Quote from: Fluttershy95 on May 17, 2016, 04:58:15 PM
I read a lot of times that Transwoman have too low or still too high testosterone levels after their Srs. So I would like to know how near are the testosterone levels from Post-Op Transwoman to Cis-Woman and do many many need medication to adjust their testoreon levels ?
Just the thought of taking testosterone injections after my Srs scares me to death. I did so much effort to get it out of my body and I don't want to buy and take it just to function properly.
Basically after SRS there are two possibilities.
One is there is still some testo produced. The body may signal low testo and may try to produce as much teto as it can.
In some cases anti androgens are needed until this settles down after a few months.
The other is there i still some testo produced, in whatever amount, but in the female range.
The neovagina reacts to estrogen like a cis vagina.
So to avoid menopausal states like dryness and possibly even some atrophy and bone density matters, levels well in the female range should help.
Many endos strive for levels of 180-200 pg/ml or above.
High enough levels also can help with level of activity and libido.
If level of activity is low it may be possible to try to raise estrogen levels.
With bioidentical estrogen / estrogen valerate and sublingual, transdermal, injection or implant intake clotting factors should not be raised a lot.
Then adding bioidentical progesterone might help. It might fill in for testo.
If level of activity and libido is still low a low dose of testosterne might be tried, in the female range, below 70 ng/dl.
There are specifically for this purpose low dose applications like gels and patches, for menopausal people.
There are studies showing it indeed can help with libido:
http://www.ncbi.nlm.nih.gov/pubmed/16014407 Talk it all through with your doc.
hugs