cases or hunchbacks in our old age!

Hi Roberto
Thank You noting that as My estrogen has been 523 and that is way to high. My T was .04 which is basically non existent Big adjustments coming for me.

Lyndsey

[Qcammy]

I stopped HRT for a year before SRS and recently just started again on Proginova <Not Permitted> per day after 4 weeks of SRS done by Dr Suporn. He said i may start HRT back again. Hooray


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[ShotGal]

I went many years with no HRT post-op,

Interesting, thanks for posting this.  I quit all meds quite a few years ago.  Less is more.  Moderation is best.  I don't ever get sick so going to the Dr. seemed pointless other than to enter into the "payment for prescriptions" scheme of gatekeeping, science experiments, and extortion.  We moved a few times and I just haven't bothered even trying.  It's a bit like taking your perfectly working car to a shady repair shop and asking them to see if there's anything they can find wrong with it - isn't it?   I'll pass, for now. 

[KayXo]

The lack of hormones post-op can cause osteoporosis, cognitive deterioration, accelerated ageing, mood problems, lack of energy and motivation, dry skin/hair/vagina, contribute to the onset of early diabetes, perhaps increase the risk of cancer and heart disease, etc.

[AnonyMs]

Interesting, thanks for posting this.  I quit all meds quite a few years ago.  Less is more.  Moderation is best.  I don't ever get sick so going to the Dr. seemed pointless other than to enter into the "payment for prescriptions" scheme of gatekeeping, science experiments, and extortion.  We moved a few times and I just haven't bothered even trying.  It's a bit like taking your perfectly working car to a shady repair shop and asking them to see if there's anything they can find wrong with it - isn't it?   I'll pass, for now.

Going with the car analogy, why bother going to a service shop to get the oil changed, or the tires checked? Its its been doing fine so far, so you don't ever need to worry about it?

You do need to find a decent repair shop though, not a shady one, and its just the same with doctors. In general I trust doctors about as much as I'd trust a repair shop, but I've managed to find a couple of good ones.